MONASHKA BAY BK 2 LT 18 - ZCP 4/12/2023az4 62
/`�'o. Jk Kodiak Island Borough Community
ro-' - r Development Department
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:
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address:
Use & Size of Existing
er��D
Permit No-��,"md j-Oa�
The following Information is to be supplied by the Applicant:
i
Subdv: 1 "y%,-O'sk Vo'l Block: Lot
Ig(4
rnption of Proposed Action: I I
-6--o e)c/3/M 18 k- Sit Ls1op , -ccta�-.//
�- inSia.I) a Xllsr S�'o Wi cro7Tc lit- 14' � r'
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: J.r d 1, I-1 -1 v PROP -ID Z
Lot Area: S� " Lot Width: 1 ZG Building Height: 5N r
Front Yard: Z�j r Rear Yard: Z0 Side Yard: I' 1
Parking plan? �>rf ft Of Req'd Spaces: 1.63 As Built:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. /
Plat No.
Building PermltNo.
Does the project involy?
an EPA defined facilityl
with more i
Driveway
Permit?
Septic Plan
Approval!
Fire
Marshall:
mtiu.
Proof of EPA notification provided (if required)?
-Requiredfor all demolitions, for renovations disturbingat least UOsquare .....
feet, 260 fin earfee4 or35 mbicfeet of Regulated Asbestos Containing Material (RA CM). and for
renovations that remove a laadavpporftstmcturel membera,
No permit will be issued for such oroiects without prpof of EPA
notification
AoolicantCertiAcation: Iherebycertifythat Iwillcomplywiththe provisions of theKodiakislandBoroughCodeandthat I
have theauthorityto certifythisasthe propertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentifiable
cornermarkers in place for verification of building setback (yard)requirements.
Attachments? List Other:
Date: 7 Z Print Name:
Date: � 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., Anyzoningcompliancepermitimuedissubjectto thesameexpiranon,suspension, andrevocationprovisionsasa
buildingpermit issuedfor the sameconstrucdon permit. **
COD Staff Certification
Date: CDD Staff: `
Payment Verification Zoning Compliance Permit Fee Payable in Cashiers Office Room It 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
❑
$0.00
❑
$0.00
Lessthan 1.75 acres:
Ei
$30.00
Ei
$60.00
1.76 to S.00 acres:
5/
$60.00
$120.00
5.01 to 40.00 acres:
El
$90.00
❑
$180.00
40.01 acresor more:
❑
$120.00
❑
$240.00
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
04/12/2023 01:11PM
Remittance ID:
Kodiak041223170954388Cur
Transaction ID:
303683509
JEFF BRUBAKER
PO Box 8837
KODIAK, Alaska 99615
United States
Visa - 9148
Approval Code: 01326G
Sale
Amount: $60.00
William Fulton
907-654-9956
BZ2023-027
3183 Monashka Bay Road
Service Fee: $1.50
Service Fee Type: Dual Transaction
Total Amount: $61.50
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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