ERSKINE ADD BK 10A FIRE DEPT - ZCP 2/2/2017Kodiak 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 15269
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2017-040
The following information is to be supplied by the Applicant:
Property Owner / Applicant: City of Kodiak
Mailing Address: PO Box 1397 Kodiak AK
Phone Number:
Other Contact email, etc.:
Legal Description: Subdv: Erskine Add Block: 10A Lot: Fire Dep
Street Address: 219 Lower Mill Bay Rd
Use & Size of Existing Structures: Former library (-9,500SF), existing fire station.
Description of Proposed Action: Demolition of former library. This demolition will require removal of regulated asbestos -containing
materials.
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:
Lot Area: 88,227
Front Yard: 25'
Prk'g Plan Rvw? Not Applicable
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Operator Project # 40212
Current Zoning: Public Use
Lot Width:
KIBC 17.130
Rear Yard: 25% lot depth
# of Req'd Spaces:
Bld'g Height:
Side Yard:
PROP—ID 15269
10% lot width
US EPA Notification of Demolition and Renovation Letter postmark 1/13/2017
Subd Case No. Plat No. Bldg 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:
TBD Bldg Dept
N/A
TBD Bldg Dept
Proof of EPA notification provided (if required)? YES
*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: 1 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? Other
Date: Feb 2, 2017
List Other: US EPA Notification Letter
Signature: IV Z= _(l /lu
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 same construction permit.**
CDD Staff Certification
Date: Feb 2, 2017 CDD Staff: Daniel McKenna -Foster
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104- Main floor of Borough Building
Not Applicable
Less than 1.75 acres:
1.76 to 5.00 acres:
5.01 to 40.00 acres:
40.01 acres or more:
F $0.00
❑ $30.00
$60.00
�'C� El $90.00
❑ $120.00
After -the -Fact 2X the published amount
❑ $0.00
$60.00
$120.00�/
$180.00 ( IT"
$240.00 FAID0
A
FEB 4 2 2017
KODIAKISLA u OWN&
FIMAKIPF MAC MAPRIT
Return to: U.S. EPA Region 10
1200 Sixth Avenue (OAQ-107)
Seattle, WA 98101
U.S. EPA NOTIFICATION OF DEMOLITION AND RENOVATION
Operator Project #
Postmark
Date Received
1
Notification #
40212
1/13/2017
2
1. TYPE OF NOTIFICATION (check one):
❑ Original
0 Revised
❑ Canceled
II. FACILITY DESCRIPTION
Building Name:
Old Kodiak Library
Address:
319 Lower Mill Bay Rd
City:
1AK
State:
County:
Kodiak
Site Location:
Center of Town
Building Size (square feet):
# of Floors:
150
Age in Years:
10,350 SF
1
Present Use:
Prior Use:
Abandoned
Library
III. TYPE OF OPERATION (check one): 0 Demo ❑ Ordered Demo
❑ Renovation
❑ Emergency Renovation ❑ Fire Training
IV. IS ASBESTOS PRESENT? (check one)
0 Yes ❑ No
V. FACILITY INFORMATION
OWNER NAME:
City of Kodiak
Address::
710 Mill Bay Rd
City:
State:
Zip:
Kodiak
1AK
99615
Contact:
Tel:
Mike Tven a
907-486-8636
REMOVAL CONTRACTOR:
Satori Group, Inc.
Address:
1310 E 66th Ave, Ste 2
City:
State.
Zip:
Anchorage
1AK
99518
Contact:
Tel:
Alan Caldwell
907-332-0456
OTHER OPERATOR (Demolition / General): PRIME CONTRACTOR
B & R Fish By Products
Address:
22313 Sisters Way
[State: te:
Zip'.
Kodiak
JAK
99615
Contact:
Tel:
Steve DeHart
907-486-6138
PROCEDURE, INCLUDING ANALYTICAL METHOD, EMPLOYED TO DETECT THE PRESENCE OF AND TO ESTIMATE THE QUANTITY OF RACM
VI. AND CATEGORY I AND CATEGORY 11 NON -FRIABLE ACM:
PLM 600 R-93/116
VII. APPROXIMATE AMOUNT OF ASBESTOS MATERIAL:
Nonfriable Asbestos Material Nonfriable Asbestos Material
(SEE CONTINUATION SHEET)
RACM to be
to be Removed NOT to be Removed
Removed
Category I
Category 11 Category I Category II
ACM Ceiling Tiles
6494 SF
TSI Elbows
50 EA
Sheet Vinyl
486 SF
ACM VAT
1100 SF
1
Mastics
1 7859 SF
VIII. SCHEDULED DATES ASBESTOS REMOVAL (MM/DD/YY) Start: 2/2/2017
Complete: 2/16/2017
DAYS OF THE WEEK: MONDAY TUESDAY
WEDNESDAY
THURSDAY
FRIDAY SATURDAY I
SUNDAY
HOURS OF OPERATION: I 8AM-6PM 8AM-6PM
8AM-6PM
8AM-6PM
8AM-6PM 8AM-6PM
I 8AM-6PM
IX. SCHEDULED DATES DEMO/RENOVATION (MM/DD/YY) Start:
DAYS OF THE WEEK: MONDAY TUESDAY
WEDNESDAY
THURSDAY
FRIDAY SATURDAY SUNDAY
HOURS OF OPERATION:
PAYMENT DATE Kodiak Island Borough BATCH NO.
02/02/2017 710 Mill Bay Rd. 2017-00000435
COLLECTION STATION Kodiak, AK 99615 RECEIPT NO.
CASHIER 2017-00000847
RECEIVED FROM CASHIER
GLENN MELVIN Teresa Medina
DESCRIPTION
CITY OF KODIAK 219 LOWER MILL MAY
PAYMENT CODE I RECEIPT DESCRIPTION TRANSACTION AMOUNT
Zoning Compliance Permit
Payments: Type Detail Amount
Cash $60.00
Total Amount: 1 $60.00
Customer Copy
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Printed hv- Teresa Medina Pane 1 of 1 02/02/2017 09.40:25 AM