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HomeMy WebLinkAboutPRJ06-0477 ASB06-0025 �4PF'LICATION WILL NQT BE ACCEP7'ED IF INCOt�1PLETE OR tJNSIG E � �� �;��c#: ����.� �- � � , � �„ � � Building Permit#: Rsbestos Permit#: � `� dd `� TO�P� E�F \/�E� �S�ES�'US f��ATEt1�Et�T PER�i�T �e�'F��lCA.TIOP� ���F�`¢�' Required per Ordinance [Vo. 13, Series of 1998 �5 S. Frontage Rcf. f�errr�it ap�iEicati�n Fvill nat be accepted w�thout the following: O�as9, CoEorado 81657 1 Copies of General Abatement Certificate and State of Colorado Certification (�'70) 47y-213�3 2 A copy of wntten arrangernents with the�acility oper�(ors for any femporary disabling of the air l ` �- � r`, handiing sys(ems, f�!e sprmkler syslem, and alarm systems wiih the names and r.cn(art phone °:,`;�`� �) <-:_4 > �`�n"�mbers of ti�ese mci,v,d�;ais �� � t�`:3;"Sit� pl�n ���ilh dei,��i<, :�dd;essirig �v�ste cortainF�� slr;raye to�:�tion wast� io��ci out area �%� � �° 9 - '� �,.�f.bc�tior enl.ry and 2xitin� deiails of abalemenf area �ielaifs of enlry and exiting plars for the �� '`�d� �---. . >a �',�ccupanis of ihe Siruc?ure �r, unaffected areas �a��`�� � �d.����� i �-, � �-aF��F�CT�JE2 €��C7fa�'E�Tf�1f� i'i On Si�e Abatemenf Conlractor �'� i��wn o; V�d Reg !�o �� Conta�:i �nd Ph�n� �"s � � A1`11�RICAN I�I3�'I`I�`�}i'��'VT� 11'��C_ � �;-� 3 �� � �7 L�il �?�� s�}.c'v i��1`1 3 0�-?`3�3 P 5��0 � �--- — �'� ' �,' , --- - -- — —.�_ __._ ._---_ �! �-(Ylail Ad�ress: r�7 a�n�'�<�n r�_,� i, ,;, , _ __ �� -_ �Ze;�`.c��*� � — __-_ _ — - ,----_-- -- ---- --- i �I Contractor Signature � r �/ ���y��M --r �h: i I - - _ _ _ _ i �,�- CO�PL�TE �ALU/-�TlC�t� FC?R ,4SBEST�S ,�B�.�EEtREE�F PEF�h�ET (Labor & F�aferials) � Asbestos Abalement $ � ;?,>r,�,;� —— -------- `--- -- � �arr�ae�Eaqfe Cc�errrty Assessars OfFiee at 37f1-328-864(1 or visii www eaqle-county com for F'arcef# �I �ar�e� # 21031141502G �� il .��_'" ' _ _'--_. —.—..____'._w'____— -_� �I Job Name: �-1� S7'�RE'; # 20738 I Job Address 22 il N. FrcntagP Rd. , We�t � V�il, CO �1657 � t_ega( Description � Lot 1 I Block Filin 7- � Subdivision VAII� DAS SCHCP�E �I ` ��t�� g: �I Owners Name lst B�nk of Vai Address: 17 VGil Rd. Phone �avl Portsr��tn �� �e � ;��,��--��_��� �� q7�-�d'7ti-�,tiRF Project Manager �l� �-�:-5 r �I Adaress: 3��r P�tz�,c,, �� I Phone: � �k:an! ',�Ct-/�,c:�, A�te'or�a. cA �D�'ift� � 303- 3�-d-- .333� �i �� Pro�ec; Designer 3��a'�t�.J�S i I Address 3�3 3 P�o��a. ,� Phone: _ F�r ti 5.-p� r�c<<� i /4,r�orz� c_ra BC�o i� __ i 303 - 3d-�--,3 3 j � � Air IUlonitorin S ecialist:PGE�tu�eST j' 2 I Phone y� Address: 3�� � T='�=o��_a.. s�j - g -���s ��o���Q i au���� � �doc o �� ��3 -�d-4- - 3?55 Detailed descri lion of work: 5�-.; u�- %: ; ,� �T�D �a �� P _� i rr�:_ 3;t���� �5 �ti�i�r�. rr�y�� r-�r.�� r_xr_ u.� I�-Cd'Ss��c� �EMO�/� (a �00 ^,�. t=�. o� i=�C�Z T1c.� i..j r« w'rT :ti!: — a µ�i�- 'T1iE ('C'tito,�= �IE h1.���•, ;� wt i 7� �.F�.� �IC —[)O QF!D I Z J�, :,-. ,--4�1p S�a�7�5 0.��',� �.�� �, Start Date.�G 2{ OE �I End Date: 10-24-06 II Start Time: 12:0� am �I G�uit Time: h:00 �xn �, jl Amount of Asbestos: Linear Feet: -^ Square Feet r 600 _ 55/Gal Drums '—' �� ,i --- -- -- - I �� VVork Ciass: New( ) Addition ( ) Remode( � Repair( } Demo ( ) Other( ) �i Work Type: Interior�) Exterior( ) Both ( } I �(� --_ -- i �� !y e of Bid .: Sin le-famil Two-famd ) ( ) f�iulti-famii Commercial Restaurant( Other( Does a Fire Alarm Exist� Yes No �—_ __ �t � (}� _ (I Does a Fire Sprinkler System Exist: Yes O No� �i x�.x���Ax�*:�x�xx,�x*�7:�x�;�xxxxxx-xA��.>.�x>�C?fZ OFFfCE USE t�6���x*��xTxxY.x;xx�:r�:x�:���*�x��:�:�:��:��:��rx-:� i C�t�er��es: . � �-a ��te iheceived:_ I ��fa�€��ISPa�_��rs�a����� 1 Rc���ed_�� _ �- �. � �� , - � _ � � , . . . . . . � ��c�ap�a��.�(�r�a�p;... �----- ; 5 �.�:, .� �'�p �:� i�.,��,.i1P���� � F�� -_ _ __ ----- —�- ---...�_ � � � ��',�'' �P `��•*�.,.i R,.��� ❑ � � / g ry �� � Y � �—"� �] '�1Vaii\6atalr.dev\FORMS\PET2MlTSIASBEPERN DOC �`e � -�"�" �" �` � D!/2412�02 L+ ��`i�; � ) ��..�o�� 11 ..��`��8: F E�.1�5l�Ec i nR >F'���: CTD ��?� a o � FF'Ohl : Hh1ER.I CRM ABATEf�ENT I h!C FHi; f�10. : 303-298-8595 0ct.. 13 2�7��E Et�:�iBFf'I F3 L�v L�� i t�� ��E+"t�!!�L F'L�F,.J "r, !� st��o r�� `� �.a"7 3 �3 22'7 � /�t_ Fr2�ns`�ls.�� ��., W��,"� Vp.t �. , Cn � { � �7 �.�..—� , �-� t,J�.Lt�- tr! 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