BELLS FLATS BK 4 LT 4A - ZCP 2/9/2024Kodiak Island Borough
Community Development Department
710 Mill Bay Road Room 202
Kodiak, Alaska 99615
Phone (907) 486-9363 Fax (907) 486-9396
bcurne o kodiakakms
Zoning Compliance Permit Permit No.
The following information is to be supplied by the Applicant
Property Owner/Applicant: 0ictyx Fh,o55
Mailing Address: 'PO Box 0,31 t F�GdtGk- Ak_ ggeot'S
Phone Number: - (- Sy - 3 $78
Other Contact Email, etc..: ro (ay, (j� el c5 al casket , Ke't
Legal Description: Subdv: p -as f5i ck�s Block: 4 Lot: 4 A
Street Address: 10 7y2 Ch intek fir•
Use & Size of Existing Structures: S ti
Description of Proposed Action: 13ct d a new sbyP
1.ns%li c. Sen�ic k+nL< leach �,"-V
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 nrooerty 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:
Ow n.ef Print
Name:
(2D1 6; n 2 (A VS 5
Date:
.12 y
Signature:
V <} w
Site Plan to include lot boundaries and existing easements and buildings, proposed location ofnew 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 Proof of EPA notification provided (if wired)?
Defined Facility? ' merical Buildings, 'Required for all demos, renovations disturbi at least UO sq
Installations, instit ns, and residences feet, 260 lineafeet, or 35 cubic ft of Regul d Asbestos Containing
With more . n four (4) dwelling unites' Material (RACM) and for renovation that re a 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:L
Lot Area: ,_j , (X Vi
Front Yard: 5'
Parking Plan: K%,6,
1. .
Lot Width: t7-(j'
Side Yard: 15
Parking Spaces:
Staff Certification
Date: 1 W � _ -.1 CDD Staff
Payment Verification
Prop. ID: 22Z -11
Building Height: �3j `
Rear Yard: ZO ,
As -Built: v/
After the Fact 2X the published amount
Waived:
$0.00 ❑
$0.00
❑
�'�'
Less than 1.75 Acres:
$30.00 ❑
$60.00
❑
�U 1
1.76 to 5.00 Acres:
$60.00
$120.00
❑
�4w = lan
5.01 to 40.00 Acres:
$90.00 ❑
$180.00
❑
l'
� 'f = Z-6
40.01 Acres or more:
$120.00 ❑
$240.00
❑
eJ . = 15 1
5-1 Lt
PAYMENT DATE
02/09/2024
COLLECTION STATION
CASHIER
RECEIVED FROM
ROLAN RUOSS
DESCRIPTION
10742 CHINIAK DR
BZ 2024 38
Kodiak Island Borough
710 Mill Bay Rd.
Kodialy AK99615
Payments: Type Detail Amount
Check 4130 $60.06
Total Amount:
BATCH NO.
2024-00000232
RECEIPT NO.
2024-00000803
CASHIER
Teresa Medina
$60.00
Printed by: Teresa Medina
Customer Copy
Page 1 of 1
02/09/2024 10:11:54 AM
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