USS 2538A TR B - SCHOOL/BOROUGH BLDG TRACT - ZCP 6/30/2022Print Form Submit byEmail
Kodiak Island Borough
Community Development Department
1�. 710 Mill Bay Rd. Rm �205 n ` Kodiak AK 9961615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
htt of//w ww.kodiakak.uc
Zoning Compliance Permit Permit No.
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: Kodiak Island Borough / Matt Gandel, Project Manager
Mailing Address: 710 Mill Bay Road, Kodiak AK 99615
Phone Number: (907)496-9211
Other Contact email, etc.: mgandel@kodiakak.us
Legal Description: Subdv: USS 2538A TR B - School/Borough Bldg Block: Lot:
Street Address: 710 Mill Bay Road
Use & Size of Existing Structures:
Kodiak Island Borough Building - government offices
Description of ProposeclAction:
Removal and replacement of mechanical equipment inside boiler room and interior fan room. Some exterior site work including
new sidewalk, new concrete pad for exterior mounted generator and electrical transformer, new concrete stair.
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: (71 PROP_ID
Lot Area: S �,L , Lot Width: t-• Building Height: U
Front Yard: ( Rear Yard: Z54c'Luk-5ejL�11I2> Side Yard: (�at W
O ttatih?f'
Z �lowlUtxvwS It&y, IAAtCLtrvtr'S I{SS
Parking plan? # Of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Building PennitNo.
L
Does the project involve Yes Proof of EPA notification provided (if required)?
an EPA defined facility? -Requiredfor all demolitions, for renovations disturbing at least UO squareYes
•commercialbuildings,installationsfmilitarybases), feet,1601inearfeet, or35cubicfeetofRegulatedAsbestosContaining MaterialfRACMJ, andfor
institutions (schools, hospitals) and residences renovations that remove aload-mppornrgstructurel member er.
with more than four (4)dtvelling units. No nermit will be issued for such oroiectc_ without proof of EPA
notification
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
AnnlicantCertifiication:Iherebycertifythat Iwillcomplywiththe provisions oftheKodiaklslandBoroughCode andthat l
havetheauthoritytocertifythisasthepropertyowner, orasarepresentativeofthepropertyowner..I agreetohaveidentifiable
comermarkers in place for verification of building setback (yard) requirements.
Attachments? Site plan List Other:
Date:
Date: 6/29/22
Print Name:
Matt Gandel
i
Signature: /y
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 itssiting, construction, 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: Anyzoning compliancepermit issuedissubject to thesameexpiradon, suspension, andrevocation provisions as a
building permit issued for the sameconstruction permit **
COD Staff Certification
Date: al l �d �Iz CDD Staff: �—
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room H104-Main fioorof Borough Building
After -the -Fad 2X the published amount
Not App li cable $0.00 ❑ $0.00
Lessthan 1.75 acres:
❑
$30.00
❑
$60.00
1.76 to S.00 acres:
❑
$60.00
$120.00
5.01 to40.00acres:
❑
$90.00
$180.00
40.01 acresor more:
❑
$120.00
$240.00
NOTIFICATION OF DEMOLITION AND RENOVATION
Operator Project # 4021-21
Postmark 2-8-2022
1
Date Received
1
Notification #
I. Type of Notification O=Ori final R=Revised C=Canceled Original
II. FACILITY INFORMATION(identify owner, removal contractor, and other operator)
OWNER NAME:QWner: Kodiak Island Borough
Address:714 Mill Bay Road
c; :Kodiak
State:AK
Z; :99615
Contaet:Matt Gandel
Te;:(907)486-9211
REMOVAL CONTRACTOR:NWFF Environmental
Addres,:2975 Mill Bay Rd
c; :Kod'lak
State:AK
Z; :99615
Centact:Justin Vaughn
Te1:(907)654-5183
OTHER OPERATOR:
Address:General Contractor: Scotts Heating and Plumbing
city: 1414 Mill Bay Rd
State:AK
Z; :99615
contact:Steven Pillans
Te1:907-942-5405
III. TYPE OF OPERATION D=Demo O= Ordered Demo R=Renovation E=Emer. Renovation Demo
IV. IS ASBESTOS PRESENT? YeslNo Yes
V. FACILITY DESCRIPTION Include building name, number and floor or room number
Bldg. Name: Kodiak Island Borough Maintenance Building
Address:710 Millbay Rd
c; :Kodiak
state:AK
Coun :Kodiak Island Borough
Site Location:710 Millbay rd
Building size:4,000 SQ ft
#ofFloors: 1
Age in Years: 50years old
Present Use: Kodiak Island Borough Maintenance facility
Prior Use: Business
VI. PROCEDURE, INCLUDING ANALYTICAL METHOD, IF APPROPRIATE, USED TO DETECT THE PRESENCE OF ASBESTOS MATERIAL:
PLM Bulk sample analysis
VII. APPROXIMATE AMOUNT OF ASBESTOS
INCLUDING:
1. Regulated ACM to be Removed
2. Category I ACM Not Removed
3. Category II ACM Not Removed
RACM
7o Be
Removed
Nonfriable
Asbestos
Material Not
To Be Removed
Indicate Unit of
Measurement Below
Category I
Category II
UNIT
Pipes
Boiler stack
LnFt:40 LF
Ln M:
Surface Area
Textured drywall
S Ft: 50 So Ft
Sci M:
Vol RACM Off Facility Component
vosF"°'""'"ACM dW--
CuFt:50
Cu M:
Vill. SCHEDULED DATES ASBESTOS REMOVAL MMIDDIYY Start: 5-29-2022 Complete: 6-05-2022
IX. SCHEDULED DATES DEMOIRENOVATION MMIDDIYY Start: 5-29-2022 complete: 6-05-2022
X. DESCRIPTION OF PLANNED DEMOLITION OR RENOVATION WORK, AND METHOD(S) TO BE USED:
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XI. DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO PREVENT EMISSIONS OF ASBESTOS AT THE
DEMOLITION OR RENOVATION SITE:
Negative aircontainment areas, HEPA vacuums and wet methods will be used through out the duration of this project standards in accordance with 1910.1001 will be followed.
XII. WASTE TRANSPORTER #1
Name;NWFF Environmental
Address:2975 Millbay Rd
ci ;Kod'lak
State;AK
Z; ;99615
Contact Person: Justin Vaughn
Tel:(9O7)654-5183
WASTE TRANSPORTER #2
Name:
Address:
City:
State:
Zip;
Contact Person:
Tel:
XIII. WASTE DISPOSAL SITE
Name:Kodiak Island Borough Landfill
Address:12O3 Monashka Bay Rd
c; ;Kodiak
state;AK
ZI :99615
Tel:(9O7)486-9345
XIV. IF DEMOLITION ORDERED BY A GOVERNMENT AGENCY, PLEASE IDENTIFY THE AGENCY BELOW:
Name:
Title:
Authority:
Date of Order MM/DD/YY :
Date Ordered to Begin MMIDDIYY :
XV. FOR EMERGENCY RENOVATIONS:
Date and Hour of Emergency MMIDD/YV :
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:
Negative air containment areas, HEPA vacuums and wet methods will be used through( out the duration of this project standards in accordance with 1910.1001 will be followed
XVIL 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 SPECTION DURING NORMAL BUSINESS HOURS.
0l Zm 2-11-2022
(Signature of Owner/Operator) (Date)
XVIII. I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT:
PkI 4 , 2-11-2022
(Signature of OwnerfOperator) (Date)
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