HomeMy WebLinkAboutASB06-0004..
~~1~ TOWN OF VAIL
Permit Checklist
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Town of Vail Fire Department ~\k ~ `-
42 W. Meadow Dr. Vail, CO 81657 ~--~~~~~~'~
Telephone: 970-479-2250 FAX: 970-479-2176
Town of Vail
Fire Department Requirements for ~«~-~~ 33~
Asbestos Abatement within the Town of Vail
The following items are required for work to be done within the Town
of Vail
Town of Vail permit is required per Ordinance No. 19, Series 1998
A copy of the General Abatement Certificate, and State of Colorado certification.
Information detailing the name of the on site project manager, with contact
numbers.
~! Estimated starting date and time and estimated duration of project.
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~- /~ ~ A copy of written arrangements with the facility operators for any temporary MR~~O o lk ~~~
disabling of the air handling systems, fire sprinkler systems, and alarm systems ~S~ ~p~ Gj~ ~~
with the names and contact phone numbers of these individuals. C1~Af ~~ g~ ta5 f
Site pl ith details addressing: ~~~6 6~ E~"-
/ Waste container storage location - out ~; Ru c is i,J sou.- Pa~l,~~:d f~-r-'
_~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. - ~ Oe.Q~ wow ~tU~ ~~ p~~~ (N~If~~
14-IE L(n1lTS - DCU.t'PQnrfS W t~ BE Ltt~IgFFF,LT>r.L~
W>r WILL N~ B~ DtSp,~BLlt.{~ ~,t.]Y $u(LDI~tU SYSTEMS_
~~ W t t.L I nt s-~at~ 2 N Ect~. nt or.t N EP4 F,~wS ~••~ t~t t ~ t1AVE ~~
~~~.1 eN ~c.t,~D ~ t-lot~ N ~~.f Ft ~~tzs l ~r s'TAt~D ,
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Ap~ro~~ a: ~ub~itt~d a
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Title: Fi~c /.i Ecrr~,e.
ttete: _ ~3/~ 7/0~
APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNSIGNED
Project #:
Building Permit #: B06-0008
Asbestos Permit #:
`~ TOWN_OF VAIL ASBESTOS ABATEMENT PE__RMIT APPLICATION
T~WNOFYAII, Required per Ordinance No. 19, Series of 1998
75 S. Frontage Rd. Permit application will not be accepted without the following:
Vail, Colorado 81657 ~. 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
i
(970) 479-2139 handling systems, fire sprinkler system, and alarm systems with the names and contact phone
FAX (970) 4~9-2452 numbers of these individuals.
3. Site plan with details addre~
location. entry and exiting data
occupants of the structure in u
CONTRACT
On Site Abatement Contractor: Town of Vail I
AMERICAN ABATII~r, INC. I~ 483-
~g: waste container storage location. waste load out area
of abatement area. details of entry and exiting plans for the
ifected areas.
' INFORMATION
3 No : ~ Contact and Phone #'s:
Jim Oleskevich 30~-298-8550
I+ E-Mail Address: Blaine@americanabatc~ent.a~n __ +
~~ Contractor Signature: ~ 1~,~.~~-- _ _ _
COMPLETE VALiUA ION FOR ASBESTOS ABATEMENT PERMIT (Labor 8~ Materials)
_ _ -
Asbestos Abatement: $ ~ ~ ~ ~~. ~~
nn nc in .-a l.la_rni inty rnm fnr Parcel #
c,onracr ea re t.vuni r,aaC~~~~~ .....~~ .. - -_ --_ __ - -
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Parcel # 210108221040 Lodge Apartment Condo Unit 332
.Job Name: REISS, Kaim+ie & Brad
I Job Address: #332 & #334 bodge at Vail
174 Gore Creek Dr. Vail O
I Legal Description Lot: Block: I Filing:
II Owners Name: REISS, Brad Address: Pa
New Fn II Subdivision:
re Ave. . 0-C I Phone: 212-832-3300
rk_ NY inns
II Project Manager: ""`'`C I I Address: I I rnone. i
II Project Designer: I I Address: I Phone:
I) Air Monitoring Specialist: CHRIS I Address:~L~ ~ ]~TIR:ONr'1)~'AL I Phone: 303-449-1175
Detailed description ofwor : KF ~~~` .~ D/sr'a~ or .~
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II Start Date: ~.- - 3 .-~p(o I I End Date: d - (~- -~j(p I I Start Time: 7 - OD AM II Quit Time: 3 ~ 3 ~ PM
II Amount of Asbestos: Linear Feet: ^l l~ Square Feet: 2, i (n~o 55/Gal Drums:
II Work Class New O Addition ( ) Remodel (~ Repair ( ) Demo { ) Other ( )
Work Type: Interior (~ Exterior ( ) Both ( )
T e of Bld .: Sin le-famil Two-famil Multi-famil
Does a Fire Alarm Exist: Yes { No { ) Commercial Restaurant Other CO+.fDO^~ +eliUM
II Does a Fire Sprinkler System Exist: Yes (~~ No ( ) I'.
~~****,~+*~*********~~~**~~~~~**~**~~***FOR OFFICE USE ONLY***~***~*~~******~**~*~~*******~~,~~**
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Other Fees ~ _ __
Pubifc Way Permit Fee:_ _ ;Accepted t3y~ ~ _. - - --~ ~1~t'011~ ~i Submltt~d
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- ~-:.-., , ,~~ STATE O~ COLORADO ~~ ~-,:
:. ;:' . _ ~-.~) Colorado I>epartmeni oi~ Pnb)ic l I~alih ~ ~,
.~ _ >) and Invironme~~t 1~>;, ~ ~~
'` ~ ~ ~~ ' '?) /fir Pollution Control I)ivisir,>> ..,
•=~.~ ~ ~~~ General 1~batement ('o~llractor ~ '~
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'~ ~ ;~ GAC No: 84-1033340 ';;;,:,, '
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:.-_~ Y \ :,Quality ;Control Commisslon Regulation No. B,Part B;~ and is hereby ~ t~ ~ _
~~ ~ '. aa;~tl~ori~ed to'perform~asbestos abateinent.activities in'the state of ~ _
~__,_. ~,, . ,, r Colorado. ~t . :;it:~',~ \
f __ _ :: Issued: 10/24/2004 r~~~ ~'~~~ ®~~`.,~r~,~ ~ _ -
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':~~ = _ ., Expires•:on: 10%24/2007. Appf'tlVed. l~:~ r :~ -
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_____\ ~ ~ ~) Record Number: 10 .. ~ -
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