EMERALD ISLE ESTATES TRACT - ZCP 3/29/2023fi�rr-- - •> Kodiak Island Borough Community
Development Department
710 Mill Bay Rd. Rm 205
n Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907)486 - 9396
Zoning Compliance Permit
Property Owner/ Applicant:
Mailing Address:
Phone Number.
Other Contact email, etc.:
Permit Noj��-3._o�cj
The following Information is to be supplied by the Applicant:
Legal Description: Subdv: F
Block: Lot:mPra(�l .�sl� Fsitafes ` t-
Street Address:
Use & Size of Existing Structures: u Alps) ranc4'ritr+i'mi - <inak? �Fnawl. tP_Str�owr4o LA4Li <s -rJ
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.
Staff Compliance Review: Current Zoning: PROP_ID
� k:� (3c n - ? s�2
Lot Area: '-, Zoa Lot Width: L'to' Building Height: 35 1
Front Yard: Z 5 1 Rear Yard: )D t Side Yard: r
Parking plan? "*e5 # Of Req'd Spaces: 3 As Built
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Foy- ofnwe- 4)n th-emoue o� 4�Le. SYn" 14ou e See
Dz3.
Subd Case No. Plat No. Building Permit No.
Does the project involve
an EPA defined facilit '2
-commercialbuildings stalh
institutions (sch , hospital
with more !h four (4)dwell
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
'Required far all demolitions, for renovations disturbing at least UO square .....
ons(militarybases), feet,2601inearfeet, or35 cubicfeet ofRegulated Asbestos Containing Material(RACM), andfor
and residences renovations that remove aload-supportingstmeturelmemberer
units. No permit will be issued for such projects without proof of EPA
notification
AoolicantCertification: lherebycertifythat iwillcomplywiththe provisions of the KodiaklslandBoroughCode and that 1
havethe authority to certifythisas the propertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentiflable
corner markers in place for verification of building setback (yard) requirements.
Attachments?
Date: 3— 2 Y 2 3
Date: - 2 1 — 2
List Other: fI�� Print Name: Vi ll Sln V dam
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 itssiting, 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. Anyzoningcompliancepermitissuedissubjecttothesameexpiration,suspension, andrevocationprovisionsasa
building permit issued for the same construction permit **
COD Staff Certification
Date: CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room /t 104- Main floor ofBorough Building
Aker -the -Fact 2X the published amount
Not App li cable El $0.00 R $0.00
Lessthan1.75acres:
$30.00
❑
$60.00
1.76 to S.00 acres:
$60.00
❑
$120.00
5.01 to 40.00 acres: r„$90.00 El $180.00
❑J
40.01 acresor more: L $120.00 n $240.00
PAYMENT DATE
03/24/2023
COLLECTION STATION
CASHIER
RECEIVED FROM
EMERALS ISLE ESTATES,
LLC
DESCRIPTION
KEVIN SUYDAM
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak AK 99615
Permit
BE 2023 019
Payments: Type Detail Amount
Check 2093 $90.00
Total Amount:
BATCH NO.
2023-00000285
RECEIPT NO.
2023-00000844
CASHIER
Teresa Medina
Customer Copy
Printed by: Teresa Medina Page 1 of 1 03/24/2023 10:05:59 AM