RUSSIAN CRK BK 1 LT 13 - ZCP 4/6/2023ws� Kodiak Island Borough Community
Development Department
_r. 710 Mill Bay Rd. Rm 205
a Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit
Property Owner/ Applicant:
Mailing Address:
Permit No.-:��/n15
The following information is to be supplied by the Applicant:
Phone Number:aa-
Other Contact email, etc.: ya i/on, CO Vvt
Legal Description: Subdv: V 3S I C"L ( N n AABlock: r1 Lot: 3
Street Address: 3 a7 'S_
Use & Size of Existing Structures:
i
/7'?ovI'"S �o x Yo i3L'ijJITT
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, As Built required with all improvement changes.
Staff Compliance Review: Current zoning: ) PROP_ ID ZW(Y.
Lot Area: , 1I�. _ _ — Lot Width: t �v Building Height:
Front Yard: ��i Rear Yard: ,v `II A Side Yard: Ni.�-
Parking plan? # Of Reg 'd Spaces: �i' As Built: 1
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
P4eabe 5a.a \Pkrl`V�;f-`I`tZ623-OZ.S&e� MOne jnGr-ma:�tz
Subd Case No. Plat No. Building Permit No.
Does the project involve
an EPA defined facility? -commercialbuildings, installations (mdlitarybases),
institutions (schools, hospitals) and residences
with more than four (4)dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
-Requiredfor all demolitions, for renovations disturbing at least UOsquare _ _ _ _ _
feet, 1601inearfeet, or35cubicfeetafRegu1aIedAsbes1os Containing Material (RACM), and far
renovations thatremove a load-suppordngstmcturel memberer.
No nerrnit will be issued for such projects without proof of EPA_
notification
Annlicant Certification: l herebycertifythat I willcomplywiththe provisions ofthe KodiaklslandBoroughCode and that I
have the authoritytocertifylhisasthe propertyowner, orasarepresentativeoflhepropertyowner.I agreeto have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? List Other:
Date: - -- O" 3 Print Name: Gnv l ! 5 (Y\
Date: - - 3 Signature: /.�J�L�
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 reviewand approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
"EXPIRATION. Anyzoningcompliancepermitissued issubject to thesameexpiradon, suspension, and revocation provisions asa
building permit issued for the sameconstruction permit **
COD Staff Certification
Date: ��Da CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It 104- Main floor of Borough Building
Aker -the -Fact 2X the published amount
Not App li cable n $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 scissor more:
$120.00
$240.00
Kodiak Island Borough Community
Development Department
i
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.:
`G�IJf�U
Permit Noc�U�3 Q�
The following information is to be supplied by the Applicant:
Legal Description: Subdv:guisseq.�-Block: Lot:
Street Address: / 13 C rcck R�1
Use & Size of Existing Structures:
— t.- LI—/ i i rr __ A 1.._ '-r-_ - L _
No n)ekJ n/c H'At -7- 1A
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 8 Zoning: V Q 0 PROP_lo
9 I 11 2250in
Lot Area: I Lot Width: Nl
Building Height: 50'
Front Yard: N i P, Rear Yard: Q i 4 Side Yard: NJ
(� �t
Parking plan? �es # Of Req'd Spaces: As Built: I✓ 1Q,i
Staff Compliance ReviewNotesand Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. F6- 1,F) Building Permit No.
Does the project involve
an EPA defined facility?
•commercialbuildings, insmllatia militarybases),
institutions (schools, hospita and residences
with more than four (4)d ling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
•Requiredfor al! demolitions, for renovations disturbingat least UO square _ _ _ _ _
feet,2601inearfeet, or35cubicfeetofRegu(ated Asbestos Containing Material (RACMJ, andfor
renovations thatremove a loadsupportingstructurel memberer.
No De rmit will he ssued for such projects without proof of EPA
notification
Anolicant Certification: I herebycertify that l willcomplywith the provisions ofthe KodiaklslandBorough Code and that l
have the authorityto certifythisas the propertyowner, orasarepresentativeofthepropertyowner. I agreetohaveidentifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? List Other:
Date: 7 —J a3
Print Name: %�6-v )
(4� S ) k
Date: 'y'S' �3
Signature: I L I
Ya S I • I''✓
t
J
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. Anyzoningcompliancepermitissuedissubjeettothesamee piraBon, suspension, andrevocadonprovisionsasa
building permit issued for the sameconstrucdon permit **
COD Staff' J,C�ertiffic�'atio�n
Date: del �--"o 0 - CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's OfficeRoom It 104- Main floorof Borough Building
After -the -Fact 2X the published amount
Not App li cable
El
$0.00
❑
$0.00
Lessthan 1.75acres:
E
$30.00
$60.00
1.76 to S.00 acres:
o
$60.00
$120.00
5.01 to 40.00 acres:
$90.00
❑
$180.00
40.01 acresor more:
$120.00
❑
$240.00