USS 2538A TR B - ZCP 10/28/2021` Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
6G Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit
Permit No. e zaoal — 055
The following information is to be supplied by the Applicant:
Property owner / Applicant: City of Kodiak/Matt Holmstrom
Mailing Address: Box 1397
Phone Number: 486-8068
Other Contact email, etc.: mholmstrom@city.kodiak.ak.us
Legal Description: Subdv: USS 2538A; Tract B Block: N/A Lot: N/A
Street Address: 417 Hillside
Use & Size of Existing Structures:
1000 square foot single structure; vacant
Description of Proposed Action:
abate ACM texture on interior sheetrock/remove and dispose; abate/remove/di
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:Cfl)GLTIbh PROP —ID 1690.5
Lot Area: 15CD' • 4 3 aC , Lot Width: Bldg Height:
^ r Front Yard: Oc 5 t Rear Yard: 5 Side Yard:
Prk'g Pian Rvw? M I # of Req'd Spaces:
Staff Compliance Review Notes:
Plat/Subdivision Requirements:
Subd Case 1`46.' _A> Plat No, Bldg Permit No.
.,
Does the project involve
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:
Proof of EPA notification provided (if required)?
*Required for all demolitions, for renovations disturbing at least 160square
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 proiects without proof of EPA notification
Applicant Certification: I 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? plan view
Date: 4/28/21
List Other: floor plan & NWFF proposal
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: 4 g a 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
❑
$0.00
❑ $0.00
Les&than1.`5 acres:
fb;a weft file
$30.00
❑ $60.00
1.76 to 5.00 acres:
❑
$60.00
❑ $120.00
5.01 to 40.00 acres:
❑
$90.00
❑ $180,00
40.01 acres or more:
❑
$120.00
❑ $240.00
City of Kodiak
Attn: Matthew Holmstrom
2410 Mill Bay Road Kodiak,
AK 99615
RE: Asbestos Abatement
Mr. Holmstrom,
3/26/2021
Thank you for the opportunity to provide a firm fixed price bid for asbestos abatement and
disposal at your training facility located at 417 Hillside. Based on sample results from an HEMS
survey conducted on May 2r, 2020, NWFF proposes the following scope of work:
• Write asbestos abatement workplan in accordance with federal and state guidelines
• Make proper notifications to EPA and ADEC
• Remove and properly dispose of 2,960 Square feet of textured drywall systems from the
walls and ceilings of the structure
• Remove and properly dispose of 1 sink coated with ACM lining
• Remove and properly dispose of 45 square feet of Yellow Vinyl Sheet Tile
• Workers shall use required PPE, containment, and disposal practices.
Other hazardous materials such as mercury light bulbs and thermostats and misc. materials in
the rear arctic entry are not included in the scope of this proposal. If required, NWFF can
coordinate transport and disposal under a separate engagement. It is recommended that this
waste be disposed of during the household waste collection event.
NWFF proposes to conduct all items contained with the scope of work for a firm fixed price of
34,750.00. The requested breakdown is as follows:
• labor—$18,900
• Materials — $6,600
• Equipment — $5,750
• Disposal — $3,500
If you have any questions, please feel free to contact the undersigned.
Respectfully,
Monique Lewis I Principal I N.W.F.F., Inc.
PO Box 1810 1 Kodiak, AK99615 1 www.nwffenviro.com
Main Office: 541.929.4884 1 24/7: 800.942.4614
AK Office: 907.486.2960 1 Cell Phone: 907.654.5580
700C 055 1S39AJ t58.63 AfV,5
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
04/29/2021 10:24AM
Remittance ID:
Kodiak042921142339209Wel
Transaction ID:
267636626
MATTHEW HOLSTROM
710 Mill Bay Rd
KODIAK, Alaska 99615
United States
MasterCard - 1553
Approval Code: 029905
Sale
Amount: $30.00
City of Kodiak
4868068
CZ2021-055
417 Hillside
Service Fee: $1.00
Service Fee Type: Dual Transaction
Total Amount: $31.00
Cardmember acknowledges
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform the
obligations set forth by the
cardmeniber's agreement with
the issuer.
Signature
click here to continue.
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