KODIAK TWNST BK 2 LT 1 - ZCP 6/15/2026Print Form Submit by EmailKodiak lsland Borough
Comm u nity Develo prnent Depa rtrne nt
710 Mllt Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9362 Fax (907) 486 - 9396
tttt-pr7Www. ko d i a ka k. u s
Zoni ng Cornpl iance Permit Perrnit No.
The following information is to be supplied by the Applicant:
Qol-388 -30t3 F.ert qfi-3e r-os qq
Property Owner / Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc;
Legal Description:
Street Address
K".lr,nL Ta.,lnsite Bl ocll L i.rt t
Use & Size of Exlsting Structures:
Description of Proposed Action:
Site Plan to indude: Lot boundories and existlng easements, erts?ing buildings, proposed localion of new <onstruction, occess
points, and vehicular parking drcas.
Staff Compliance Review:zoNrNG, lkb Parcel No.
LotArea: lg,rcb6
Front Yard:
Lot Width:
Rear Yard:,.o
Bld'g Height:
Side Yard:20?o
Prk'g PlanRwl? bO # of Req'd Spaces:
Plat / Subdivision
Requirem ents?
Does the project involve
an EPA defined facility?
lf YES, do you have an EPA Return Receipt of Notification?
'.lPermit will not he.issued until receipt is submined.to KlB"4es 7b5
(r97G
..y'! . -->r
Coastal Poliry b Consistent?4es Attachment?
Subd Case No.Plat No.BId'g Permit No.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
ApplicantCertification: lherebycettifythatlwiltcomplywiththeprovisionsoftheKodioklslandBoroughCodeondthatl
have the authority to cenify this os the property owner, or os a representative of the property owner. I agree to hove identitiable
corner markers in place forverification of bulldlng setbock (yord) requirements.
Attachments? il ..., F List Other:
Date:{-(zslto Sig nature:
(\"l(ahs^!t tr.ch'on CornyAnS
This permit is only for the proposed project as described by the applicant, lf there ore any changes to the
proposed p4ect, including its intended use, prior to or during its siting, construction, or operation, contoct
this office immediately to determine if further review and opprovol of the revised project is necessary.*' EXPIRATION: A zoning compliance permlt will become null and void if the building or use authorized by such permit is not
commencedwithinlS0daysfromthedateofissuonce,otifthebulldingconstructionoruse isabandonadatanytimaafterthe
work is commenced, for a perlod of 180 days. &eforc such work con be recommenced, a new permit must first be obtained. (Sec,
1 0 6.4. 4 Explrotlo n. I 997 U BC) p er Kl B C 1 7,O 3.0 60.**
C DD. Staff Certifica ti qn
Date: ,/ 8/"t(to CDD Staff, ,/(
Payrnent Yerification
Construction Disposal Deposit
Payable in Cashier's Office
Room # 1 04
Fee Schedule
p/n
Zoning Compliance Permit Fee
Payable in Cashier's Office
Room # 1 04
fl 3o.oc) 0U
PAID
Au6 31 2010
Fee Schedule
Finance DePartment
I
C?ro//-oll/ A/=t/ ao,o
U.S, EPA NOTIFICATION OF DEMOLITION Al',[D RENOVATIOI{
Prge I of 2
Opcrator Project #I I
t ....Noflficadon (check one):
II, Facility Detcription
Building Name;
Address:
Ciry:sute: A+.-_ zipcodc: qqh(S County;[rc A
Site Location
Building Size (square feet):lnl _<.1= .# of Eloors:
Prior Use:
L Age in Years: -(o g- _
Itesent Use:f l,'^tf
Type (check onc):Demo
Is Asbestos Present? (check one):No
V. Fnci[ty lnformadon
Owner Name;I+SS
Address;(
Ciry:Srate: *(Zip Code:qq
Contact:rerephonc: (IOJ 2Uq:.1 g t L Fax:107-.33t!- Zkgfr
Removal Controctor Neme;
Address:0.n Eov <41 {t
City:r-Fa..{Yts sute: AlC Zip Codc;qq1 lt
Contact Ro*fol l^\tcry'\Tclcphorrc: 0C1 Xg-3-o(3 '_ For: 1a7'? gg-eS?c/
Othcr Operator (demoltdon/general:
Addrcss:
City:Sute: _ .! Zip Code: _ . r
Contact Telcphone:Fax:
vI.Procedurg including analytical methods, crnployed
Category I and Category II norfriable ACM:
to detect the prcecnce of and to sstimate the guantity of RACM snd
Nou e /ulA
V[t Approxlmate Amount of Asbestos Materirts:Q-,v l> .
RACIvI to be Rernoved
Non-friable Asbestos Matcri al
tro bo Rcmorrcd
Non-friable Asbestos Materia I
NOT to be R.emoved
Category I Catcgory II Category I Catcgory II
Pipes (linear foe$
Surface Area (square feeQ
Facility Componens (cubic feet)
uu-Dates 0r g tt>tt I to
D(Dates for Asbestos
of thc Week:Monday Wednesday Thursd8y Friday Seturdoy Suoday
Hours of Operation:
'?lr^r'4.( f tt.A D^l
IJ^ tll,r ta..rz?. o
Rcnovrtionl Starf e t
U.S. EPA NOTIFICATION OFDEMOLITION AND RENOVATIOIV
Prgc ! of 2K
beto emptoyqg,dernofitionincluding
04]wtlu,..6t
)c.
confol procedurm:,r AU^"// heZar,
Description andpractices controlsengineering t0 to with tbecornply asbcstosandremovalincludingIyastehandllngemisslon
6N Itrsasbe o ,ta-\.trcrrfS +"{€/Itle,-h"-
#t
Tolephonc:)
zip
Telcphone:)
#2
Contact
Waste
Name:
Address:
City;
Contact:
Addres:
City:
Weste
Name:
)on.
Tclephone:)
DisposalWaste
Narne:
Address:
Ciry:
contact:
xrv,this
Title:
to
ls an EmergencyItemXry only
3. Authority of Order (Citation of Code):4. Darc of Ordcr (MMDDtYY):
l. Attach a copy of thc Or&r to $ris notice.
2. Name of Authority Issuing Order:
l. DatJc and Hour of thc Ernergency:
2, Doscription of the Suddcn, Unexpected Event:3' Explaution of how the cvcnt caused unsrfe conditions or equipmart &mage or ur unreasonable finrncial burdcn.
Emergency Rcnovation.)
sheetseparBte the following
becomesis found or non-friablepowder,
ofDescription betoprocedures the event thrtcrumblcd,0rpolverlzed,rcduced b
XJy'II,
-
Date Type or Print Name and Title
I thatcerifyan Individual trained theln ofprovlsions PART 61,Eill be0rDcrnolldon onsiteandRenovation,evldcnce tbat the required has beentraining accompUshed thissvailableby IviUperson benorrnaldurtngbusinesshoutt.
w and
rnisleading cerdfycornplcto.
of
or
xvfll, I ackn owledge the existence of laws prohibfting rhe of false or stgtcments, end Icontained in this that foctsnotillcatlOn are true, eccuratc, end
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Shi pmen t Rece ip t :Pase *1 of 1
SRVE FOR YOUR RECORDS.THIS IS NOT R SHIPPING LRBEL PLERSE
S}IIP Df,IEr
llon, f,ug 30, 2010
EXPECTED DELIYERY Of,TE;
TUES, RUG 31, 2010 E00
SHIP FiOII:
CRLLRHRII COIISIRUCIIOI{ COI1PRIIYP,0, Box 59751
Fairhnls RK SgTll
(907) 188.3813
Sl{ I PI{EI{T I IIFOf, l1f, TIOI{ :
UPS Grarnd Coraercial
0,10 lbs aetual u(
1.08 lbs billable ut0irs: IL0x7.8x0,5
E-nri I ltlolifica{ionr Ship, Deliver
SHIP TO;
EPN RK OPERRTIOIIs OFFICE
222 U 7T}l RVE
RtlCI{0Rn6E Rr 39513.7590
Eusiness
Iraclting l{urber ; la5-.i:iiri0j7g78l04g
Shipoenl I0: |lllRVl{ll628t,lt{4J
0rder/lter l: . .
f,efl: . -
DESCNIPTIO}{ Or GOODS;
Sl{lPtlEl{T Cllf,f,GES r
S}lIPPEO THROUGH;
TIIE UPS STORE 12852Fairbanis,f,[ gg?01
(307) 452-2221
Ground Coanercial
lervice 0ptionsFuel Surcharce
CllS Processiig Fee
$5,63
$0.09
$0,31
$0, 20
Io{a I $6, I4
urb
SIIIPHE}{T OUESTTONS? Conreet SHIPPEO THROUGH rbovr
shipnentl0 : rlr{nvrrnc2BuH4J I llllfll llilllffilillliltilfliltilllilfittllil lillil lill ilil]til ill llltPoulrgdbv lShlp (tn)O0/30/rOlO tl:lE ptl Frslfle yrr
@
KODIAK,
BAY
AUG 30 MO
DEVELOPilIENT
BT]ILDING D
710
dm athers @ city. kodi ak. a k. us
thansen@ c itlr.kodiak. ak. us
8130/r 0
Please review application for zoning compliance. Co
additional info and payment.
ks
TE LEPHONE 907-486-8 070
907 -486-8 072
FAX 907 -486 -807 I
T
1
.l'.lt llJNlTY
DEPARTI'ili.-}i
Martin Lvdick
From:
Sent:
To:
Subject:
Attachments:
callahanconstruction@gci.net on behalf of Ben Callahan [callahanconstruction@gci.net]
Tuesday, August 31,2010 7:43 AM
Martin Lydick
Re: Zoning Compliance Permit State of AK DHSS
EPA Notification Form and Receipt.pdf; ATT24308.htm
Martin
Attached is a copy of the completed EPA notification form and a shipping receipt.
The size of the existing entrance are not changing. They are getting new structure above them and new doors
put in place. Do you need a new site plan even though there will be no changes to size of the entrances? Thanks
Ben Callahan
Callahan Construction Company
P.O. Box 58751
Fairbanks, AK 99711
Cell: (907) 388-3013
Fax: (907) 385-0544
1
Martin Lydick
To:cal lahanconstruction@gci. net
Zoning Compliance Permit State of AK DHSSSubject
Dan,
Your application has been forwarded to my desk for processing.
It looks like your application for exterior renovations should be a straight forward matter.
However, we will need a site plan that details the dimensions of the entrances in order to review parking impacts, and, we
will need the required EPA disclosure before we can proceed.
FY 09 EPA
form.pdf
Thank you,
Martin Lydick, Associate Planner
Community Development Dept.
Kodiak lsland Borough
(e07) 486-9361
mlvdick@kodiakak.us
1
ZONryG COMPLIAI\C5 PERMIT
Permit Loo{- +
$25.00
Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak, AK 99615
PH:(907)48 6-9362 Fax(907)486-9396 http:/hvww. kib.co. kodiak.
l. Property Owne L k)^)Or/
Mailing Address
7
2. Legal
I a,-{o0 oStreetTzur Code: R
t+rc q G/5 ?,b USL3. Description of Existing urrent
&
A4tZ
l-?
Minimum Required Lot Area:
Actual Lot
Minimum Required Setbacks: Front:
Use and size of existing structures on the lot:
Width:
Number & size of parking required per parking/site plan
Off-street loading requ i rements:
Plat/su bdivision requirements (e.g. plat notes,suMivision conditions, drainage plan reviewo
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etO-l)/l-
Coastal Management Program Applicable Policies (check appropriate i,dlResidential Business Industrial Other
Is the proposed action consistent with the KIB Coastal Management Program: Yes L.Z.Attaciment: Yes No 'L-No
Description of proposed action (attach site plan)aa
Etfur T77E t%Ffial BDttOtruG
f IRtPonilB CoT{lttr.cc Permit Fee
alt ntwHc itell$illcr'r olfice
g*ru*aq*ti psspf4efr'1
r) H I
?oltt ng LriP
e3.0urrr f,aid ln tutl lrrtiodr aft I srano i;ro,;;f(odtik HK ,rorr
- ,
tgg/ ) 4U6_9Jc+
C :\My Documents\Zoning Compliance Permit.doc
\
4 THrloRM DoEs Nor ArJTr{GrzE coNSTRUCTIoN
WHEN A BUILDING PERMIT IS REQUIRED
**EKDIRATION: A zoninq comDliance oermit will hecome null and void if the buildins or use authorized bv
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.
4. Other: Subd. Case #:Nk Pht#: N f Permit#: fu O
5. Driveway Permit (state, Borough, City) by/date:,tril-
6. Applicant Certification: I hereby certift that I will comply with the provisions of the Kodiak Island
Borough Code and that I have the authority to certifr this as the property owner, or as a
representative of the property owner. I agree to have identifiable corner markers in place in the field for
verification o f setbacks.5tt(N-@rJ
Title:
Date:
AD oTr?f
qE +e/a (
6gr-o+
\
Ir
By
Supporting
Other (List)
attached Site Plan Built Survey
8. Comm
9. Fire Marshal (uFC) by/date:
Title: Aro*-ru-/fu
Dar*lr;(
for zoning,
By Date:o/, /^,,qI C,-- lry_
I UA/k10. Septic System Plan Approved by/date:
This permit is ONLY for the proposed proiect as described by the applicant.
If there are any changes to the proposed proiect, includine its intended use,
prior to or durine its siting,construction. or oDeration. contactthis office
immediately to determine if further review and approval of the revised
project is necessary.
C : \Ivty Docu ments\Zon ing C om pl iance Perm i t. doc
o igl*,k:,1:,';io
Kodiak Island Borough, Engineering & Facilities Department, 710 Mill Bay Road (Rm. 223), Kodiak. AK 9961 5
PH:(90fa8 6-9348 Fax(907)486-9394 http://www.kib.co.kodiak
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT
OR ZONING COMPLIANCE PERMIT IS REQUIREI)
1. Property Owner/App licant: -l ,' /, ,. ,9,d-/ ak{(.o/e*;""
Mailing Address: S 37 /S/"yttre /-h%4 k zTsotphone:Zct? ? go 1r 5^ 7
2. Legal Description:at a-L**? 2-lLl
Street Address: Z /iL H t d !.J1 Tax Code: R j35 OCr2OolO
3. Description of proposed action (attach site plan):flu ro,/ *Z- rT-r^J€{*". 6l&,-U ir
4. Applicant Certification: I hereby certifu 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
of the property owner.
By:Title:
Date:a,/r.r r4 {
Srpporting
Other (List):
documents attached check one):Site Plan As-Built Survey
8. Solid Waste Disposal Fee: (check one) X zSosquare feet or less: $250.00 Deposit Ya-_500 square feet or less: $500.00 Deposit
(See attached form for details) E>SOQ square feet: Sf .OOOOO Iieposit
Solid Waste Disposal liee
N:\CD\Templates\ComDcv\F-Solid Waste Fee. doc
/J
DRAWINGS INDEX LOCATION MAPABBREVIATIONS
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GRIFRN MEMORIAL BUILDING
ROOF REPLACEMENT PROJECT
KODIAK, ALASKA
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GRIFRN MEMORIAL BUII.DING
ROOF REPLACEMENT PROJECT
KODIAK, ALASKA {
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MEMORANDUM
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State of Alaska
TO:
Attn:
FROM:
Margaret J. HayesRegional Manager
DL&WM/aOlUn
Greg Curney
Drr**,*O e.*J-Durand R. Cook-Habitat Biologist
Region fIHabitat Division
Department of Fish and Game
DATE:November 4, 1987
FILE NO:
TELEPHoNE No: 257 -228 4
SU BJ ECT:ADL 223785City of KodiakPublic Easement
-4U
The Alaska Department of Fish and Game (ADF&G) has reviewedthe right-of-way aSiplication submitted by the City of Kodiakfor street improvements of t"larine Way in Section 32 , T.27S., R.19 W., S.M. The right-of-way will not adverselyimpact fish or wildlife habitats or public access to fishano wilcilife resources. ADF&G recommends the proposal befound consistent with the Alaska Coastal Management Programand the Kodiak Island Borough Coastal Ivlanagement Program.
cc: L. Freed, KIBP. Probasco, ADF&G
Tio.*-^.i;L
HEQEIVED
NOV 6 pg/
02.001A(Rev 10i79)
oevelffiftu#Tdtrr,
ST,ATE dF ALASKA
DEPA RTIIDIUT OF IUATURA L RESOURCES
DIVISION OF LAND AND WATER MANACEMENT
SOUTHCENTRAL REGION
To: Distribution
By:
From:
ACMP Review Coordinator
Margaret J. HayesRegional Manager
STEVE COWPER, GOVERNOR
3601 C STREET
BOX 107005
ANCHORAG E, A LASKA 99510.7005
PHONE:(907) ffi1-2020
Date:Octo 2. 19 7
ADL 223785
REVIEW NOTICE
Please review the attached application for consistency with theAlaska coastal zone Managemenl nrogram and other concerns asindicated below. rou may comment on the other side of this noticeand return this copy to this office or comment separatery byattaching_your comments to this notice. -rf you clmment iepiratelyyou shourd reference the project identifier -in your comments.
Project Information
Herrna T- BeukApplicant:
Proj ect Description:txl attached.Ano'l i.cation f or a Dubl ic
of Mari Way. This oriclinal lv part of ADL 223547 .
ttlr.( : \-;L-rCoastal District Kodiak fsland Borough ut_ra_rri=.:he*X-.
Approved PIan txl yes t I no
Review schedule t I 30 Day txl 50 Day
Day L:Reguest for additional information-by:
Comments due by:Project status notification byt
fnteragency Review
l,r: 4)e^1'C_{;lc.€--q 1;3i:p {,. (r\- ll-Sa,-y/;c-a.n: \r..e.--- ffOctober 2. 1997 (
Octob 25, 1gg7
N r 4 , 1,987
November l-4 , 19 8 7
t I not applicable
tX] same as coastal zone, Day 1 to Comment due
Review Coordinator: phone:
Distribution: Attached
7 62-227 0
S4.+e.)t.d -T..^,(.E\.
a
ocT 1 3 iii.
c0mmuilmoEvEtoPtfrr g5PT,
Proj ect fdentifier
Public Easement
oo
ACMP Consistency Review
No Comment Consistent as proposed
Conflicts with program in following ways:
confrict can not be resorved.Rationale:
Comment:
s ignature of reviewing of f iciar
Name Date
Office
confrict can be resorved by amending application to incrudeor by attaching the following stipui"tilr,=,
Telephone No.
---
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DaFT. ii: .iATU,if,L rl.:s0u
;iV. L.'.:,- & \.'\Ti:P' i'lGl'{T
SclUTi: i -NTRTL RECION
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STATE OF AIASKA
DEPARTMENT OF }TATI,'RAL RESOIJRCES
&P 37 B5
,87 JUI. ?
DIVISION OF IANDS
PN L? 11
APPLICAT ION . EOR RIGHT- OF-WAY PER},IIT
$50.00 filing fee D J",
r v39 Da ce:b //,
The undersigned 0 n residing ^rMI-,
q hereby applles to the DlrecEor of
the Division of Lands, Departnent of Natural Resources, for Right-of-Way \t Atfr?fee t
tn wid th and t/ra lzl Dr) \feet tn length loca ln SectLon -,L ?1 LTorsnship L_J /
a_t Range t1 tt Meridtsor containing an area of
,0qh?L acres as shoqm on the plac atEached hereEo in trip licaie c opics r for the pur -
pose of consEructlng and meintaining thereon a I
for prlvate, publlc, lnterrnitEent, yearlong use (strike inapplicable words)
State brief ly s tandards of cons truc tl-on of proposed improvemenEs:
L (
Lt IA/(!,at ( r..'n (Itl I t/t {L
L
Cons Eructed CoustrucEion Eo begin
To .be corspleted
- If this appllcatLon ls approved, I agree to construct and tralntaln che lnprovelDent,s
authorlzed ln a workmanllke manner, to keep the area tn a neat and sanlEary condltion; lf
said rlght-of-way ts to be constructed across leascd lands, L agree to reimburse the Lessee
for all daurages to crops and improvenenEs, to the extent of the fair market value thereof,
whlch nay be flrmaged or destroyed as the result of the construct,lon of sald right-of-wayt
'and t,o couply with all the laws, rules and regulat,ions pertainlng theret,o: snd :kprovided
fr:rther that upon term{ nation or relocatlon of the Right-of-lJay for which applicatlon is
hereln made, I agree to remove or relocate the lmprovements and resEore the area without
cost to the SEate and t,o the saElsfaction of the a
SS#LE
t'ure of t
(Instructlone fox preparatlon of plat: Attach Erlpllcate copies of letter-slze p1at, ahow
centerllne and boundarles of rlght-of-way, show tles frour centerllne to establlsh monument,s
and eectlon corner, shotr conflicts wlth other rlghts-of-way, lf arqr, scale 4r to 8" per
olle, type of survey.)
rtNot appllcable to Scace Agencies.
-. Provls-io-n.of your social.."."rrtity number and/or federal tax ID number ls voluntary.
fd5# trf5f onlr to prevent dupllcaElon of records
l
(
a
2237 85
.Lne 26, 1987
Flerman T. Beukers
Dlreetor of ftrbllc Horks"Clty of Kodlak
P.0. Box Ir97
Kodlak, AK 996L5
Re: ADL n 547
Dear Mr. Bzukers:
Rrsuant to your phore conversatlon wlth Arlan DeYorg on fune 18, 1987,portlons of Lot I, Block 2, USS ?5r7 A & B wlLI be processed as a rlght-of-way
appllcatlon lnstead of a publlc and eharltable use transfer. l'lo ADI- number
has been lssued for the rlght-of-way appllcatlon yet but you should bemttfled by our Retalned Lands Seetlon soon. If you have any questlons or
concems regardlng the rlght-of-way appllcatlon, please contact thls offlce or
the Retal.ned Lands Sectlon.
Your appllcatlon under AS ,8.05.810 for all of Lot 6, Block 2, Kodiak
Townslte, U.S, Survey 25V7 B, ls ready for advertlsement. Rtrsuant to
AS 38.05.945, notlce of lntent to convey land must be publtshed at least f0
days before the actlon th a newspaper of gjeneral dtstrtbutlon tn tlre area of
the state ln whlch the land ls located and ln a newspaper of statewlde
clrculatlon.
Current state pollcy reqtrlres that the notlee be placed and publlcatlon
charges paid by the appllcant. The requlred notlce, toqether rlth a cover
letter to the nevspapers, ls erclosed for your convenlerrce. No changes may be
made to the notlce. If the notlce ls changed, the advertlsenent shall be
consldered lnvalld and no actton slll be taken untll a correct advertlsementls publlshed.
You are requestecl to inrnedlately provlde the approprlate r€wspapers rlth theernlosed letters and notlce so that the notlce may be publlshed. Please havethe edltor suUnlt an Affldavit of Publicatlon to thls offlce.
ao
Q a
2237 S5l4r. Beukers
.}.rre 26, L987
Page 2
If tfe arlvertlserents cannot be grblistred by the speclfled date, you rurstmttfy thls offlce as soon as posslble ln order to arrange ner dates. t{e wlllbe unabte to take any furttrer actlon on your appllcatlon untll the Afftdavltsof fubllcatlon frm the nerspapers harre been recelved hy this offlce.
rf you have any questlons, please feel free to contact ne at -l6z-?zsr.
Slrcerely,
Margaret .J. Hayes
Reglonal Manager
'{i t ,l
Bryant
ilr\ / tr ,[,cer
By:Kuby
Natural Resource
Erclosures
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ii?ilI::":,.L I:':t H :,n:ff o.men tSoutl'aentral. RegionFouch 7-OO5 u.
Archorage, Alaska 11SLA-7AO1
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SOUTH CCIITN;L REGION
: .i : ,q 37 85
APPLrcArroN FoR LEASE oR. IRANsFB?SihqraG .11b s 15UNDER AS 38.05.810 FOR PTJBLIC Oi CHARITABLE USE
"Subnitted by ak ADL {I
Application date ty or
Mare 5.I987
Received:
( stamp )
lll"ln:r.visions of AS ,8-05-B1o and AS zs.ra.ztq apprication is hereby ;
made
Iease t ll sale at fair market value tt ltransfer t sale at less thanh[tiniciba].l,rcntit fair market valueof state lands shown on ilS lemenF f l
purposes of attached map and described below .for the pu
;blicr1ri oht of AV
LegaI
(
description: portion of Lot r, Brock 2, Kodiak Towfisite uss 2537per attached description).
The area described above contains approximately .0482 acres. I
Lands leased or conveyed under AS 15.05.g10 0r zg.Lg.zto for ress than fdirmarket value shalr coitain a-reverter clause-"onoitioned r.rpon unrestrictedpubli.c use and access unlesi th; Ga.;;;;;yil to municiparities wilr becharged against th:* ""r"i.i"ij]municipaf fifiJ-entitlement as defined in.As 29'18'201 and .ilo;.in tnii-case a beeo may be issued uno""-.ero without thereverter and unrestricteo pJOii" use clauses.
This application is r1ade under theak behalf ofthecirof Kodi
under ,a ative thereof.or organization) by the
'4t{'+ l'irector of Publictu Works
( Herman T.BeukersThistion has been received and validated by a representa
Region 0ffice oF
tive of the
1E copy which has been
ttrg_Qivision
q+-Eilsiven oF Land
one) to the (circle
Received by:
10-186, 7/g5
applicant ' s repre sentative.
SUBMIT ORIGINAL WITH T]ilO COPIESINCLUDING MAPS AND ATTACFT"IENTS
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rAKE DESCRIPTIoN A 123785
Ihlt portion^9f_Lo_t L Block z,_ Kodiak Townsite survey,u.s. survey 2s37, Kodiak rsland Borough., state of Alaika.
Described as follows ! r
Bgsinning qt thg southerly_most corner of Lot 1, identical withthe easterlymost corner of Lot ZL.
1
?
3
. Thenc e. Thence
t{ 52o 10r ?gn E, 104.g6 feet;N 24o 39t 58" W; 11.00 feet itong a line conmonts 1 and Z;
*1919 a--tangent curve to ttrd^tef t, radial bearing: 07t 29tt E, central^a1gle^ Zo SOt ZZtt, radiusr- -'
{u9!, ggTve length 20.97 feet ;s 550 \zt 09" I\'; 46.34 feet;along a tangent curve to thi Left. central angle05". rad.ius 20?2.00_ f eet, curve trength Sg.46 Eeet;S s4o sgr Lz,t E, 16.1g re6t along. ii"" common withand 2L to the point of beginningl
1465 square feet more or less.
a
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Thencin =$
422 .0
Thenc
Thenc010 0
Thenclots
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6.
Con tains :
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TAKE DESCRIPTION B
fhlt portion-9{_Lo! 1r Block 2, Kod.iak Townsite Survey,U.S. Survey 2537, Kodiak Island Borough, State of Alaika.
Described as follows:
B-eginnin_g at the Northeast corner of Lot 1, identicar withthe Northwest corner of Lot Z.
1.
2.
3.
4.
5.
Thence Swith lot
Thenc e N
Thenc e S
boundary
Thenc e Ncorner o
Thence S
boundary
24s1
80
85of
35
o Sgt Sg"and 2zo 1o I iz,,o 39' 22"lot 1:o L7t 59"ot 1;o 1o r zz,,Lot 1 to
E, 9.10 feet along a line common
W, 65.00 feet.'
Uf, L?.60 feet'to the westerly
Uf, 15.00 feet to the northerlymost
E, 82.69 feet along the northerlythe po int o f b eg inning .
fL
80of
Contains: 635 square feet more or Iess.
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,
PLEASE AilSllER ALL QUESTIoi{S. PLEASE INCLUDE HAPS 0R PLAN DRA}|INGS },ITH YoUR PACKET. AN
INCoi'iPLETE QUESTIoNNAIRE r.rAY BE RETURNED AND I{ILL oELAY THE REVIE}J 0F YoUR PRoJECT.
PART A
Appl i cant i Ctty of Kodtak
Address: Box lSgT
COntaCt PerSOn: Herman T. Beukers
Address: 2410 Mtll Bay Rood
Kodtak. Alasko 99615 Kodi.ak, Alosko 99615
Phone ( day )z (907) 496-5731 Phone (day):@07) 486-s7s 1
Brief description of project or activity, including timing:
Street improvement on Martne Way - timtng fs unlmorun
Locati on of Proi ect: Martne Wag, Kdi.ak, Alosko
Township2reRange]9WMeridianSeru.Section-AliquotPartsUSGSl.lap-
Istheprojecton:privateland-,statelandfederalland-
municipal land rx ownership not known_
Identify which r:egion of the State (see attached map) the project is in:
northern_ southcentral xx southeast_
********************
PART B
Yes
Do you currently have any State or federal approva'ls/permits forthis project? If yes, please list below.
Permi tl Approva 1 Type Permi tl Aoproval #
I v
2
*
}lill you be placing structures, or placing fills in any of thefollowing: tidal waters, streams, lakes, wet'lands*?
If you are uncertain whether your proposed project area is in a wetland, contact the
Corps of Engineers, Regulatory Branch at (907) 753-2720 for a wetlands determination.
-2'i-\
f
I
Expi rat i on Date
al ??l1r for a U.S.juri sdl cti on
pl ease i ndi cate
0E or when you
a
Yes ry
t/
3. 'If yds, have you applied-for or do you intend to app
Army Corps of Engineers (C0E) permit? (The COE has
over activitles descrlbed {n No. 2 above.) If yes,
[in Question No. 4 below], when you applied to the C
lntend to apply.
4 Have you applied or do you intend to app
any federal agency? If yes , I i st bel ow.
I y f or other pe rmi ts f rom
Date you submi tted orplan to submit appl icatlonAgencyPermi t/ Approva I Type
******i*************
PART C DEPARTI,IETIT OF }IATURAL RESOURCES
l. Is the proposed project on State-owned lands or will you need to cross
State lands for access? (Note: In addition to State owned uplands, the
State has iurisdiction over most Iands below the ordinary high water lineof streams, rivers,'lakes, and mean high tideline of the tidelands seawardfor three miles.)
2. Do you plan to use any of the following State-owned resources?
o. Sand and Gravel Yes- no / If yes,amount?
Sou rce ?
b. Timber Yes No '/s, amount?
t/
If ye
c. 0ther Materi al s Yes No t/
If Y€S,what material ?
Are you pl anni ng to use surface water?
Subsurface water?
(pedt, bui lding stoh€, etc. )
3
4
5
6
7
If ye s, amount?
Sou rce?
l,lill you be building or altering a dam?
Do you pl an to dri I I a geotherma'l urel I ?
bli I I you be expl ori ng for or extract i ng coa I ?
}{i I I you be harvesting timber from l0 or rnore acres?
,/
-
_/7
,./
3
'/
??Hill you be investlgatlng or removing historlc or archeological
resources on State-owned lands?
t{ill the proJect be located in a State park or State Recreatlon Area?(lncluding the Kenal Rlver Special ltlanagement Area)
Yes
t/
iv
,./
, 8.
9
10. Is any portion of your project placed below the ordinary high waterline of a stream, riyer, lake or other water body?
IF YoU CoRRECTLY ANSI{ERED N0 T0 ALL THESE QUESTIoNS, you D0 NoT ilEED APPR0VAL
FRoM THE ALASKA DEPARTT,TENTTF NATURAL RESoURCES (DNR). G0 T0 PART. D.
IF YOU ANS}IERED YES TO ANY OF THESE QUESTIONS, CONTACT DNR TO IDENTIFY AND OBTAIN ANY
NECESSARY APPLICITTON FORI.IS.
yes l{oIf you hafor perml
applying:
ve already contacted DNR, are you noh, submitting appts or approyals? If y€s, list DNR approvals for whi
'l ication(s )
ch you are now
If no, indicate the reason below:
a. (DNR contact) told me on (Oate)
that no DNR approvals or pe rmi t s we re requ i red this project.
0ther.
DEPARTI.IET{T OF FISH AND GN,IE
b
PART D
1 a
?
tlill you be working in a stream, river, or lake (ttris includes running
water or on ice, within the active floodp'lain, on islands, the faceof the banks, or the stream tideflats down to mean low tide)?
Name of stream or river Name of lake
If no, go to question number 3.
If yes, will you be doing any of the following:
a) Building a dam or river training structure?
b) Using the water?
c) Diverting the stream?
a) Blocking or darming the stream (temporarily or permanently)?
e) Changlng the flow of the water or changing the bed?
f) Pumping water out of the stream or lake?
g) Introducing sllt, gravel, rock, petroleum products, debris,
chemicals, or wastes of any type into the water?
h) Using the stream as a road (even when frozen), or crossingthe stream with tracked or wheeled vehicles, Iog-draggingor excavation equipment (backhoes, bulldozers, etc.)?-
t/
4
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i) lltering or stabilizing the banks?
J) l,llnlng or dlgglng ln the beds or banks?
k) Uslng exploslves?
l) Bulldlng a bridge (lncluding an ice brldge)?
m) Installing a culvert or other dralnage structure?
n) Constructing a weir?
3. Is your project located in a State Game Refuge, Critical Habitat Area,or State GarB Sanctuary?
4. Does your project include the construction and operation of a
salmon hatche_ry?
5. Does your project affect a previously permitted salmon hatchery?
IF YOU CORRECTLY ANSWERED TIO TO ALL THESE QUESTIONS, YOU DO NOT NEED A
PERI,IIT FROI'I THE ALASKA DEPFITMENT OF FISH AND GAI,IE (OTE). GO TO PART E.
IF YOU ANSI{ERED YES TO ANY OF THESE QUESTIONS, CONTACT THE REGIONAL HABTTAT
DTVISION OFFICE TTTOEITTFY AND OBTAIN ANY NECESSARY APPLICATIOTI FORMS.
If you havg 1!re1d_y contacted DFG, are you now submitting an applicationfor permit(s)? If yes, list DFG approvils for which you are nbi applying:
?Yes No
t/
t/
t/
I f no , i ndi cate the reason bel ow:
0.(DFG contact) told me on ( aate )that no DFG approvals or permi ts were requ i red this project.
b. 0ther.
PART E DEPART}'IENT OF ENVIRONT.IENTAL CONSERVATION
uill a discharge of wastewater from industrial or conrnercial operationsIa
occu r?
,/.:---
,/
-
t/
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-
/
/
2. Uill your project generate air emissions from the following:
a) Diesel generators iotaling more than 1000 hp?
b) 0ther fossil fuel-fired electric aenerator, furnace, or boilertotaling greater than 1000 hp?
c) Asphalt plant?
d) Incinerator burning more than 1000 lbs. per hour?
e) Industrial process?
5
p ?
re than a3. ttltt a drinklng water supply be developed that serves rrc
sl ngl e-faml ly residence?
4. Hlll you be processlng seafood?
5. t{ill food servlce be provided to the public or workers?
Yes
6. ulill the project result in dredging or disposal of fill in wetlands or
placenent of a structure in wateruays? (Note: If you are applying to
the Corps of Engineers for a permit for thls activity, the Corps will
automatically request certification from DEC. )
7. Is on-lot sewage or greywater disposal involved or necessary?
8. Ilill your project result in the developrnnt of a currently unpermittedfacility for the dlsposal of domestic or lndustrial solid waste?
9. llill your project require offshore drilling or vessel transport of oil,or other petroleum products as cargo, or include onshore facilities
with an effective storage capacity of greater than 10,000 barrels of
such products?
10. }lill your project require the application of oil or pesticides to the
surface of the land?
IF YoU CoRRECTLY ANSI{ERED N0 T0 ALL THESE QUESTIoNS, you D0 NoT NEED A PERMIT
0R oTHER APPRoVAL FRoH THETLASKA DEPARTMENT 0F ENVIRoNT.TENTAL CoNSERVATI0N (DEC).
GO TO PART F.
IF YoU ANSWERED YES TO ANY OF THESE QUESTToNS (SEE CLARTFYING itOTE rN N0. 5, ABOVE,
CONTACT THE DEC HEdTOHRL OFFICE TO IDENTIFY AND OBTAIN AIIY NECESSARY APPLICATION FORMS.
If you have already contacted the A'laska Departrnent of EnvironrBntal
Conservation, are you now submitting an application for permit(s)?If yes, list the permits for which you are now app'lying:
v
t/
t/
,./
/
If no, indicate the reason beloh,:
il .( DEC contact ) tol d me on ( aate )that no DEC approval s or permi ts were requ i red for this projec t.
b. 0ther.
***a*********r*r****
PART F
To the best of my knowledge, this information is accurate and complete.
{,('/ tltr>
Da te
TO COMPLETE YOUR PACKET, PLEASE ATTACH YOUR STATE PERMIT APPLICATIONS AND COPIES OF YOUR FEDERA
APPLICATIONS TO THIS QUESTIONNAIRE. PLEASE SUBMIT YOUR PACKET AS INDICATED ON PAGE ONE.
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CLASS OF WORK
DEMOL ISH
BUILDING ADDRESS
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LOCALITY
MOV EADDIT ION BLDG. FEE SNEAREST CROSS ST
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F, G, H, l, J Div. 1,2,3, 4,
3.FireZone1234
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above is correct and agree to comply
with all City Ordinances and State
Laws regulatt-ng buildi-gg construction.
Applicant
BUtLD|NG DEPARTMENT - CITY I BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BU I LDING PERM IT AN D CERTI FICATE
OF OCCUPANCY
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