HomeMy WebLinkAboutFile Documents.101 S 7th St.0002.2017 (4).ARBUCity of Aspen
Asbestos Checklist
Project Address:
Parcel ID #:
Asbestos is a known human carcinogen and is an airborne hazard. Once airborne, asbestos fibers can stay
suspended in the air for days, weeks or even months before settling out of the air, only to become airborne again
from some minor disturbance, such as turning on an air conditioner. Uncontrolled asbestos abatement projects or
renovation projects that disturb asbestos may cause latent asbestos hazards that could expose people to asbestos in
the future, long after the renovation activity occurred. The airborne asbestos fiber concentrations resulting from
disturbances may result in a significant exposure to the current and future occupants of the home.
1. Are you the owner/builder for this project? ___ NO ___ YES
If YES, you must submit a Single-Family Residential Dwelling Area of Public Access Opt-out
Form with the Colorado Department of Public Health and Environment (CDPHE).
http://www.cdphe.state.co.us/ap/asbestos/asSFRDform.pdf A copy of this form must be
submitted with the building permit application.
Due to a rescinded EPA Ban, buildings of any age may contain asbestos; even those
built after 1988 may have asbestos containing materials and therefore all demolition,
remodel or renovation projects must determine if disturbed material above the trigger
levels contains asbestos.
2. Residential: Will you be removing more than 50 linear feet or 32 sq.ft. or equivalent of a 55-
gallon drum of any material besides concrete, wood, bricks or steel (examples are drywall,
linoleum, carpet, ceiling tiles, pipe insulation, etc)? ___ NO ___ YES
3. Commercial: Will you be removing more than 260 linear feet or 160 sq.ft or equivalent of a
55-gallon drum of any material besides concrete, wood, bricks or steel (examples are
drywall, linoleum, carpet, ceiling tiles, pipe insulation, etc)? ___ NO ___ YES
4. Will you be completely demolishing the building? ___ NO ___ YES
If the answer is YES to either question #2, #3 or #4, you need an asbestos test before you
can apply for a building and/or demolition permit. A state certified asbestos inspector must
do this test and the test report must be submitted with the building permit application. If the
building has asbestos, a state certified asbestos abatement firm must remove it. After removal,
the abatement firm must provide a letter to the Building Division stating that all the asbestos has
been removed and that the air is clean. This letter must be received BEFORE a permit will
be issued. (See the local or statewide Yellow Pages for certified asbestos inspectors and abatement
companies. ALWAYS ASK FOR PROOF OF CURRENT STATE CERTIFICATION.)
If YES to question #4 and your asbestos test is less than the State Threshold, you must still
submit a demolition permit with the CDPHE. http://www.cdphe.state.co.us/ap/asbestos/asdemo.pdf A
copy of this demolition permit must be submitted with the building permit application.
I hereby certify that the above information is true and complete.
Owner______________________________ Phone #
Applicant (print name)_________________________________ Phone #____________
Applicant Signature ___________________________________ Date ______________
Please call the City of Aspen Environmental Health Department at 920-5039 at any time if you have
questions about asbestos, interpreting your test results, or other matters.
101 S 7th St
x
x
273512317004
Larkspur LLC.
Rowland & Broughton
970-429-8722
970-544-9006
x
x
Received
3/27/17