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EAST ADD BK 55 LT 1 & 2 - ZCP 12/1/2022Kodiak 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 amn 10©�U Permit No. The following information is to be supplied by the Applicant: Property Owner/ Applicant: PROVIDENCE HEALTH & SERVICES - WASHINGTON Mailing Address: 3760 PIPER ST. SUITE 1080. ANCHORAGE AK 99508 Phone Number. OWNER REP - JOHN BUSH - JOHN.BUSH@PROVIDENCE.ORG - (907)290-5386 Other Contact email, etc.: CONTRACTOR - RYAN GILCHRIST - RYAN@GLACIERSIGNAK.COM - (907)561-3515 Legal Description: Subdv: EAST ADDITION Block: 55 Lot 1 & 2 Street Address: 1818 E REZANOF DRIVE Use & Size of Existing Structures: THE CURRENT USE OF THE PROPERTY IS THE KODIAK ISLAND COUNSELING CENTER, OPERATED BY PROVIDENCE. Description of ProposedAcion: FABRICATE AND INSTALL 1 EA SET OF INTERNALLY ILLUMINATED CHANNEL LETTERS ON NORTH ELEVATION OF BUILDING, AS PER GRANTED VARIANCE AT THE REGULAR MEETING ON 21 SEPTEMBER 2022. Site Plan to include lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas, As Built required with all improvement changes. Compliance Review: Current Zoning: � PROP —ID [rj 651 Lot Area: '� k U� C p, I 1 Lot Width: Front Yard: �$ t Rear Yard: I_i0t 1 C-) t Building Height: 35 t Side Yard: Parking plan? N 14 N Of Req 'd Spaces: _�es As Built: Staff Compliance Review Notes and Specific Plat I Subdivision Requirements: This Sign I �S ann e_ 411 rvt,ah a VA,r; Subd Case No. Plat No. Building PernitNo. Does the project involve (--! ji Proof of EPA notification provided (if required)? an EPA defned lacilit?,; I •Requiredfor all demolitions, for renovations disturbing at least UO square_____ •commercialbuilain$gs,idlloIlad s(mi/itary�l5as feet, 260linearfeet, or35cubicfeetofRegulated Asbestos Containing MaterialtRACM), andfor institutions (schools,7lbspital and residences renovations (hatremoveaload-suppor(ingslructure/memberer. with more than four (4)dw mg unia. No permit will be i_ce_ued for such oroiects without proof of EPA notification Driveway Permit? Septic Plan Approval: Fire Marshall: Applicant Certification: I herebycertify that I willcomplywiththe provisions ofthe Kodiaklsland Borough Code and that I have the authoritytocertilythisasthe propertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentirtable corner markers in place for verification of building setback (yard) requirements. Attachments? SIGN DETAIL List Other: John Bush Date: December 1, 2022 Print Name: Date: December 1, 2022 Signature: n�• i`/ 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: Anyzoningcompliancepermitissuedissubjecttothesameexpiradon,suspension, andrevocadonprovisionsasa buildingpermit issued for the sameconstruction permit. ** Date: �ado,CDDStaff: P,vmentVerification Zoning Compliance Permit Fee Payable in Cashier's Office Room It104-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: V$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 ]MW CaOR FILM -POINTED TO NATCN POMONE]91c W WALCagi F&M-PNNTEDT0WTCNPAYTONEN& PAWTTONPTCHMATTHEWSSVCCIMSPBWSHEDPLU NTM 281288 SP SATIN CL CWT - FAWTTOWTCHBUILDINB. iu ttnx.�.wuuwu� MP 1diASCWBHWSECANMAS CHANNEL IFFUS LETTERS: -Z' CLEAR ACRYLIC FACES W DUAL COLOR FILM B BACKED W DIFFUSERU MENVISION373WKOPTI SP DIFFUSER FILM) -BITRO GROUP WHITE 6500K OPTICSPRO LEDs 1T0.4livoM -0. ALUMINUM 4 - MOUNTED NUMRETURNS TEK SC DTOFACES wl%'LIP RANCESTAPLED TOBACKS -MOUNTED ON WIREWAV w15'TEK SCREWS INTO WOOD FRAME TOP 8 BOTTOM, MIN 4 PER TIMBER • � F 1 Transaction Receipt - Success Kodiak Island Borough Kodiak Island Borough Community Development MID:200006988265 710 Mill Bay Road Kodiak, AK 99615 907-486-9323 12/02/2022 03:59PM Remittance ID: Kodiak120222195736843Cur Transaction ID: 298204034 LANCE MICHAEL GILCHRIST 3760 Piper Street Suite 1060 ANCHORAGE, Alaska 99508 United States Visa - 9616 Approval Code: 07185G Sale Amount: $30.00 Providence Health & Services 9078308075 CZ2023-023 1818 E. Rezanof Drive 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. E,,