USS 3474 LT 12 CHINIAK - ZCP 7/8/2011i�
Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9362 Fax (907) 486 - 9396
htti3-://www.kodiakak.us
Zoning Compliance Permit
Print Form Submit by Email
I I IIIIIIIIIIIIIIIIIIIIII
Permit N O. BZ- 2011 -003
The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address:
P.O. Box 578, Kodiak Alaska 99615
539 -5609
Lot 12 U.S. Survey 3474
43906 Chiniak Highway
Use & Size of Existing Structures: SFR and Accessory Buildings
Description of Proposed Action: Fill excavated from State Right of Way
Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access
points, and vehicular parking areas.
Staff Compliance Review: ZONING: Conservation PACS No. 18313
Lot Area: 3.06 Lot Width: Not Applicable Bld'gHeight: Not Applicable
Front Yard: Not Applicable Rear Yard: Not Applicable Side Yard: Not Applicable
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Plat / Subdivision
Requirements?
Does the project involve If YES, do you have an EPA Return Receipt of Notification?
an EPA defined facility? NO "Permit will not be issued until receipt is submitted toK18" NO
Coastal Policy Not Applicable Consistent? Attachment? Yes
Subd Case No.
Plat No.
Bld'g Permit No,
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Applicant Certification: I hereby certify that 1 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.
Attachments? Site Plan
Date: Jul 8, 2011
List Other:
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 its siting, construction, or operation, contact
this office immediately to determine if further review and approval of the revised project is necessary.
** EXPIRATION: Azoning compliance permit will become null and void if the building or use authorized by such permit is not
commenced within 180 days from the date of issuance, or if the building construction or use is abandoned at any time, after the
work is commenced, for a period of 180 days. Before such work can be recommenced, a new permit must first be obtained. (Sec.
106.4.4 Expiration. 1997 UBC) per KIBC 17.03.060. **
CDD Staff Certification
Date: Jul 8, 2011
Payment Verification
CDD Staff: Bud Cassidy_
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