ERSKINE ADD BK 10A FIRE DEPT - ZCP 10/30/2013 Kodiak Island Borough Print Form Submit by Email
7
Community Development Department
710Kodiak AK 99615205
I 11111111N I 1111 111
Ph.(907)486-9362 Fax(907)486-9396
15269
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2014-016
The following information is to be supplied by the Applicant:
Property Owner/Applicant: City of Kodiak
Mailing Address: PO Box 1397,Kodiak,AK.99615
Phone Number:
Other Contact email,etc.:
Legal Description: Subdv: Erskine Add Block: 10A Lot: n/a
Street Address: 219 Lower Mill Bay Rd.
Use&Size of Existing Structures: Police Station
Description of Proposed Action: 1: Demolition of Police Station
2: Includes elec&seismic improvements to Fire Station in order to facilitate demolition
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: Public Use KIBC 17.130 PROP ID 15269
Lot Area: 88,227 sqft Lot Width: Bld'g Height:
Front Yard: Rear Yard: Side Yard:
Prk'g Plan Rvw? No if of Req'd Spaces:
Staff Compliance Review Notes:
Plat/Subdivision Requirements?
Subd Case No. Plat No. Bld'g Permit No.
Does the project involve If YES,do you have an EPA Return Receipt of
an EPA defined facility? YES Notification? YES
"Permit will not be issued until receipt is submitted to
KIB"
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Applicant Certification: i hereby certify that!will comply with the provisions of the Kodiak Island Borough Code and that!
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? List Other:
Date: Oct 30,2013 Signature: Lori Ryser for Golden State % I./ „ 9
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.
**EXPIRATION: A zoning compliance permit will become null and void if the building or use authorized by such permit is not
commenced within 180 days from the date of issuance,or if the building construction or use is abandoned at any time,after the
work is commenced,for a period of 180 days. Before such work can be recommenced,a new permit must first be obtained. (Sec.
106.4.4 Expiration. 1997 UBC)per KiBC 17.15.060 A.**
CDD Staff Certification
Date: Oct 30,2013 CDD Staff: Martin Lydick
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office oom# 104-Main floor of Borough Building
After-the-Fact 2X the published amount
Not Applicable r $0.00 r $0.00
Less than 1.75 acres:��� r^ r $30.00 r $60.00
1.76 to 5.00 acres: t. Y"'" a O IAA/., r $120.00
�X $60.00
5.01 to 40.00 acres: Dr $90.00 r $180.00
40.01 acres or more: 1 r $120.00 r $240.00
1i 30 7,911
KODiAK ISLAND BOROU
FINANCE DEPARTMENT
Golden Alaska Excavating
From: Pavitt,John <Pavitt.John @epa.gov>
Sent: Wednesday,October 30, 2013 11:59 AM
To: mlydick @kodiakak.us
Cc: Golden Alaska Excavating (rlryser @gci.net); Elisabeth
Subject: RE: Kodiak EPA Notification
Dear Mr. Lydick,
EPA has received advance notification from Eastside Contracting Company to begin asbestos removal from the old police
station and Mission Road building.
Please let me know if you have any questions, z; ;' 'T L.
John Pavitt i<
EPA Region 10,Alaska Operations Office i OCT 3 0 2013
(907)271-3688
For general information on asbestos, see EPA's � ._ �:.„w�.(;-;;. r F,ti•,,,,,,,,; ,.,�
National website: http://www2.epa.gov/asbestos
Notifications for projects in Alaska, Idaho and Tribal Lands should be mailed to:
Asbestos NESHAP Coordinator
US EPA, Region 10 (OCE-127)
1200 Sixth Ave.,Suite 900
Seattle,WA 98101
From: Elisabeth [mailto:elisabeth @eastsidecarpet.com]
Sent: Wednesday, October 30, 2013 11:44 AM
To: Pavitt, John
Cc: Golden Alaska Excavating (rlryser @gci.net)
Subject: Kodiak EPA Notification
Hi Mr. Pavitt,
The Kodiak island Borough requires notification from your office that you have received Eastside Contracting Company's
10 day notification for the police station and mission road demo. Can you please e-mail Mr. Martin Lydick at the
following address(mlydick @kodiakak.us)to let him know that you have received the notification and the revision.
Thank you very much.
Elisabeth "Wheeles
Eastside Carpet Company/
Eastside Contracting Company
700 W Int'I Airport Rd #2
Anchorage, AK 99518
Phone: (907) 562-7444
1
Print Form I Submit by Email
Kodiak Island Borough
Community Development Department
710 Mill Bay Rd.Rm 205
Ph.(907)4860 AK
9
) 93 2 Fax(907)
6
(
http://www.kodiakak.us
9396 15269
Zoning Compliance Permit Permit No. . ,961c/°D/6
The following information is to be supplied by the Applicant:
Property Owner/Applicant: City of Kodiak
Mailing Address: PO Box 1397,Kodiak,AK.99615
Phone Number: 486-8065
Other Contact email,etc.: gmelvin @city.kodiak.ak.us
Legal Description:
Subdv: Erskine Add Block: 10A Lot: n/a
Street Address: 219 Lower Mill Bay Rd.
Use&Size of Existing Structures: Police Station
Description of Proposed Action: Demolition
'02 eke/Oetskuic ippopoDeifi(60-(-3
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: Public Use KIBC 17.130 PROP ID 15269
Lot Area: 88,227 sqft Lot Width: Bld'g Height:
Front Yard: Rear Yard: Side Yard:
Prk'g Plan Rvw? No #of Req'd Spaces:
Staff Compliance Review Notes:
Plat/Subdivision Requirements?
Subd Case No. Plat No. Bld'g Permit No.
Does the project involve YES If YES,do you have an EPA Return Receipt of
an EPA defined facility? Notification?
"Permit will not be issued until receipt is submitted to
KIB"
Driveway N/A
Permit?
Septic Plan N/A
Approval:
Fire N/A
Marshall:
Applicant Certification: 1 hereby certify that I 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? List Other:
Date: to/ 4 /f� Signature: -
This permit is only for the proposed project as described by the applicant. l ere 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.
**EXPIRATION:A zoning compliance permit will become null and void if the building or use authorized by such permit is not
commenced within 180 days from the date of issuance,or if the building construction or use is abandoned at any time,after the
work is commenced,for a period of 180 days. Before such work can be recommenced,a new permit must first be obtained. (Sec.
106.4.4 Expiration. 1997 UBC)per KIBC 17.15.060 A.**
CDD Staff Certification
Date: 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 r $0.00 r $0.00
Less than 1.75 acres: r $30.00 r $60.00
1.76 to 5.00 acres: r $60.00 r $120.00
5.01 to 40.00 acres: r $90.00 r $180.00
40.01 acres or more: r $120.00 r $240.00
NOTIFICATION OF DEMOLITION AND RENOVATION
Operator Project* Postmark Date Received Notification#
1.Type of Notification(O=Original R=Revised C=Canceled)
11.FACILITY INFORMATION(Identify owner,removal contractor,and other operator)
OWNER NAME:City of Kodiak
Address:217 Lower Mill Bay Road
city:Kodiak Ste:AK Zip:99615
Contact: Tel:(907)486-8065
REMOVAL CONTRACTOR:Eastside Contracting Company, Inc.
Address:700 West International Airport Road#2
City:Anchorage State:Alaska zip:99518
Contact•.Don Gamer ; Tel:(907)562-7444
OTHER OPERATOR:
Address:
City: State: Zip:
Contact: Tel:
III.TYPE OF OPERATION(DDemo 0=Ordered Demo R=Renovation E=Emer.Renovation}D
N.IS ASBESTOS PRESENT?(Yes/No)Yes
V.FACILITY DESCRIPTION(Include building name,number and floor or room number)
Bldg.Name:Kodiak Police Station
Address:217 Lower Mill Bay Road •
city;Kodiak She:AK county:Kodiak Island Borough
site Location:Old Kodiak Police Station building
Building Size:Appx.6675 SQ FT #of Floors:1 Age in Years:63+
Present use:Unoccupied Prior use:Police station
VI.PROCEDURE,INCLUDING ANALYTICAL METHOD,IF APPROPRIATE,USED TO DETECT THE PRESENCE OF ASBESTOS MATERIAL:
Bulk sampling
Nonfrlable
VII.APPROXIMATE AMOUNT OF ASBESTOS Asbestos
INCLUDING: RACM Material Not Indicate Unit of
Be
To Be Removed Measurement Below
1. Regulated ACM to be Removed TO
Removed
2. Category!ACM Not Removed Category I Category II UNIT
3. Category II ACM Not Removed
f �
Pipes LeFt:140 Ln M:
Surface Area SgFt;19180 sq M:
Vol RACM Off Facility Component CuFt: Cu M:
VIII.SCHEDULED DATES ASBESTOS REMOVAL(MM/DD/YY)Start:9/6/13 Complete: 11/6/13
IX.SCHEDULED DATES DEMO/RENOVATION(MM/DD/YY)Start: 9/6/13 Complete: 11/6/13
X.DESCRIPTION OF PLANNED DEMOLITION OR RENOVATION WORK,AND METHOD(S)TO BE USED:
Removal of AC flooring&mastic,gypsum board,cement asbestos board,TSI,and roofing.Wet methods,HEPA Vac,&containment.
XI.DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO PREVENT EMISSIONS OF ASBESTOS AT THE
DEMOLITION OR RENOVATION SITE:
Wet methods, HEPA Vac, &containment.
XII.WASTE TRANSPORTER#1
Name:Eastside Contracting Company, Inc. •
Address:700 West International Airport Road#2
city;Anchorage State:Alaska Zip:99518
Contact Person:Don Garner Tel:(907)562-7444
WASTE TRANSPORTER#2
Name:
Address:
City: State: Zip:
Contact Person: Tel:
XIII.WASTE DISPOSAL SITE
Name:Kodiak Island Borough Landfill
Address:1203 Monashka Bay Rd.
city:Kodiak state:AK Zip:99615
Tel:(907)486-9345
XIV.IF DEMOLITION ORDERED BY A GOVERNMENT AGENCY,PLEASE IDENTIFY THE AGENCY BELOW:
Name: Title:
Authority:
Date of Order(MMIDDIYY): Date Ordered to Begin(MM/DD/YY):
XV.FOR EMERGENCY RENOVATIONS:
Date and Hour of Emergency(MMIDD/YY):
Description of the sudden unexpected event:
Explanation of how the event caused unsafe conditions or would cause equipment damage or an unreasonable financial burden:
XVI.DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED ASBESTOS IS FOUND OR PREVIOUSLY
NONFRIABLE ASTESTOS MATERIAL BECOMES CRUMBLED,PULVERIZED,OR REDUCED TO POWDER:
Wet methods,HEPA Vac,&containment.
XVII.I CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF THIS REGULATION(40 CFR PART 61,SUBPART M)WILL BE ON-
SITE DURING THE DEMOLITION OR RENOVATION,AND EVIDENCE THAT THE REQUIRED TRAINING HAS BEEN ACCOMPLISHED BY THIS
PERSON WILL BE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS HOURS.
YA;(/17(Irl __ Efo/ V3
(Signature of Owner/Operator) (Date)
XVIII.I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT:
(Signature of Owner/Operator) (Date)