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PRJ08-0614 ASB08-0012
`�j�va��o�a APPLICATION WILL NOT BE ACCEPTED IF INCOMPPE�T' OR�NSIGNED a 1���!-I� W �O ' Building Permit#: Asbestos Permit#: ,,.,, �QC/���,,, ►� '� TOWN OF VAIL ASBESTOS ABATEMENT PERMIT APPLICATION TDWN�FYA�, Required per Ordinance No. 19, Series of 1998 75 S. Frontage Rd. Permit application will not be accepted without the following: Vail, Colorado 81657 1. Copies of General Abatement Certificate and State of Colorado Certification 2. A copy of written arrangements with the facility operators for any temporary disabling of the air handling systems, fire sprinkler system, and alarm systems with the names and contact phone numbers of these individuals. 3. Site plan with details addressing: waste container storage location. waste load out area location. entry and exiting details of abatement area. details of entry and exiting plans for the occupants of the structure in unaffected areas. CONTRACTOR INFORMATION On Site Abatement Contractor: Town of Vail Reg. No.: Contact and Phone #'s: �I�� �l:a S"row�1L C.v.,'U � e RUfGC3 7� 7 5 f�l��. ��t� �aV+N(� �}'7/-.�`� � E-Mail Address: ����y �J� ;,� � �� �-�� . �� ( , h�{� Contractor Signature: �tili jt� Uot�t��w'i� COMPLETE VALUATION FOR ASBESTOS ABATEMENT PERMI� (Labor & Materials) Asbestos Abatement: $ 4�i S!�� � o��� Contact Ea /e Coun Assessors O�ce at 970-328-8640 or visit www,ea le-coun ,com for Parce/# Parcel # � ►�`l@�, �'� L (r�L C'- �. u�uu� �� ��� O�'lG �f Uv � Job Name: ���Jv � ��L �����C-� Job Address:�-/�� v�1 �Q�' Dr� n �"� Lr Legal Description Lot: ' Block: Filing: _ division: !�- 1�� ���� �� Owners Name: ��p.T�Y�� A dress: �3z M�,,��r� ��; Phone:_ d_331- 11 I Project Manager: Address: Phone: Project Designer: Address: Phone: Air Monito in S,�pecialjst• ��; Addre o: , � �-� � (�pb ,� Phone: �`;>.._ �r1�__G �� - � Detailed description of work: I�l':`�t-��`� �i;F'C�s�'��,: C�YU(�(:: �r� G t' �t..� �JL �f�% L.� V� rv'c: �'o c�� "� �jcac��ed��7 Start Date: ��� �� a p End Date: j�,�,f a G � Start Time: � : c�-u �-,� Quit Time: �, ; � ry�,� Amount of Asbestos: Linear Feet: Square Feet: ' ��' S5/Gal Drums: Work Class: New ( ) Addition ( ) Remodel ( ) Repair(�j' Demo ( ) Other ( ) Work Type: Interior.� Exterior( ) Both ( ) T e of Bld .: Sin le-famil Two-famil Multi-famil Commercial Restaurant Other Does a Fire Alarm Exist: Yes ( No O :Does a Fire Sprinkler System Exist: Yes (� No O �*���:����:�*�*���**��*��*������*��*�����FOR OFFICE USE ONLY��:�*�**k�:��x��:�x�x:���x•n•x�:�*������*���r i "Other Fees: Date Received: � ;' ii�ut�.i i.�` i � � Public Wa Permit Fee: Acce ted B : ° - �.�_ � Occu an Grou : p i � � :� �C� �,�{.� f}s� ' _s-,r-11 P:��� 1 Lf C���'' __: : F:\cdev\FORMS\PERMITS\Fire\asbestos�erm_12-5-05.DOC Page 1 of 1 ---�s�____ ._ _ '�'��';j��p�� rope �ty ecord ar Eagle County SA1�1DS FOOI)S PTY LTI) Account ; 1z00�025 Parcel : 2101 -0� 1 -04-003 232 MILLER ST N SYDNEY NSW Tax Area: SC103 - VAIL (TOWN) - Situs Address : 2060 SC103 000595 E VAIL VALLEY DR #kDl 12 AUSTRALIA Acr•es : 0 . 030 VAIL AREA , 0 F ��llle �11111119 �1ry Legal Description DESC : AKA 162 BLDG D Subdivision : MANOR VAIL Unit: Valile By : IVIarltet OVei°Ylde � � Z BK-0502 PG-0288 QCD 03- 16-89 Condo ( 1 ) $642,020 N/A Kg�9479 DEC 06-04-04 R898191 DEC I1 - ] 8-04 Land ( 1 ) $0 N/A R900960 D�C 12- 17-04 XFOB ( 1 ) $3,340 N/A XFOB (2) $8,670 N/A Total $G54,030 $(54,030 Condo � ccurrence 1 Abstract Code 1130 - CONDO-LAND l'ercentage 12 . 0 1230 - CONDOS-IMPROVEMENT'S 88 . p Use Code ] 000 - RESIDENTIAL, Neighborhood 41 1 C - MANOR VAIt., I�uilding Type 123000 - CONDOMINIUM Arch Style 26 - CONDO Exterior Wall 17 - CB STUCCO Percentage 100 . 0 Roof Cover 4 - BUILT-UP Roof Structure 2 - SHED Interior Wall 5 - DRYWALL Percentage 100. 0 Floor 8 - RESILIFNT' Percentage 20 . 0 14 - CARPET INV 80. 0 Heating F�iel 3 - GAS Heating Type 13 - QASEBOARD Air Conditioning 0 - NONE AcYual Year [3uilt 1967 Bedrooms 1 Bathrooms 1 Construction Quality 5 - GOOD Effective Year B �iilt 1967 Fixtures S Rooms 2 Units 1 Units 1 Super Neighborl�ood 4200 - VAIL CORB CONDO Stories I - STORIES 1 Use Code ] 000 - RESIDENTIAL Garage 0 - NO GARnGB A#: RQ08025 P#: 210108104003 As of: 10/24/20Q8 Page 1 of 2 , e U�':,� 1� �,�� - �``1 �„� �2'1j�� I ` � �' ��; Se r"V i�t�.'S - L ����, TC SS t vwc�, i: ,e ' l�'�1 �LCz �� ��- t w�b �t��-S`�� � � � ���� ��1� � � ���� �' �. � � �( � � �l�'� � Occ u f:�-v�'S � �.�'� L.�a��,E (� ,, �j- ,'=L�-%�� — -- L,�'11��. �3 � �i F �Lc��� �.�d�-X, s7 � t�`` . � ` � ec � G,��sts C�°�,�'�rc cw (l' � �' W`e��'e r'b�t' Ca L a ra�v �,�� � ������4 � ?e �3z � �4'S-� L� ' ���� �� � rvc,�� - N' c� . 1.✓" �^-�'- �a r P� 2�e �' wy�C� �4�v � � ',� j� �-e rS a-•._ c a�. �.-f� o G �'-`-�-� �.. , _ �(,f�c,tv f� — �le,q.�e C� G v�e. 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INCOM6' LETE APPLICA�IO � S 1�11LL BE RETIJRNED . w �¢, cOlo Single Farnily Residential D�velling (SFRD) Public and Commercial Building, School, and Single-Family Submit form to: � �-_ �P �Q � ,.� �'yd > 50 LF or 32 SF or a 55-gal. drum, but s 260 LF or 160 SF or a 55-gallon drum RBSid2nf121 Dwelling: > 260 LF or 160 SF or a 55-gallon drum Permit Coordinator � ' � � � O Colorado De t. of Pu61ic Health �. � � � ( code 200 ❑ $0 Courtes Notice code 100 ] ❑ $0 Courtes Notice p ! �Iy� ; La,, ,� and Environment �;� � :� [ code 205 ] ❑ $60 Non-Public Access Notice (Opt Out) [ code 105 ] ❑ $80 Non-Public Access Notice APCD-IE-B� � '�Mr-vUMt � � 1ga6 �` [ code 210 ] ❑ $60 iVotice [ code 110 ] ❑ $80 �otice a3oo Cherry Creek Drive Soutn ( code 23� ❑ $180 30-Da Permit code 130/232 ] � $400 30-Da P&C/SFRD Permit Denver, CO 80246-1530 �a [ code 290 ] ❑ $300 90-Day Permit [ code 190/292 ] ❑ $800 90-Day P&C/SFRD Permit Phone: 3o3-6s2-3� o0 �O���a�0 A�e�7 �11� Fax: 303-782-0278 �� ����� ���� [ code 265 ) ❑ $420 365-Day Permit [ code 165/267 ] ❑ $1200 365-Day P&C/SFRD Permii asbestos@state.co.us �� �����e�� [ code 180/280 ] ❑ $55 iVotice or �ermit Transfier [ code 177 ] ❑ $80 Phase of Multiple Phase Permit # Aba�ernent Contractor Abatement Site � uilding Owne � Company fVame Building Name Owner Name Professiona! Environmental Services Manor Vaii Kathy Maclean Street Address Specify location in the building where work will take place (e.g. floor, room, wing, etc. ) �OBl#8C4 '19537 East 40'" Sfreet bedoom and living room Bil1 tVlontag City State i Zip code Street Address Street Address Denver Co 80249 595 Vail Valley Drive #162 595 Vail Valley Drive #162 Telephone # �ax # City County Zip code Cify State i Zip code {970) 471 -5929 (800) 9853037 Vail Eagle 81657 Vail Colora 81657 do Project Supervisor CO. Cert # Building Contact Cell Phone # Telephone # Fax # Jose Manzano 4416 Biil Montag (970) 331 -3111 (970) 331 -3111 (970) 331 -3111 Project Persor� r� e! Project lnformation Dis �osal Site CO Project Mgr. Name Start Date End Date Landfill Name October 29, 2008 November 15, 2008 Milner Landfill Cell Phone # CO Project Designer # Start Time End Time Street Address ( ) 8 AM PM AM 8 PM 1049 Crawford Ave. CO Projecf Designer Name Check the day(s) of operation : Su M Tu W Th F Sa City State Zip code � � � � � � � Steamboat Sprin s Co 80477 Cell Phone # CO Project Designer # Emergency? Type ofACM : TSI , Texture, VAT, etc. � � �7�..� � �Se � 11 �y ( ) Y❑ N� popcorn texture Consulting Firm Name ftegistration # Linear Feet / Type Square Fe2t / Type 55 gal. Drums Postmark or Delivery date Approved by: Proairco i 11248 A. � . S. Name Form of Paymenf & # PM req'd? John Taylor 800 Y N W Cell Phone # CO A. M .S . Cert # Permit # f2ecord # Date Issued: {303) 458-0264 2342 Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. �E SPEGl �IC . ] ndicate type(s) of ACBM to be abated (e .g . VAT, ceiling tile, TSl , etc.) . Use another pags if necessary. Asbestos abatement to be performed with ful! containment, negative Air, Wet F2emovai Methods in accordance wiih f2egulation 8. This inciudes decon setup-load out and manifested disposlal to approved landfill. Form: .AANPA03 Rev. Ol/30/2008