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PRJ07-0234 ASB07-0022
i APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR U � ,� ` � ,. Project#: � ,���' � ' Building Per it#: �; ��. � �- , ��,(���` � � � i� Asbestos Permit#: ` ° �,�� u '� TOWN OF VAIL AS�ESTOS ABATEMENT PERMIT APPLICATION ������' Required per Ordinance No. 19, Series of 1998 75 S. Fr�ntage Rd. Permit application will not be accepted without the �ollowing: 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 4.�; phone numbers of these individuals. �� �E " 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 5ite Abatement Contractor: �R�«� Town of Vail Reg. No.: Contact and Phone #'s: �n�� Euv. �. d,� �'Roc-�n� 7�� � �� Wt�k� l�oU�� �c� Y'II-'5�21 E-Nlail Address: ��g.N�'! O�W Q Le,�,-t�r t�e,l• 1�ct' Contractor Signature: � • COMPLETE VALUATION FOR ASBESTOS ABATEMENT PERMIY (Labor & Materials) Asbestos Abatement: $ ��7 S� , p'�' Contact Ea /e Coun .�4ssessors O�ce at 970-328-8640 or visit www,ea le-coun .com for Parce/# Parcel # ,�f�j-v;��- �f%~ oc� 2 �--• �-� �-�.�-•.� Job Name: ��«e~G`'`�� � tr2�c.r� ,]ob Address: Z�� � r'"d S� ST2��T 12�, w�o p E L (�j�l�— C.��,a Legal Description Lot: Block: �� Filing: (��..c,2 �Vi��t i�l�' Subdivision: � �t.,�y� Owners Name: ���., ��� Address:��G� ��j��� S�. Phone: Z�._ t�.� --��$. � Project Manager: Address: Phone: Project Designer: Address: Phone: Air Monitoring Specialist: .�o r�N T'�,�e Address: Qa��7 9 („(he�,'t��d �,S3oo3y Phone: 3u3 ys Y d Z� Y Detailed description of work: p /�� � �Jt.x. d"F Po Lt>rv� l�..l �� Start Date: c� �d� End Date: �� 2c„� Start Time: ;�..,, ,�,,� Quit Time: e„ 5. P. rh Amount of Asbestos: Linear Feet: Square Feet: g°p 55/Gal Drums: Work Class: New ( ) Addition ( ) Remodel (jJ' Repair ( ) Demo ( ) Other ( ) Work Type: Interior(�J Exterior( ) Both ( ) T e of Bld .: Sin le-famil Two-famil Multi-famil Commercial Restaurant Other Does a Fire Alarm Exist• - >;) No (-} ,,:,, D�s a Fire Sprinkler System Exist: Yes O No (—}- ***:��:�***��*�*���**�:���*���������**��*�FOR OFFICE USE OfVLY���*����� � � `����"'`L_������ '-� * � p D Other Fees: �� Da rred�.. � Public Wa Permit Fee:�� �� t- B . �� �. .;.�. ., _. Occu an Grou °4� ,� -.�,1 � ,%;t >r�=�� �r ._�._ ��� �_���� � �`�� ��,�'�,� �', ;' TOUVN OF VA1L F:\cdev\FORMS\PERMITS\Fire\asbestos�erm_12-5-05.DOC Page 1 of 1 '��'�� 12/05/2005 �� �%'-' � �+ ,�y p! � ^� �° �° Submitfarmto: /�� OF�lp�,\ � � � e;� ��,d� � � � � IMA � � 1 � � A � � ' �� 1 � � PermitCoordinator / �, .�; , - '. �. y�`,1 � � � � � p � p� � �g- � � p� � ' ��� � � � � � Ap ColoradoDept. ofPublicHealth ; � ��� p � 9 �, 1NS A 1"' d�1 and Environment FE � MUS�f' ACCOMPANY THIS FORM , APCa-ss-s� �'� * ' ��� � �' *; 430p Cherry Creek Drive South `� ,�` r%��%,� '�% INCCaMPL �T� /-� PPLICATION � WIL. I.� � E R �TURN � CJ . ��nver, co soz4s-� 5so � � 876% Permit wili be mailed to abatement contractor unless s ecifieci otherwise Phone: 303-692-3100 ` " � p � Fax: 3Q3-782-0278 �ermi� Type �Q�pay 9Ap�ay C�n�mY�ai• tVotice lanly `�ran�f� r �ourtes� t�otice --r— — Bln,yle-Family Residentfal Dwelling ONL.Y � Q ��� � 50 LF or 32 SF or a 55-gal. drum, but � ') �� $�j� $��� I $�� ��o 5 260 LF or 160 SF or a 55-gaL drum ; I � � � � Okay to Fax Publia $ Commercial, Schooi, and S(ngie- Family Residential Dweiling �uildinc� ��7� �,�j,�j� $$2� ��� $�0 � � ��� >260 LF or 160 SF or a 55-gal. drum Okay to Fax � Company Name ^ Building Name �j � ���l��/}-R��"1�- ( �`� � Y�1 � �---��' 2 V 1 C.. � .� � � � fJ �. l AC� �r ,� � /2�" l Street V ^ � Specify location in lhe building whe�e work will take place (e.�. floor, room, winc�, etcJ � l �1 �" '� � �� �' S �fr����" cra 8 �ft� L�� �,F�ac� �s � I Ciry �1 State TZipCode � Street ^ — � �/���1U �t. �-�� L �D � �l ! � �� � � �l � ���" � �^ � Telephone With Area Cnde Colorado GAC Nurnber � City State County �� Zip Code � � � � � � �� � ` ` �1 �- � � ��—( � `�$ A 5`� � � � i/ �' � �-- CO C�� t� �/.!n a �j � Project Supervisor'��� � � Colorado Cort. Number Buildinc� Contact Telephone wiih Area Code Building ContacR Person � ,J � � c� 4� a� � � �-�� Gf �-1 1 � .�.. �7� —��6 — y �s" �' i� G�- 2 �� ��� c�� � �G Landflli Name Owner's Name � {� t � �t._" (t, �-� w`p �°- l L l_ o� � �� �. ��. t� � v c l � s� L:� � � � — ----- - ------ � � �- ----- ----- — Street .m�, � Street i� i � � � � C�,V�- �✓ (--UY�� �- t��, � � ' � a � � � �{�'� � City State Zip Cocie � � City SYafe Zip Code � �S�'�- �r,.a;�- � (' , C�5 �a � 7 7 °� U t/ s� c c.. � u c v _ �z � s�S� � Telephone With Area Code � p Telephone With Area Code ��() `"" C�� J " � .� S~,�� ' 7D ` � � � " (.�/tlS'� � Colorado f'roject Manager's Name Start Date End Date � r� � 1 � � a7 _ _ �, � I Telephone With Area Code v Colo. Proj. Dsgc Cert. Number � , Start Time x � �f,,,� A� End Time �� � i � � lJ pM � � '. �'� PM � Coiorado Project Designer's Name � � - - --� --- � � �__ Amoun4 of Asbes4os � � — � i Linear FeEt: �Square Feet: � 55 gal Drums: � ,� Telephone With Area Code Colo. Proj. Dsgc Cert. Number � C/ � ,� �- � � � !) l.. e1 a^ Y�, �� R> � pa s of Q 5era4ion - Check all 4hat a I : -_ `------- — —___ �,, Alr Monitoring Specialist's Name �Q I � Sun. Mon . Tue. Wed. Thu. Fri. Sak.` '� F - � ts �- �v �-� �..�.. � � felephone With Area Code � Colo . AMS. Cert. Number � - �w °''� ` � p � �,/ � � P` `� Lc �' � � 7 � � 7 � I Cmer enc Pro ect? Yes No � ,�.J . . ., , r., �.�? . v-. . . , ,. ... . . . �. .. . . ... . .. N. , t_ . .. ._s Y 1 � ,-. � � „ �., . . , . _., . � . q , , , ,�, , , ..,. � . � . , �_ ' `THIS �OX IS FqR �DPkI � 11SE C)NLY: Pro'sct Matna, er Re uireci� Y � � N �� �� W � ; � ; Permit �: Postmark or Hand Delivery Date: ' � Check #: issued : ��_. � . .. ... � ., _.,, � . ,��; � � a_ . -�. _,� „ � - � ,� _._ � . , � �, �- ___. ,. . .__ f'lease describe below fihe work praetic�s and procedures 4o b� empioyed in conclucting the abatement of a�bestos . �� � ��� I�I� . indicate fype(s) of ACBM to be abafed (e. g . VA°I', ceilin� file , TSI, efc. ). Uss anofher page if necessary. � � 19�.:�" �. �, �,J 1 � �`� �- e� � � IJ �S'�� t�t� �r� a � �� .� s �k� � ' ��� � � Q � � � 1. �� � � � '� . - °�' � � � 1 9 �. �.`�� s� � f� �,� � � r� vL�. � �. � � � k�-°�'► � � Rev.3/03, J:V�sbe.stos and t.ead UnitshAsbestos Forms�ASBESTpS ABAT[MEN1' NOTIFICATION.doc �4 ._ __> I� Cancel STR ry���� �„�v = � Owner Plame/Address � 49.625Q00 �l AFic �� ---__ ---- -- _ - Account OTTO STORK LLC ( �� Legal Descriptian R009940 � C/O SPECIALTY SPORT� VENTURE LL.0 � - - - - - - - -E - 299 MILWAUKEE ST STE 502 ,. SUB .VAIL VILLAGE FILWG 1 BLK: 5A LOT: C DESC : & D PT OF ; Year District p �NVER CO 80206 , ( BK-0211 PG-0020 WD 08-02-67 BK-0211 PG-0021 SVVD 08-02-67 !i 2007 SC103 ' i BK-0731 PG-0488 QCD 05-30-97 ; _ ;. Apr Dist St � i i T A I I ' �I Parcel Number MH Space �eq I i 2101 �082a41 �002 ,; Stree4 No Dir 5treet Name � Type No# �' 000288 � BRIDGE ST � � Location City � Location Zi Acct T e La t �', p Yp g VAIL SNOWBOARD SUPPLY VAIL AREA 0 ' jj ,.: �AGode Owrner ld O�rner Location INap A�o � �' �usines� tVame !lersion V. Date Tirne tD Appl iUew Version 2007441900Q 99-APR-2007 01 :36 PPJI MJK EGAM 20Q70$�60�1Q _ _ -- --- �-i �1ame � �l Tax Item� ;� Protes(T) L� C,4M(A) TYPE A��CTUAL ASSD , ACRES SQ FT -- _ _-- -- _ _ -- i� � itus � _ ] F're/Suc ❑ M(o)bile ,AutF ❑ F'(�)rmit ��� � 3�8,850 112,770I 0 0 - - -- --- ` � IMPS 666,440 193,270 0 '__ � Mobile %� � Remarks ( ] Value ❑ (P)ersonal _ � ! Tracfi �'� Tax (�)ale ❑ State Asd ❑ �il and Gas ' �, , � Condo � Spc Asmt � � Control ❑ Recor(d)ing — --- — — - �-- TOT'AL 1 ,055,290 306,040 � � Block �__ � M(i)nes � ; History ' � Imaging W ���_ _—� � _n_. �i �ales ❑ � i(b)ling ;� pPCert(L)tr � P(h)oto QueP'les _ _ _ s ' ; Misc (M) . � Flags ❑ Exemptioi L� Ske4ch ACCQUNT , ' - - ----- --- ---- - Curren4 Year Prior VersionQ Tax Trx r_, ' L_ I �ail (F) ❑ l'ax (C)hc [ � Mtg Trac(k) Prior (Y)ear Ne(x)t Version Abatement � ; (V)alue Sum (K)ext Year Charac4eristics Property Card Update Clear Exi4 2 � g� QRt oG� c: sT2�E r (,t,�g t a�rs l�"���r"s i I - , I i -- - - i � �� _- �—1` � �0 _� �Z it��(E R �S Y S�I'�lI"! 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These machines are ali less than 3 years old and are serviced monthly with the last service July 30 , 2007 . A & D Asbe�stos Testing and Consultin John R. Peterman g AsbestosTesting, Projeet Design, and Consulting Burton Snow Board Shop 288 Bridge Street Vail, CO. BUILDING INTERIOR DESCRIPTION: On October 17`'', 2007 an inspection was conducted on the interior of the Burton Snow Board Shop for suspected Asbestos containing materials. The interior walls are sheetrock, brick, and brick with plaster. The ceiling in the front portion of the store is smooth sheetrock, and the ceiling in the rear portion has a suspended tile ceiling with two types of ceiling tiles. Above the suspended ceiling is an old sheetrock ceiling with a spray-on texture. The brick walls have old plaster above the suspended ceiling. The floors are covered in carpet, and ceramic tiles. The heating is provided by electric base board heating. CONCLUSIONS & R�;CpMMENDATIONS: Laboratory analysis, of the bulk samples, indicate that no Asbestos was detected in any of the bulk samples. 4 � � , � 0 � � � � o :� � � � � a; � ;� � � � � � �°; �, � � Fa � e I3o� 1230 Cl� ftor�9 �Oo � 1 �20� 1230 C;�ll 970 �2 `70 �36 � � �-�oz�� �h��� 970�464��-�265 Octc�b�r° 29, 2007 �oe �Ii�;hland �uild�rs �orp , � � � 9 � �alm�r Par� �oad Colo�°acto S�ri�gs , �4 . � 0909 A ttz� : �ark �f all �nb�ck �E : Additianal .Asb��tos znsp��ti�� and t�st�r�� at �h� �3u�°�on ��.o�u $o�rd Sha� , 2� 8 T3 �°id�e Stre�t, �a�i , CO . � , -- -�---�.�. .._____ L�escri t��n �o�t 1 �. -- �3� I�C Satnpl�s (3 �o � d� � �ur°n �,����d} �a �q�5s00 ��,�h � 4�5 , 00 1 � I�� vs I ,� 400 ° 00 � I �,� � ___._ . � � �� l� o � ���i t -� t �. �� f�� �� � � si ess z ----_� �_. _°.. _.-----------------____ _ S � � ° 1 ° l � � � � � � � � � � � � � � � oC3 , � g�� 1230 �lifto�� �C� q � � 5?Oa1230 ��� � � 70 �2 `�0�36 � 9 �I���� �'ho�� 970-464� S26S I�S P�C`T�OI� R��'��T �12��A�2�I} �`�I�a _ I-��ghl.and �uildez-s Coip . 2598 &�� Ixnez° Park l�oad Colarado ��iin��, C(} , gQ9Q9 �,C�C".�."TIC?I� o �i�rtorz Sz�ao-w �3o� rc� Sh�� 2 � � �r� d�� St���t �� il , CC�, �.�F�� T �I� �'PA�Z�I� �3 �; .� �h�� Re P�t��°znaz� Ir�����taz� I�� na��i° �'�tptifzccztc No, �601 � -----_ _---------_ _ ---------- ----_ .____ _ --__________ ___ s s �� - � � �.�t��st�� ����tzn�, F�roj ��t �e�i�n, and ��n�ul�zng I�T`I'F�.(��UC"�'IC��1e Qn C��tol�ez° 17th, �OQ� an znspe�t�c�n/s��✓�y �v�,� ��ndu���d anc� 11 E�u1� �� zn�l �� �r��°� �a11 �c��ci f�o� �h� e ��.x��;� �� � r�o�✓ �3 � arc� � hop 2 � � �3�°id�;� �tt���t �� ii , �O . Th� purpos� o � th� insp��tion/���°�r�y �ra� t� Io�ate �.�d san1�1 � s� �p�cted A�b�stos �ont� �ning rr�at�ra�,ls th�.t may be �r°�s�r�t �r� th� sto�°�, `I,h� ins���tzon �as mad�, and the sampl�s wer� colle�ted by Joh� Ra I��t��°m�.n, an A, I-�. E. �Z..,�. a �� d Sta.te af Colorado ��rti�ed A.sb�stos �nsp�ctor°. C�r�at caz°� vvas tak�n dur�ng th� xnspectiorz a�d sarr��lir�g to be as accurate as possible. It �hould b� noted thai minizn�l c���� g� �,�,� �o�� t� �h� ext �t� ng build�ng st�°uctures dur�z�g th� �nsp�ctzon so th�r� zs no doc� n� entation for un���x� conditzons o�° st�z°ed tt�rns , Ali �� n��1 �s �v��°� �z�z�ly��d by �?�I� ,� ciez��� I�ab �n �att°id��, �C� , This l� bor°�.to��y is de�in�d "P�°ofici �nt95 �z� th� �. 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