USS 3098 LT 27B MILL BAY RD - ZCP 9/28/2022Kodiak Island Borough
Community Development Department
of 710 Mill Bay Rd. Rm 205
Kodiak AK 99615 e D
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 J Z2
Zoning Compliance Permit Permit No. CZZOZ3- DI U
Property Owner/ Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
The following information is to be supplied by the Applicant:
Subdv: j ) 5 :2i)� Block: -- Lot: ZJ6
Street Address:
Use & Size of E`x'iing Structures: t
'CC-66L4'C--IA)i!i— lf`(Ci414(1rJAi LZ— l't)411l tmil%FL
1 l6rFf7 � — 3 c' ' ZL= J�n ,� r
Description of Proposed Action:
Site Plan to include lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and
vehicular parking areas.
Staff Compliance Review: Current Zoning: us PROP_ID ,;'�CL
Lot Area: Lot Width: I v� �- Building Height: ux�
Front Yard: N Rear Yard: tN Side Yard:
Parking plan? # Of Req'd Spaces:
Compliance Review Notes and Specific Plat /
Subd Case No. Plat No. Building PermitNo.
f� r
e., �4l_�
Does the project involve
an EPA defined facility?
•connnercialbuildings. installations fnulitarybases),
institutions (schools. hospitals) and residences
with inure dmn four (4),heelling ratite
Driveway
Permit?
Septic Plan
Approval.
Fire
Marshall
Proof of EPA notification provided (if required)?
*Requtredfor all denmlitions. for renovation disturbing at least UO square _ _ _
feet, 260hnearfeet. or35cubtcfeetof Regulated Asbestos Conouning Material fRACM). and for
renovations thatrentove a load -supporting structure/ memberer.
No p -rmit will b iee u d for such oroi - .tc without proof of EP4.
notification
Anolicant Certification: l herebycertifythat I willcomplywiththe provisions of the Kodiak lslandBoroughCode andthat I
have the authorityto certifythis as the propertyowner, ores a representative ofthepropertyowner. l agreeto have identifiable
corner markers in place for verification of building setback (yard) requirements.
List Other.
Attachments? Print Name: PC, r i7'JTS Lp S l'J ell
�j
Date: % is Zdy� Position Title: L��C/,LC
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.
**EXP/RATION: Any zoning compliancepermitissuedis subject to thesame expiration,suspension, andrevocation provisions asa
building permit issued for the sameconstruction permit. **
Date: t. CDDStaff.
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 El $0.00
Lessthan 1.75 acres: V$30.00 $60.00
1.76 to S.00 acres: M $60.00
$120.00
5.01 to 40.00 acres: El $90.00
$180.00
40.01 acresor more: Ei $120.00
$240,00
Does the project involve Proof of EPA notification provided (if required)?
an EPA defined facility? *Required for all demolitions, for renovations disturbing at least UO square .....
•commercialbuildings,installations( itarvbases). feet, 2601inearfeet.w35 cubicfeetof Regulated Asbestos Containing Material(RACM). andfor
institutions (schools. hospitals) an residences renovations thatrenrove aload-suppo,tingsavcturel member er.
with more than four (J)dwellin miu. No permit will be issued for such oroiects without oroof of EPA
notification
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
AoolicantCertificabon: I herebycertify that Iwillcomplywiththe provisions of the Kodiak lslandBoroughCodeandthat I
have the authorityto certifythisas the properlyowner, orasa representative ofthepropertyowner. I agreeto have identifiable
corner markers in place for verification of building setbaci
List Other:
Attachments?
Print Name:
Date: -2-�' 2
Position Title:
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. Any Zoning compliance perrnitissued issubject to thesame expiration, suspension, and revocation provisions asa
building permit issued for the sameconstruetion permit. **
Date:
CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room I1104-Main floor of Borough Building
Aker -the -Fact 2X the published amount
Not App licable $0.00 ❑ $0.00
Lessthan 1.75 acres:
$30.00
❑
$60.00
1.76 to S.00 acres:
$60.00
❑
$120.00
5.01 to 40.00 acres:
El
$90.00
❑
$180.00
40.01 acresor more:
❑
$120.00
❑
$240.00
Does the project involve
an EPA defined facility?
•commercial buildings,insmllations(militarybases),
institutions (schools, hospitals) and residences
with more than four (4)dwelling unia.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
*Requiredfor all demolitions, for renovations disturbing at least UO square _ _ _ _ _
feet,2601tnearfeet, or35cubicfeetofRegulated Asbestos Containing Material (RAC", and for
renovations that remove a load-suppornngstnmturel memberec
No permit will be issued for such nroiects witho tt proof of EPA
notification
Applicant Certification; Iherebycertifythat lwillcomplywiththe provisions oftheKodiaklslandBoroughCode andthat I
have the authoritytocertifythisasthepropertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentiflable
corner markers in place for verification of building setback (yard) requirements.
List Other:
Attachments? Print Name: fC 6 k r L✓ V, S . �,3 CJ S r'l,t?l/
Date: �.5 ZdZ� Position Title: C 1;"l L C /�/ r /c
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 compliancepermitissued issubject to thesameexpiration, suspension, andrevocation provisions as a
building permit issued for the sameconstruction permit. **
Date:
CDD Staff
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 licable ❑/ $0.00 ❑ $0.00
Less than 1.75 acres: .-,( $30.00 n $60.00
1.76 to S.00 acres: El $60.00
❑
$120.00
5.01 to 40.00 acres: El $90.00
❑
$180.00
40.01 acresor more: Ei $120.00
❑
$240.00
Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
' 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:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description: Subdv: Block: Lot:
Street Address:
Use & Size of Existing Structures:
Description of Proposed Action:
Site Plan to include lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and
vehicularpdrking areas.
Staff Compliance Review: Current Zoning: PROP_ID
Lot Area: Lot Width: Building Height:
Front Yard: Rear Yard: Side Yard:
Parking plan? # Of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Building PermitNo.
Does the project involve
an EPA defined facility?
•commercialbto ""gs,installafiortsf irarybases),
institutions (schools, hospitals) an residences
with more than four (4)dwellin its.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
-Requiredfor all demolitions, for renovations disturbing at least UO square .....
feet,260tinearfeet, or35cubicfeeto] Regulated Asbestos Containing Material (RACM), and jar
renovations that remove load-supporringstructurel memberer.
No oermit will be issued for such oroiects without nroof of EPA
notification
Anolicant Certification: I herebycertifythat l willcomplywiththe provisions of the KodiaklslandBoroughCodeandthat I
have the authority to certifythisasthepropertyowner, orasarepresentativeofthepropertyowner.I agree tohaveidentiftable
corner markers in place for verification of building setbach
List Other:
Attachments?
Print Name:
Date: `J-p `Z—
Position Title:
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: Anyzoningcoinpliancepermitissuedis subject to thesameexpiration, suspension, andrevocation provisions as a
building permit issued for the sameconstruction permit. **
Date:
CDD Staff:
PaymentVerificabon Zoning Compliance Permit FeePayableinCashier's Office Room /t104-Main floorofBoroughBuilding
After -the -Fact 2X the published amount
Not App licable
❑
$0.00
$0.00
Less than 1.75 acres:
❑
$30.00
$60.00
1.76 to S.00 acres:
$60.00
$120.00
5.01 to 40.00 acres:
❑
$90.00
$180.00
40.01 acresor more:
❑
$120.00
$240.00
SAME OF OMER: rant t:c4ckaren
fi�bress' Rcx lE'', Kodiak, Ataska
M I L L BAY
ROAD
101,
or
al so' e2. 5o'
N 38' 52 E En1S1
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I/2" PIPE
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I~I
ICI 27
IWI
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9 8
3
0
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ICI
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27 A
!�I 278
In
27,225 SC -FT.
I i 27,225 SO, FT.
2
I
INI
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5' ROAD - - -...-•
a l 5' ROAD
EASEMENT
EASEMENT
1/2" PIPE \ 1 1 +/2. PIPE \\
r S 38 • 52 W I
I �
BY. SO' I1. 50'
SCALE: I" 50'-0"
1 LEI T %2
/Yew Al�.f �s-is
"yi,r
June Ist 1964
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
09/16/2022 11:26AM
Remittance ID:
Kodiak091622152441337Cur
Transaction ID:
295153394
PISA FAUMUI
2320 Mill Bay Road
KODIAK, Alaska 99615
United States
Visa - 2265
Approval Code: 04000D
Sale
Amount: $30.00
Christian Fellowship
907-539-9595
CZ2023-016
2320 Mill Bay Road
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.