MILLER PT 1ST BK 2 LT 3 - ZCP 7/21/2023Kodiak Island Borough Community
{2 Development Department
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.:
Legal Description:
Street Address:
Use & Size of Existing
tt t
Of
P�m�D
Permit No- c S 2
The following information is to be supplied by the Applicant:
Subdv: � � i l l Zir Po(n,�, Block: Lot:
i'-
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: 19 Z , l-� -?- Q PROP_ID Z,1'7J-
Lot Area: wC7 Lot Width: I O I Building Height: 3s
Front Yard: -74:� r Rear Yard: 61 Side Yard: 10
Parking plan? K,) 1 4' # Of Reg 'd Spaces: u 0- As Built: V) (y-
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. / Building Permit No.
Does the project involve f
an EPA defined facili
-co mmercialbu'Idings,' alladons(militarybases),
institutions (scho , ospitah) and residences
with mare four (4)dwelling units.
Driveway
Permit?
Septic Plan -
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
'Required for all demolitions, for renovations disturbing at least UO square _ _ _ _ _
renovations that remove a loadsuppornngstructurel member er.
No permit will be issued for such protects without proof of EPA
notification
Aoolicant Certification: I herebycertify that l willcomplywiththe provisions ofthe Kodiak Island Borough Code and that I
have the authorityto certifythisas the propertyowner, orasa representativeofthe propertyowner. I agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? List Other:
Date: t — Print Name:
Date: - O - ?/ Signature
This permit is only for the proposed project as descriliEd 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: Anyzoningcompliancepermitissuedissubject to thesameexpiradon, suspension, andrevocation provisions asa
building permit issued for the sameconstruction permit **
COD Staff Certification
Date: 7 ? Z3 CDDSIaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
Not App I! cable
❑
$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:
Ei
$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
07/21/2023 08:54AM
Remittance ID:
Kodiak072123125100385Cur
Transaction ID:
308317215
JEFFREY RYSER
PO Box 8808
KODIAK, Alaska 99615
United States
Visa - 9953
Approval Code: 08497B
Sale
Amount: $30.00
Jeffrey Ryser
907-942-4337
BZ2024-002
449 Neva 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.