ELDERBERRY HGTS BK 1 LT 7 - ZCP 9/28/2022Kodiak Island Borough
lA, "x S Community Development Department
710 Mill Bay Rd. Rm 205 D n
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit Permit No.
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: pma% . \.OQ \t
Mailing Address: `"j `Q SQ\ttq Lort-0-
PhoneNumber: \ GO-1 fnC" 14 4"i
Other Contact email, etc.: and"-p. , W . W[1\\ (d Cl MaC t -c dm
Legal Description: Subdv: -fI der.6 v-rt-\ kPi 4 U< Block: Lot:
_
Street Address: \'I ( C\ fit: ZF (,90
Site Plan to include lot boundaries and existing easements, existing buildings, proposed location ojnew construction, access points, and
vekicularparking areas.
Staff Compliance Review: Current zoning: RQ` PROP_ID
Lot Area: O.-Al cwcczes Lot Width: 1 ()
Front Yard: /1 Ct Rear Yard: ZOt
Parking plan? ,i #Of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No.
Building Height: t
Side Yard: 17 t
Building PermitNo.
Does the project involve
an EPA. defined factr&0$
enn .mercialbydd. gs,t>rstarfl'[ians ditarybases),
institutions (schools, hgspitbl d residences
,rich more thanfour{4)dwe gwrits.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
"Required for all demolitions, for renovations disturbing at least UO square _ _ _ _ _
feet,2601inearfeet, or35 cubicfeetofitegulatedAsbestos Containing Material (RACMj, and for
renovations that remove a load-suppordngshvciure/ member er.
No per will he issued for c_uch oroiects without proof of EPA
notification
Aoolicant Certification: I herebycertifythat I willcomplywiththe provisions of the KodiaklslandBorough Code andthat I
have the authoritytocertifythisasthe propertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentifiable
comermarkers in place for verification of building setback (yard) requirements.
List Other:
Attachments? Sr..,,��.,t„ e- Print Name: pct` Iyiz Wa \\
Date: 811)012022 Position Title: ou l(vjf
Signature:
This permit is only for the proposed project as described by the applicant. If there are any changes to the
proposed project, including its intended use, prior to or during its siting, construction, operation, contact this
office immediately to determine if further review and approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
**EXPIRATION: Anyzoning comp/lance permitissuedissubject to thesameexpiration, suspension, and revocation provisions as a
building permit issued for the sameconstruction permit. * *
Date: l'L Z(/ CDDStaff: "VS- 7 -
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It 104-Main floor of Borough Building
After -the -Fact 2X the published amount
Not App li cable
❑
$0.00
❑
$0.00
Less than 1.75 acres:
P?
$30.00
ri
$60.00
1.76 to S.00 acres:
Ei
$60.00
❑
$120.00
5.01 to 40.00 acres:
El
$90.00
❑
$180.00
40.01 acresor more:
o
$120.00
❑
$240.00
(1Trrirr
0�.
fj , ; � �sI 1 ;I'
�cta�fS
project.
2,
PLEASE NOTE: SUBMISSION OF COMPLETE PLANS ARE REQUIRED.
Page 1 of 2
I
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
09/13/2022 11:12AM
Remittance ID:
Kodiak091322150853915Cur
Transaction ID:
295011163
ERIK J BENNET
1718 Selief
KODIAK, Alaska 99615
United States
Visa - 9260
Approval Code: 01679D
Sale
Amount: $30.00
Andie Wall
907-654-1443
CZ2023-013
1719 Selief Lane
Service Fee: $1.00
Service Fee Type: Dual Transaction
Total Amount: $31.00
Cardmember acknowledges
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform the
obligations set forth by the
cardmember's agreement with
the issuer.
Signature
click here to continue.
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