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HomeMy WebLinkAboutFile Documents.211 Cottonwood Ln.0062.2019 (111).ARBK OF'COL • OQ� Submit form to: � =. d �, O Permit Coordinator DEMOLITION NOTIFICATION APPLICATION FORM * ;, ; * Colorado Dept.of Public Fleah an * ' - * APPLICATION FEE MUST ACCOMPANY THIS FORM APCDtIE Ba Environment �876 INCOMPLETE APPLICATIONS WILL BE RETURNED 4300 Cherry Creek Drive South Colorado Department (Notice will be mailed to the demolition contractor unless specified otherwise) Denver,CO 80246-1530 of Public Health l Phone:303-692-3100 and Environment Fee: $50 + $5 per 1000 ft2 of area to be demolished =$ 60 ) Fax: 303-782-0278 (See instruction#1 on reverse side) \,,____--` Asbestos@state.co.us Company Name: Building Name: Homeowner—Sam Barney 211 Cottonwood Ln Street: Square footage of footprint of facility or portion of facility to be demolished 0 211 Cottonwood Ln 1063sf ✓f - City: State: Zip Code: Street: co Aspen CO 81611 °3 211 Cottonwood Ln C Telephone# Fax# U) City: County: . Zip Code: V (970)309-1836 ( ) N/A o Aspen Pitkin / 81611 Project Manager: •Cell Phone# y:, Proposed Start Date Proposed Completion Date o _ Sam Barn_e 970 309-1836 4/29)2019 / May 13,2019 iE I certify that the Certified Asbestos Building Inspector has informed me E Method/Means of Demolition: O about any remaining asbestos-containing materials in the facility to be 0 E demolished. of Si tire: Z Wrecking 0Burningt ©Implosion 0 Moving 0 Other,specify: 0 r 1% Print Name: /�� Samuel T Barney-tafidfill Receiving Building bet�is: I / --tBurning requires additional authorization Please call(303)692-3100 and ask Pitkin Co ry Solid Waste Center ✓ to speak to the Open Burning Permit Coordinator General Abatement Contractor(GAC) Owner's Name: a— N Pr Desiree&Samuel Barney 0 ra v CDPHE Asbesto ermit# Total Quantity ofAsbestos Removed C i Street: to O 2 W/4 N A- '5 c 211 Cottonwood Ln ,a B r. Date Removal Co leted Telephone# ..` 3 City: State: Zip Code: I' a Al pr ( ) N/4 m Aspen CO 81611 Type(s)of Asbestos-Containing Mat rial Removed: Contact's Name: Telephone# JVZ4 Sam Barney (970) 309-1836 d; With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as c an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed tjin the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of r,. asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the a c facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any va o asbestos-containing material allowed to stay in the facility must remain non-friable during demolition. Specify type(s) CO of ACM remaining, below: (check appropriate box(es)): .a =' (p El Vinyl asbestos floor tile (VAT) El VAT mastic ne):sphalt impregnated roofing El Asphaltic pipe coatings .0 0 ❑ Spray-applied tar coatings © Caulking ❑ Glazing 0.1 Other, specify: ,`k c- j 7• f- ao Signature:(in Blue Ink) Printed Name: 0 Date 6fy inai Inspection CO Cart# Expiration Date Telephone# I Cell Phone# lC// 5.]b 13q3 -7 O9/2.2// 7 ( ) I (970) 7 ' 2-► d` I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation No. 15(for information on CFC requirements call 692-3100).I further verify that all luminous exit signs(containing radioactive material)have been C o disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3(for information on luminous exit sign requirements call 303-692-3320). :a 0 ` CHECK THE APPROPRIATE BOX: 3 � m O G El Building Owner ❑ Contractor ❑ Other Date: October 31,2018 V Signature: e J Print Name: Samuel T Barney is IL T. s Box is FOR CDPHE USE ONLY. Postmark or Hand Delivery Date: I l/p I//q Approved By: �v4 f Code: �nitial-310 ❑transfer-380 Form of Payment&#: -. - 300- - ! A0 Pe/nl # /�(3i Record#f l / ' /ate Issued: *Regulated asbestos-containing materials means(a)friable asbestos-containing material,(b)Category 11I nonfriable ACM that has become friable Category I nonfriable ACM that will be or has been subjected to sanding,grinding,cutting,or abrading or(d)Category II nonfriable ACM,t _(had I D probability of becoming or has become crumbled,pulverized,or reduced to powder by the forces expected to act on the material in the el ,_' v _,-. demolition or renovation operations regulated by this regulation. Note:Asbestos-containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. 031(1F17 f?f1i 9 F r,.,•MAU MU,mnn,nsAS PEN 1-)�. BUILDING EEPARTIMENT 1 Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program —Asbestos/IAQ Air Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100— Fax: 303-782-0278 E-mail: asbestos@state.co.us DEMOLITION APPROVAL NOTICE This approval notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies that the structure was inspected for asbestos, luminous exit signs (containing radioactive material), and Ozone-Depleting Refrigerants and the demolition contractor has properly notified the Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B. As a contractor, you may be subject to other demolition licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division, strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. Please note that certain asbestos-containing materials (ACM) may remain in the structure during demolition. Therefore, any demolition debris left behind after the completion of post- demolition site cleanup may constitute a "reason to know of asbestos-contaminated soil" at the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR 1007-2, Part 1). THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This demolition approval notice is valid beginning 4/29/2019. The actual scheduled work dates are from 4/29/2019 through 5/13/2019. Approval issued on: 11/7/2018 Record number: 143126 Fee Paid: $60.00 Notice Number: 18PI7432D Check number: 3022 For the location specified below: Asbestos Building Inspector: 211 Cottonwood Ln Jim Baker Cerification No.: 13437 211 Cottonwood Ln. Aspen Pitkin County Inspection Date: 10/18/2018 This notice has been issued to: Sam Barney 211 Cottonwood Ln. RECEIVED Aspen, CO 81611 Issued . S 03/27/2019 t / BUILDING DEPARTMENT