BARANOF HGTS 1ST BK 7 LT 18 - ZCP 8/21/2023Kodiak Island Borough Community
Development Department
r 710 Mill Bay Rd. Ran 205
n Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit
Thef
Property Owner/ Applicant:
Mailing Address:
Phone Number
Other Contact email, etc.:
Legal Description: Subdv:
Street Address:
Use & Size of Existing Structures
D
Permit No. J.
information is to be supplied by the Applicant: f
m Y/n < C r Y- 1/4 - l �•
Block: Lot: / F
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: "VI Z _ I -I zv PROP ID it4�
Lot Area: —I . oui Lot Width: tR-0 ' Building Height: 35 1
Front Yard: Z5 r Rear Yard: Ju
Parking plan?yo t-'k- # Of Req 'd Spaces:
Staff Compliance Review Notes and Specific Plat I Subdivision Requirements:
Side Yard: ko I
As Built:
Subd Case No. � Plat No. Building PemnilNo.
Does the project involve Proof of EPA notification provided (if required)?
an EPA defined facility? -Requiredfor all demolitions, for renovations disturbing at least UO square _ _ _ _ _
•commercialbuildings, imtoIlatia (mIittarybases). feet, 1601inearfeet.or35cubicfeetofRegulaled Asbestos Containing Material(RACMJ, andfor
institutions(schools, hospilaV and residences renovations that remove a load-supponingstruciurelmemberer.
with more than fow (4)dw ing units. No permit will be issued for such protects without proof of EPA
notification
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
AnnlicantCertification: lherebycertifythat Iwillcomplywiththe provisionsoftheKodiak/slandBoroughCodeandthat I
havetheauthoritytocertifythisasthepropertyowner, orasarepresentativeofthepropertyowner. I agree tohaveidentifiable
comermarkers in place for verification of building setback (yard) requirements.
Attachments? List Other:
f Print Name: Date: /
Dale: (� Signature:
This permit is only for the proposed project as described b e applicant If there are any changes to the
proposed project, including its intended use, prior to or ring itssiting, 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 Anyzoning compliancepermitissuedissubject to thesameexpiradon, suspension, andrevocadon provisions as
building permit issued for the sameconstruction permit '•
Date: CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payablein Cashier's Office Room It 104-Main floorof Borough 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:
El $90.00
$180.00
40.01 acresor more:
❑ $120.00
❑
$240.00
r1 � pgPQp .
WOD
\ " No
/.a
O
p0
v
e n '$' $ n
G
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
08/21/2023 01:37PM
Remittance ID:
Kodiak082123173619093Cur
Transaction ID:
309730745
ROY AND CRYSTAL THOMAS
1225 Larch Street
KODIAK, Alaska 99615
United States
MasterCard - 6854
Approval Code: 63641B
Sale
Amount: $30.00
Roy and Crystal Thomas
907-942-7163
CZ2024-009
1225 Larch Street
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.