USS 2538A PTN TR B COMSITE #9 - ZCP 6/10/2022Kodiak Island Borough Rft
Community Development Department710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit Permit No. -0jS
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: Applicant: Verizon Wireless Agent for VZW: New Horizons Telecom, Inc.
Mailing Address: Verizon C/O WeWork Suite 500, 3120 139th Ave SE (Verizon Suite 01 W102), Bellevue, WA 98005
Phone Number 907-786-9943 - Amy Karn, Verizon Real Estate Specialist
Other Contact email. etc: 907-761-6054, slarson@nhtiusa.com - Sierra Larson (agent) }
Legal Description: Subdv ✓din\ Block: Lot: j% Cor11111\ 5 r (J�
(1`v� Z53�714 t t I� b..
Street Address: 894 Pillar Mountain Road, Kodiak, AK 99615
Use & Size of Existing Structures
Existing cell site containing a 100 ft monopole owned by Vertical Bridge (previously a wood pole structure)
Description of Proposed Action'.
Install (6) 8' panel antennas, 8'x10' platform with equipment cabinet for Verizon who is collocating at the site
Site Plan to include lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, rind
vehicularparking areas.
Staff Compliance Review: Current Zoning: V'V PROP_ID ce
I I p% _
Lot Area: t Ate � GLCJ('ZS Lot Width: Z�UI Building Height: 1. 1=A.- x .��, ri,' �
Z C> Front Yard: r Rear Yard: ZS t Side Yard: �'115 1--•��
Parking plan? Vv' ,A g Of Req'd Spaces: �/•
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Building PermitNo.
Does thep[oject invOlve_�
an EPAdeflnedtacilitji? <'
monouerdalbuddings.installar sjnnitaq-bases/,
instautions r1ahoois.'fiospil J andmsidences
with nrore Than fmur /f elling wun.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
•Reyuiredfor all dentoittions.for twanwitons disturbing at least Uosgiare
feeq?60iineorfeer.or35cubicfeeiofRegnlated dsbesrosConraining A/aerial /RdCbtl.aml for
rwmcaltonslbutrentorealand-stipporti,igstivciu,v, memberer.
No permit will he issued for such prole is without proof of EPA
notification
A ool'cant Certification: I herebycertifythat I willcomplywith the provisions ofthe KodiakislandBorough Codeandthat l
havetheauthontytocertifythisasthepropertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentillable
comermarkers in place for verification of building setback (yard) requirements.
List Other:
Attachments?
Final CD's
Print Name:
Date:
Position Title:
Signature:
This permit is only for the proposed project as described by thYapplicam. If there are any changes to the
proposed project, including its intended use, prior to or during its siting, construction, operation, contact this
office immediately to determine if further review and approval of there v1sed project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
"EXPIRATION: Anyzaning compliance permitissuedissubjeet to thesameexpirotion, suspension, andrevocation provisions asa
building permit Issued for the sameconstruction permit. ""
GOD Staff Certification
Date: a I � `ZZ CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It 104 -Main floor of Borough Building
Aker -the -Fact 2X the published amount
Not App li cable
$0.00
❑
$0.00
Lessthan 1.75 acres:
$30.00
$60.00
1.76 to S.00 acres:
F1$60.00
$120.00
5.01 to 40.00 acres:
El
$90.00
$180.00
40.01 acresor more:
Ei
$120.00
❑
$240,00
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
06/10/2022 03:44PM
Remittance ID:
Kodiak061022194252135Cur
Transaction ID:
291116444
ACCOUNTS PAYABLE
901 Cope Industrial
PALMER, Alaska 99645
United States
MasterCard - 7316
Approval Code: 005231
Sale
Amount: $30.00
COKNerizon Wireless
907-761-6045
CZ2022-055
894 Pillar Mountain Road
Service Fee: $1.00
Service Fee Type: Dual Transaction
Total Amount: $31.00
Cardmember acknowledges
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform the
obligations set forth by the
cardmember's agreement with
the issuer.
Signature
click here to continue.