BLACK CANYON BK 3 LT 3 - ZCP 1/4/2019Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205 II III
as
Kodiak AK 99615
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Ph. (907) 486 - 9363 Fax (907) 486 - 9396 19280
http://www.kodiakak.u5
Zoning Compliance Permit Permit No. BZ2019-034
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: Todd Dorman
Mailing Address:
Phone Number:
Other Contact email, etc.:
3433 TONA LANE
907 539 2338
Legal Description: Subdv: BLACK CANYON BK 3 LT 3 Block: 3 Lot: 3
Street Address: 27569 Chiniak Highway
Use & Size of Existing Structures:
Hoop house and building pad for SFR
Description of Proposed Action:
Add up to 5000 yards of fill
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: R1 KIBC 17.75 PROP_ID 19280
Lot Area: 10.12 acres Lot Width: 250' Bld'g Height: 35 '
Front Yard: 25 ' Rear Yard: 25 ' Side Yard: 25 '
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces: 3
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Does not violate 17.50.080 B. Setbacks from Anadromous Fish Water Bodies.
Subd Case No. Plat No. 98-30 Bld'g Permit No. TBD Bldg Dept
Does the project involve NO
an EPA defined facility?
*Commercial buildings, installations (military bases),
institutions (schools, hospitals) and residences with
more than four (4) dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
N/A
N/A
TBD Bldg Dept
Proof of EPA notification provided (if required)? NO
*Required for all demolitions, for renovations disturbing at least 160 square
feet, 260 linear feet or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and
for renovations that remove a load -supporting structural member.
No permit will be issued for such projects without proof of EPA notification
Applicant Certification: 1 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: Jan 4, 2019
Signature: � O�,rw-r—�
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.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
"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.**
CDD Staff Certification
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
❑ $0.00
❑
$0.00
Less than 1.75 acres:
❑ $30.00
❑
$60.00
1.76 to 5.00 acres:
60.00
❑
$120.00
5.01 to 40.00 acres:
X $90.0
❑
$180.00 CO�'
40.01 acres or more:
120.00
❑
$240.00
PAID
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