HomeMy WebLinkAboutFile Documents.1350 Mountain View Dr.0300.2017 (26).ARBK--------------------------------------------------------------------------------------------------------------------------------------------------------
Webpage: http://www.aspenpitkin.com/pdfs/depts/41/asbestosquestionnaire.pdf Rev. 02-10
City 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.
The 1989 “Ban” on asbestos-containing materials is commonly misunderstood. In fact, in 1991 the
U.S. Fifth Circuit Court of appeals vacated much of the so-called “Asbestos Ban and Phaseout
Rule” and remanded it to the EPA. Thus, much of the original 1989 EPA ban on the U.S.
manufacturing, importation, processing, or distribution in commerce of many asbestos-containing
product categories was set aside and DID NOT TAKE EFFECT. Therefore, ALL demolition, remodel
or renovation projects must determine if disturbed material above the trigger levels contains
asbestos.
1. Residential
: Will you be removing more than 32 sq ft, 50 linear feet (e.g., pipe insulation), or the volume
equivalent of a 55-gallon drum of any material besides concrete, wood, bricks or steel – examples are
drywall, linoleum, ceiling tiles, roofing materials, etc.? ___ NO ___ YES
2. Commercial
___ NO ___ YES
: Will you be removing more than 160 sq ft, 260 linear feet (e.g., pipe insulation), or the
volume equivalent of a 55-gallon drum of any material besides concrete, wood, bricks or steel –
examples are drywall, linoleum, carpet, carpet adhesives, ceiling tiles, roofing materials, etc.?
3. Will you be completely demolishing the building? ___ NO ___ YES
If the answer is YES to any of the above, you will 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, DexOnLine, or
http://www.cdphe.state.co.us/ap/asbestos/index.html for certified asbestos inspectors and abatement companies.
ALWAYS ask for proof of current state certification.)
If YES to question # 3, you must submit a demolition permit app with the CDPHE in addition to the Aspen
permit app. This form may be found at http://www.cdphe.state.co.us/ap/asbestos/asdemo.pdf NOTE
: A copy
of this demolition permit app must be submitted with the initial building permit application. When the CDPHE
approves the app, their issued permit must be given to the Aspen Building Dept before we issue our permit.
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.
1350 MOUNTAIN VIEW DRIVE
273501308008
X
X
X
NATHAN KAEGEBEIN
LITTLE LEAF LLC
970-379-6228
11.1.17
11/22/2017
11/22/2017