ALDER-NATALIA LT 10 - ZCP 5/31/2023w� Kodiak Island Borough Community
Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615 M
.Ph.(907)486-9363 Fax(907)486-9396
Zoning Compliance Permit Permit No. Casa
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: /-1,6 %i 554 ! c;e c (L
Mailing Address: '/'07-41 -! X &( 'Ife eOlfD
Phone Number. -4/ & - B
Other Contact email, etc.: yt SCr MLi iL f�,im 7L� , /✓� T
Legal Description:
Subdv: �� � — �{�i3T-�Lr`8} Block: Lot /Q
Street Address: _ / C)
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
vehicular parking areas, As Built required with all improvement changes.
Staff Compliance Review: Current Zoning: 2 3 1 -7ecJ— PROP_ID 1-5-1-7s
Lot Area: 1-7 % f(-)30 Lot Width: �-
Cc
c 0 r Building Height:
Front Yard: •% 5 1 Rear Yard: I2�'ll Side Yard: t
Parking plan? Ve 5 # Of Req 'd Spaces: ' e-5 As Built:
T�
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. d n0
Building PermitNo.
Does the project involve Proof of EPA notification provided (if required)?
an EPA defined facility? 0 'Required for all demolitions, for renowtiow diswrbing at least UO square _ _ _ _ _
-commercialbuildings,installations fnitilarybases), feet,2601inearfeet, or35cub1cfeetofRegulated Asbestos Containing Material(RACN), andfor
institutions (schools, hospitals) and residences renovations that removea load-supportingstructurelmemberer.
with more thanfour (4)dwelling units. No nermatwqll be issued for such proiects without proof of EPA
notification
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Aooiicant Certification: I herebycertifythat /will complywiththe provisions ofthe Kodiaklsland Borough Code and that I
have the authorityto certifythisasthe propertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentirtable
cornermarkers in place for verification of building setback (yard) requirements.
Attachments? �! �.�✓ P� List Other:
Date:
Print Name:
Date: , j Z-f �Z� 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 therevised project isnecessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
**EXPIRATION. Anyzoningcompliancepermitissuedissubjecttothesameexpiradon,suspension, andrevocadonprovisionsasa
building permit issued for the sameconstruction permit **
Date: 5/� CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room it104- Main floor ofBorough Building
After -the -Fact 2X the published amount
Not App livable ❑ $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
PAYMENT DATE
Kodiak Island Borough
BATCH NO.
05/31/2023
710 Mill Bay Rd.
2023-00000353
COLLECTION STATION
Kodiak, AK 99615
RECEIPT NO.
CASHIER
2023-00001046
RECEIVED FROM
CASHIER
DETAIL CONSTRUCTION,
Teresa Medina
INC.
DESCRIPTION
107 NATALIA WAY
••RECEIPT
DESCRIPTION
• •
Zoning Compl
Zoning Compliance Permit
$3
CZ 2023 048
Payments:
Type Detail Amount
Check 214 $30.00
Total Amount: $30.00
Customer Copy
Printed by: Teresa Medina Page 1 of 1 05/31/2023 09:29:16 AM
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