USS 3099 LT 25B - ZCP 5/21/2012Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
a Kodiak AK 99615
Ph. (907) 486 - 9362 Fax(907)486 -9396
httip://www.kodiakak.us
Zoning Compliance Permit
Print Form Submit by Email
III IIIIIIIIIIIIIIIIIIIIII
Permit No. BZ2012 -055
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:
Use & Size of Existing Structures:
Antonio Velasco
PO Box 8025, Kodiak, AK. 99615
g41a - 3 $ 6s'
Subdv: USS 3099 Block: Lot: 25B
761 A Jackson Ln
MHR
Description of Proposed Action: Room addition (10'x 14')
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: Current Zoning: R3 KIBC 17.85
Lot Area: 15,580
Front Yard:
Prk'g Plan Rvw? No
Plat / Subdivision
Requirements?
Lot Width:
Rear Yard:
# of Req'd Spaces: 3
PROP ID 20903
Bld'g Height: 35'
Side Yard:
Does the project involve If YES, do you have an EPA Return Receipt of Notification?
an EPA defined facility? NO "Permit willnotbe issued until receipt is submitted toKIB"
Subd Case No. Plat No. Bld'g Permit No.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Applicant Certification I hereby certify that 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. 1 agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Site Plan
List Other:
Date: May 21, 2012
Signature: Antonio Velasco /J VPZ - 95( '}
.v�i Der 0 v
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 bysuch 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 17.7 5.060 A. **
CDD Staff Certification
Date: May 21, 2012
CDD Staff: Martin Lydick rA
Payment Verification Zoning Compliance Permit T7"Jashier's Office Room # 104- Main floor of Borough Building
MAY 2 J Z<)12 , e
KOWIS100
FlnanceDepattment After - the -Fact 2X the published amount
Not Applicable F $0.00 r $0.00
Less than 1.75 acres:
FX
$30.00
F
$60.00
1.76 to 5.00 acres:
F
$60.00
F
$120.00
5.01 to 40.00 acres:
F
$90.00
F
$150.00
40.01 acres or more:
r
$120.00
r
$240.00
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