NORTHEND BUSINESS PARK LT 1A - ZCP 8/26/2014Kodiak Island Borough
Print EA I Submit by Email
" Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 23992
http://www.kodiakak.us
Zoning Compliance Permit Permit No. BZ2015 -025
The following information is to be supplied by the Applicant:
Property Owner / Applicant: KODIAK AREA NATIVE ASSOC c/o JEFF HANSELL
Mailing Address: 3449 E. REZANOF DR, KODIAK, AK 99615
Phone Number: 907 512 7620
Other Contact email, etc.:
Legal Description: Subdv: NORTHEND BUSINESS PARK Block: Lot: 1A
Street Address: 3400 E. REZANOF DR
Use & Size of Existing Structures: BUSINESS OFFICE — 4,200SQFT
Description of Proposed Action: DEMO ADDITIONS - RETAIN ORIGINAL 40'X 70' CONSTRUCTION; ADD NEW 40'X 50';
TOTAL INTERIOR REMODEL
ESTABLISH NEW USE AS EXERCISE GYM & MEETING ROOM
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: Business KIBC 17.90 PROP—ID 23992
Lot Area: Lot Width: Not Applicable Bld'g Height: 50'
Front Yard: Not Applicable Rear Yard: Not Applicable Side Yard: Not Applicable
Prk'g Plan Rvw? Yes # of Req'd Spaces: 33
Staff Compliance Review Notes:
Plat / Subdivision Requirements?
Agent submitted report verifying the demolition material contains no asbestos. Report attached.
Subd Case No. S14 -0910 Plat No. 2014 -12 Bldg 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
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
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. I agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Other List Other: Asbestos clearance report
/4 �zl-t6l
Date: Aug 22, 2014 Signature: Fred Roberts (FOR JEFF HANSELL)
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. 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 anytime, 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: Aug 22, 2014 CDD Staff: Bob Pederson
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 F $0.00
Less than 1.75 acres: r $30.00 r $60.00
1.76 to 5.00 acres: $60.0 120.00
5.01 to 40.00 acres: r $9E E1V9b180.00
40.01 acres or more: j— $120.00 r— $240.00
AUG 2 2 2014
KODIAK ISLAND BOROUGH
710 Mill Bay Rd Kodiak AK 99615
Fred Roberts
From: Ryan Sharratt <RSharratt @nortechengr.com>
Sent: Friday, August 22, 2014 3:53 PM
To: Fred Roberts
Subject: Mimi's Deli Building AHERA Survey
Attachments: 106155.pdf
Fred,
Thank you for allowing NORTECH Engineering the opportunity to provide an AHERA asbestos survey in conjunction with
your building permit application. This email is to serve as a pre- cursor to the final report that will be delivered next
week. All of the samples that were collected from the facility were verified by an independent laboratory to NOT
CONTAIN ASBESTOS FIBERS. A written report showing the absence of asbestos containing building material will be
provided within the next week.
Thank you again for this opportunity.
-Ryan
Ryan Sharratt, MBA, IH
Industrial Hygienist 1 AHERA Inspector
NORTECH Environment, Energy, Health, & Safety
1623 Mill Bay Rd. Suite #5, Kodiak, AK 99615
907 - 942- 5544(C) 907 - 942 - 7700(0) 907 - 452 -5694 (F)
ryan(a)nortechengr.com
http://www.nortechenqr.com/
`,'� No trees were killed in the transmission of this message. However, several million electrons were greatly inconvenienced.
PAYMENT DATE
08/25/2014
COLLECTION STATION
CASHIER
RECEIVED FROM
FRED ROBERTS
DESCRIPTION
KANA- 3449 E. REZANOF DR
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
BATCH NO.
2015-00000133
RECEIPT NO.
2015-00000283
CASHIER
Teresa Medina
PAYMENT CODE RECEIPT DESCRIPTION
TRANSACTION AMOUNT
Zoning Compl I
Payments:
Zoning Compliance Permit I
BZ 2015 025
Type Detail Amount
$30.00
Cash $30.00
Total Amount:
$30.00
------- - --------- --------------- --- ------------------ -- - --------- I
Printed by: Teresa Medina Page 1 of 1 08/22/2014 04:23:39 PM
MrLWHITE KWU
1 LABORATORIES
a 1 -1 Lab Code: 200124 -0
383 INDUSTRIAL WAY ANCHORAGE, AK 99501 PH (907) 258 -8661
Bulk Sample Analysis for Asbestos
WL Project #: LA- 009067
Client Project#:
Client: Nortech (Kodiak)
Billing Number: 0
3901 Wolverine Way
Kodiak, AK 99615
# Samples: 9 # Layers: 21
Project Name /Location: Mimi's Deli
Report #:106155
Report By: J. Schwartz
Report Date: 8/22/2014
Collection Date: 8/20/2014
Collection By: CLIENT
TAT: RUSH
Analysis By: D.Milton
Analysis Date: 8/22/2014
Received By: Hicklin
Received Date: 8/2212014
Client ID#
WL Lab ID#
Location
Material
Layer
1
AB14 -9899
None Noted
Ceiling Tile
1 of 1
iASBESTOS
Homo-
Color
•
% Other Fibrous Materials:
80%
no
genous
Off -White
None Detected
% Non - Fibrous Materials:
20%
Other Fibrous Materials
Cellulose
50%
Mineral Wool
30%
Client ID#
WL Lab ID#
Location
Material
Layer
2
AB14 -9900A
None Noted
Mud
1 of 2
ASBESTOS I
Homo-
Color
genous
None Detected
.No
White
% Non - Fibrous Materials:
100%
Other Fibrous Materials
None Detected
Client ID# WL Lab ID# Location Material Layer
2 AB14 -9900B None Noted Mastic 2 of 2
ASBESTOS Homo-
genous Color
None Detected No Yellow
Other Fibrous Materials % Non - Fibrous Materials: 100%
None Detected
Client ID# WL Lab ID# Location Material I Layer
3 AB14 -9901A None Noted Ceramic Tile 1 of 2
ASBESTOS I Homo-
genous genous
None Detected No Gray
Other Fibrous Materials % Non - Fibrous Materials: 100%
None Detected
Report Version: 2014.01.18.01 Page 1 of 5
WHITE KWU
%Aflo ATORIES
A K Lab Code: 200124 -0
383 INI }USTRIAL WAY ANCHORAGE, AK 99501 PH (1307) 258 -8661
Bulk Sample Analysis for Asbestos
WL Project #: LA- 009067 Report #: 106155
Client Project#: Report By: J. Schwartz
Report Date: 8/22/2014
Client ID# WL Lab ID# Location Material Layer
3 AB14 -9901B None Noted Grout 2 of 2
!ASBESTOS
WL Lab ID#
Homo-
Material
Layer
genous
AB14 -9902C
None Detected
No
Off -White
ASBESTOS ,
% Non - Fibrous Materials: 100%
j Other Fibrous Materials
Color
None Detected
99/
genous
Off -White
Client ID#
WL Lab ID# Location
Material
Layer
4
AB14 -9902A None Noted
Wallboard
1_ of 4
ASBESTOS
1%
Homo-
Color
Other Fibrous Materials
% Other Fibrous Materials: 6%
genous
Off -White
None Detected
No
99%
--- -
% Non - Fibrous Materials: 94%
Other Fibrous Materials
WL Lab ID#
Location
Cellulose
3%
4
AB14 -9902D
Fiberous Glass 3%
Client ID# WL Lab ID# Location Material Layer
4 AB14 -9902B None Noted Joint Comp 2 of 4
ASBESTOS Homo- Color
- -- genous _
None Detected No White
I Other Fibrous Materials i % Non - Fibrous Materials: 100%
None Detected
Client ID#
WL Lab ID#
Location
Material
Layer
4
AB14 -9902C
None Noted
Tape
3 of 4
ASBESTOS ,
Homo-
Color
% OtherFibrous Materials:
99/
genous
Off -White
None Detected
No
% Non - Fibrous Materials:
1%
Other Fibrous Materials
Cellulose
99%
Client ID#
WL Lab ID#
Location
Material
Layer
4
AB14 -9902D
None Noted
Joint Comp
4 of 4
ASBESTOS
Homo-
genous
None Detected
No
White
% Non - Fibrous Materials:
100%
Other Fibrous Materials
None Detected
Report Version: 2014.01.18.01 Page 2 of 5
L.A.13 ORA r1i 0 RI E S KWU
UrL I I Lab Code: 200124 -0
383 INDUSTRIAL WAY ANCHORAGE, AK 99501 PH (907) 258 -8661
Bulk Sample Analysis for Asbestos
WL Project #: LA- 009067
Client Project#:
Report #: 106155
Report By: J. Schwartz
Report Date: 8/22/2014
Client ID#
WL Lab ID#
Location
Material Layer
5
AB14 -9903
None Noted
Wallboard 1 of 1
ASBESTOS',
Carpet
Homo -
Color
ASBESTOS
% Other Fibrous Materials: 6%
genous
Off -White
None Detected
Color
No
Other Fibrous Materials:
95%
% Non- Fibrous Materials: 94%
Blue
Other Fibrous Materials
_t_......__..._...��.
Cellulose
3%
Mineral Wool
3%
Client ID#
WL Lab ID#
Location
Material
Layer
6
AB14 -9904A
None Noted
Carpet
1 of 2
ASBESTOS
Homo-
Homo-
Color
Other Fibrous Materials:
95%
genous
Blue
None Detected
No
% Non - Fibrous Materials:
5%
Other Fibrous Materials
Synthetic
95%
Client ID#
WL Lab ID#
Location
Material
Layer
6
AB14 -9904B
None Noted
Carpet Mastic
2 of 2
(ASBESTOS!
Homo-
-genaus--
Color
None Detected
No
Yellow
% Non - Fibrous Materials:
100%
Other Fibrous Materials
None Detected
Client ID# WL Lab ID# Location Material Layer
7 AB14 -9905A None Noted Mastic 1 of 6
ASBESTOS] Homo -
genous Color
None Detected No Yellow
Other Fibrous Materials ! % Non - Fibrous Materials: 100%
None Detected
Client ID# WL Lab ID# Location Material Layer
7 AB14 -99058 None Noted Floor Tile 2 of 6
ASBESTOS', Homo -
genous Color
None Detected No Blue
Other Fibrous Materials % Non - Fibrous Materials: 100%
None Detected
Report Version: 2014.01.18.01 Page 3 of 5
UrLWHITE KWU
LABORATORIES
L I -1 c „ Lab Code: 200124 -0
363 INDUSTRIAL WAY ANCHORAGE, AK 99501 PH (907) 258 -8661
Bulk Sample Analysis for Asbestos
WL Project M LA- 009067
Client Project#:
Report #: 106155
Report By: J. Schwartz
Report Date: 8/22/2014
Client ID# WL Lab ID# Location Material Layer
7 AB14 -9905C None Noted Floor Tile Mastic 3 of 6
!ASBESTOS' Homo- Color
' genous
None Detected No Yellow
Other Fibrous Materials % Non - Fibrous Materials: 100%
None Detected
Client ID# WL Lab ID# Location Material Layer
7 AB14 -9905D None Noted Mastic 4 of 6
ASBESTOS Homo- Color
genous
None Detected No Yellow
Other Fibrous Materials % Non - Fibrous Materials: 100%
None Detected
Client ID# WL Lab ID# Location Material ( Layer
7 AB14 -9905E None Noted Floor Tile 5 of 6
ASBESTOS Homo- Color
genous
None Detected No Off -White
Other Fibrous Materials % Non-Fibrous Materials: 100%
None Detected
Client ID# WL Lab ID# Location Material Layer
7 AB14 -9905F None Noted Floor Tile Mastic 6 of 6
ASBESTOS Homo- Color
genous
None Detected No Yellow
Other Fibrous Materials % Non - Fibrous Materials: 100%
None Detected
Client ID# WL Lab ID# Location Material Layer
8 AB14 -9906A None Noted Floor Tile 1 of 2
ASBESTOS! Homo -
genous Color
None Detected No Off -White
Other Fibrous Materials % Non - Fibrous Materials: 100%
None Detected
Report Version: 2014.01.16.01 Page 4 of 5
MrLWHITE Kw� ;
LABORATORIES Af
1-11.1c. Lab Code: 200124 -0
383 INDUSTRIAL WAY ANCHORAGE, AK 99501 PH (907) 258 -8661
Bulk Sample Analysis for Asbestos �
WL Project #: LA- 009067
Client Project#:
Client ID# WL Lab ID# Location
8 AB14 -9906B None Noted
ASBESTOS'.
Report #: 106155
Report By: J. Schwartz
Report Date: 8/22/2014
Material Layer
Floor Tile Mastic 2 of 2
Homo- Color
genous
Yellow
None Detected
No
% Non - Fibrous Materials:
100%
Other Fibrous Materials
None Detected
Client ID# WL Lab ID#
Location
r
Material Layer
9 AB14 -9907
None Noted
1 of 1
Insulation
ASBESTOS
Homo- Color
% Other Fibrous Materials:
99%
genoous Yellow
None Detected
% Non - Fibrous Materials:
1%
Other Fibrous Materials
Mineral Wool 99%
f
Date
8/22/2014
Dave Milton, Lab alyst
Date
8/22/2014
Analysis performed by EPA Method 600 /R- 93/116. All quantities reported are based on visual estimation by PLM, unless point -
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 WL, LLC, and are subject to WL, LLC, General Terms and Conditions (available upon request).
Report Version: 2014.01.18.01 Page 5 of 5
•1
IR WHITE LABORATORIES
383 Industrial Way, Suite 300 Anchorage, AK 99501 907.274.8661 www,whitelabsllc.com
LA- 009067
CHAIN OF CUSTODY
Date: 08/21/2014
P.O #
Client Name: Nortech Engineering _ - Project Name: Mimi's Deli Project #:
Billing Address: 2400 College Rd City: Fairbanks State: AK Zip Code: 99709
Phone: Cell: 907 - 942 -5544
Send report via (choose one): Email: Ryan�la nortechengr.com or Fax:
*Only for SAME DAY T.A.T* Verbal (circle one) Y / N If yes, please provide name /contact #: __ 907- 942 -5544
* *By signing for these samples you are respon ible for payment. We will not bill someone else on your behalf. **
Samples Relinquished By (please print): t Date: B'211-14 Time: °gam QP/pm
Samples Received By (please print):_ ` �^ Date: 0 ' �Time: �— am&
Samples Analysis Type: PCM LM TEM LEAD TCLP MOLD Other (specify)
Composite: Y
Turn - around Time. SAME D NEXT DAY 2 -DAY 3 -DAY 5 -DAY
Method of Payment: CASH CHECK CREDIT CARD
:YNT
Sample#
Collection Date
Sample
T.A.T
Analysis
Volume (L)
Start Time
Stop Time
Total Time
(min) Air
Flow Rate
A/R
Condition
Type
Air Samples
(Air Samples)
(Air Samples)
Samples
Samples
Sample #1 Ceiling
2-° 1(4
13ut-1c
QusN
PLM
tile
Sample #2 FRP glue
Sample #3 Bath tile
Sample #4
Wallboard
Sample #5
Wallboard
_.
__ J
Sample #6 Blue
Carpet
Sample #7
_
Blue /White tile
TS ample #8 White
_
Form 102, White Laboratories Chain of Custody uAL
Issued 2/19/2013 C. Parker
Revision 3, 1/2/2014
WL WHITE LABORATORIES
383 Industrial Way, Suite 300 Anchorage, AK 99501 907.274.8661 www.whitelabsllc.com
Tile
Sample #9 -
Insultation Qosi{ PLwt
It is the responsibility of the Customer to ensure that samples are correctly taken and packaged. WL reserves the rignt to refuse sampieslor onaiysis wnicn are ooviousiy
unsuitable due to damage, Incorrect or insufficient labeling, or incorrect sample loading. WL will contact the Customer as soon as such a problem is identified and will discuss
with the Customer the course of action to be taken.
Form 102, White Laboratories Chain of Custody t1AC
Issued 2/19/2013 C. Parker
Revision 3, 1/2/2014