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THORSHEIM LT 18 SUBLT 12A - ZCP 4/1/2021Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9363 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Print Form Submit by Email Permit No. CZZc�ZI - ) e— The following information is to be supplied by the Applicant: Amanda Martin 19401 40th Avenue West, Suite 420 Lynnwood, WA 98026 425.967.8409 amartin@pmdginc.com Legal Description: t Subdv: �hU ��c- �1 Block: Lot: 1� r, �2� Street Address: 209 Thorsheim Avenue Kodiak, AK 99615 Use & Size of Existing Structures: Use: B - Business (McDonald's) - No Change. Building 4,473 SF - No Change. Description of Proposed Action: Remodel - scope of work to include: new signage and site branding, remodel of parking stalls and sidewalks for ADA compliance; new exterior fa4ade upgrades; new dining area decor upgrades, new counter & menu board wall and new drive thru order equipment. No change in seating count or parking count. 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: `'J PROP —ID Lot Area: d — 7 Lot Width: ` Bld'g Height: SO % Front Yard: \--� Rear Yard: Side Yard: Prk'g Plan Rvw? N V /A # of Req'd Spaces: Staff Compliance Review Notes and Specific Plat / Subdivision Requirements: Subd e 4 _ Q Plat No. :A Bld'g Permit No. Does the project involve Proof of EPA notification provided (if required)? an EPA defined facility? *Required for all demolitions, for renovations disturbing at least 160 square *Commercial buildings, installations (military bases), feet 260 linearfeet, or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and institutions (schools, hospitals) and residences with for renovations that remove a load -supporting structural member. more than four (4) dwelling units. No permit will be issued for such proiects without proof of EPA notification Driveway / Permit? / Septic Plan n 1 Approval: I V Fire _ 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. 1 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? Site Plan Date: 02/22/2021 List Other: Exterior Elevations Signature:�� 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: 2 LnIel\. CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Not Applicable $0.00 Less than 1.75 acres: $30.00 1.76 to 5.00 acres: $60.00 5.01 to 40.00 acres: $90.00 40.01 acres or more: $120.00 C' shier's Office Room # 104 -!()lain floor of Borough Building After -the -Fact 2X the published amount $0.00 $60.00 $120.00 $180.00 $240.00 Robyn Keefe From: Fay, Laurie <Fay.Laurie@epa.gov> Sent: Thursday, March 11, 2021 9:08 AM To: Ja-ay Klinthavorn Cc: Pavitt, John Subject: RE: Questions about renovating McDonalds on Kodiak Good Morning Ja-ay, Thank you for sending the report so quickly! The McDonalds project is updating interior dining/restroom surfaces & siding. No Asbestos or load bearing walls will be disturbed. The EPA does not require a 10 Day Notice for tis project. As the removal work progresses, if any untested material should be uncovered, stop work and have a sample tested before removal. EPA TSCA Lead -Based Paint Regulations do not apply to Commercial Projects. RCRA has lead disposal requirements, your hauler should take care of a TLCP test if required. OSHA has worker safety requirements. OSHA's limit for lead in dust is "any detectable" Laurie From: Ja-ay Klinthavorn <jklinthavorn@pmdginc.com> Sent: Thursday, March 11, 2021 9:02 AM To: Pavitt, John <Pavitt.John@epa.gov>; Fay, Laurie <Fay.Laurie@epa.gov> Cc: Amanda Martin <amartin@pmdginc.com> Subject: RE: Questions about renovating McDonalds on Kodiak Good morning Laurie, John, As requested, attached is the Hazmat Report from August 29, 2019. - Correct, no load bearing walls will be affected and to remain as is — not part of project scope. - There were trace amounts of asbestos in the penetrations of two particular roof vents, which we are NOT touching. - No lead paint detected. - Kitchen is to remain as is, not part of project scope. - Removing existing siding and replacing it with lap siding made of fiber cement. If you require any further information or drawings, let us know. Based on the report and scope of work as noted above, will EPA be required for our project? Thank you for your time and assistance. We greatly appreciate your time! Ja-ay Klinthavorn VANSr. Job Captain DESIGN Direct: (425) 368-5913 19401 40th Avenue West, Suite 420 Lynnwood, WA 98036 pmdqinc.com Follow us on 0 From: Pavitt, John <Pavitt.John@epa.gov> Sent: Wednesday, March 10, 20214:07 PM To: Fay, Laurie <Fay.Laurie@epa.gov_> Cc:1a-ay Klinthavorn <jklinthavorn@pmdginc.com> Subject: RE: Questions about renovating McDonalds on Kodiak Thanks Laurie. Sincerely, John Pavitt, Air Compliance Inspector Air and Toxics Enforcement Section U.S. EPA Region 10 Alaska Operations Office Anchorage, AK Phone: (907) 271-3688 From: Fay, Laurie <Fay.Laurie@epa.gov> Sent: Wednesday, March 10, 2021 3:06 PM To: Pavitt, John <Pavitt.John@epa.gov> Cc: jklinthavorn@pmdginc.com Subject: RE: Questions about renovating McDonalds on Kodiak Thank you John. I'll follow-up with Ja-ay From: Pavitt, John <Pavitt.John@epa_gov> Sent: Wednesday, March 10, 20214:03 PM To: Fay, Laurie <Fay.Laurie@epa.gov>; jklinthavorn pmdginc.com Subject: RE: Questions about renovating McDonalds on Kodiak Re -sending in case my earlier response did not go through. For a renovation, you are correct that if there is no asbestos found, then no notice is required. They have to do a thorough survey for asbestos and not just assume it's asbestos -free (sometimes people are wrong). Also, it's important to verify if any walls taken out are load -bearing. The removal of a load -bearing wall is considered a "demolition" under the asbestos NESHAP and a notice would be required even if no asbestos is found. Sincerely, John Pavitt, Air Compliance Inspector Air and Toxics Enforcement Section U.S. EPA Region 10 Alaska Operations Office Anchorage, AK Phone: (907) 271-3688 From: Fay, Laurie <Fay.Laurie@epa.gov> Sent: Wednesday, March 10, 2021 2:57 PM To: iklinthavorn@pmdginc.com Cc: Pavitt, John <Pavitt.John@epa.gov> Subject: FW: Questions about renovating McDonalds on Kodiak GEES, long day. From: Fay, Laurie Sent: Wednesday, March 10, 2021 3:51 PM To: ikinthavorn@pmdginc.com Cc: Pavitt, John <Pavitt.John@epa.gov> Subject: FW: Questions about renovating McDonalds on Kodiak Hi John & Ja-ay' Here's a copy going to Ja-ay correct email address, opps From: Fay, Laurie Sent: Wednesday, March 10, 2021 3:30 PM To: Pavitt, John <Pavitt.John@epa.gov> Cc: il<inthavorn@pmdg.com Subject: Questions about renovating McDonalds on Kodiak Hi John, Ja-ay at PM Design Group, Inc. in Seattle https://www.pmdginc.com/ called about Asbestos and Lead requirements to remodel the Kodiak McDonalds. She will check if they are disturbing any load bearing walls, she does not think they are. asked for a Hazardous materials survey, to show no asbestos or lead. As I remember McDonalds, it's prefab., no painted surfaces. The kitchen might have asbestos but if its only a renovation, no load bearing walls being moved, then no notice is required, right? Ja-ay number is (206) 755-7168 3 Laurie Fay TSCA Lead Inspector Enforcement & Compliance Assurance Division 1200 Sixth Avenue, Suite 155 MS: 20-004 Seattle, Washington 98101 Cell: 206-473-8056 Desk: 206-553-1541 Fax: 206-553-4743 4 AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. PLAN NO. PARCEL ID: R1300000121 STREET ADDRESS: 209 Thorsheim Avenue Kodiak AK 99615 Please print: Property Owner: Property Owner: McDonalds USA LLC The undersigned, registered property owners of the above noted property, do hereby authorize Amanda Martin (Contractor / Agent) of PM Design Group (Name of consulting firm) to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and any and all standard and special conditions attached. Property Owner's Address (if different than property above): 9805 NE 116th St Suite A302 Kirkland WA 98034 Telephone: 425.305.0266 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. CAut4horiized!Signature Curt Hobbs ACM Authorized Signature Date: 319/21 Date: AicDONALUB 007148 -' x/xn/xu m s,uuKs RM% KODIAK, AK K/,d/,R �i,McDonald's USA, LLC _ m� � �IO/1eR/19 b,MMw.u�� a e My � e ^� 3 4/M/xU REuKEU Ukn2-iHku hUR oa,-m�• al Mwnnw !.,. Rcfr. u, vee,s en,nw �.'�ti ^� a www� k �'�I�'� ''�I��Ij��° ��1�.�1��1�.1�. � ° i'iiiiiiiiiii itlt li,ll III IIII tllll I ' I 9. fjj� lja Z 111r1IT Ili0 0 0 0 -= 0 , ME > 0 --E 0 :2 z z o 0 91 E 9 EIIJEJEJ g1g) ID @01 I-filgi fj 911919191 nmjEj 0, E El 0- El El El B E E A. dt a < M 7T z A C L) .C),2 ML, t rw�] McDonald's USA, LLC m MINALDS #0714B > tMDIAK, AK Z ILA L MCD19215.0