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PRJ07-0328 ASB08-0005
APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNSj�_f�Ep���a 32� Project#: NK.J Building Permit#: (30'�--Q 7..32 Asbestos Permit#: i� TOWNOFYAIF, TOWN OF V_A_IL ASBESTOS_ABATEMENT PERMIT APPLICATION Required per Ordinance No. 19, Series of 1998 75 S. Frontage Rd. Per ' pplication wi I not be accepted without the following: Vail, Colorado 81657 1. s of al men i ' nd State of Color Ce o (970) 479-2139 2• ofw ena me wi cilityoper f ny pora lingofthe air h ystem ir ri I syst d aI��R s e ith t ames d c ct phone I'AX(970) 4�9-2452 ber f these i id . . Site p!a wii ai ddressing: e contain ra catio . aste oad out area location. entry and exiting details of abatement area. details of entry and exiting plans for the occupants of the structure in unaifected areas. CONTRACTOR INFORMATION On Site Abatement Contractor. Town of Vail Reg. No.: Contact and Phone#'s: ;' � A�RICAN ABATIIKL�IT, INC. — �I 483-S �I J.im Ol_eskevich 30�-298-�550 �! �I E-Mail Address: elaine?arnericana}�tement.com �', i Contractor Signature: �_ � ' - �i t i COMPLETE VALUATiO R ASBESTOS ABATEMENT PERMIT (Labor 8� Materials) ----- - -- -___ �Asbestos Abatement: $ �, °�-��7�� ��C� �� Contacf Ea le Count Assessors Office at 970-328-8640 or visit www.ea le-count .com for Parcel# - - --- - - - - --- -- — -- -I Parcel # 210106309009 � Job Name: MONTANE;R05 coriDOS #216 I JobAddress: 6�'l W. Lionshead Cir. _ Vail_, CO 81657 � ILegal Description SEE AT`T'ACiiBL� T:EGA� DESCi2ZPTIJDT I Subdivision: i il Owners Name: K.C. Schr�eider I( Address. 32 6 Long orn R I Phone: 303-444-0545 � ! �>>��Pr, �� Rn�n� I Project Manager: .Tr�l �..�sK�:J;�FI II Address � �A-�? i�3��o��waY I Phone: I .:�tl�-I'1Cdr�.4 At3.4.TE,tiiErJ-i I,.,K� 't�E.sJJc�� c-c:; L�jO.'-i(� 7iJ_j � L . .2-�c>'-�`7�t.i I Project Designer: �'H�is ,^��,2�rJ II Address: j� �EE-� T�zA�� Rp- Phone: ., . ii ����-_i(..�>f:l.� �NV��7cipJMF�NTAC� � ni:t.ttbE��z� cr� H�?�.cy I >��•:��-3�',�:. - i �7!� ( Air Monitoring Specialist:��i�,��s �-cn���.; Address: �> ,��R r-k'v,i� �z.�- I Phone: _ , � ;�%':.iL6:�1' Iti=f�:�:2v,1�✓f Enl-qc� I_. C3Ut.iLDE�< <U EiC!=�t� ?lJ�:j -�3�t ' l ��]�J �� Detaileddescriptionofwork: S� uP,n �u�� ��.,,;a;uMENT sY���M w�-ra �Nri,�E��,V�� co.,r�vcs as �<,��i,�: ' r 1 c ;�.�t�. i'E.E;� �rlo�� ��; AN� �r1EU FzE,+aov� A(��'€?-c�. iZc; :r:�•FT, c� L.IN�f E«:,� rt�cr.t W,7�I�ni Tt1E Kt7�utr �ts.;t C , t�tii:� � }C: i=T: f7f hR,✓Wd1.L E✓f7l�lri 7W�7 r3�7xi'P�-e.:�d��. W� vJ:I.L T{f6r( i.LEc1.1� I��E f�kEA �F.'(.Lr.l !I Start Date: � E � Fr,�A�aa�:s�.ti��-- ; �-° I � ' U£3 II End Date: 4 -J �; t��', II Start Time:�:vc� ,yi,� II Quit Time: !�:�c� �,� II I Amount of Asbestos: Linear Feet: — Square Feet: 3G,C7 551Ga1 Drums: �' � ! IWork Class: New O Addition ( } Remodel QO Repair{ ) Demo{ ) ' ) IWork Type: Interior(�} Exterior( ) [3oth ( ) �;�,� IT e of Bld .: Sin le-famil Two il Multi'f il ( Co Yestaurant( Other a�- 1•c;:+,;,��vi�,;;,i;^.� I �I Does a Fire Alarm Exist: Yes(� � hJo O � �I s a Fire Sprinkler System Exist: Yes(xl No O II � F���7- i?z_TE"G1-tU��.a 'ME:l�C>r, `>F��\1_�. �>E_ 1 N`:="1 l� i_�_1�..��,E'- � lt" j Ctf= �"f��l('i �F� C�Ctf� i.vC,�(�L x���� x�*�:i:*:F*:l�k**���kk�:l*�x 7:-�x k�F��'�USE O,pl�(*��:xrxx,:*���x x� ., � _ . ___ __ . _._ m_ �.: _� _ ___.m�._ _ ; � I_� ��Y[� � \�7 ��. ; ��t������� � _--___: 3 �������������, __ _ -- :� � � �'_�uk�f�c�`i!`���'�r��i_�c.�.m. .:.__�m�..,; la;ec�pt�ek �3�_ _ WV � i , _.m.__ __-_ -; � Qc��a�tcY�rou.L?.. ���_. ; , \\Vaifldata\cdev\FORMSIPERMITSIASBEPERM.DOC �O�AIA1 ��p'����� V V I V �„r TOWN OF VAIL ��� ����y }u� b ��w . �� �`�'�c Permit Checklist Town of Vail Fire Department 42 W. Meadow Dr. Vail, CO 81657 Telephone: 970-479-2250 FAX: 970-479-2176 Town of Vail Fire Department Requirements for Asbestos A�atement within the Town of Vail The f'ollowing items are required for work to be done vvithin the Town of Vail. A Town of Vail permit is required per Ordinance No. 19, Series 19�}8 A copy of the G�eneral Abatement Certificate, and State of Colorado certification. � Information detailing the name of the on site project manager, with contact numbers. c��� ;��� � ����zv�r_c_-t� ,Ma����.�,r�z - �i c��< i-r�t-r_�r_����c:� c:LC_L '+1 =�U., ' I c� � %1—�'�4L _ v' L.timated starting date and time arid estimated duration of project. ;;' A copy of written arrangements with the facility operators for any temporary disabling of the air handling systems, fire sprinkler systems, and alarm systems with the names and contact phone numbers of these individuals. �C,�^J",�`�C(. �_ . .' _ J f\ -�l��iT�-� L���_i� "���� -:' - ��(��! • ����_;`���--� 1�'t 15 ��)t_�Il �'C r�;-�( 7� !vIA;JFIG.�I�fC�t_l,-._ `" Site plan with details addressing: +�'�" Ar�G �r�t UENE ""��.ac-r� �'" Waste container storage location � ��� _/�Waste load out area location ' ''�'� � �.- Entry and Exiting details of abatement area � N Q Details of entry and exiting plans for�xhe occupants of the strUCtit�� in unaffected areas. ' �� e �� � ° �0� r ..,----. i-+ i.��=./L f-��i � ir-l�ii Ak'� N <<,..►7 vi�D � �E: l'�1 I.L f/l S f= = > ` — �r�sr �� -ro�� w� ����. �'. �1de� ���� r�� . . �-s�rr� (,f�i� � G�� � .� . �l�v�s��� �� � � � � 4� � ���v ' AM�RICAN ABAT�M�NT, INC. 4340 Broadway Denver, CO 80216-3503 �� �� �_ �Jr� ' � r�..�>; :.;�� ; '�; y �b e -,�f ��' � ��� 2 . .aa+.�.^Y' °l. ' ... ��wzwc4:����� � � �dd2�.v$L � i��� . � . • ` `�i sFtt�ry:� u�F� . [ a� muµ�. Nq . . � el! �. b i s' .v,,, }�.�.� 0° 3 ° �...... �`���s� � a � � t � � �.�� � � .�« .-�� -.�..,�» �,w � <<. �,� �:-."�,� � �� � �� '` �� k � u , � � ,� ; .. � � � ��"u c Yv. , ; . , - ' ¢ � � � � ���.. : � � �. � ' .� ` � �,� _ .�,v�-.�.�. - re.� �� ... • . .. � � p��� � t . e �. mv�R y�.�«.��� . � �� � T. . .., �* �{x i-:.,,.t' ������ �Ss. ��o&.�5,.�' .ao- R . �����b` t� �A,��� � L � v� . .. ���v:,������,����. �::: .v. . . . .. . -�sw*a��tt�r.�..�cw ws. .e, er� �>»nw rc+ ' . :. . � . � ^ �. g � '�$ ' . 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ASBESTOS ABATEMENT NOTIFlCATION and PERMIfi APPI�I��TI(JN FORM FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS VVli_!_ t3E RETURNED. Single Family Residential Dwelling(SFRD) Public and Commercial Building, School, and Single-Family � >50 LF or 32 SF or a 55-gal.drum,but s 260 LF or 160 SF or a 55-gallon drum S��'-'??!'-f0—r�'i0 RBSId811f121 Dwe/ling:>260 LF or 160 SF or a 55�allon drum Pc;r,!i Goa;dirator 'code 200 ❑ $0 Courtes Notice code 100 ❑ $0 Courtes Notice Go!o�:ydo�e�� ei r-ublic Heaith code 205 ❑ $60 Non-Public Access Notice O t Out code 105 _� anc,f_nvironme,nt ❑ $80 Non-Public Access Notice qprn.lE-4 i code 210 ❑ $60 Notice code 110 $80 Notice COde 230 -� 43�10 ChsrrV Creek Drive South ❑ $180 30-Da Permit � code 130/232 $400 30-Day P8�C/SFRD Permit I D�;,��er,Co 8C246-1530 ' code 290 ❑ $300 90-Da Permit code 190/292 ❑ $800 90-Da P&C/SFRD Permit �r�:one 303-692-3100 � ' code 265 ❑ $420 365-Da Permit code 165/267 ❑ $1200 365-Da P&C/SFRD Permit 1 ��� ��3-78z-o278 [code 180/280]❑ $55 Notice or Permit Transfer [code 177 j❑ $80 Phase of Multiple asbestos@state.co.us Phase Permit# A��iatemenfi Gontr�ctor Abatement Site Buifdin Owner � �! Company Name Building Name Owner Name ; AMERICAN ABATEMENT, INC.-# 08-077R MONTANEROS CONDOS - #216 K. C. SCHNEIDER � Street Address Specify location in the building where work will take place(e.g.floor,room,wing,etc) (�Oni1Cl -� 4340 BROADWAY MAILED: �°,���� Kitchen, Entry, Bedroom & 2 Bathrooms City State Zip code Street Address 5treet.Address � DENVER CO 80216 641 W LIONSHEAD CIR 321 C LONGHORN RD Telephone# Fax# City i County I Zip code Gity State Zip code � (303) 298-8550 (303)298-8595 VAIL i EAGLE �' 81657 BOiJLDER CO I $0302 ' Pro'ectSu ervisor _ _ —_...— ----_.. _--- -1-- L___---_ I 1 P CO.Cert# Building Contact Cell Phone# Te{e�none# Fax# ' Rick Frederick 4741 JAY SOUTHERN ' 303 919-8094 �'03�'s 444-0545 n/a ,_. ._ ,. - _ �� Project Personnel Project Information Disposal Site -----_- _—_—_ ---- -�..__—� _ Project Mgr.Name Start Date End Date Landflll Name � TUES. 4-15-08 FRf. 4-18-OS ;�ENVER ARAPAHOE DISPOSAL SITE (DADS) Cell Phone# CO Project Designer# Start Time End Time �,,...4 � ,,, , Street Address -�� � ) 7:00 AM � ,�.a .,�''�',.� t�'nf`'�f, 3500 S GUN CLUB RD � ---------- __,_; CO Project Designer Name ,� City � State I Zip code Circle day(s)of operation: Su M��', /',�ty���,'Sa AURORA � CO 800�;': Cell Phone# CO Project Designer# Emergency? Y N Type of ACM:TSI,Texture,VAT, etc CDPHE Use Only , Dr all and sheet floorin � Consulting Firm Name Registration# Linear Feet/Type Square Feet/Type 55 gal. Drums Postmark or Delivery date Approved by: BOULDER ENVIRONMENTAL A.M.S.Name Form of Payment&# PM req'd? CHRIS MARON N/A 360 � N/A Y N v�� Cell Phone# CO A.M.S.Cert# I Permit# � Record# Date Issued: 303 382-1.175 � 615 I , ' Pleas�e describe bel)w the work pra�ctges and procry ures to be employed in conducting the abatement of asbestos. BE SPEC�F��::. !ndicale type(s)of ACBM to be ab µ ceilin tile TSI,etc. . Use another a e if necessa ated (e.g. VAT; ir�stal9 a - �ystem with engineering ecantrols �s described in Colorado Regulatio;� #8 �rc� ?;�n,; �,�.,,-.-�,-.,�. =.i��,r��.,>>:. 4�� sq�.?ar� feet �f !inai���;�; F�-,,.. within the kitchen and entry and approx. 240 square feet of drywall from within the two (2} srnai[ k��t}�f-ooriis: The en�ire area shall then be thoroughly cleaned in preparation for Boulder Environmental to do finals before we teardown and demobifize. Fonn:AANPA08 . Rev.O 1/30/2008 __ --- _ __ -- __ ---- �%°@6�°�peo � `�� `e�e'a�a°0@gv �, � i ' ;¢ aa6� �� + � ,� �� o"nF4°g�\�t�j�j'� �oos �e� F \" il �, e�e�n�,ff°g�� ��� e<o0°P°go � � i Pee � �_�, � ,:. i4f���B�.Q��Cgea°sEO. .. �.et�6�Qe6Q68oa°s"o'� . ,���@�QQfR��dE6sFe. ., .<6e846E&@6k¢�u°�°c. . 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'-�'' s�•',,.. , ia.°` �G..°..:,'i : ;itk��'�°� ` r���D��Of1�� yC.�\�0�j, �,�;�d,�4�,�yhh���1� ��i����t{I��� V�Y �\�l � ��'1��f4+f11��i1 �y\��f .�j/�9t�t�f�N� ���{, /�/ ij101j//fIS1���C`�R>��+//�"��iN � •� � yIf" / ��4�1�f��1�\C�1� p,6,F•i�F e..'°'a>'� '. .°c<f����e���0�n4:�J��f�la�fl���t��,\�\.`�`5����/��IA1f1f1�i�1�� \��w� ��%/�/�� �i'/' ,���� .��Il�{0{�Itflqti�ili\�drfjjlrj1�4t4��et`�jl��\�`. ��/�1���111��1 ,���\��`M"'%'/' �{�H � %/�r�i{j�jf�l,�t�\�.����jlftf�� Af`i..��i` : . ' �.,° a, ce��Ek� z. ��;4'`i d6�Z i �' .�� i 09j (1 ; \� i� ` � f0 1 t�0i• N �R �eg: t6 S e" '�is e OE4 ; ;y�r. v�/ % � � /�M4t1t��' 4id! 1�/1� \ vH! 111�f��td��`°" .Grt e� € s�, : o tN�t � .,r a i �f! � �y .N� � �N 1� a� i <od a� r r ��ea e .r�/ A��� 4� 1� 'r"� : e� 4 � �z 4 t ��„ �. e,�4g 11 � Or � �/ 4 {�� � 1 �II�f� ��0� ��� '��f�R � O@ � 6@ ao P CiQ b Yr� d/ � �4 � Y� �f �►t���� 1l f �� E 9 hi �F}�e64aE� � ��(�� ; ' : _' a � �e� . " �m .�g��6�e��ad��i � x �°aa�O�4�r���� � E � .����do�����f�y � � a���b@�6�6�68a e' � �•.o���0�866�r�ie' '.�f644B�1�0�0������ � 'i0��0�0�Q��i � ��if�04e@d�aE°� �` w Fc a:6t�ti < � � . � . . a a ♦. a a ,s � a a�. � � 60���� a. I A a��� V t��b 6_m, i � .Q C < .r� ' a. ., . . \ �� ..,�. �. r .... . ..�..__-- ^�-•�._ I� - �_, - Here is the information � �- �y- � ,:. _ ou re uested . , : �� - � Y a �,� . �� _ �P � �.��4 � � -_:_ E p S Z : ,-. R � CEIV TOWNOF VAIL ..� -. . � . �� . _ ___ _ ____ . � . . r_ . 7-14--d5 g-1-05 �-1--04 483--� ��� �� - L�c. Ins. W� ## � - � , ;� TOWN OF VAIL ; � _ ..` RE�ISTERED CQNTRACTOR � " ---. �. - ,. - " AI�ERI CAN ABATEA�NT INC . � - - -�� 4340 sRO�nw�Y . ,, : . _ DENVER, � COLORAD� 8021b �/ - � - b � . �'�� '� " - � , � �'j �x � � `-�� � =�- � � . APPROVED BY : � 4, 7 ' � � ���_�^�'� '.� 3 � ���;.s� .J���r- x--.:'�w< -_' r. . _.. _... .. -- . . ._ _ . _ - - _-- --�. . .c- - ,� ' - - --- - - ' . � � f Z'-1 . , ` . � �_ . �=. ; - � _ . . _��G'i� , ' i� _ � �. _. .. . � r .... ..`� . ' __ . ' . ' .... . . - � ,�� � � oa �► , o � 8' a � ,,� � , r , , , Boulder Fnviroumental Management, Inc. 5 Deer'['rail Ro�id,Boiilder,CO 80302 Phone: (303)449-1175 Fax: 1 (866)649-4121 � � � �j s�"� April 21, 2008 ��{ � ,� Q `"�'"�� ` `�""`�� Center Management Group Mr. Jay Southern 2637 Juniper Ave. Boulcler, CO 80304 Email: '�c�,synult�.com Rl�. Tiva] Air Clearance IV1oz�itoring � C�1 ��t�est Lionsheacl Ci��cle #216,Vail, Colo►•aclo De�r Mr. Southern, 1lttached is the report for the Cinal aii� cleax•ance monitoring perfor�med ori April 1�3, 2(?0�, at 6�1 VVest Lionsl�ead Circle #216, Vail, Ct�torada. If you Ilave any questions regai•ding the contez�ts o:f this repoi�t, d� not hesitate tc� cont��c. us. Thaiilc you for this opporttmity to IZave sert�ed you. Si�.�eerely, r1 � ��1,�/% Cluis M�ron '--- Project Manager n � � �� � � �� U MAY o"7 2008 -row�v oF vA�� �Asbest�s*Lead*I►adusCrial Hygieue'4Safe ,ty*Fii�al Aii•Testiti�X *�-Ie�altli ancl S1fet�� '��'z•�itaing* � c� ti� ld �i� �,�� � �z°� �� ����n��.l ���a.������ ��1t, I� � , ,� 5 Deer Trail Ro �� d , Bo�xlder, CD S03 (?2 Plloz�e : (303 ) 449- I ( '75 I;ax : 1 { ;� 6b) 69(�•-�!� ! '? 1 � �� � �°a) �� �� c�:wc) �i e (?n t1 �� �°z� 1 � , 2�10 � , F3c�ti71ci �r Ei�vii�onynfs�lEm� l ���� 3� a�;�.'r�; ��1t, Inc . ' s � ir �n��z� i.tor.�ir1� :,���ci��list , I��ir~k ��zt� i� � � l�, collected fii� �ll ��ir cleart�zlcc� sai��pl � s �r•olzz �� � � ��� �-��� ����� �;� �� C' � �°�� � #216, �� � �1, �� r � �°�tdoe I�Z�ior ta testing, a visual inspectioi� w�s perlatrzlect ta con�'i3�i��i t1�1� cai���I �tezr�s � �� as[���tos renloval ai�d e1�a17up , T1�e �� isual insp�ctiotl was ��erfoi�r�n �d in a�ca�clar� �:c. �vit1� t17e Ar�1c�z°icazi �tlnc�ar�d for Testin�; ai�c1 1��1ate��ials ) bG �t�� nc� ai°d I' z°ac;tic;e for V; s�,� a1 Zz� spectioil of Asbestos Al�atei7� ctlt I'rajects" . ILII abated asbesto :� �r�at.erials , ixic;l�� c�ii� � ��1zt�ininated du�t , d�bris, or r� sidtzes ��rc�re satisfac(:��•il�� det�,��mia� ed to have l�c��� r�ilxov�d . Air sarnples �were t�hezi c� llected insicle tl�� ccrl�i� ii�ed. area �riil.izin�; a��;re�si�� �; air sz�n:�pli �1� te�laiaiques �:LS descr•ibed i�l ��OC; . I� . I2. . 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Thcs numera4or� rapr�sent the numbee of �cc°.e�itable r�sults . f� c��� � aound Score � 7' S% Fail: i�r,und Score < 75% {' .- f� raiicient; NP -- P�on-profiaient. .�. ! �t5�r� t�aEy i� r�ted prcaficient (P ) for the a s3aciat�d €=o�'lMethad(s3) , if tii� l�b�rat�ry has � pa�:�ing scare� fc�r the ��S�I:c�hle �T' ari��l�k€� cl�ss i�7 t��� ( . ) +._,� Rtica ;�s9 thr�e {�} Ccsnsacutiv� PT raunds. �i faharaiary is rat�d r�c�n-prafiGis�nt {NC'} fc,r fh� ����Iicabie FnT!t�feihES� ig th�: i�bs�r�tcry h�s faiiin�� � .r.r��€:Y:s iar thE� aa�aciated PT' analyte cla�s in two (2) �f th� lasi thr�e (3) Cons�c��tivc P'T eoundw . it �a labor�tr�ni rec�ia�� s�mpies and daa� not re��illhe data, the r�5 «its svii9 b� tr�afttd �� nutlia� .