ERSKINE ADD BK 10A FIRE DEPT - ZCP 11/7/2011Kodiak Island Borough
Community Development Department
I r" 710 Mill Bay Rd. Rm 205
Kodiak AK 99615
a =s'
Ph. (907) 486 - 9362 Fax(907)486 -9396
http-://www.kodiakak.us
Zoning Compliance Permit
Property Owner / Applicant: City of Kodiak
Print Form Submit by Email
III IIIIIIIIIII I III III
Permit No. CZ 2012 -26
is to be supplied by the Applicant:
Mailing Address: P.O. Box 1397
Phone Number: 486 -8040
Other Contact email, etc
Legal Description: Block 10A Erskine
Street Address: 219 LOWER MILL BAY RD
Use & Size of Existing Structures: City of Kodiak Firehouse
Description of Proposed Action: Post Replacement Lower Bay Door
Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access
points, and vehicularparking areas.
Staff Compliance Review: ZONING: Public Use PACS No. 15269
Lot Area: 2.03 Lot Width: Not Applicable Bldg Height: 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 to K18" NO
Coastal Policy Not Applicable Consistent? Not Applicable Attachment? No
Subd Case No.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Plat No.
Bld'g Permit No.
Applicant Certification: 1 hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that 1
have the authority to certify this as the property owner, or as a representative of the property owner. [agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Not Applicable List Other:
Date: Oct 3, 2011 Signature: .:�C- - �E - SJ6�✓4'"t/i'L O O Ci- -rc�+� -,�-
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: Oct 3, 2011 CDD Staff: Bud Cassidy
Payment Verification
Zoning Compliance Permit Fee
Payable in Cashier's Office
Room # 104
Fee Schedule
Less than 1.75 acres $30.00
Koi
H
Construction Disposal Deposit
/ /O/ Payable in Cashier's Office
z Room # 104
0 11) Fee Schedule
3h 7011
,., oorough
Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
a Kodiak AK 99615
Ph. (907) 486 - 9362 Fax(907)486 -9396
http://www,kodiakak.us
Zoning Compliance Permit Permit No.
The following information is to be supplied by the Applicant:
Property Owner/ Applicant:
C sf
Mailing Address:
�t L4w`r AA-:1( LL9 Rc",
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address:
Use &Size of Existing Structures:
V/ 714
Description of Proposed Action:
& Pe! / r
Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access
points, and vehicu/arparking areas.
Staff Compliance Review:
ZONING: PACS No.
Lot Area:
Lot Width: Bld'g Height:
Front Yard:
Rear Yard: Side Yard:
Prk'g Plan Rvw?
# 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?
"Permit will not be issued until receipt is submitted to KIB"
Coastal Policy Consistent? Attachment?
Subd Case No. Plat No. Bld'g Permit No.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
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. 1 agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? List Other:
Date: Signature:
�on... �aw....o
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. A zoning compliance permit will become null and void if the building or use authorized by such permitis 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 UBq per KIBC 17.03.060. **
CDD Staff Certification
Date: COD Staff:
Payment Verification
Zoning Compliance Permit Fee
Payable in Cashier's Office
Room # 104
Fee Schedule
Construction Disposal Deposit
Payable in Cashier's Office
Room # 104
Fee Schedule