HomeMy WebLinkAboutASB06-0024 :____ APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNSIG ��� _ �I�p�
Project #: �
„�,�� � Buiiding Permit #: �
: 1 � ' '��� Asbestos Permit#: — �' "
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��'���� L�F v��I, � OWN OF VAIL ASBESTOS ABATEMENT PERMIT AP LICAT ON��
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:
� '` '`eZ' �'�i i; ` .��- � �-�. _,S �. C � a,�L` ��..�
E-Mail Address: r 1 D�IC?1'�C"1 �L����-Ylti�r+?G�_, L�%r1'1
Contractor_Signature. _ ,���,.
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' -'COMPLETE VALUATION FOR ASBESTOS ABATEMENT PERMIT (Labor & Materials)
f''%-'�
Asbestos Abatement: $ )j ;� _��, , ��;
Contact Ea /e Coun Assessors O�ce at 970-328-8640 or visit ��vw�v,e��ie-c�u,« .�o.m for Parce/�#
Parcel # 2.�0 � - I - 13d I -- 2.
Job Name: � Job Address: ��`v�� �`��
�C�.` -�. '� ► ' ��G�.�� ,C.�? �3 i(.n�
Legal Description Lot: Block: Filing: � Subdivision:
wners Nam • �—�--- dress: • ���Y � �� p�hone: �
�� 4-� �Y� �r ���._� 1 ►� N-ic 'v �:� `3ilG�`�; (. i"1C� `���-5 ��.�
Proje Manager: ddress: `` Phon :
�.�1�_�'Y1.��� j �.� �� �I L�11 °l_C�C �- "1'Zc�- �7. �1'� : ,��.
Pro�ect Designer: Address: l�� + C.��2���,���-S � Phone•-
< � � � �,;., - �4-- �z1(� ��:)�t - y-- 3r .:�.
Air Monitorin S ecialist: Address: L���=c Phone: . ,
t�� <-,.�z.' -;r -� ► Z ��`t� "ltr�'?� '�11G%��'i
Detailed description of work: i-�r-t�x=�� 1�--��rr���-z2l c+.� cs�_��c:-�;�i ��- �is��2�ic;� L��� <<��� �
9?tic���c'_r �:��ir'Yi �c(���'� t�lrticvt'.�- �ieC?C \ t(�L'C `P C�t�C:.� ���'•lYl \(�CYL�L"�CC�F"� .
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Start Date: �j �7?,��c��c.ti. End Date: �e��.�� �-��,,�, Start Time: `"I.G��' t��°�n Quit Time: �; �; ,-�.�
Amount of Asbestos: Linear Feet: )v" Square Feet: 'Z��- 55/Gal Drums: �,rDt
Work Class: New ( ) Addition ( ) Remodel Repair ( ) Demo ( ) Other ( )
Work Type: Interior ( Exterior( ) Both ( )
T e of Bld .: Sin le-famil � ` Two-famil Mul mmereidl Restaurant ther
Does a Fire Alarm Exist: �Yes O No ( Does a Fire Sprinkler System ExiS ; Yes, ) No�)
r.xxxxxx'r,x�tx*�Fa4*9rir�k*9c�F�F*k*�F�F�F�F�FaF*ic*�'taFar*�rFOR OFFICE USE��ONLYar*�t��r**ic***:tr�1t'r.ic*ic�F�cxxirirx'r.x9cxsrxx�Ficxxxic
Other Fees: Date Receiv�d: ������ ���
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Public Wa Permit Fee: Acce ted B : - • - - �� ��
Occu an Grou :
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C:\Documents and Settings\Ryan 7ung\Local Settings\Temporary Internet Files\QLK29\asbestos_perm_12-5-05.DOC Page 1 of 2
12/05/2005 '
� lora o � partr� er� t of � bli � � alth an � v � ron � nt
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Air �' ollution Control CJivision — Sfiationary Sources Program �- indo � r Air lJnit
4300 Cherry Creek Drive Soufh , P,PCD- SS - � 1 �, ' < ;, � , , :;.
Denver , Color�dc� 80246- 1530
F' hone : 303-692- 31 �0 — Fax : 303-782-027 €�
�- rnail : a � bestos@state . co . us
This pennit is �ranted subject to Colorado Air Quality Control Commission Regulation I�Io . 8 , Part B , adopted December• 16, 2003 ,
and effective March 2, 2005, the Colorado Air Pollution Prevention and Contro) Act C . R. S . (25 -7- 1O1 and 25 -7-501 et seq) and
the following provisions . It is only for the purpose of allowing asbestos abatement.
ADi� i"I' � O �IAI. �E �t1l� I 'T PI20i� I5dO1�IS :
By performing work under this permit the abatement contractor aarees that the Division may revoke or suspend this permit
should the Division find that the contractor: v
� has violated or has aided and abetted in ehe violation of 25 -7-501 or 25 -7-501 et seq . , C . R. S . or Re;ulation No . 8, or an order
of the Division or Commission,
� has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division durina any
inspection within a r�easonable period of time, as may be determined by the Division,
� has used misrepresentation or fraud in obtainins this pet-mit, or,
� has committed any act or omission which does not meet senerally accepted standards of the practice of asbestos abatement.
As a contractor, you may be subject to oYher licenses and permits, depending on ihe requiremeuts of the county and municipality
in which the wor-k is being performed. The Colorado Department of Public Health and Environment, Air Pollution Contr•ol
Division sri�ongly sug�ests that you check with county and municipal authorities in order to detertnine any other local
building/pei-mitti�lg 1-equirements tllat must be met.
�' ��' � � � I �� � � �' �� IZ' �� � � � � � � 5� � � � � � 1 � � ��' � �, �, � � � �' � e
I��zt'zedecptely n��tiftit t/re (latit of�r��jecP ano�#�ecr8ios�g by �cat (arusaabe� rrbore) os� e-��arri! (c�rltl�ess crGot�e) cr�td the ap�ro�rirrte
c�r�rrty ItealPlt cte�a�tsarei�8 hy fcrx. ��oject srzorli�ccetio�rs isac[ucCe c/rca�t�es Ear P/re seope �f evv�k �� tlte sc�lteel�alc�rf work rF�rtes, �>ec.
"I�his asbestos abatement permit is valid beginning 9!6/2006 ?hrou�h 11 : 59 P�� on 10/5/2006 .
The actual scheduled work dates at-� fi-om R/F/2006 through l 0/C�/200G .
Appi•oval issued on : 8/28/2006 Amount paid : $275 . 00
Record number: 53183 Checl< nufnbet•: 5981
;� �) e � E:``e A\ z.�`, 9n�� :.➢F:: �� o ���3 ��1-`�l�✓�G�` Q `�1 ?�
Project Supervisor:
�`v'1i idilCc� : i'vviic
I � ►� c� C10 � OiSZa �dO
Gorl7ments : None Cerification No . : 8133
Por the location specified below :
Project AMS :
I)�yto �t �esz�ler2ce L,eorl � rd P. FIer►•mn �
Laaandt°y Roorr�/�tair �� oset
344 �eavet° I)arrt I�oaci Cerification No . : 2572
Vail
�a� le C � �tt�fly Project Mana;ei°
This pertnit has been issued to :
�€s9� �� �� �a � ��� � ra � � � � �� � �� �°���� � � 9 ��e� a _ _ _
4601 Gleneoe Street
Denver, CO �0216 Iss � e y : JWA
�
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I' I N E �°TAL E "�TIC � � L"I"
4601 Gleneoe S (reel » Denver. CO 80? 16 � Tel : 303 -789-4901 ° Pax: 3p3 -789_qj53 ° /z�medtcrliarSj�eciulfst
DATE : 09 / 19 / 2 � a �
�� � �� R1� (T �DMiNIS7Rla'TOR
COIVIPAI� Y: � OLOF��DO l� EPI-��TCViE1�T � 1= �-IEALTH 1-�I�CI� � l�t\I[ R0 �1l� EI�i7'
FAX NO . : � p� . � � � . � � 7 � NO . OF PAGES (iNC �. covER) : �
� ROM : CONNIE ALME ( DA
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�� This facsimile tral�smission is for the intended recipient or his/her authorized a�erlt orlly , If you
hav� received this facsimile in er•ror and you are not tl�e ir�tended reeipie��t an��, co �in � , �
t�-ans���llssion or disseinination , is st��ictly pt°ohibited . If you are not the intended rec pient please �
call Colorado E��vironmental iinmediately at 303 - 7 � 9-4�301 . �
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4601 Glencoe Street � Den��cr, CO 802 ] 6 � Tel : 303 -789-4901 � Faz : 303 -789-4553 a Remediutfon S'pecic�!l.rr
DA`IyE : 09 / 14 / 2006
TO : P�� � ►�r �on� � � rsr��ro ►�
COMPANY: � OLOR�.Da DEP/�RTNtE�T C7F HE/�L,Ty �.�lp � �l�/1 � � � � � �.�.
FAX lVO . : � �� , `7 �3 ,� , Q � 7 � NC"j , OF P/�GES (I � C �. CovER) : �
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This facsimile transmission is for t��ze intended reeipient or his/her authorized agent only. If you ��
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t�•anstnission, or dissemination, � �•, strictEy prohibited . If you are not the itltended rr�cipient please
call Colorado �nvironmental immediately at � 03 - 7� 9-4901 .
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