HOSPITAL BK 1 LT 2A-1 - ZCP 6/20/2023r Kodiak Island Borough Community
Development Department
710 Mill Bay Rd. Rm 205
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:
Permit No. C-Ljo�-3-()5- -
The following information is to be supplied by the Applicant:
Kodiak Island Borough/Providence Medical Center
710 Mill Bay Road
907 486-9304
Subdv. Hospital BK 1 LT 2A-1
Street Address:
Use & Size of Existing Structures:
H
1915 Rezanof Drive East
& Community Health Clinic
Block: 1 Lot: 2A-1
Description of Proposed Action:
This protect is a replacement of the MRI trailer with modular building and a canopy
that covers the distance from the hospital to the new MRI modular building. During
construction of the footing. foundation. and canoov. the existina mobile MRI
equipment trailer will be relocated adjacent to the main entry of the hospital.
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. Public Use KIBC 17.130 PROP -ID 23656
Lot Area 11.82 Acres Lot Width: 60' Building Height: 50,
Front Yard: 25'
Parking plan? I
Rear Yard: 25%/25 ft
a Of Req 'd Spaces: ,1
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements.
Subd Case No.
Plat No.
2012-20
Side Yard: 10% /25 ft
As Built: V
Building PermltNo. TBD Bldg Dept
Does the project involve Yes
an EPA defined facility?
•commercial buildings, installations (militarybases),
institutions (schools, hospitals) and residences
with more than four (4)dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
N/A
N/A
TBD Bldg Dept
Proof of EPA notification provided (if required)?
"Required for all demolitions, for renovations disturbing at least UO square No
feet, 1601inearfeet, or35 cubiefeetofRegulated Asbestos Containing Material (RACM), and for
renovations that remove a bad -supporting structure/ memberer
No permit will be issued for such projects without proof of EPA
notification
Applicant Certification: Iherebycertifythat lwillcomplywiththe provisions of the Kodiak lslandBoroughCode andthat I
have the authority to certifythis as the propertyowner, orasarepresentativeofthepropertyowner.I agree tohave identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? List other: MRI Module Replacement Construction Drawings - 6/12/23
DAVID CONRAD
Date: Print Name:
Date: 27 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 reviewand approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
"EXPIRATION. Anyzoningcompliancepermitissuedissubjecttothesameexpiration,suspension, andrevocation provisions asa
building permit issued for the sameconstruction permit **
Date.
CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room /t 104 - Main floor of Borough Building
Aker -the -Fact 2X the published amount
Not Apo licable
[;(
$0.00
0
$0.00
Lessthan 1.75 acres:
Ei
$30.00
Ei
$60.00
1.76 to S.00 acres:
Ei
$60.00
$120.00
5.01 to 40.00 acres:
$90.00
$180.00
40.01 acresor more:
$120.00
$240.00
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KODIAK, ALASKAIS
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PROVE ENCE HEALTH SYSTEM PROJECT ALASER. 2OV-066 SERIAL NIIMSER201E-066-EI02