HOSPITAL BK 1 LT 2A-1 (HOSPITAL SITE) - ZCP 8/13/2026Zoning Compliance Permit
Kodiak Island Borough
Community Development Depanment
710 NIill Utl Road Room 202
Kodiak.,,\laska 99(r15
Phone (907) 4136'93{13 llax (907) 4tt(r 9.19(r
bcrrtnr.'ttt L,,clirLlk.us
Permit No.LZTrrzl - ot o
Vblr t'\P.-
Prope Owner/Applicant
Maili tsngrESS:
4W4ZoY-ehone Number a
llowing information is to be supplied by the Applicant
e-Q-(od
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LegalDescription: Subdv:
Street Address: I
Use & Size of Existing Structures
)r
Block: I
1
Lot ZA.I
I
Description of Proposed Action
P
Applicant Ccrtificalion]. I hereb.t'certil.r' lhut I u,ill unnplr with the prc\'itio .t ol the Kodtuk Lrlanl llorough L)ode
und tlutt I hu|c tht ruthorit.\' to g!!!jf!J!L!;!!!L3!!!p!!L!!!9!, o, .tt a r(f,r.'st\tt.ttire of th.' proPol.\' o\n(r. I
h 5Title
Date:I
Site Plan to i lude lot boundaries ond t xistirg t'usements and , proposed loLdlion oJ ne$ Lonstnt.lion,
uttcss prtinls, und vehitulur purkirg drca, As-Buill requirel with all improvements chungcs
This permit is only for the proposed projec! as described by the applicant. If therc are any
chonges to the proposed project, including its intended use, prior lo or during its siting,
construction, operalion, contact this oflice immediately to delermine iffurther review and
approval of the revised project is necessary'.
THIS FORM DOES NOT AU'I'HORIZE CONS'TRUC'TION WHEN A BUII,DING
PERMIT IS REQUIRED.
I
Other Contact Email, etc..:
&se-rtt^+*lLaA/\^/ff-
p- ruftirt+
Prinl Name:
Signature:
Staff Compliance Review
Does the Projcct involvc EPA Proolof EPA noti ron plovl ded (ifrequired)'l
Defi ned Facility?'commedcal B dings,'Required for all demos,
feet, 260 lineafeet, or 35
ations disturbing at least uO sq _
lnstallations, institutions, and re ces bic fl of Regulated Asbestos Containing
Wilh more than four (4) dwell g unites'l\4aterial iRACM) and for ion that remove load supporting skucture'
Expiration: .An)'Zonhg Compliaru:e Pennit issued is subjecl lo lhe sume ex.pirdtion, suspension, a d retocalion
provisions as a building permit issued.[or the same coltslruclion permit.
Current Zoning: ?L- t+.t'O Prop. ID Z //,€u2
Lot Area: -l
,()r-or wiatg,LgDl Buirding y;W-il-
Side Yard: li.ia).(}tc I Rear Yard: 11. tlo.bSD cFrontY ard: &5'
Parking Plan: -1[=)14f_ Parking Spaces: Al t ** As-Built: p tSl.
StaffNotes
Staff Certification
Date:a;)l2-CDD Staff Signature
Aftcr the Fact 2X the published amount
Waived:
Less than 1.75 Acres:
L76 to 5.00 Acres:
5.01 to 40.00 Acres:
40.01 Acres or more:
$0.00
s30.00
$60.00
$90.00
$ 120.00
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trEr
{
s0.00
$60.00
$ 120.00
$ l 80.00
$240.00
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Pavment Verification
Transaction Receipl - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak . AK 99615
907486-9323
08t13t2026 03:20PM
Rcmittancc ID:
Kodiak08 I 326191627 554Fol
Transaction [D:
355378000
TYLER STEELE
l9l5 E Rczcnof Drivc
KODIAK, Alaska 9961 5
Unitcd Statcs
American Express - l00l
Approval Codc: 2tttt78 I
Salc
Amount: S90.00
Providence Kodiak lsland Medical Center - KIB
907486-9302
c2277 -0t0
l9l5 E Rczcnof Drivc Kodiak, AK 99615
Servicc Fec: $2.25
Servicc Fce Type: Dual Transaction
Total Amount: S92.25
Cardrnembcr acknowlcdgcs
receipt of goods and/or
scrviccs in the amount of
the total shown hereon and
agrccs to perform thc
obligations set forlh by the
cardnrcmbcr's agrccnrcnt with
the issuer.
Signature
c Iick hcrc to continuc.