ERSKINE ADD BK 10A FIRE DEPT - ZCP 10/6/2023Kodiak Island Borough
Community Development Department
710 Mill Bay Road Room 202
Kodiak, Alaska 99615
Phone (907) 486-9363 Fax (907) 486-9396
bcunie@kodiakak.us
Zoning Compliance Permit Permit No.p
The following information is to be supplied by the Applicant
Property Owner/Applicant: C rti a-- )6o 0 wo(_ � M,17r i-owt3 we '
Mailing Address: t_&x (3q�
Phone Number:
Other Contact E
Legal Description: Subdv: FlL5140nE A zOwAl Block: 1dk Lot:
Street Address: `zl k t'"C?t N16U. g9"/ ruto
Use & Size of Existing Structures: FG((E SiklOrl ; 9mo 5f✓
Description of Proposed Action:
Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code
and that I have the authority, to certiA, this as the property owner, or as a representative of the property owner. I
agree to have identifiable corner markers in place for verification of building setback (yard) requirements.
Title: r F,,)6(AMt Print Name: Mt1tTr6 Zrg t�
Date: to 1547 5 Signature:
Site Plan to include lot boundaries and existing easements and buildings, proposed location of new construction,
access points, and vehicular parking area, As -Built required with all improvements changes.
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 review and
approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING
PERMIT IS REQUIRED.
Staff Compliance Review
Does the Project involve EPA Proof of EPA notification provided (if required)?
Defined Facility? 'Co al Buildings, 'Required for all demos, renovations disturbing at least UO sq
Installations, ins ,and residences feet, 260 lineafeet, or 35 cubic ft of Regulated Asbestos Containing
With more t four (4) dwelling unites" Material (RACM) and for renovation that remove load supporting structure'
Expiration: Any Zoning Compliance Permit issued is subject to the same expiration, suspension, and revocation
provisions as a building permit issued for the same construction permit.
Current Zoning: � ' � 1. 13o Prop. ID: 1101(9-9
Lot Area: J.,2-004 Lot Width: ( Building Height:
Front Yard:. Side Yard: -1.1 o, 050(0) Rear Yard: 02130. 05o(c-')
Parking Plan: t,) V,4r Parking Spaces: A ) � As -Built: KILk
i. _ Z k A ., R L .rid _ '[ t
' w �
Date:
Payment Verification
Staff Certification
CDD Staff Signature:
Waived:
$0.00
❑
Less than 1.75 Acres:
$30.00
❑ /
1.76 to 5.00 Acres:
$60.00
5.01 to 40.00 Acres:
$90.00
❑
40.01 Acres or more: $120.00 ❑
After the Fact 2X the published amount
$0.00 ❑
$60.00 ❑
$120.00 ❑
$180.00 ❑
$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
10/06/2023 02:28PM
Remittance ID:
Kodiak 100623182625461Cur
Transaction ID:
311691870
CITY OF KODIAK/MATTHEW HOLMSTROM
PO Box 1397
KODIAK, Alaska 99615
United States
MasterCard - 1553
Approval Code: 006370
Sale
Amount: $60.00
City of Kodiak
907-486-8068
CZ2024-017
219 Lower Mill Bay Road
Service Fee: $1.50
Service Fee Type: Dual Transaction
Total Amount: $61.50
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.
X�
1 �-f
horshell St
O
C
■L
N
a
CO)I1
O
c
A)
3
t m
5 Om®40OX
(j
i, CDa 0) co cNo p.
p 7�c C m o
m
0
(p T
N =V —
co
0 1<
(D
N Z1
� Q.
3
7 i
n
N
c6
c�
O
�V1
V
E
O
i
N
cc
E
Q
O
00
-C
r'n
E
00
v
M
�
o
N
cV
4—j
Q0
c6
�
O
E
4-1
O
V
0
•�
L
L
N
E
(B
V
O�
2^
O
W
/�O�
W
LL
0
Al
Q
F—
O
V
O
N
Y O
@1 ti
v00