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HomeMy WebLinkAboutASB08-0011 1�11612�08 113: 18I 3037915780 HUDSPETH PAGE 02 y�� . 2�s� �APPLICATILON WILL,NOT BE ACCEPTED IF INCOMPLET�OR UNSIGN�Q� Prajec:k#: � ' )''� -i�.� '' .: i �'��Bullding Pe�rmit#: ,;��:� • l'�li:`. � " Asbestos Permit#:. ��� w'`J�� I 1 ���� � TOVhIN QF Vr4,IL ASRE5TQS,ABATEMENT PERMIT AP�L,xCAT�ON Required per�rdi�nance No, a9, Series of 1995 75 S. Fronta�e Rd: Perrnik application will not be accepted wpt�tout�he following: Ya�l, Colorada 81657 i� Copies of General Abatement Certifirate and State of Colorado Certification 2. A�:�apy of writ�en arrangements with the facility operators fnr any temporary disabling of the � air h�arrdling systems, fre sprinkler system, and alarm systems with the names and contact phon��? numbers af these individuals, 3. Site plan with detaifs addressing: waste oontainer sbrage location. waste Idad out area � locatlon, entTy and exiting details of abatement area. detaiis of entry and exiting plans for the occuE,ants of Che structure in unaffeCted areas. �I�;.K�,t�'j' CON7R,ACTOR xNPORMATION � On Site Abatement Contractor: Town oP Vali Reg, No.; ContacC and Phane #�'s: � �l �t\s�:-� T:• 4��1��1���t� t�l�v�tY�c'�'t:� �- .^� '1�1L-.G�c.� �� E-Mail dddress: ' .�,y�,�v�;�y1vc:k�►�h►.� C.i'��i:�. � ►'►c:.�- -___.—�. IContractar 5ignature:( ��' � COMpI.�T �ALUATIdN FOR ASB�STOS ABATEMENT P,�RMIT {Labor & Materials) Asbestos Abatement; � ;w� % '� � � ��,� �� Cont�act�Ea /e Gbun Asse�;sors p�ce af 97U-328-8F40 or visit w ea e u .c m�'or Panc�el,� �!��';�'��i;:i�i '� I U� i � ��i [���I �ob Name: —r ��� � Job Address: �'�ti��tfi , tii�n,�_ ��..li > �:�'::t�ti �oc� L-ihi I �'1����db�ti� t>�•". TC�1 , Legal Descr�ptlon t: Block; Fling: Subdivision: Owners Name: � Addr�ss: � �l e� � Ez��rL; l�� t� , J�tG�r.,c �,�����,���� �� �K.��� f'�+ 1�r�e�+���� , r.i�( ProjectManager: iti,�,�., (� �� Address:,�.7�h •ti. •�r.i'r���. l� ;. Phone: ., �,... �� �r v t�vnc�� F�. �r�, -��;-, � 1l ��L:�� Project Designer: N�� Address: Phone: , Air Monitioring Specialist: Address, Phone: � betailed deseription of work: '�-'1 .G � i�^ll V'c p'Y'�l+"%' �: 1���;C:�:•�° r�- �{I1K7r;y_ . l: �e�; c.�,,� �"�•t C.'{ cic���r' e; �-f:.�.�4'�-��l't� o'{re u.�i•-�t'.�? :_��'Y�.ir.. •'rw-c e•r'�et,M�•L��rY,e•c� �rt%t_'i;�t'�• ,A1� �=�, � �Yuti•C7 Ic�t '%K'-�r��'1^.I'Lt \r �;l , �'.V�I^G'�� ,U_, ' .�� ! c. �•�1�,. �rr Start pate; l�•l�, ���,, Er d date: �Li•i'T�C.�L�; Start Time: �7;�C a n,� Quit Tirfi . �"7�� -- A. _ C� Amount of�bestas: Line�ar�e2t; Squar� Fe�C:� �� 55/Gal brums: Work Class: New{ ) Addltian �` ) Remodef (�� Repair( ) Demo( ) Other( ) . __._..... .._.�.,... ,,...�,--- ---,—�...,_.. Work Type; Interior(� Fx�:�rior O Both O � T of Bld .: Sin le-famil � � Tvao-famil Multi-�amil Cornmercial Restaurar�t Other Does a Flr�Alarm �xi�t; Yes {�� No ( ) �� �Dves a Firre Sprinkler System Exist, Y�s { .),, No.('� � � r , , �,; ;, •_I �. i �xx�x�*x����r���::�****�k�,r�x�,������,r��:*�e�e*��FOR OFFIC� I�SE �NL�'����*��,����*�a*a��k�k,���,�k*�*�,�*a��a�� �C�C�I�;FtlqY ��i i y i;.i "i)�?I I�i 1 i V111 L���{/��n1 1���'i1,�ItlCC,.�{,�CI��� �����y"f 'f � ���I S�i . � . . ����i I�,„,���iliil>e���� ri��� J `� � i+�tutl I �t, ��7 � ��, � � ,� �J�I��.'� t�'�W1'�'fO"�Fd" �I��!',h l� �r�fr I<<� ����� �_._�� �I �,,r��,pi i,,� �i� q I ����il,,a�t� � _,��� y,,.- � iIl?14 f� �lde�� -LVL � I 4i � I 4i ,I �I t(I 7 1 a6 { .,�. , � . ��l IPl�,���� ���!I�I�,L���S��v����I�t��'lll I{� y. ,7�� ��7thlr �1��P l ��i,� �i I, i`.7�c� dl�, 'Q ���, .i� � �t���,j.I,i1il ir 1 �'� .:�f4r�l��)�J:, pl 1�.f. �IM ,+i :�i� �`I`I1fl,{l,�t�Vir �9 `.&,��N�S �rn 2 ,. M,�,�,.._-.�.F-_�„�._ _ .. 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T1.a� ��x� ar�a �a.d ce�nt��_r�r�acnt �r�a �a.1f 1 r�c�t �Ce�i publi� �cc�ss ta �l» �b�zx�d.zx�� anc� �t��r �u�.at�. (�. T�e�o.n��� i,�atxo�. pro��du�res 4o b� used �'or p �rson.n�l ax�� p�rs�� �l hyga���.� procedur�s .�°T.la��°e � �ill b� � ful�y ��nc�ion �� qhco����° on site �Cle� �a �°�o� , sl�mwer, �nd dar°�y roo s T,�, Final decontarrtzn.; it�vn arad �l�ar�-up proccdures. �r°i.o � t� ��al ����ectxo�a �lae ��oe°�C � ���. m�ill be �'ireal. c������� . �le�n �p v� tk�� emnt�inrr, �rat �x�� anci w���� l��d �uf �rill . oecu �vea°y day befor� th� ex�d o� �as�i s}�ifta 3��,�. �ill �iso �aia�t�a�a � ��e�n �itie e�� . ��yo S . V�Jast� dispas p1;� incl.�.idiz�� � des�riptioa�. c�f tk�e zx�cthod to b� L�sed to tz•arzsp�rt ��s1:� Tm,���xi�,l �d 1oc �a�x: of c��um� si.te. � �,� w�lt ��� ci �.tl v�ast� a� t� �. li� ed � 5 �'t �l.os�d t���l�e°o '�'h�� �� ' be tr��r��o�°ted by �ast� ��n �.�e���t fio Tf�D�, T. �Iri.tt�xa. a�°ax�. �m.�ri'JI�S �011��I`Y]111� ��:tTtp�X�'�f d1����i11� O� ���L�.7.�f 0�7CZ��1�215, Fi�� I �t�x°r�s �x� �o� ��ed ira�� � ��ntr�l al�rm ����e�, � spr°inl�i�r° �y�t�x� d��s no� ��zst� �"h,� azr �a � cldt�� u�. i.t �ill �a�t be �isab ��d �nr� sh �ll h �.�e �� �����t o� ou�° �e��ke ��� ��;�c� �e�e �k�r�s1y �°� r° �ara.� e��.�st�e�z�s �a� 970-� 76�4� 7�e � � � L � � , I I � � � Ta�2�P?P/.�ia�&rns� ranr! Ra..rtr2�°�f�in.� ,CAm°�oirne 1a116 / 2 � 08 13 : 1 $ 30� 7915780 HUDSPETH PAGE 02 � � � 13 � � 0 � : � 9 � M � � � � � � � � � 71 � � p . � I i � � 3, � � ' � Ji�, st�ttt ��{1 3 l ��t ° � ��V��► � X 134 �1< u p � �� � 9 � 7 '��2� �o � II , � 1 ���d t �� �'� � , �#� ��� � i� � � ° �, �� 4� 11 �r. 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