Loading...
HomeMy WebLinkAboutASB06-0017.pdf APPLICATION WI�� NOT BE ACCEPTED IF INCOMPLETE OR UNSIGNED . � � 1 � Project #: .*�` � � Building Permit #: Asbestos Permit #� � 7 �� TOWNOFYAIL � TOWN OF VAIL ASBESTOS ABATEMENT PERMIT APPLICATION 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 CertificaCe and State of Colorado Certifcation 2, A copy of written arrangements with the facility operators for any temporary disa6ling of the air handling systems, fire sprinkler system, and alarm systems with the names and conWct phone numbers of these individuals. 3. Site plan with details addressing: waste mntainer storage location. waste load out area location. entry and exiting details of aba[ement area. details of entry and exiting plans for the occupants of the structure in unaffected areas. CONTRACTORINPORMATION On Site Abatement Contractor. Town of Vail Reg. No.: �Contact and Phone #'s: �,o�o ENV . J cC. lu� LiS`TS ��(7 -S I '"liluz �)aL:t_ eJL 39o -4S'h' O/ E-MailAddress: �-uCy� : i�.� � CL.�, �t � r. �- I . �'� e-1� Contractor5ignature: /� � � .- /�o ���_iN� COMPLETE VALUATION FOR ASBESTOS ABATEMENT PERMIT (Labor & Materials) Asbestos Abatement: $ Z � 0 G aJ , o+% Cantact Ea /e Coun Assessors O�ce at 970-328-8640 ar visit www.ea le-coun .com fn� Parce/ # Parcel # z o - p -7 _ 1 3 � G o " . Jo6Address: /1 i'�� �� ca �-.• S'i� � i ]obName: � � � y +SG.. �./� � i� y,i /Ld . � ��r.<��z 0� � YL � r � C � �� Subdivision: Legal Description Lot: S L. lock: � -�� F��ling. Owners Name: - "�.;'�-" °°"" Address: Phone: y� o _ �j� � p 6� 1...�, w �._ K.. Ik4 �J--_.��LO.,., r:�! � � ' I Project Mana9er: Address: �rPhone: I Pmject Desi9ner: Address: Phone: AirMonitoringSpecialist: �orFO �%, /,y, Address: �, � o � � .� e;� Phone: 3e- - yS:' -G•24�: Detailed dyscription of work: ' � l�e. k �ti„ �-�e � i'7� o s x �zarn 7- SU 54�•� � Start Date: ��, End Date: 7 0� StartTime: �� � ,,,r QuitTime: s-. u�� F',.i Amount of Asbestos: Linear Feet � Square Feet: 7nc �,,, SS/Gal Drums: Work Class: New ( ) Addition ( ) Remodel (i ) Repair ( ) Demo ( ) Other ( ) WorkType: Interior (�(� Exterior ( ) Both ( ) — T e of Bld .: Sin le-famil Two-famil � Multi-famil Commcr ial Restaurant Other D U PL� . Does a Fire Alarm Exist: Yes O No Does a Fire Spri� ler-�ysFem-EKisL. Ye� ( 1 No (�(j �, .� y� . . � `' et N , ' c. �{, � H� � � i �.� x�xasa: x�. v, xx�x�.:a�x ��xv:u:x�++xax�e:ewxxax�w��FOR IC ONLI'��`t'�� xka �a�,r +�x-xdr#E.�..it+'"-.a�x �r:x�.rxw«� r I � Date Recerved: -- �� , I� I Au��� 04 2��6 ' Other Fees �� ` � --��'� �- � - .�' —� � � Pu61ic Way PermR Fee: . Acce te + . I Occu a�Grou I `� "! TUVVIV QF'V;R7C' _� y II � p � ,::. t F:\ctlev\FORMS\PERMITS\Fire\asbesms_perm_32-`-OS.DOCb€g``� -•��'- -I-+-��BPQ`(�' -1 �/ QA 12/�5/2005 �OF�<pP ASBESTOS ABATEMENT NOTIFICATION P�,° �c a� � � � N=. ��?� "o, and PERMIT APPLICATION FORM °�'�, E ° °` """"` """" �-^3 0 ' '� .X�.,� (L��*.� FEE MUST ACCOMPANY THIS FORM. A300o ss-ryic ko���esown �� INCOMPLETE APPLICATIONS WILL BE RETURNED. oe� , coeaxas�isao �� �a�s � Permit will be mailed to abatement contractor unless s ecified otherwise °^°"a: �oa�sez-amo . . " ( P ) Fax: aoa.�ez-one PermitType 30-Day I 90-Day One-Year NoticeOnly Trensfer CourtesyNOtice Sin91e-Family Rasltlenllal Owelling ONLV � > m �FO. azsFO�asse�i. a�,m, e�i I $165 $275 $385 $55 $q0 NoFee sP60LFOr1605FO� a55gal. tlmm � Okay[oFaz r�oro x co�,mo«�.,i, sonooi, a�n sm�ia- �� No Fee Famiiy reesme�,�mi owen'��� a��m�ny $2j5 ' $550 $825 $55 $40 >zso �F or iso sF o� � ss-gai. a��m oxay m rax comoa�y,uame auimmqrvame 3 :1-CrN� <! E ��uU � SI°�Ctllu.S �iT iuc lS1t Y3�wu �K vai, R�/ ` S� l y Spefrylocal " 1� � IdnB�+hareworkwlltakeplam( g.fl rmomwin0, e��1 � (; �x � 11 � v, roPC K � � ��wG M µ w :,.tU�, ;.+: V � a�r sut� — z�vcode - c sveei � � s-S l�e. CDw � � tm �,'l E � s� �� �3� en.vei: J7N-++ V�<f Ereieononewmn,ezcme coioraaocncNUmber � clry sa�e counry zipcoae— v y7� sSv �-vd'Y`i y2 °1G338 ,r, 3 Q V � 1 �- co L�. iY 5%�� 7 a PmjeqSuperv ColoretloCe6N�mbe� 9u0tlingCOnieqTalapM1onewiNAreeCWa BulltlinBCOn�actPe�son Isor a JuStS W19-u �z o �! v/!o /yLi4N t'ty - `ZEu- `a- � I " /.F�Fr+� Gv�vc✓af as5 Lantlllll Name Owner's Neme 1 � � t�l - L'^�Q �FrN � o ' 7TL� RvtK %�o�v, n. Of�m c[. � y s,ee� s�ree� - � ➢ '�' b' D ��L wc"li �� o m !.�' y �3e.;,uci< �J.r,„ K�/ � ciry s�ate iipcoae � O city sta�e zqcme ° (,t� �.�rce �' r��c Co �tim �;?t 'v_ o (/ bl �.L �� ! c> y:r s- -7 � o reieono�ew��nnreacoae - '� p leieano�ewmnreecoae .) 0> - � 7/ - jllS m j ! - 2cc, - `j'o ] o comreaowoie�iMa�agersNeme s�anoa�e Enaoa�e `� 11�06 � � ( o � C TelapM1OneWiNAreaCOtle Colo. Pmj. OsgcCe�. Number S�adTime �,;. :�, qM Entl� AM rn c �d _ °- . PM S'� ' c� o PM � comraao ero7ea oes�a�e%s Name � E Amoun[afrlshes[os " M � ��LinearFeeL SquareFeeC SSgal �mms�. qa Tei�pno�e wnn nrea coae com. v��. osgr. cerc. rv�mee� e � 3 c � <� .FY" F:+ ,.,,, Z10 s :F S(kXU � . . _ d OasolO_ pe�a�l CryackallNala I : �' P M 1 �" 95Pecial t N me p ��1� J .9 M1 ` Y, i.,��. Pn a�. d J o �rN r.�"%�� l.' a L� � � �i Q TIpM1 WeM1AreaCtl TGoIO. HMS. Cetl. NUmber I - a . I � f � i - '-/ S b' '- U2Ly �-3:.� �i l emeree�ora,oie�n i ves I � THISBOXISFORCDPHEIISEONLY: PmjectManagerRequired? ���� V N W Permi� #. PosMark or Hand Delivery �ate'. Check #'. Issued: Please describe below Ihe work practices antl procedures to be employed in contlucting Ihe abatement of asbestos. BE SPEqFIC. Intlicate rype(s) of ACBM �o be abated (e.g. VAT, ceiling tile, T51, etc.). Use another page if necessary. �1}-�� �f �1-' �G9�� � (%u,w Cc�:E �-u. :......�t t,,,,c ; �e3r�+�- �``r��p� � g��wm�St�i��w ..,,�, j� wc. �,,.�. I j° `` J'�y' ,_�.-� r:.-2� s z s � s �IYP� �f �,� n __---� �� t1tle: �� _o pale: Rov JIO]. J NsCeilos antl LeeE Uni15U5�¢SOS Fo�msN56E5i05 PBPiEMENi NOPFlCPiIONdoc �.. _> ._ Cancel STR MiIILery q6.341000 AFIC '�� Owner NamelAddress Account LILIENTHAL, RICHARDJ. � LILIENTHAL, ��. i_ Legal �escripGOn R�0877a NJACKR. � POWERENGINEERINGCO =� - - - -- — ---- P525S �ELAWAREST ISl18:VAILVILLAGEFILINGiBLK:7LOT24BKA120PG0727 Year �isidct pENVERC0802Y7 WDOfi-04416K�0221PG�02tPWD07dt-71BK-0258PG0850 20065C1�3 QW 5-0�77 BK�0170 PG�0477 QCD W31�76 BK-05Q4 PGA716 QC� 07�04�89 BK-0504 PG�0717 �C� �3�04�89 � AprDist St '� A A � �5 PartelNumher MHSpace Seq � 2101-071-03-007 i StreetNo Oir iSUeetName T e Noq � YP � � O 000184 BEAVERDAM RD . � LocafionCity � locationZip AcctType Lagt -� j? � VAILAREA 0 �' ,$ BACode Ownerltl OwnerLoca6an MapNo ' BusinessName Version V. Date Time I� iAppl NewVersion tW6a516W1 76MAY.1006 OB:StAM MMB NM$ 2006080P000 '. Nama Taxltema _ Protest�I� CAMA �A� __nPE ACTUAL ASSD ACRES SQ FT , ! N i _ SiWS � PrelSuc _ Mo6ileAuN � . Permit RESI�ENTIAL 3,431,fifi0 t73,ifi0 0.477 3a48 `- :; � - _— _ _ — _ . . . _. .. � ' 7 Mobile . Remarks � Value _ Personal �P � _ i Trzct TaxSale ._ StateAsd OilantlGas Cando . SpcAsmt _ ConVOI _ Recording �,._ _ _ . _ _ .,__ _ _ _ . __ _ �i pi _ Block . Mines _ Hisrory __ Imaging 'TOTAL 3,437,6fi� 273,160 0.477 3046 � � G - Sales Slbling � ppCetlltr . Photo Que�ie5 � _ Misc �N — Flage _ �emptio� _ Sketch STREET ---- . I CurrentYear PriorVersion TasTn _ MailTrk _ TazChg _ MtpTnck _ AcctChg , PdorYear . Ne�x�tVersionl Ahatement ValueSum I NeztYear ICharzcteristics�IPmpertyCartll Uptlate I Clear I— Ezit _ (� GN '✓IRaN i�ui�C S��C�,y�sy_S � � 1CL Q701.J :, /I✓ �T � H�� SPKitiI� � � � Sy� Ce ,�w y�o - �� �� - � � 3 � �, ,� r i � � �c�x f��" > ys rcin � � � o � � � �� �x � � � 7� �J � ��a - o fS Ni.'�- ���,�k�� I y� + I�T �" w � � � r� �,r-u. r� � ��.� � (3 � _ � (5e a��,�r„ �e �,+'-�,"" � � � � � mF l � o, � z° w c' � � � � 9, �+ L ` I_ ` ✓( tv� � IU�r' K1 � � I � W Z \ .. �__.—� F— �--_-1 1'.—_ � � � � —STI�4',P::; �l I f � > ��-qi+ P � � N S�}1NLS �,� 'L'LfJ — �L iit SS ,� rj ���, 1G% � �_� Y �l� �� ( � 1-' �.n++o —1 l 1 � � � � ' �}t>� ��X � � � �d�. � � �,��� � � '� � �'}*'�� � � . —� � � � ��J� �!S-ie. N i���N-�w � '( o '�UV ` p �1� � �,I � ` �� I.°��� �° � cN-�mLiw � L`us c � �ik� { � �4 '� ' I� '�}�' � � wQ�p ; , Sb�ov�,y� ' - � • ecv err �� I � ' � � � 1 �� � N�, � �p �Rorl' / � L�`" � � �� �� P `�` ���- �I�"c���,�:.��. � � .1., m � r� D°u�`"��yo AP@rnVa'. 9s Si:�rvilti�? uSt �` e�R MP�ed u t�;1eC ❑ � W , �� l-oRO �ur 1 R 0or iRaCL•/1� �� �S� G � G�Q1 �-b'�^-�' � ° r �L /�� T i�: Tu �'�F � ��,u " � � Nn F � � , R -ti.o�— C� ;7,�� t" 4v ✓. S r'�c � i�-L � s �� l _ _ !�1 ! L" l� ' � PPru 1�. - au � ��cL� � z � - � 7;� ��� , l�t�/( //�/� /•I-Lkl P N'l S b � � o � k ,� � a l �y � � P p ��i� � -� L �'",��'w ° ,�: � ; _ E ,V 6 q � . . . ' _ . C w � � � N ,k��� , ��b� � Cc} i � " ,Y `� � . �ox � ' �� � � � p � � �s-., F �;'4Q �' { . lw � � �m,''p� �(` �ei� u �J 4�� � � GI z° w` U� . �yVi J � � ���o1,k � � � i. � � r� �� ❑ , �--- �— — — —Y • r�r-,� � F — I I � GLo > Er � �o <. Gi' ` i � � �� ' ��, . t � �, � $Vhzosf i T� i �i �� � � �d� � !�� � ,.�s X� � � \)� _ � � � � �� ( � � � � � � I � � � ��Df 'aZ ��� � Q. � i �� � � � �V ` � � V � � i � �� � � C_C_SE f - � Lo7 ��� � (� �.��'�•,^ p� n,� � � Z pU 1`� \��u �,j < - ° ��,��2 h!'��� i � �� , . , pVpir,y tii ��� � L 'j - AbP�°r�A y...---"_"- MY! � �:- �; TU18: ✓ .."_�""_ .- � �J�p (�" � ♦ lqj' p 9q� � .."��41� � �o� >>aaa� i ��y�¢ d� ���A4� �ryr ��� �!�� ��%'� � a�� � g� -�"—�....._ � �� � '�� � Ii� <� ulP P ai �l�/i ��`llt �I��t �, ��Ffi �, 1 r yi �� o d � S�R� �Y � � � �� �kg�q�e¢ ���`� t�i . �`� � �.,.� ��F � � � �WilA � `8�,� F ,x:�11 � � s�� u�,� � . :�. I +.,2Ltys 1 t"i� n � '. � � ��'" '4��� -. . . - . . `� ' ` ,� is`KlUs ` ���� p,, �f / `� k 66 � L .lt.��O �.. � 'T AJ 1 1�� 1 �1 ��1� �� �. C;oloratlo Department ot Public Heatth uid Gnviromnent lair Pollution Control Division Gcneral Abateaneni. Contract�r �.,: �G..,° This certifies that <<G �. r � '` �w (' �hA via ,�, Colorado �qvirot�m�nta� �pecialists Inc. �n� �'G�'s���o �� � ���a �.,:���a GAC Noc 42-IF3�863 ' �' ? ° � � ° � - F�as met the ceriSficatiois requiremenki; of 23-7-SQ7, C.12.S. and Air � a �;,�.e� Quality ConGrol Comanissian Regulat�on No. 8,Part B, and is l�ereby `'' � autl�orizad to ye�foem asbestos abateme�t activities in the state of ' °! Colnrado � � � � � ; �� ���1,. � ; r c �`e�,4� � �+� � �� '� '� � �ti �.y� � �� I�� �+',�i'` �J� ���'�a� G � '��\ � ; Issued: 415/2005 4}�w6ts��TSS� <�7G �SS��pppkS�E�` , � ; ,�,r �� s ` ".ar' �._ _� � - ^�:u�d`d05��� '�� �R49�'� i.�^ — r i .�. ,_, �' � tixpiires on: 41S12UOri �ioe ��q�C��L/l��„_ � k �i���, .__�.k�_�[�C�s,m�---.-- . • �WAhi:' .._�P1�_�5 i ,' dOC?1a__ -- - _ _ � „ � � � �:�� D� ` Rccard Number: 12tiR2 � � � - � � ' �,1 ;�I�CUV9d f ft4�"�� �dS �� � 1 + '.� ea ra .�RU�tirnwtrvo aFi.�\A �A7 . , . SJi n � 1 �� � /Illilh � t:.�r.Vy ( ��y5 .�� , : .. e' • 'i�N .i 1 4� � h� . � , 4 . 9 = ' .. , � ��IJ�t�J� ��m��r�►��a�at���t�ll ��i0i�i�,, �'m��:a PO Box 5110, Eagle, Colorado 81631 Phone (9'70) 328-3730 Fnx (970) 3'28•3731 Mike Dawling: (970) 390-48$9 Cell April24, ?006 DearMilce VaugAn, We purchased f'our negative air machines from Ries E�rvironm�ntal in April 2003. The machines aze serviced once n month on the 30th of each month and at the beginning of each Asbestos Project. Pa'imazy 4iliers aze changed at the beginning of eacU joU and �ILYA filters are clianged as needed. Sincerely, l'� �.�� �.. �� ��.. � �.,�-�e��a � 1��...�V � Mike Dowling �°����ce �� ��tas93�6� Cl �: ���DWUw+a� �i �tiYrrC Cr'Y' �?h�..________--- ,��� _ �������_ ____..______---- �v,�� �_ �:����P�����������--- �ar�::,�; :� , �,a.: :,; �,:��� r� A{I3tYiYil�r "ai N17f8� ❑ By: � ��; f � p� S -�l-o(� . ___ �., � ..y__�._..w... �.� , : . .:.� . � '�, , � �� � . � � m � U � n � (C ^�� . � � # -=p i� Cl N � � � w � ;� � � � i� � a °' � �i °: � o p o ,:w�j'�: '7"q+��}.��� � �V�'��" ��{0�� ��p� ❑ NpP� !Y� �� , -O(o 4�� Zd Wd9E :Zi 908Z T0 '6ny 6L9fi06b£fi£ : 'C1N 3NOHd 'JNI `53tl19WHJ �]1J7tl21f : WOy� � . . ..^.\ `.. - - .. : i.� 1 ��;' � :� . ' ' . a / � � � � _ :K� �A �, �� i� � i � � � � < j � / �a " ' _ t . ii - , __ i _ 1 I . - .___— . ._ _ ,. .. _ . . - __ _ - � ' �- � � :I : I : �� ,I d ` :1 I '�II CI A � , � I I . ,� I ! r i I ` ' ` :�'i �',� / . � <-` �� i " 1 , � � , . �I � �I II � � i � ; i � � ' � , . , :� ; � ' ` � � � f I ; \ � , � ' ' " � i s�: � • � - , # . � , � , 4 � / :Iil t , � � ' � i11 . q ' " 1 ' 1 ' • U I � FIi 1 � i II ' I � �', �:/ � ` >; � � • � E � t � � � 1 . P :I � + I , I 1 1 i"'�; . ' . 1 � � � � � � � � � � � � � . ,°, „i � . Y" i � c � I 'll � � �� 9liill ' I � I o __ !� � __ , <:� ___ _ _ �_��_... ry. �� —�— T �. . \` / .la., \� i / �\\���� � jl 'l 1 m �. ._ "^��I ��� . �� ` / � � C\ � � ..' t . _ � � _ r t �_ / Y �_ / 1 � r}: .\\ ' i �\� F � . I i �,�. ::�. �,:���- 6 �� r �� �� .'; F� . \\ _ ,C� j i '�\� J