HomeMy WebLinkAboutFile Documents.905 Chatfield Rd.0111.2018 (68).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
ĂďĂƚĞŵĞŶƚĮƌŵŵƵƐƚƌĞŵŽǀĞŝƚ͘ŌĞƌƌĞŵŽǀĂů͕ƚŚĞĂďĂƚĞŵĞŶƚĮƌŵŵƵƐƚƉƌŽǀŝĚĞĂůĞƩĞƌƚŽƚŚĞƵŝůĚŝŶŐ
ĞƉĂƌƚŵĞŶƚƐƚĂƟŶŐƚŚĂƚĂůůƚŚĞĂƐďĞƐƚŽƐŚĂƐďĞĞŶƌĞŵŽǀĞĚĂŶĚƚŚĂƚƚŚĞĂŝƌŝƐĐůĞĂŶ͘dŚŝƐůĞƩĞƌŵƵƐƚďĞƌĞĐĞŝǀĞĚ
&KZĂƉĞƌŵŝƚǁŝůůďĞŝƐƐƵĞĚ͘;^ĞĞƚŚĞůŽĐĂůŽƌƐƚĂƚĞǁŝĚĞzĞůůŽǁWĂŐĞƐ͕ĞdžKŶ>ŝŶĞ͕ŽƌŚƩƉ͗ͬͬǁǁǁ͘ĐĚƉŚĞ͘ƐƚĂƚĞ͘
ĐŽ͘ƵƐͬĂƉͬĂƐďĞƐƚŽƐͬŝŶĚĞdž͘ŚƚŵůĨŽƌĐĞƌƟĮĞĚĂƐďĞƐƚŽƐŝŶƐƉĞĐƚŽƌƐĂŶĚĂďĂƚĞŵĞŶƚĐŽŵƉĂŶŝĞƐ͘>tz^ĂƐŬĨŽƌƉƌŽŽĨ
ŽĨĐƵƌƌĞŶƚƐƚĂƚĞĐĞƌƟĮĐĂƟŽŶ͘Ϳ
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^^͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ WZD/dEhDZ͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
August 2017
Bill Silverstein
970-544-1833
773-505-0807
04/26/2018
ͺͺ
ŚĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂĂǀĞǀĞǀĞǀǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀĞǀǀĞǀĞǀǀǀǀĞǀĞǀĞĞĞǀĞĞĞĞĞǀĞĞĞĞĞĞĞǀĞǀǀǀǀĞǀǀĞĞǀĞĞĞĞǀĞǀĞĞǀĞĞĞĞĞĞǀǀǀǀ ƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƋƵĞƵĞƵĞƵĞƵĞƵĞƵĞĞĞƵĞƵĞĞĞƵĞĞƵĞƵĞĞĞƵĞƵĞƵĞĞĞĞĞĞƵĞĞĞƵĞƵƵĞƵĞĞĞĞƵĞƵĞƵĞƵĞƵĞƵĞƵƵƵƵĞĞĞƵĞƵƵƵƵĞĞĞƵĞĞƵƵĞĞĞĞĞĞĞĞĞĞĞĞĞĞĞĞĞĞĞƵĞĞĞĞĞĞĞĞĞĞĞĞƵƵĞĞĞĞĞĞĞĞĞƵĞĞƐƟƐƟƐƟƐƟƐƟƐƟƟƐƟƐƟƐƟƐƟƐƟƐƟƐƟƐƐƟƐƟƐƟƐƟƟƐƟƐƟƐƟƐƟƟƐƐƟƟƐƟƐƟƐƟƐƟƐƟƐƟƐƟƟƐƟƟƐƟƐƟƐƐƟƟƐƟƐƟƐƟƐƟƐƟƐƟƟƐƐƐƐƐƐƐƟƐƐƐƐƟƟƐƐƐƟƐƐƐƟƐƐŽŶŽŶŽŶŽŶŶŽŶŶŽŶŽŶŽŶŽŶŽŶŽŶŽŶŽŶŶŽŶŽŶŽŶŽŶŽŶŽŶŽŶŽŶŽŶŽŶŽŶŽŽŽŶŽŶŽŽŶŽŶŽŶŽŶŽŶŽŶŽŶŽŶŽŶŽŽŶŽŶŽŶŽŶŽŶŶŽŶŶŶŽŶŽŶŶŽŶŽŶƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐƐ
N, CO 8888111166666611111 ,
905 Chatfield Road
■
Greg Wood 544-1833
Greg Woods Digitally signed by Greg Woods
DN: C=US, E=greg@gfwoods.com, OU=GF Woods
Construction, CN=Greg Woods
Date: 2018.04.18 09:00:15-06'00'