HomeMy WebLinkAboutFile Documents.128 E Main St.0325.2017 (3).ARBK COMMUNITY DEVELOPMENT DEPARTMENT
ASBESTOS VERIFICATION AND CHECKLIST
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
ƐďĞƐƚŽƐŝƐĂŬŶŽǁŶŚƵŵĂŶĐĂƌĐŝŶŽŐĞŶĂŶĚŝƐĂŶĂŝƌďŽƌŶĞŚĂnjĂƌĚ͘KŶĐĞĂŝƌďŽƌŶĞ͕ĂƐďĞƐƚŽƐĮďĞƌƐĐĂŶƐƚĂLJƐƵƐƉĞŶĚĞĚŝŶƚŚĞĂŝƌĨŽƌĚĂLJƐ͕
ǁĞĞŬƐ͕ŽƌĞǀĞŶŵŽŶƚŚƐďĞĨŽƌĞƐĞƩůŝŶŐŽƵƚŽĨƚŚĞĂŝƌ͘dŚĞĮďĞƌƐĐĂŶĞĂƐŝůLJďĞĐŽŵĞĂŝƌďŽƌŶĞĂŐĂŝŶĨƌŽŵĂŵŝŶŽƌĚŝƐƚƵƌďĂŶĐĞůŝŬĞƚƵƌŶŝŶŐ
ŽŶĂŶĂŝƌĐŽŶĚŝƟŽŶĞƌ͘hŶĐŽŶƚƌŽůůĞĚĂƐďĞƐƚŽƐĂďĂƚĞŵĞŶƚƉƌŽũĞĐƚƐŽƌƌĞŶŽǀĂƟŽŶƉƌŽũĞĐƚƐƚŚĂƚĚŝƐƚƵƌďĂƐďĞƐƚŽƐŵĂLJĐĂƵƐĞůĂƚĞŶƚĂƐďĞƐƚŽƐ
ŚĂnjĂƌĚƐƚŚĂƚĐŽƵůĚĞdžƉŽƐĞƉĞŽƉůĞƚŽĂƐďĞƐƚŽƐŝŶƚŚĞĨƵƚƵƌĞ͕ůŽŶŐĂŌĞƌƚŚĞƌĞŶŽǀĂƟŽŶĂĐƟǀŝƚLJŽĐĐƵƌƌĞĚ͘dŚĞĂŝƌďŽƌŶĞĂƐďĞƐƚŽƐĮďĞƌ
ĐŽŶĐĞŶƚƌĂƟŽŶƐƌĞƐƵůƟŶŐĨƌŽŵĚŝƐƚƵƌďĂŶĐĞƐŵĂLJƌĞƐƵůƚŝŶĂƐŝŐŶŝĮĐĂŶƚĞdžƉŽƐƵƌĞƚŽƚŚĞĐƵƌƌĞŶƚĂŶĚĨƵƚƵƌĞŽĐĐƵƉĂŶƚƐŽĨƚŚĞŚŽŵĞ͘
The 1989 “ban” on asbestos-containing materials is commonly misunderstood./ŶĨĂĐƚ͕ŝŶϭϵϵϭƚŚĞh͘^͘&ŝŌŚŝƌĐƵŝƚŽƵƌƚŽĨĂƉƉĞĂůƐ
ǀĂĐĂƚĞĚŵƵĐŚŽĨƚŚĞƐŽͲĐĂůůĞĚ͞ƐďĞƐƚŽƐĂŶĂŶĚWŚĂƐĞŽƵƚZƵůĞ͟ĂŶĚƌĞŵĂŶĚĞĚŝƚƚŽƚŚĞW͘dŚƵƐ͕ŵƵĐŚŽĨƚŚĞŽƌŝŐŝŶĂůϭϵϴϵWďĂŶ
ŽŶƚŚĞh͘^͘ŵĂŶƵĨĂĐƚƵƌŝŶŐ͕ŝŵƉŽƌƚĂƟŽŶ͕ƉƌŽĐĞƐƐŝŶŐ͕ŽƌĚŝƐƚƌŝďƵƟŽŶŝŶĐŽŵŵĞƌĐĞŽĨŵĂŶLJĂƐďĞƐƚŽƐͲĐŽŶƚĂŝŶŝŶŐƉƌŽĚƵĐƚĐĂƚĞŐŽƌŝĞƐǁĂƐ
ƐĞƚĂƐŝĚĞĂŶĚ/EKdd<&&d͘dŚĞƌĞĨŽƌĞ͕>>ĚĞŵŽůŝƟŽŶ͕ƌĞŵŽĚĞůŽƌƌĞŶŽǀĂƟŽŶƉƌŽũĞĐƚƐŵƵƐƚĚĞƚĞƌŵŝŶĞŝĨĚŝƐƚƵƌďĞĚŵĂƚĞƌŝĂů
ĂďŽǀĞƚŚĞƚƌŝŐŐĞƌůĞǀĞůƐĐŽŶƚĂŝŶƐĂƐďĞƐƚŽƐ͘
ASBESTOS INFORMATION
Yes No
ZĞƐŝĚĞŶƟĂů:tŝůůLJŽƵďĞƌĞŵŽǀŝŶŐŵŽƌĞƚŚĂŶϯϮƐƋŌ͕ϱϬůŝŶĞĂƌĨĞĞƚ;Ğ͘Ő͕͘ƉŝƉĞŝŶƐƵůĂƟŽŶͿ͕ŽƌƚŚĞǀŽůƵŵĞ
ĞƋƵŝǀĂůĞŶƚŽĨĂϱϱͲŐĂůůŽŶĚƌƵŵŽĨĂŶLJŵĂƚĞƌŝĂůďĞƐŝĚĞƐĐŽŶĐƌĞƚĞ͕ǁŽŽĚ͕ďƌŝĐŬƐ͕ŽƌƐƚĞĞůʹĞdžĂŵƉůĞƐĂƌĞĚƌLJǁĂůů͕
ůŝŶŽůĞƵŵ͕ĐĞŝůŝŶŐƟůĞƐ͕ƌŽŽĮŶŐŵĂƚĞƌŝĂůƐ͕ĞƚĐ͍͘
Yes No
Commercial:tŝůůLJŽƵďĞƌĞŵŽǀŝŶŐŵŽƌĞƚŚĂŶϭϲϬƐƋŌ͕ϮϲϬůŝŶĞĂƌĨĞĞƚ;Ğ͘Ő͕͘ƉŝƉĞŝŶƐƵůĂƟŽŶͿ͕ŽƌƚŚĞǀŽůƵŵĞ
ĞƋƵŝǀĂůĞŶƚŽĨĂϱϱͲŐĂůůŽŶĚƌƵŵŽĨĂŶLJŵĂƚĞƌŝĂůďĞƐŝĚĞƐĐŽŶĐƌĞƚĞ͕ǁŽŽĚ͕ďƌŝĐŬƐ͕ŽƌƐƚĞĞůʹĞdžĂŵƉůĞƐĂƌĞĚƌLJǁĂůů͕
ůŝŶŽůĞƵŵ͕ĐĂƌƉĞƚ͕ĐĂƌƉĞƚĂĚŚĞƐŝǀĞƐ͕ĐĞŝůŝŶŐƟůĞƐ͕ƌŽŽĮŶŐŵĂƚĞƌŝĂůƐ͕ĞƚĐ͍͘
If the answer is YES to any of the above, you will need an asbestos test before you can receive a building and/
ŽƌĚĞŵŽůŝƟŽŶƉĞƌŵŝƚ͘zŽƵǁŝůůĂůƐŽŶĞĞĚƚŽƉƌŽǀŝĚĞƉůĂŶƐŝŶĚŝĐĂƟŶŐĂƌĞĂƐƚŽďĞĚĞŵŽůŝƐŚĞĚĂŶĚĚĞƚĞƌŵŝŶĞŝĨĂ
KƐƚĂƚĞĚĞŵŽůŝƟŽŶůŝĐĞŶƐĞŝƐƌĞƋƵŝƌĞĚ͘ƐƚĂƚĞĐĞƌƟĮĞĚĂƐďĞƐƚŽƐŝŶƐƉĞĐƚŽƌŵƵƐƚĚŽƚŚŝƐƚĞƐƚĂŶĚƚŚĞƚĞƐƚƌĞƉŽƌƚ
ŵƵƐƚďĞƐƵďŵŝƩĞĚǁŝƚŚƚŚĞďƵŝůĚŝŶŐƉĞƌŵŝƚĂƉƉůŝĐĂƟŽŶ͘/ĨƚŚĞďƵŝůĚŝŶŐŚĂƐĂƐďĞƐƚŽƐ͕ĂƐƚĂƚĞĐĞƌƟĮĞĚĂƐďĞƐƚŽƐ
ĂďĂƚĞŵĞŶƚĮƌŵŵƵƐƚƌĞŵŽǀĞŝƚ͘ŌĞƌƌĞŵŽǀĂů͕ƚŚĞĂďĂƚĞŵĞŶƚĮƌŵŵƵƐƚƉƌŽǀŝĚĞĂůĞƩĞƌƚŽƚŚĞƵŝůĚŝŶŐŝǀŝƐŝŽŶ
ƐƚĂƟŶŐƚŚĂƚĂůůƚŚĞĂƐďĞƐƚŽƐŚĂƐďĞĞŶƌĞŵŽǀĞĚĂŶĚƚŚĂƚƚŚĞĂŝƌŝƐĐůĞĂŶ͘dŚŝƐůĞƩĞƌŵƵƐƚďĞƌĞĐĞŝǀĞĚ&KZĂ
ƉĞƌŵŝƚǁŝůůďĞŝƐƐƵĞĚ͘;^ĞĞƚŚĞůŽĐĂůŽƌƐƚĂƚĞǁŝĚĞzĞůůŽǁWĂŐĞƐ͕ĞdžKŶ>ŝŶĞ͕ŽƌŚƩƉ͗ͬͬǁǁǁ͘ĐĚƉŚĞ͘ƐƚĂƚĞ͘ĐŽ͘ƵƐͬĂƉͬ
ĂƐďĞƐƚŽƐͬŝŶĚĞdž͘ŚƚŵůĨŽƌĐĞƌƟĮĞĚĂƐďĞƐƚŽƐŝŶƐƉĞĐƚŽƌƐĂŶĚĂďĂƚĞŵĞŶƚĐŽŵƉĂŶŝĞƐ͘>tz^ĂƐŬĨŽƌƉƌŽŽĨŽĨĐƵƌƌĞŶƚ
ƐƚĂƚĞĐĞƌƟĮĐĂƟŽŶ͘Ϳ
If you are demolishing the building͕LJŽƵŵƵƐƚƐƵďŵŝƚĂĚĞŵŽůŝƟŽŶƉĞƌŵŝƚĂƉƉǁŝƚŚƚŚĞW,ŝŶĂĚĚŝƟŽŶƚŽƚŚĞ
ƐƉĞŶƉĞƌŵŝƚĂƉƉ͘dŚŝƐĨŽƌŵŵĂLJďĞĨŽƵŶĚĂƚŚƩƉƐ͗ͬͬǁǁǁ͘ĐŽůŽƌĂĚŽ͘ŐŽǀͬƉĂĐŝĮĐͬĐĚƉŚĞͬĂƐďĞƐƚŽƐͲĨŽƌŵƐ EKd͗
ĐŽƉLJŽĨƚŚŝƐĚĞŵŽůŝƟŽŶƉĞƌŵŝƚĂƉƉŵƵƐƚďĞƐƵďŵŝƩĞĚǁŝƚŚƚŚĞŝŶŝƟĂůďƵŝůĚŝŶŐƉĞƌŵŝƚĂƉƉůŝĐĂƟŽŶ͘tŚĞŶƚŚĞ
W,ĂƉƉƌŽǀĞƐƚŚĞĂƉƉ͕ƚŚĞŝƌŝƐƐƵĞĚƉĞƌŵŝƚŵƵƐƚďĞŐŝǀĞŶƚŽƚŚĞƐƉĞŶƵŝůĚŝŶŐĞƉƚďĞĨŽƌĞǁĞŝƐƐƵĞŽƵƌ
ƉĞƌŵŝƚ͘
ASBESTOS CHECKLIST
/ŚĞƌĞďLJĐĞƌƟĨLJƚŚĂƚƚŚĞĂďŽǀĞŝŶĨŽƌŵĂƟŽŶŝƐƚƌƵĞĂŶĚĐŽŵƉůĞƚĞ͘
Owner______________________________ Phone #___________________________
ƉƉůŝĐĂŶƚ;ƉƌŝŶƚŶĂŵĞͿͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺWŚŽŶĞηͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
ƉƉůŝĐĂŶƚ^ŝŐŶĂƚƵƌĞͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺĂƚĞͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
WůĞĂƐĞĐĂůůƚŚĞŝƚLJŽĨƐƉĞŶŶǀŝƌŽŶŵĞŶƚĂů,ĞĂůƚŚĞƉĂƌƚŵĞŶƚĂƚϵϮϬͲϱϬϯϵĂƚĂŶLJƟŵĞŝĨLJŽƵŚĂǀĞƋƵĞƐƟŽŶƐ
ĂďŽƵƚĂƐďĞƐƚŽƐ͕ŝŶƚĞƌƉƌĞƟŶŐLJŽƵƌƚĞƐƚƌĞƐƵůƚƐ͕ŽƌŽƚŚĞƌŵĂƩĞƌƐ͘
Z^^͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺWZD/dEhDZ͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
August 2017
128 East Main
■
■
BTRSardy, LLC
Jamie L. Brewster McLeod 970-544-0130
Jamie L. Brewster
McLeod
Digitally signed by Jamie L. Brewster McLeod
DN: cn=Jamie L. Brewster McLeod, o=Brewster McLeod
Architects, Inc., ou, email=jamie@brewstermcleod.com,
c=US
Date: 2017.12.13 11:11:23 -07'00'
12/13/2017