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HomeMy WebLinkAboutPRJ06-0088 ASB06-0005 APPL ATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNSI �6 - OO (J(f � Project #: ���- Q � � Building Permit #: ' _ Asbestos Permit #: S '� TOWN OF VAIL ASBESTOS ABATEMENT PERMIT APPLICATION �wN�FyAb Required per Ordinance No. 19, Series of 1998 75 S. Frontage Rd. Permit application will not be accepted without the following: Vall� Colorado 81657 1. Copies of General Abatement Certificate and State of Colorado Certitication 2. A copy of writLen arrangements with the facility operarors for any lemporary disabling of fhe � ' �1< `� air handling sysfems, fire sprinkler system, and alarm systems with the names and mntac[ �� � , V�`�� phone numbers of these indlvlduals. �-�'L '< < 3. Site plan with details addressing: waste container storage location. waste load out area location. entry and exifing details of abafemenf area. details of entry and exiting plans for the " occupantr of the sCructure in unaffected areas. CONTRACTORINFORMATION O SiCe Abatement Contractor. Town of Vail Reg. No.: Contact and Phone #'s: d r�s sN� . 70/ -5 �3Gti�S:aii�+afir� c3es 79i- .sa�z- E-Mail Address: � �� G � �,,,�� � ,n, b, z . N Contractor Signature: COMPLETE VALUATION FOR ASBESTOS ABATEMENT PERMIT (Labor & Materials) Asbestos Abatement: $ !3 bvo•oo Contact Ea /e Coun Assessors O�ce at 970-328-8640 or visit www.ea le-munt .com fo� Parce/ 1F Parcel # o � � p ]06 Name: �.��K Q�,�� Job Ad�res�s�. �fQ ��-� � �,�t- zsb-zsg Legal Description Lot: Block: Filing: Subdivision: owners Name: � � ,�-��.5 �P Address � '" hone: S-o i 5,� rk. RL 5{e R7ki os Project Manager: Address: Phone: ProjectDesigner:��� „�� IAddres�s: �h � S� Clco �z,luT1Wf�b3� Phone• � �,(- � 2+ I AirMOn' orin �Sialist A �s' 5 � �,,,.ws C, � � � 1� Ph0 �u7 232- zG� � Deta^iled desa�ipCion of work: /QFjqr�.�i�,�rvt o o Co2iv E�C, iNC. Yc.xiv¢F on. WM'��l • StaitDate: � i�oy- EndDate: 6 � a� StartTime: �;oo QuitTime: �� oa /, .., , AmounC of Asbestos: Linear Feet: Square Feet: 55/Gal Drums: �ork Class: New ( ) Addition ( ) Remodel ( lQ Repair ( ) Demo ( ) Other ( ) 1 Work Type: Interior (�) E�erior O Both O T e of Bld .: Sin Ie-famil Two-famil Multi-famil Commercial Res[aurant Other Docs a Fire Alarm Exist Yes � ) No O Does a Fire Sprinkler System Exist: Yes (� No O ..4G�,�IAN:114�.4#1:�{1�4114+.,. = z ;z y A.a.. . . xa:ea�.-a::k+ea ,..x+F��f'b�L°E USE ONLY*:axa�.��x��:vxne:xaxa+�,v::�++:x=��.a�;:+.> � � �� ' � r Other Feer. � A�f � Date Recerved: �� (G, � � " �" Pu6 �c Wa Permit Fe �� Acogpted 6 : D �� ' i� �Occl nCyloFOUP:— � I -`�� — ,��� �, � T6t9�; F�z�_ I�SF��: ._ __ _ MAR 22 2006 . � � 0]/ZG/2 02 \\Vail�etlev\FORMS\PERMITS\ASBEPERM.DOC ,;_� J �;�� ��F VAIL ,_. _._� , TOWN __ -- * � � � � � � � � � * � � � � � � � �� � � x � � � �� * � � � k � � � � � �mk � � � � kxT * kk � km * � � * � � � x � * � � � � � � kk * T � k � � � � � � �� � �� � � � xk TOWN OF VAIL, COLOItADO Statement :kxXy: :;ex >,c .F � �Fk � �, %K �,L• � � >F >( >,l• 'T,- x >$ >F %F %� � �k >F >,l• �F >f � =k �f= � m >Ffi �=f: x >;: :E =: x � %i� � � t� �;: %N :j: �F � 'x, >f �'= ,F ;Kkr'rr�rxxx � >( '�' � � >F � h� =f- * � � h- � � � %k � � 'x. �� � :< � � Statement Numk� er : R060000282 Amount : $ 116000 03 / 22 / 200601 : 50 PM Payment Methode Chec]c Tnite JS Notation : 8276 / HUDSPETH AATD Z� SSOCIA'PES _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Permit D7oe Z�SB06 - 0005 Typee AST3ESTOS Parcel Noo 2101 - 082 - 2103 - 4 Site Addresse 174 GORE CREEK DR �lAIL Locatione LODGE AT VAIL 256 / 258 Tocal F'eese $ 116000 'This Payment : $ 116 . 00 Total �LL Pmts : $ 116 . 00 Balance : $ Oo00 �: � a� xx �kx >;< � xx :� :� �: •;: �: �;: x � � � � x � �k � �k �Y � � � � T ;� Tk � � ;: �; �: x �: :� �;: � � r � r %r• * k � :� �kk �k * �Yxx � � � kx .;< � * �Y * m � � x �k � � �k � � a� a� � � � �k �k � �k � ACCOUN'T ITEM LIST: Account Code Description Current Pmts - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - BP 00100003111100 Bi7IZDING PERMIT FEES 58000 PF 00100003112300 PLAN CHECK FEES 58v00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - f:¢9'6cY� /��.aaeEC'.teB.e w...VC.+•`...'...,.......�. .... w ............. .-_.._ .__. . __.... . 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Jix �fk � m Q�.ee��w`.om�dEN2c.a[. . C� �.6d.V .9+a� LoN.O dul �lit�iCi4S. 2. .Ses° Eiaf6�Gf,.�lcy cfsrir0oc.;w�o.es�v.ous��ycf'uas+v��AXs.o. 3. 4�as.r4cu.u .aG�v.9e�a-c�r ..v�n �,Fw.ou�€ �rmo �ou>- Acc.aryr� w,c.�.cs�. -,�.`:�l:irt'z �on.a�n ,.v.�o w�e�y.r3..�r emueceea .nvo s�,�.� ,n,+eerzy. twroan ,....a �ta�ea� .-j.,,�u.> TRA�fEK. >MS/XH�L6�E 4J/GGN4—�C9� c4%�Y(E.tl GUFK�•✓'is9"l.' �3/27/2006 15: 54 3037915780 HUDSPETH PAGE 02 � fo4—cot . ASBESTOS ABATEMENT NOTIFICATION s"°�`�'�"` pnrmnc tl a� r o Coloredo Depl. f Publ�c HealtM1 ,�`'Y���°'$�i And PERMIT APPLICATION FORM e�dE� � o �� naco.ss e, � xsm I;'� .; FEEMUS7ACCOMPANYTHISFORM. naooci .rrreeko�iw5o�m ��.�n.�'1� INCOMPLETEAPPLICATIONSWILLBERETURNED. ���e� �onazae-�zao /B'16 �` � Fax:�303�82�-OrziO . �� (Permit will he mailedto abatementconUac�or unless specified otherwise Permit 7ypa 30-Day � 90-Day � One-Yea� Notice Only Tranafer courtaey rwtice S 91 -FemllYReeltlenll010weIIIM1GONLV —� -� � I $AO o �ro� azsFa� ase�e«i eru e�i $165 $275 5385� $55 0�oFe. xeoLFCriaoSFO.a55�gal. a m — .—' _—_ — _ — _ _ ..— . ...._— a nn s commarc�wi senooi n� n singm- NO Fee F»miqeosiaami„iowuw�ae�na-�s X � 5275 5550 Sg25 $55 � oxayeeFe. >26p LF 0� 160 SF 01 d SSgel. a'um Gom�anyNa �e B IdngName � Ilud �c0� A��d ��•soci�[cs. , __ _ The 1 otlge (u V ti1 . . . . _ � � Sheo w SFl fylocnLO� i �� OIId�MwM1are � IIl�ekoplacPleglloocroom. �vN,Lnic7 � � Abntement oFArywnll Crom unns 25� & 25B F 14 Drvw �cve Dnvc EaSt $i�ite F 124 _ . - u P � Cp I SOl12e ' _ Q I V Q1CCr1 cTeel ne nmaC�caae evud _. cay t Englewaod , . - � � reien noW¢nnreaCOde Cole doGAbNUmbar I Gty � �Y �ZipCOtle � v 3�3791 SSG2 84-14Rfl347 L . J—. � g�� . aPmject5imrrvk,r co�oreaoCert. uumbor e o � inpCOniact6ersen — � � HeclorHilana 10461. 970-04R-11236 CluisCoum�r LBnCGII N9rtlp OWfCI3 NemE `y Clule CounleC . ._ ^ Sveer P —.. .... .-.— . . � � Slraat � �— — � A � 35005. GunCInbRD . . � F013oa �0�6 � . . ._— . .. —. _—'. emCY YFl a OE npoAS t y� Ql .. . $�,�t 21PCWC t p C�Y 51d1E � ZIPCala O g � Aurora , CO _ � e001R-4102 ? U Avon CO I R1620_ ,_ _ p ic�opnonewimnroxCode �� � O TelephoneWllM1AreeGOtle m 303-(90-4303 970 74&-023fi Coieraeo Pmleci Manager's Nema Start Dme EM Oate � ¢/2f/Ob 5/20/06 � leiaonan wunn�eaCaae � � �I �io PmTo�._ COn Num�r Snnrim— �- X pry� endTlm AM m J o N . . .. � 0700 PM 1630 _ % PM p coioneev � mocqner'eNams "� � / — . aN ?effKnight o � �D� 9 � o�ume: Lnea� Feel:�� s u , � ¢ T¢I¢P� N!@AeaGatic - Col Prv6059r. 0 d, Nvmbe� � Sun. hlen. Tua, W a. T� o t0 q�1T F 1 � � 3�3 79I SSfi2 . . .. . .I .4172 � o vs � �anan cn �kanm.i pny±. � FlIrM 'IatlngSpecielisCSName � o � Fri. �S+R � ,o i yle Aniourel . .. . a , _ I..x I�-�X� _� X ..— X '_ TolepM1e�eWilnAmaGOtle �Coio. AMS. Cert. NUmbo� �' 3p7-232-2660 5�95 emergenc aro�eu4 Yoe No � THIS BO% is FOR COPHE USE ON�Y: Pmjec� Manager Requlretl? V N W Pertnitfl' Poslmark or HanJ Oelfvery Dale: �, CheckR: 155vetl'. i Please tlescri�e below lha work praclices end pmcedureslo 6e empinyetl in contlucling lhe �balems�t oTasbestos. BE SPECIFIC. Indicate type(s) of ACBM to be a�ated la.c�. VAT, ceiling 91e. T51, etc,). Use anothe� page if nccessary. Project wi0 ton�ist ofremoval nnd disposn( apl�roximn[ely 2500 sqnarc feet of drywnll rextarc located on tPe wxllu end ceilings nfl6c nnits. All aLammuttt will oecur in a fl�ll conrninment per Colorndo Reg 8. � �; /�Fi;n , o kES�� t3a� : r lli � ; F�;z :F� o�ucc CO 'r'�E r>o-��,2ou�s lr: - ��' l=��L� [I`�C: FiPF /A__��o�r _?/_____ RBYn3/D4R:�RJIBGBB�tlFO b\�bnlf0¢nl$B��Iem.VO0e20IXfN110: Cbna4utlbNLOP]ePVaIA]Bb���il.tlpf�O���W--'�"'�°-------__ . poe 03127/ 2a06 15: 54 3837915780 HUDSPETFI pp[��_ y'a r-- �1/ y. �.p0>a � � �`S','�y.��� ��r _ vv \ . . �r� . r ��. ' � Va''n, i 's' » c , 'i �. ' . � :. �'�.+� y.°`��~';, � ��i -.s`-i�"-� r � i .�-':_. _ . , .� ... . . r,• �9��• � � ' ' STAT�, U:F COL� � ' '� � `,y �} .. � P�� j �p , . .. � b➢» A r � �y� 1 A , f 0 i 1 t!^"F. � ����1 , " '� � � � ASBESTO� '� � `��� % 4 � ' y� .: .,� .� ,°; ; CERTIFICATTC � i ! ', , �� > %���\ . � �,�' � < � �� . , °' Colorado Department of Publie L-Te�lth 4° °-� aud E�viromnenE � ' y: � � � �' i • '� i �; Air Pollution Controll�,ivision J� .�{f , . ' ?i : a: i � � z� �s S�;Atw42rM� z '° �. e ��� I ,:.'s� )a i4oe8t� �. , � � � � This cert�fies that ;��I Kt�P4i__. " `�� e�� � I � � � � + rr,f �. � . , _ �( � ° � Jeffrey TrKniglxt . ;���,��r�� v �> 4; ,, „ � � ,�� p � � �< ��� � r� (1 � �� Certi�cation No: 4172 �j �°� ' . If � , r : '� ' j, �� a,°�CE � �fff��� a �� ' has rnet the requirements of 25-7-507, C.R.S. and Air Quality Ct�nTrol � {�� `� a� ,g� - � Comnussion Regulation No. S, Part B, and is hereby certified by the � � �� " j '' � state o£ Colorado in tlae followitag disoipllno: � ff; � � i � � � �� :, , � � � �i ,; � °"' " �upervisar/Praject Designer* �, ��., ; J � � ; � � ,I z,��� � ' Tssued: 6l412005 � y� �° s �; ,;h�l !� I �� �yt�� �? 'I�xpiros on: G/4/2006 � rs F � I t ;'� � �� .• �.< �Q,� , � �i - -- , 1 � S u oriz Co Representative �� �I �i r � s�� ,�l '" 7'lxlscerteftaM . kie7rdo �LlrurzNvllrepoxsess70iiq1�n'enrsc'nfDinWlon-pplrravadtrrtintngrounGtl i i � ' 1 r,- r J�c�ulou i�. i! . dhcylu - rpzcl/leArzl me. i / \ �� i j I �� � ,�l tr i i I i i'.. i - � .� y ����. n ae�� . ��r�P :i� � � 'lrg.. ,,, , ,n . �� _ . _ _ �_ y !. �/� a � A ' � � :., � �� R >� � ' � +. � � . �{ � 3}iz5 � sr �:. S '� `� `I � �� C)1� d�"(Jl_��.�'��x� ���C) �;F �(� 4:,1' x � . r� :. 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I� is ot�Iy fc�r the ��zrpos� o(° �li�win� a.sb�stas abatetrr�t�t . ���I`T.it�N�L, l'i+aii��'i' ��t�!4�C�l�h��o �y p�rfc�rm.iz�� war3c under thia permi.t tla� ai��terncnt ��ritra�tor ��x°��s Gl��t th� I�i�isican i�n �y t-erro.ke aa° s�is}���d this �iet-ratit �kiould th� Dir+isinn �xxd th.�t th� concrttctor: � l�as vi.ol�,Ccd c�r has aided. a.nd abett�d in th� vioiat�ar�. a�' �5-7W� OI or 25 �7��01 et c�q . A �.1�.. s. or �.�gtr��atian Ncs_ 8, c�a� �n. ar�c���� o� the �iVi.;tjO� OY COYt1l9�]SSipTt, � h�s f�'tle:d trs �neet any permit t�t�� .taaYifi�atiora requiremc�,t nr 'f�ilc�d to oomeet �ZYy violsxti.�n.a citcr� by tlir .t7ivisicsc� clurir.�� a.r�y inspectxox�. vvitl�in � rc�sona�al� p�riad o�' tar�ie, a� rn�,y b� d�t�rn�ined 1.�y t��� �.ivisios�, � I��c used m.is�°�present�.tio:n o.r fr��xci in ol�tain.ii�� tk�ds �errt�i.�, ar, � h�s cnrrcrrtitted �ixy �ct or omfssion which ��e� ��t me�t get�erally �cc�pt�c1 statt�az�ds of tii� practice �f �sbcsta� �.t��rcm�rtfi. �+s �t cont�ractn��, You. �,aay b� �zahject t� otl��r lic�nse� and p�z�nats, cicpcncttng an the requirernerYts of Lh� county and �nu.n.iczpat.iiy in whicF,. the warlt is l�ein� ��exfar�x�c�3.. "�he �c�lorado D�p�rtrzte�t �r�' �'ublic I-Tc�lth ��d Ei�vironme�C, �S,ix �'all�atian �c�t�t-t--al �7.ivision stran�ty sugge�is tltae ya�u. ck��ck with eo�rtty and rriunic;.�$1 av.t��.r.�t�es zn ord�rta ��t�n�ine any �thes� �ac�� bui.ldif��pez�r�ittin� rcquirerncnts th�t n,uae �c rx�ct. 'T. . .� �i������� �� I`T �!f.�I��' �� �'� �'I'� �1�I � �"�'� �T ��� '�`���� � tfa�m�rliert�ty �a����'y �fx� +Tl�rt e��',�roJecx mzort,,/ic.YL�lf}Ft,s Iay}'ax (t��a�ber �have} �r� e-��rri1 (adc����s nbov�� arrr� �� �s,�p�vprtaPe cou�ay �:.ce�t�te rl��rrrre����t by�'�� �'�pject r�rnd6fe�at�n�s ara�laad� �ha�x,�es iar ��ie ,�co,�e o,}"` suorlr. nr ttr� ,scd►�ertrat�d wca�& dates, et�a �'��is as��s�:o� a�a��ir��r�t p�xzx�at is valid b�gin.r►i�� 4124�I��{7G �zrou,gh 1 � : � � I'NI an 5/25120�1G . 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