SAWMILL LT 1 - ZCP 6/20/2023Kodiak Island Borough Community
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:
Pfl
Permit No.
The following information is to be supplied by the Applicant:
07 - s39-
Subdv:
i & Block: Lot: 1
Street Address: I (a 6e 7 / V 1 I ✓1 i).S In K /I A /2"./ f /M d
Description of Proposed Action:
r
Site Plan to include lot boundaries and erisling easements, existing buildings, proposed location of new &dstruction, acces�ipgi�/t , q�i
vehicular parking areas, As Built required with all Improvement changes. V G�(/ �J+
Staff Compliance Review: Current zoning. t PROP to - �
Iry llUSj 'i4.L
Lot Area: J/^ .1 „crn. Lot Width: -`)ram--Building Height:
Front Yard:�j�-�- Rear Yard: 40f:)E:— Side Yard:
Parking plan?
a Of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
As Built y61>
T
Subd Case No. Plat No. —S� Building PermitNo.
Does the project involve
an EPA defined facility?
commercial buildings, installations Imilitarybases),
institutions (schools, hospitals) and residences
with more than four (4)dwelling unia.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
-Requiredfor all demolitions, for renovations disturbing at least UO square _ _ _ _ _
feel.2601ineorfeet, or33 cubicfeet of Regulated Asbestos Containing MateriallR4CNI, and for
renovations that remove a load-suppordngstructurel memberer.
No nennit will be issued for such oroiectc_ without oroof of EPA
notification
Aeo1icantCartification: Iherebycertifythatlwillcomplywiththe provisions ofthe Kodiak IslandBorough Code andthat l
have the authority tocertifythisasthe propertyowner, orasarepresentativeofthepropertyowner.l agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? List Other:
Date: 3 Print Name: Sial
Date: 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 itssiting, 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. Anyzoning compliancepermilissuedissubject to thesameexpiraden, suspension, andrevocation provisions asa
building permit issued for the same construction permit •"
Dale: i li-�3 CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It104- Main floor ofBoroughBuilding
After -the -Fact 2X the published amount
Not App li cable
❑
$0.00
❑
$0.00
Less than 1.75 acres:
❑
$30.00
❑
$60.00
1.76 to S.00 acres:
El
$60.00
$120.00
5.01 to 40.00 acres:
&r
$90.00
$180.00
40.01 acresor more:
Ei
$120.00
Ei$240.00
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PAYMENT DATE
06/20/2023
COLLECTION STATION
CASHIER
RECEIVED FROM
SAM MUTCH
DESCRIPTION
1667 MONASHKA BAY RD
Bz
Kodiak Island Borough
710 Mill Bay Rd.
Kodialy AK99615
Payments: Type Detail Amount
Check 1350 $90.00
Total Amount:
BATCH NO.
2023-00000382
RECEIPT NO.
2023-00001113
CASHIER
Teresa Medina
$90.00
Customer Copy
Printed by: Teresa Medina Page 1 of 1 06/20/2023 10:02:49 AM