HomeMy WebLinkAboutPERMIT Demo 3501 Fall River Rd 2008-01-23Community Developmen 12:11:48 p.m. 01-11-2008
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3731 * FAX (970) 586-0249 * www.estesnet.com Permit Expires
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Received By Ge) Demo Application / Permit CA;
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Job Address:
Owner Name:
Address:
Address:
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Phone: L/23
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Note: A Demo Permit does not authorize any work in or on public right-of-ways, wetlands, flood plains, or other
properties - separate additional permits are required.
Note: Separate permits required for each address, each lot, or each owne
Description of Work
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cetht this application is true and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with
local ordinances, state and federal laws as well as building codes. I certify that I have the property owner's authority and permission to apply for this permit. Additionally, I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND 0 IIIER
FEES soqATED WITH THIS APPLICATION.
Staff Comments:
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Permit Information
Fee
Permit Fee:
$50/building
Total:
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*** With my signature below, I certify that I possess current AHERA and state of
Colorado certification as an Asbestos Building Inspector. I also certify that I
have inspected the building to be demolished, as listed in the Demolition Site
block above, sampled all suspect materials (in accordance with AHERA), had
all samples analyzed for the presence of asbestos by a NVLAP accredited
laboratory, and have determined that (check appropriate box and sign In
BLUE INK):
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No ACM exists anywhere in the building.
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The only ACM left In the building is non -friable VAT and/or tar -Impregnated
roofing felt and these will remain non -friable during demolition.
All friable ACM, or ACM that may be rendered friable during demolition, that I
found has been completely removed from this building, per my visual
Inspection.
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Date of Final Inspection
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DEMOLITION PERMIT APPLICATION FORM
A $55 FEE MUST ACCOMPANY THIS FORM.
INCOMPLETE APPLICATIONS WILL BE RETURNED.
(Permit will be mailed to demolition contractor unless specified otherwise)
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Submit form to:
Permit Coordinator
Colorado Dept. of Public Health
and Environment
APCD-SS-B1
4300 Cherry Creek Drive South
Denver, CO 80246-1630
Phone: 303-692-3100
Fax: 303-782-0278
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Year Constructed
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Type of B 'Iding (i.e. residential, ehoyse, office bul ding, etc.)
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Proposed Start Date
Proposed Completion Date
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Owner's Name
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Street
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City
State
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Zip Code
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Telephone With Area Code
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General 7ement Contractor (GAC)
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CD‘L/1-1 Asbestos Permit Number
Total Quantity of Asbestos Removed
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Date C pleted
Telephorirt a Code
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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 6r3:100). ,
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CHECK THE APPROPRIATE BOX: / '-"' I
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Permit #:
Check #:
THIS Box IS FOR CDPHE USE ONLY:
Postmark or Hand Delivery Date:
Issued:
Rev.3/03, JAAsbestos and Lead UnitslAsbestos ForrnstASBESTOS ABATEMENT NOT1FICATION.doc
11/23/2008 08:44 97049898 7
HILL COUNTRY
PAGE 01/01
Colorado Department of Public Health and Environment
Air Pollution Control Division — Stationary Sources Program — Indoor Air Unit
4300 Cherry Creek Drive South, APCD-SS-B1
Denver, Colorado 80246-1530
Phone: 303-692-3100 — Fax 303-782-0278
E-mail: asbestos@state.co.us
DEMOLITION APP OVAL NOTICE
This approval notice is granted subject t Colorado Air Quality Control Commission
Regulation No. 8, Part B, adopted December 16, 2003, and effective March 2, 2005, the
Colorado Air Pollution prevention and Control Act C.R.S. (25.'i-loi and 25-7-501 et seq).
This notice signifies thatthe structure was inspected for asbestos and CFCs and the
demolition contractor has properly notified the Colorado Department Of Public Health and
Environment pursuant' to kegulation NO. 18,, •
As a contractor, you may be subject to other demolition licenses andpermitS, depending on
the requirements of the county and tnuuicipality 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 authoritiesin order to determine
any other local building/permitting requirements that must be met.
THE ORIGINAL PERMIT MUST Br POSTED ON SITE AT ALL TIMES.
Immediately notift the 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 notice is valid beginning 1/29/2008 through 1159 PM on 1/30/2008.
The actual scheduled work dates are from 1/29/2008 through 1/30/2008.
Approval issued on: 1/17/2008
Record number: 60115
Notice Number: 08LR0251.0
For the location specified below:
Rest room (IVi-W) Warehouse
3501 Fall River Rd - C Section
Estes Park
Larimer County
This notice has boon issued to:
Hill Country Custom Homes
5000 Broadwalk #16
Fort Collins, CO 80525
Amount Paid: $55.00
Check number: 2201
Asbestos Building Lnspector:
Susan Annon
Cetification No.: 13996
Inspection Date: 01/13/2008
Issued by: RWJ