USS 3099 LT 20 - ZCP 11/3/2023Kodiak Island Borough
Community Development Department
710 Mill Bay Road Room 202 0 D
Kodiak, Alaska 99615 Y(
Phone (907) 486-9363 Fax (907) 486-9396
bcurrie@kodiakak.us
Zoning Compliance Permit Permit No. 'qt),?4- QZ2
The wing information is to be supplied by the Applicant
Property Owner/Applicant:
Mailing Address:
Phone Number: ..2 ` 3a �
Other Contact Email, etc..: CS%C`' —
Legal Description: S'u/bdv: tn1 Block: Lot:
Street Address:
r—r
Use & Size of Existing Structures:p u S Q
Description of Proposed Action:
C zl f-rk elt-A,-Q tr�� l r , 1t /y5 ?—� t
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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 nroneriv owner, or as a representative of the property owner. I
agree to have identifiable corner markers in place for verification ofbuilding setback (yard) requirements.
l
Title:ff
0U!✓ Pri"Name:Date: /1 SigSite Plan to include lot boundaries and existingd buildings, proposed locaho co,
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 iffurther 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 EP Proof of EPA notification provided (if required)?
Defused Facility? 'Comm I Buildings, 'Required for all demos, renovations disturbing at least UO sq
Installations, institutions, d residences feet, 260 lineafeet, or 35 cubic It of Regulated Asbestos Containing
With more than fou 4) dwelling unites' Material (R4CM) 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 issuedfor the same construction permit.
Current Zoning: • 7 7 Prop. ID:
Lot Area: "T Lot Width: f �) Building Height: 3
Front Yard:
Side Yard: �' f
Rear Yard:
Parking Plan
Parking Spaces: l
As -Built:
/�
V
Staff Notes:
Date: �l
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
❑
Transaction Receipt- Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
11/03/2023 02:31PM
Remittance ID:
Kodiakl10323182911384Cur
Transaction ID:
312795902
PATRICK N. ADAMS
2546 Spruce Cape Road
KODIAK, Alaska 99615
United States
MasterCard - 6087
Approval Code: 220542
Sale
Amount: $30.00
Patrick N. Adams
907-942-3082
BZ2024-022
2546 Spruce Cape Road
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.