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HomeMy WebLinkAboutFile Documents.535 E Hyman Ave.0069.2018 (2).ACBK 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 535 E. Hyman Ave, Unit 106 Aspen Core Ventures, LLC David Rybak 925-1125 05/30/18