ALAGNAK AC LT 3E - ZCP 10/6/2023Kodiak Island Borough V'
Community Development Department
710 Mill Bay Road Room 202
Kodiak, Alaska 99615
Phone (907) 486-9363 Fax (907) 486-9396
bcume@kodiakak.us
kodiakak.us
Zoning Compliance Permit Permit No. o�Q
The following information is to be supplied by the Applicant
Property
Mailing A
Phone Number: ( ':�, 0—f ) 'I X b -L>5 Lb
Other Contact Email, etc..: Lx
Legal Description: Subdv: c;t CY S Block: Lot: 1?
Street Address: LA j,I .T�1 � La�_e_ Rr:;a'V
Use & Size of Existing Structures:
V ra n et nk Lt". &
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 certify 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: yc-), Cx. Psi' Print Name: t
Date: 1 l) - Signature:
Site Plan to include lot boundaries and existing easements ildings, proposed location of new construction,
access points, and vehicular parking area, As -Built required with all improvements changes.
Thu 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 inZresidcnme,
Proof of EPA notification provided (if required)?
Defined Facility? 'gs, 'Required for all demos, renovations disturbing at least UO sq
Installations, institutiofeet, 260 lineafeet, or 35 cubic ft of Regulated Asbestos Containing
With more than to s' 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: aZ-1-1;4} Prop. ID
�L �
Lot Area: ] ZS�bzll Lot Width: j p 0 Building Height: 5
Front Yard: 'ZS Side Yard: Ky� Rear Yard:(Y
[�
Parking Plan: Vey Parking Spaces: 3 As -Built: t'-t (VAO
Staff Notes:4PV Ctnt 61y_+,eyl SFl? wl`\l ioi" 2S' -In �y�kf �IPBde
Date:
Payment Verification
Waived:
Less than 1.75 Acres:
1.76 to 5.00 Acres:
5.01 to 40.00 Acres:
40.01 Acres or more:
Staff Certification
CDD Staff Signature:
After the Fact 2X the published amount
$0.00 ❑
$0.00
❑
$30.00 ❑
$60.00
❑
$60.00 ❑
$120.00
❑
$90.00 ❑
$180.00
❑
$120.00 ❑
$240.00
❑
PAYMENT DATE
10/06/2023
COLLECTION STATION
CASHIER
RECEIVED FROM
ENERGY PLUS HOMES,
INC.
DESCRIPTION
415 ISLAND LAKE RD
Kodiak Island Borough
710 Mill Bay Rd.
Kodialy AK99615
BATCH NO.
2024-00000109
RECEIPT NO.
2024-00000367
CASHIER
Teresa Medina
••RECEIPT DESCRIPTION
• •
Zoning Compl I Zoning Compliance Permit I $30.00
BZ 2024 015
Payments: Type Detail Amount
Check 12270 $30.00
Total Amount: $30.00
Customer Copy
Printed by: Teresa Medina Page 1 of 1 10/06/2023 02:35:21 PM
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