USS 3945 T28S R19W - ZCP 6/11/2019.� Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
A
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://wvvw.kodiakak.us
Print Form Submit by Email
16427
Zoning Compliance Permit Permit No. C Z aol q - a5(o
The following information is to be supplied by the Applicant:
Property Owner / Applicant: City of Kodiak
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
710 Mill Bay Road
Tom Spaulding tom@selectsiteacq.com 650-380-3140
Subdv: USS 3945 t28S R19W (CoK Com Site #11)
Block: Lot:
Street Address:
Use & Size of Existing Structures: Communications infrastructure. 100' Lattice tower approved under CUP No. 04-004
Description of Proposed Action: Remove all AT&T equipment located at the 100' level of the tower. Install (6) antennas (9) RRU's
and supporting cable and connection equipment at the 57' level of the existing 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: 1,071.19 Acres Lot Width: 250' Bldg Height: 1001*
Front Yard: 25' Rear Yard: 25' Side Yard: 25'
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes:
Plat/ Subdivision Requirements? Conditional use permit approved with Case No. 04-004.
Subd Case No. Plat No. Bld'g Permit No. TBD Bldg Dept
Does the project involve YES
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
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: I hereby certify that l will comply with the provisions of the Kodiak Island Borough Code and that l
have the authority to certify this as the property owner, or as a representative of the property owner. I agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Site Plan
Date: 5/15/2019
List Other: (3) sets construction drawings (1) lease agreement
Signature:
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 NOTA UTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
** EXPIRATION. Anyzoning compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a
building permit issued for the some construction permit.**
CDD Staff Certification
c
Date: 5 a ( CDD Staff: Sara Fraser
Pavment 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 F $0.00 $0.00
Less than 1.75 acres: ❑x $30.00 $60.00
1.76 to 5.00 acres: ❑ $60.00 $120.00
5.01 to 40.00 acres: 0 $900%$180.00 l) F-]$180.00
40.01 acres or more: El$120 ❑ $240.00
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