2. Kodiak Island Borough Fire Protection
   Bayside Fire Station
   4606 East Rezanof Drive
   Kodiak, AK 99615
   Phone: (907)486-4536
   AND
   Womens Bay Fire Station
   538 Sargent Creek Road
   Kodiak, AK 99615
   Phone:(907)487-4312
   
4. 
   
6. APPLICANT & SITE ADDRESS INFORMATION
8. The information below is required for the issuance of a Kodiak Island Borough Burn Permit. The information provided on this application, with the exception of the phone number, is public information and may be posted elsewhere on this site with other Burn Permit information. The phone number is required and will be used for internal Kodiak Island Borough Fire Protection purposes; it will not be published on this site. The purpose of collecting the information below is to determine who will supervise the burn, where the burn will actually take place, and the contact phone number that will be active at the burn site. It is imperative that this information be complete and accurate. Prior to submitting this application, please take the time to carefully read the burn permit regulations found on this site. If you have any questions about the use of this information, please contact the Bayside Fire Station office at 486-4536 or the Women's Bay Fire Station office at 487-4312.
10. Applicants Full Name:*
12. Applicant's Mailing Address:*
14. Burn Site Street Address:*
16. Phone Number:*
17. Email Address:
19. ISSUE AND EXPIRATION DATE
21. This is the type, issue date and the expiration date for this permit.
23. Permit Begin Date: Burning shall commence no earlier than sunrise and will be completed no later than sunset.*
25. All burn permits expire December 31 of the year issued.
27. MANDATORY AGREEMENT FOR ALL BURN PERMIT APPLICATIONS
29. All applicants must agree to the following conditions.
31. I agree:*

    1. To observe & apply all Burn Regulations as stated on this website
    2. To call 911 immediately, should the burn become uncontrollable
    3. On the day of my intended burn, I will call 486-4536 to receive burning updates & info, and to report the intended burn
    4. I understand that failure to follow the burn regulations may result in having my burning privileges revoked
    5. I understand that I am responsible for my fire and smoke and am liable if the burn should get out of control
33. Instructions for Submitting and Printing your Permit:
    
    PLEASE READ THIS CAREFULLY
    
    Select "Submit" and then print the confirmation page as a copy of your burn permit to display at the burn site.
    A copy of your permit will be forwarded to the Bayside and Womens Bay fire chiefs.
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field