USS 3945 T28S R19W - ZCP 5/3/2017Kodiak Island Borough Print For Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 16427
http://www.kodiakak.us
Zoning Compliance Permit Permit No. C 7,Zo/ Z -S8
The following information is to be supplied by the Applicant:
Property Owner / Applicant: City of Kodiak (Owner) /AT&T submitted by Crown Castle (Applicant)
Mailing Address: 1505 Westlake Ave N, Suite 800, Seattle, WA 98109
Phone Number: 206-336-3225
Other Contact email, etc.: aaron.hottell@crowncastle.com
Legal Description: Subdv: USS 3945 T28S R19W Block: Lot:
Street Address: Pillar Mountain Rd Com Site # 11 57°47'23.9"N 152°25'35.8"W 57.789969, -152.426608
Use & Size of Existing Structures: Wireless Telecommunications Facility - 100' lattice tower approved under CUP No. 04-004
Description of Proposed Action: Replace existing 100 foot lattice tower with a new 100 foot lattice tower.
Install AT&T's equipment on the new tower.
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: Conservation KIBC 17.50 PROP—ID 16427
Lot Area: lease area < 1.75 Lot Width: Bldg Height: 100'
Front Yard: Rear Yard: Side Yard:
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes:
Plat/ Subdivision Requirements? CUP 04-004 refers to USS 2539, but the intent seems to have been that CUP 04-004 refer
to USS 3945 ( See file " USS 39445 SW Ptn Communication Site #11" and Zoning Compliance Permit # CZ -04-022). Towers on this site
were permitted for 100' maximum height, which is interpreted to mean the height of the tower itself, and not any attached equipment.
Significant modifications in height by structure or equipment are outlined in FCC Document FCC 14-153 Sec. 188 as an increase of 10%
of tower height or 20 ft, whichever is greater.
Subd Case No. Plat No. Bldg Permit No. TBD Bldg Dept
Does the project involve N / A
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)? N / A
*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 protects without proof of EPA notification
Applicant Certification: I hereby certify that 1 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
Date: Apr 27, 2017
List Other:
Signature: —Atfolvif —
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 WHENA 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
Date: Apr 27, 2017 CDD Staff:
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
l
Less than 1.75 acres: ❑X $30.00 ❑ $60.00
1.76 to 5.00 acres: ❑ $60.00 ❑ $120.00 nA
5.01 to 40.00 acres: ❑ $90.00 ❑ $180.00 1 WM ID
40.01 acres or more: ❑ $120.00 ❑ $240.00
MAY 0 3 211
KODIAK1SLANU WHOUGh
FINAN0n0AfMfirnrr
PAYMENT DATE
Kodiak Island Borough
BATCH NO.
05/03/2017
710 Mill Bay Rd.
2017-00000625
COLLECTION STATION
Kodiak, AK 99615
RECEIPT NO.
CASHIER
2017-00001149
RECEIVED FROM
CASHIER
CITY OF KODIAK AT&T
Teresa Medina
SUBMITTED BY CROWN
CASTLE APPLICANT
DESCRIPTION
PILLAR MOUNTAIN RD COM SITE#11
Zoning Compl Zoning Compliance Permit $30.00
CZ 2017 58
Payments: Type Detail Amount
Check 14465 $30.00
Total Amount: $30.00
Customer Copy
Printed hv- Teresa Medina Pane 1 of 1 n5/03/2017 03.11.14 PM
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