ATS 49 PTN - TR N-17 & TR N-17A - ZCP 6/3/2016Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 23675
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ 2016-064
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Sun'aq Tribe of Kodiak
Mailing Address: 312 West Marine Way, Kodiak, AK 99615
Phone Number: (907) 486-4449 / (907) 654-4905
Other Contact email, etc.: kddrabek@sunaq.org
Legal Description: Subdv: ATS 49, Tract N-17 and N -17A Block: Lot:
Street Address: 419 Shelikof Street, Kodiak, AK 99615
Use & Size of Existing Structures: Vacant seafood processing facility and associated accessory buildings.
Description of Proposed Action: Demolition of main seafood processing building as depicted on attached site plan.
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: Industrial KIBC 17.105
Lot Area: 28,624 sq. ft. Lot Width: 75'
PROP -11D 23675
Bld'g Height: Unlimited
Front Yard: Not Applicable Rear Yard: Not Applicable Side Yard: Not Applicable
Prk'g Plan Rvw? Not Applicable
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
tos Containing Materials (RACM).
# of Req'd Spaces:
Applicant provided an inspection report stating that the building contains no Regulated Asbes-
Subd Case No. Plat No. Bldg Permit No. TBD by Building 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
TBD by Building Dept.
Proof of EPA notification provided (if required)? N / A
*Required foCall demolitions, for renovations disturbing at least 160 square
feet, 2601inear 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 proiects 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 I
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 List Other: Asbestos inspection report showing the building contains no RACM
Date: Jun 3, 2016 Signature: Kathy D. Drabek, Project Manager, Sun'aq Tribe of Kodiak
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 WHEN A 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 some construction permit.**
CDD Staff Certification
Date: Jun 3, 2016 CDD Staff: Jack Maker
Payment Verification Zoning Compliance Permit Fee Pay�a% in Cashi
PI
JUN Oct LesMani
ls1.75 1.75 acres:
KODIAK ISLANPAWD s:
FINANCE DEP5MWWI acres:
40.01 acres or more
❑ $0.00
❑X $30.002
❑ $60.00
❑ $90.00
❑ $120.00
Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
❑ $0.00
❑ $60.00
❑ $120.00
❑ $180.00
❑ $240.00
PAYMENT DATE Kodiak Island Borough BATCH NO.
06/03/2016 710 Mill Bay Rd. 2016-00000499
COLLECTION STATION Kodiak, AK 99615 RECEIPT NO.
CASHIER 2016-00001134
RECEIVED FROM CASHIER
Sun'aq Tribe of Kodiak Cashier
DESCRIPTION
Zoning Compliance permit CZ2016-064 419 Shelikof St
Zoning Compl Zoning Compliance Permit $30.00
Zoning Compliance permit CZ2016-064 419 Shelikof St
Payments: Type Detail Amount
Cash $30.00
Total Amount: $30.00
Customer Copy
Printed hv- Cashier Panp 1 of 1 06/03/2016 08.25.58 AM
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Friend Contractors, LLC
General Construction az
Energy Specialists
Dote Services Performed by: Services Performed for:
May 28, 2016 Friend Contractors, LLC Kathy Drabek
P.O. Box 175 Project Manager
Kodiak, Alaska 99615 Sun'aq Tribe of Kodiak
312 West Marine Way, Kodiak 99615
Potentially Hazardous Materials Building Inspection Report
Project Name: Ursin Cannery Collapsed Roof
Collapsed Roof located 419 Shelikof Street Kodiak — Old Ursin
Cannery
No Suspected Materials Found
The roof is area approximately 60' x 30' area of a collapsed building A sample was taken on .'L%Iay 26 2016 at the
North East corner of the dilapidated roof and is a good representation of the entire roof area. The sample was sent
to White Environmental Consultants Inc. for lab testing. Sample came back as No Asbestos Detected on
5/27/2016. (See attached report)
Jerrol Friend
EPA/AHERA — Asbestos certificate # T-24585 - 27647
FJ
WHITE HwWECCONSULTANTSENVIRONMENTAL A
INC.
38S MDUS -W1r17 9=1 300 OMOB.&GE, AX 94601 {407) 958-1101 Lab Code: 200124-0
Bulk Sample Analysis for Asbestos
16
WL Project #: LA -018493 Report B
Report By:: RR. . Briggs
Report Date: 05/27/2016
Client: Friend Contractors
Collected By: Client
PO Box 175
Collection Date: 05/25/2016
Kodiak, AK 99615
Analysis By: D. Milton
Analysis Date: 05/27/2016
Billing Number: 60039
Received By: R. Briggs
TAT: Rush
Sample Count: 1 Layer
Count: 4 Received Date: 05/27/2016
Project Name/Location: Erson Cannery
Client ID # WL ID#
Location:
1 A616 -3161A
None Noted
Homogenous
Material
Color Layer
No
Felt
Black 1 of 4
Asbestos; None Detected
Other Fiberous Material
Flberous %
other Fiberous Materials: 60%
Cellulose
60%.-
Non-Fiberous Materials: 40%
Client ID # WL IDN
Location:
1 AS16-3161B
None Noted
Homogenous
Material
Color Layer
No
Felt
Black 2 of 4
Asbestos: None Detected
other Fiberous Material
Flberous %
other Fiberous Materials: 20%
Fiberous Glass
200A
Non-Fiberous Materials: 80%
Client ID # WL lD#
Location:
1 AB16-3161C
None Noted
Homogenous
Material
Color Layer
No
Fed
Black 3 of 4
Asbestos: None Detected
Fiberous Material
Fiberous %
other Fiberous Materials: 60%
[-Other
Cellulose
60%
Non-Fiberous Materials: 40%
Client ID # WL ID#
Location:
1 AB16-3161 D
None Noted
Homogenous
Material
Color Layer
No
Tar Mastic
Black 4 of 4
Asbestos: None Detected
Other Fiberous: None Detected
Non-Fiberous Materials: 100%
Page 1 of 2
WEEW
ENVIRONMENTAL
CONSULTANTS INC.
3�3 MDUMMAL Wj-y a-= 300 ANC IUrrG , AS 64501 (207) 258–ad81 Lab Code: 2C012"
Bulk Sample Analysis for Asbestos
Wt_ Project #: LA -018493
qa� 0, �r O /-\
Dave Milton, Lab Analyst
Report #: 620416
Report By: R. Briggs
Report Date: 05/27/2016
05/27/2016
Date
05/27/2016
Date
Analysis performed by EPA Method 6001M4-82-020 or EPA Method 600/R-931116, at the discretion of the client or WEC. All quantities
reported are based on visual estimation by PLM, unless pant -counting method is requested and noted for the sample. Test report relates
only to items tested and must not be used by client to claim product endorsement by NVLAP or any agency of the U.S. Government. Test
reports must not be reproduced without the approval of WEC, Inc., and are subject to WEC, Inc. General Terms and Conditions (available
Page 2of2
090
WL WHITE LABORATORIES
383 Industrial Way, Suite 300 Anchorage, AK 99501 907.258.8661
Date:
LA- 018493
frontd esk@whitelabsllc.com
CRAIN OF CUSTODY
P.0 #
Client Name: _5 Project Name:��QQ/��•� Project #:
Biiling Address: I O y` l7S : ft�rcity'. State:/iV LZ3p Code:
Phone: ��% _ 9 n / /
e- -e ? 7 .- Cell: S -e
send report via (choose one): Email: e- �'" , -V /e6 (,r, P -k &f or Pax:
'Only for SAME DAY TA.T' Verbal (clrcle aneoN If yes, please provide name/contact #:, T -ee t) / -- 5 -,3'? -/:F7 .-
**By signing for these samples you are responsible for payment.. We will not bili someone else on your behalf.**
Samples Relinquished By (please print): a./��`/�D ( Fr"L�i±Lt r/� Date' 2.`' -6 lime: am/pm
Samples Received By (pleaseprint): QA r �� S Date:_::;�rme:—LL. �Q aMAE)
Samples Analysis Type: PCM PLM TEM LEAD TCLP MOLD other (specify)
Composite: Y N
Turn -around Time: ME DA NEXT DAY 2 -DAY 3 -DAY 5 -DAY
Method of Payment: CASH CHECK CREDIT CARD ACCOUNT
Total Tlme Flow
Sample Analysis Volume (L) Start Time Stop Time (min)Air Sam Rate A/R
Sample p Callectlon Date Com'don TAT Type AV Samples (Airsamplo) (AlrSamples) samples
sampies
tt is the respwwwllry of the Customer to ensure that samples are corrccdy taken and padmyed. WL reserves the right to rrjuse samples for analysls which ore
obvfotesty unsuitable due to damage, incor ect or InsuBtdent labeling, or incorrect sample loading. WL will contact the Customer as somas such a problem Is
Identified and wilt ducuss with the Customer the course of action to betaken.
Form 102, White Laboratories Chain of Custody QAC-
issued
ACissued 2/19/2013 G Parker
Reylslan 3, V2/2014