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WOODLAND EST BK 4 TR A - ZCP 6/9/2023Kodiak Island Borough Print Form Submit by Email �.. .;u✓fa,", Community Development Department 710 Mill Bay Rd. Rm 205 a Kodiak AK 99615 Ph. (907) 486 - 9363 Fax (907) 486 - 9396 P419D httg://www.kodiakak.us Zoning Compliance Permit Permit No--3tZpZ3- ©qo The following information is to be supplied by the Applicant: Property Owner/Applicant: Mike Haffeman Mailing Address: 3968 Wolverine Way, Kodiak, AK 99615 Phone Number: 907-942-1644 Other Contact email, etc.: mjhaffeman@gmail.com ��^^ Legal Description: Subdv: Woodland Est Block: 4 -E�t` A Street Address: 3968 Wolverine Way Use & Size of Existing Structures: 2400 sqft Residence Description of Proposed Action: d ys. 3. X 0 ' Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Current zoning: PROP_ID 122- tom. �o Lot Area: L� U Front Yard: C Prk'g Plan Rvw? Staff Compliance Review Notes: Plat / Subdivision Requirements? Lot Width: Rear Yard: lh p of Req'd Spaces: V� Bld'g Height: Side Yard: 15 1 Subd Case No. Plat No. Bldg Permit No. Does the project involve an EPA defined facility? -Commercial buildings, institutions (schools, more than four we Driveway Permit? Septic Plan Approval: Fire Marshall: 47ations (military bases), ds) and residences with units. Proof of EPA notification provided (if required)? *Required for all demolitions, for renovations disturbing at least 160 square feet, 260 linearfeet, or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and for renovations that remove a load -supporting structural member. No permit will be issued for such projects without proof of EPA notification Applicant Certification: I hereby certify that 1 will comply with the provisions of the Kodiak Island Borough Code and that I have the authority to certify this as the property owner, or as a representative of the property owner. 1 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? C List Other Date: Jun 8, 2023 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, or 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: Anyzoning compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a building permit issued for the same construction permit. ** CDD Staff Certification Date: J CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building After -the -Fact 2X the published amount Not Applicable ❑ $0.00 ❑ $0.00 Less than 1.75 acres: $30.00 ❑ $60.00 1.76 to 5.00 acres: ❑ $60.00 ❑ $120.00 5.01 to 40.00 acres: ❑ $90.00 ❑ $180.00 40.01 acres or more: ❑ $120.00 ❑ $240.00 619/23, 3:49 PM V-POS - Transaction Receipt Transaction Receipt - Success Kodiak Island Borough Kodiak Island Borough Community Development MID:200006988265 710 Mill Bay Road Kodiak, AK 99615 907-486-9323 06/09/2023 03:50PM Remittance ID: Kodiak06O923194746612Med Transaction ID: 306602776 MICHAEL HAFFERMAN 3968 WOLVERINE WAY KODIAK, Alaska 99615 United States Visa Debit - 3020 Approval Code: 009545 Sale Amount: $30.00 MICHAEL HAFFERMAN 907 942 1644 BZ 2023 040 3968 WOLVERINE WAY 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. hUps://w.velocitypayment.comladmin/kodiakaktvpos/3957/transacfions/receipt/ 1/1