HomeMy WebLinkAboutPERMIT Demo 3501 Fall River Rd 2012-12-21Received Date Zore m? Town of Estes Park office Permit Number D. - /2.
Received By A/gf Demo Application / Permit Application Expires 60 Z2 5
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
Job Address: ,4"....) \-.) I 1-c,, i 1 I6VQ. A- 6?-. (-1 . Cs' .,:i_. s -C\Ac CO -60 tS 17 Parcel #:
_.., ,.._.
Owner Name: .,L..)(e..._,I 1 0. —1 cL c' r- 0. 1-- L C_ Phone:
i)
Address: 3 f.; 0 i 17,', I I (< ‘\ v 0--c q•Z.<1 E.:_-1-,z,--. ros (" _ C. 0 V..)`:,', 1
) .
(Street) (City) (State) (Zip Code)
Contractor: 1- \ k 1 \ -1....4 (A /-\ - rt-. 1_,IA s-\-(,),(y1 --1)(:),(Y\s,_...rs 7E0 c— Town License #: Phone: 9 70
,
Address: 3 I Fo, 1 R 'ck,,(,f - R,1 1-7,,s-1- Q_S P (t, '6 " - - C C,,) 80 5 I - )
(Street) (City) (State) (Zip Code)
DLong-term Residential (> 30 days) El Short-term Residential (< 30 days) 0 Commercial
Note: A Demo Permit does not authorize any work in or on public right-of-ways, wetlands, floodplains, or other
properties - separate additional permits are required.
Note: Separate permits required for each address, each lot, or each owner.
Description of Work
Valuation (Total Cost of Material & Labor): $
Inspection Checklist / Signoffs
e;j 6(
• Sanitation District - abandon / vacate sewer
lallealth-Department ----thandon-/-vaette-septit
0-Water-Depaf4ment -a-ban-don-I-vacate- water OAr ne./0--rz:,--,-
0 Light & Power - abandon / vacate electric
• Xcel - abandon / vacate gas
• Building Department - Final Inspection
• State Demolition Permit/Owner's Acknowledgement Form
I certify this application is (rue 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 1 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 OTHER
FEES ASSOCIATED WITH THIS APPLICATION.
Contractor Owner 0 Owner's Agent 0 Tenant
Signatur , ' I lialk ,. '' , Date : 1 -1rint Name
wr
*** Office Use Only ***
Staff Comments: D
/-,4-fe" 77.1--e: 45 ,' '''
JAN 2 2 209
Application Information
Fee
Permit Fee:
$50/building
.C. )
l
Building Official„ Date
,...,
Total :
ISSUE OF THIS PERMIT DOES NOT AUTHORIZE ANY NEW CONSTRUCTION
\ Server I 3 \buildingdept\FormsandReferences_Building\ Applications \OTC \ Demolition \ Demo APPROVEI).doc
Revised 9/25/2012 - CB
Colorado Department of Public Health and Environment
Air Pollution Control Division - Indoor Environment Program - Asbestos/lAQA:Unit g vi5;:Lir;47,C)11':Y"
4300 Cherry Creek Drive South, APCD-IE-B1 0/ - i 2
Denver, Colorado 80246-1530
Phone: 303-692-3100 - Fax: 303-782-0278
E-mail: asbestos@state.co.us
111
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 2/1/2013.
The actual scheduled work dates are from 2/1/2013 through 2/14/2013.
Approval issued on: 12/24/2012
Record number: 88485 Fee Paid: $55.00
Notice Number: 13L1100111) Check number: 8308
For the location specified below:
Asbestos Building Inspector:
Andrew Dunnell
Cerification No.: 15895
Staff Quarters
3501 Fall River Rd.
Estes Park
Larimer County
This notice has been issued to:
Lill Country Custom I lomes.
3501 Fall River Rd.
Estes Park, CO 80517
Inspection Date: 12/11/2012
Colorado Department
of Public Health
and Environment
DEMOLITION NOTIFICATION APPLICATION FORM
APPLICATION FEE MUST ACCOMPANY THIS FORM
INCOMPLETE APPLICATIONS WILL BE RETURNED
(Notice will be mailed to the demolition contractor unless specified otherwise)
Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ S 5 c�
(See instruction #1 on reverse side)
Submit form to:
Permit Coordinator
Colorado Dept of Public
Health and Environment
APCD-IE-B1
4300 Cherry Creek Drive
South
Denver, CO 80246-1530
Phone: 303-692-3100
Fax: 303-782-0278
Asbestos@state,co.us
Asbestos
Removal Demolition Contractor
Contractor
Comity Nam
!TIn Ln trAY-
C USfovvN HeYYt2s .
Demolition Site
Building Name:
S4 --c-F a
Street:
c‘.eY-s
350I Fall Rs- Ro
Square footage of footprint of facility or portion of facility to be demolished
6,78 5 `i . - -f-_
City:
- es 6ck..rk
State:
C�
Zip Code:
�t05.. 7
Street ,,
3 5o i f a I I Rote,- C
Telephone #
Fax
FS'� (770) 5-a5'o)
#
(7
%0) 577-MO
City:I__
es cv
County:
Zip Code:
'05/7
Project Manager.
Y¢.1I /Mari-)
Cell Phone #
(970) 56.6-4/Vta
Proposed Start Date
a -I -I
),„o,\--..-v1-0....
Proposed Completion Date
a-)y-,a
I certify that the Certified As estos Building Inspector has informed me
about any remaining asbestos -containing materials in the facility to be
demolished.
Method/Means of Demolition:
nature:
�� -o
gar
Pr�f.(Vame:
(Jrn v►, ZI a Aw. 01 cth
0 Wrecking 0 Bumingt ❑ Implosion 0 Moving 0 Other, specify:
eceiving Building Debris
5 3�S ��i� ��
( iT
tBurning requires additional authorization — Please call (303) 692-3100 and ask
to speak to the Open Buming Permit Coordinator
General Abatement Contractor (GAC)
Building Owner
Owner's Name:
0,2_116, Te. vy'Cl) L.l_-C_
CDPHE Asbestos Permit #
Total Quantity of Asbestos Removed
Street: D f n n 33 1 r0.1I R1VeNr 6
c
Date Removal Completed
Telephone #
( )
City:
,Es�es pa�rl<
State:
CC)
Zip Code:
7
SOS i
Type(s) of Asbestos -Containing Material Removed:
Co� ({%act's Name: 1
1)c _11 iha.rl y'
Telephone #
(970) 5 '6 W `/
o
d
a
c .
rn o
N
Q
d
With my signature below, I certify that I possess current AHERA accreditation and state of Colorado
an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be
in the Demolition Site block above, sampled all suspect materials, had all samples analyzed
asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists
facility.* I also certify that I have informed the owner/operator of the facility or the demolition
asbestos -containing material allowed to stay in the facility must remain non -friable during demolition.
of ACM remaining, below: (check appropriate box(es)):
❑Vinyl asbestos floor tile (VAT) ❑VAT mastic ❑Tar/asphalt impregnated roofing 0 Asphaltic
❑ Spray -applied tar coatings ❑ Caulking ❑ Glazing 0 Other, specify:
Signature:
certification as
demolished, as listed
for the presence of
anywhere in the
contractor that any
Specify type(s)
pipe coatings
d
0
(In Blue Ink)
=....._.� --�
Date
Printed Name:
( n fir'
of in Inspection
a & cc2
CO Cert #
(siac,S
Ex irati DateI
p
/ 0 ( /5/3
Telephone # I Cell Phone #
M70 .z-6g5q 1
).07-.,2-434 1
i- `o
O w
i' ea
a G w
I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation No. r
15 (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been
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).
CHECK THE APPROPRIATE BOX:
m O U
Jay Building Owner
❑ Contractor
❑ Other
Date: la — / 3 _, ) a
ign ture:
P Name: aq
THIS Box IS FOR CDPHE USE ONLY:-
Postmark or Hand Delivery Date:
Approved By:
Code:
II initial-310 ❑transfer-380
Form of Payment & #:
*
Permit #:
Record #
Date Issued:
Regulated asbestos -containing materials means (a) friable ocher.,. ,,...., t ' '
c)
Category I nonfriable ACM that will be or has been subjected to sanding, grinding, utting, or abrading ry ria e at has become friable, or (d)nCategory II nonfriable ACM that has a(igh
probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of
demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly
abated/removed prior to demolition.
L'n..... T1., A no
* This certificate is anly fth he passession of a ea
certification in the discipline specified above.
eat Dirisiott-approved traitting course
an envtraninert&a/
Asbestos Inspection and Sampling Report
3501 Fall River Rd. Estes Park, CO 80517
Presented To:
Hill Country Custom Homes
3501 Fall River Rd.
Estes Park, CO 80517
Performed & Prepared By:
Andy Dunnell
Banyan Environmental
630 Camberly Ct.
Windsor, CO 80550
970.222.6849
Project Details:
Project Number: B2480
Conducted: December 11, 2012
TABLE OF CONTENTS
PROJECT OVERVIEW
1.0 Introduction
2.0 Scope of Work
3.0 Site Description
4.0 Certifications
5.0 Inspection, Sampling & Analytical Procedures
5.1 Inspection Procedures
5.2 Sampling Procedures
5.3 Analytical Procedures
6.0 Homogeneous Areas
6.1 Material Friability
6.2 Material Classifications
6.3 Material Conditions
6.4 Sample Quantities
7.0 Overview of Findings
8.0 Findings & Recommendations
9.0 Asbestos Abatement & Demolition Requirements
10.0 Disclaimer & Limitations
PROJECT OVERVIEW
1.0 Introduction
On December 11, 2012, Andy Dunnell with Banyan Environmental conducted a full asbestos
inspection and collected asbestos bulk -samples of suspect asbestos -containing materials (ACM)
within the entire building located at 3501 Fall River Rd. Estes Park, Colorado.
The purpose of the full inspection was to identify and sample potentially hazardous friable and non -
friable ACM that has either been affected by a recent water loss and/or may be impacted by
subsequent restoration activities.
2.0 Scope of Work
The scope of the full inspection and bulk -sampling was not limited to specific areas of the residence
defined by Hill Country Custom Homes. These areas included the shop, laundry facility, and living
quarters. The full asbestos inspection did constitute a full building inspection and does fulfill the
asbestos inspection requirements for structures that are to be demolished.
3.0 Site Description
The building has a shop, laundry room, and a single family residence which is a wood -framed,
single-family residence.
4.0 Certifications
The full asbestos inspection and bulk -sampling was conducted by Andy Dunnell with Banyan
Environmental is a Colorado Department of Public Health and Environment (CDPHE) certified
Asbestos Consulting Firm, Registration No. 16780. Mr. Dunnell is a CDPHE certified Building
Inspector; having certification number 15895
5.0 Inspection, Sampling & Analytical Procedures
5.1 Inspection Procedures
The full asbestos inspection was conducted by an Environmental Protection Agency (EPA) and
CDPHE certified Building Inspector. The inspection procedures included identifying and sampling
suspect ACM within the pre -defined areas, submitting samples to an accredited laboratory for
analysis, classifying the materials and assessing their condition, and compiling a final report
detailing the inspection and the analytical results of the bulk -samples.
5.2 Sampling Procedures
Statistically random bulk -samples representative of the suspect ACM of each homogeneous area
were collected according to the guidelines published as EPA Final Rule: Title II of the Toxic
Substances Control Act (TSCA), 15 USC, Sections 2641 through 2654 and in compliance with 40
CFR, Part 763 and CDPHE Regulation Number 8, Part B- Asbestos (Reg. 8).
Banyan Environmental has collected the appropriate number of bulk -samples to meet all regulatory
requirements for the classification and quantity of each homogeneous area. Some minor destructive
3
sampling was conducted; however, walls, columns and perimeter pipe chases were not broken into
in order to locate and quantify suspect ACM. Banyan is not responsible for repairing the damage
from collecting bulk samples. It should be noted that additional ACM might be located in these and
other inaccessible areas.
Materials containing less than 1% asbestos are not regulated by CDPHE Regulation 8, Part B -
Asbestos. However, all demolition/abatement activities should be performed following the
applicable Occupational Safety and Health Administration (OSHA) regulations. This would include,
but not limited to, the appropriate asbestos training for the type of material being
removed/disturbed as well as having a properly trained supervisor onsite, using wet removal
methods, wearing adequate personal protective equipment (HEPA-filtered particulate respirators),
medical surveillance of workers, personal -exposure air monitoring, area air monitoring in occupied
buildings, etc. There may also be landfill disposal requirements for these materials, depending on
the facility. Banyan recommends that all demolition/renovation areas involving any amount of
asbestos be subjected to visual inspections and a final clearance air testing by a CDPHE-certified Air
Monitoring Specialist (AMS) after the work has been completed, but before any containments are
dismantled and the area is reoccupied.
5.3 Analytical Procedures
All asbestos bulk -samples were analyzed by a National Voluntary Laboratory Accreditation
Program (NVLAP) accredited laboratory via Polarized Light Microscopy (PLM) for asbestos content
(see Appendix B for laboratory report).
6.0 Homogeneous Areas
A Homogeneous Area (HA) includes materials that are uniform in appearance, color, texture and
date of application. The asbestos content of the bulk -samples collected within a homogeneous area
can be applied to the entire homogenous area if they conform to the above characteristics and the
regulated minimum sample quantities of each type of material are collected and analyzed.
6.1 Material Friability
A material can either be friable or non friable. A friable material is one that, when dry, can be
pulverized, or reduced to powder by hand pressure, a non -friable material cannot. A non -friable
material may become friable if its condition had deteriorated or has been impacted by forces that
have rendered it friable.
6.2 Material Classifications
Sampled materials are divided into one of the following three categories:
• Surfacing Material: sprayed or troweled onto structural building members
• Thermal System Insulation (TSI): any type of pipe, boiler, tank, or duct insulation
• Miscellaneous Material: all other materials not classified in the above two categories
6.3 Material Conditions
Sampled materials are placed into one of the three following categories of conditions:
• Good: none to very little visible damage or deterioration
• Damaged: the surface is crumbling, blistered, water -stained, gouged, marred or otherwise
abraded over less than one -tenth of the surface if the damage is evenly distributed, or one -
quarter if the damage is localized
4
• Significantly Damaged: the surface is crumbling, blistered, water -stained, gouged, marred or
otherwise abraded over greater than one -tenth of the surface if the damage is evenly
distributed, or one -quarter if the damage is localized
6.4 Sample Quantities
Banyan Environmental collected at least the minimum number of samples from each homogeneous
area necessary to meet all regulatory requirements for the quantity of material to be disturbed. The
quantities listed in this report are approximate and on -site verification of the exact quantity of each
material is required. The following outlines the minimum sample quantities required per
homogeneous area:
• Surfacing Materials: up to 1,000 ft2 of material requires a minimum of three (3) samples;
between 1,000 ft2 and 5,000 ft2 of material requires a minimum of five (5) samples; over
5,000 ft2 of material requires a minimum of seven (7) samples; one (1) sample of each
patch
• Thermal System Insulation (TSI): each homogeneous area requires a minimum of three (3)
samples; at least one (1) sample must be collected from each patch; and collect enough
samples sufficient to adequately assess the material and determine the asbestos content for
TSI fittings such as pipe elbows or T's.
• Miscellaneous Materials: collect enough samples sufficient to determine the asbestos
content
7.0 Overview of Findings
Asbestos was not reported within any of the materials collected. Banyan Environmental
collected a total of thirteen (13) asbestos bulk -samples of seven (7) homogeneous areas. These
areas included a rough surfacing texture found in the living room, kitchen, and bathroom, ceiling
tiles in the living room and bathroom, sheet vinyl flooring in the laundry room and living
room/bathroom. The bedroom had painted plywood on the walls and ceiling.
Table 1 below describes the materials composing each homogeneous area as well as the locations of
each bulk -sample collected. Also listed is the classification, condition, friability and estimated
quantity of material to be removed and/or disturbed, as well as the asbestos content within each
bulk -sample. Please see Appendix B: Analytical Data for the layer break -down of each bulk -sample.
5
Table 1
H
A
#
Sample
Number
Materia
I Class
Material and Location
Material
Conditio
n
Estimate
d
Quantity
Material
Friability
Asbestos
Content
1
B2480.1
SM
Laundry room drywall south wall
with joint compound (laundry
room is -820 sqft total)
G
-820 sqft
friable
ND
B2480.2
SM
Laundry room drywall south wall
wa
with joint compound
G
-820 sqft
friable
ND
B2480.3
SM
Laundry room drywall east wail
with no joint compound
G
-820 sqft
friable
ND
2
B2480.4
MM
Vinyl flooring in laundry room
D
"'288 sqft
friable
ND
3
B2480.5
SM
Employee housing living room
drywall
G
-S00 sqft
friable
ND
B2480.6
SM
Bathroom drywall
G
-300 sqft
friable
ND
B2480.7
SM
Kitchen drywall
G
-300 sqft
friable
ND
4
B2480.8
MM
Kitchen vinyl flooring. Same as
bathroom
G
"140 sgft
friable
ND
5
B2480.9
MM
Main room ceiling tiles
D
-300 sqft
friable
ND
6
B2480.10
MM
Main room ceilingtiles
D
-300 sqft
friable
ND
7
B2480.11
SM
Shop drywall with joint compound
G
-900 sqft
friable
ND
B2480.12
SM
Shop drywall with joint compound
G
-900 sqft
friable
ND
82480.13
SM
Shop plain drywall
G
-900 sqft
friable
ND
HA- Homogenous Area
ND- Non -
detect
TR- Trace, <1%
G- Good
D- Damaged
SD- Significantly Damaged
8.0 Findings & Recommendations
SM- Surfacing Material
MM Miscellaneous Material
TSI-Thermal System Insulation
ACM was not identified within the areas of the residence that were within the scope of the limited
inspection and bulk -sampling performed on December 12, 2012; therefore, no professional
abatement activities are required to remove or disturb the above -referenced sampled materials.
9.0 Asbestos Abatement & Demolition Requirements
If ACM is to be removed or disturbed in a single-family residence, and the total quantity exceeds
any of the regulatory trigger levels of 50 linear ft. on pipes, 32 ft2 on other surfaces, or the volume
equivalent of a 55-gallon drum, a CDPHE-certified General Abatement Contractor (GAC) is required
to perform the work. The regulatory trigger levels within a commercial building are 260 linear ft.
on pipes, 160 ft2 on other surfaces, or the volume equivalent of a 55-gallon drum. In addition,
6
formal notification to CDPHE prior to the abatement of ACM as well as air monitoring, visual
inspections, and final air clearances by a CDPHE-certified Asbestos AMS is required.
CDPHE regulations allow for the demolition of a building that contains non -friable asbestos -
containing materials, such as caulking, mastic or resilient floor tiles. However, demolition must be
completed without causing the non -friable ACM to be rendered friable. Burning a building with any
ACM is prohibited. Operations such as sanding, cutting, crushing, grinding, pneumatic jacking, etc.
of ACM are not permitted. Recycling of building materials such as concrete, metal, or wood that are
bonded or contaminated with ACM, e.g. glue, caulking, or mastic is also prohibited. If any of the non -
friable asbestos containing materials are to be recycled and rendered friable after demolition (Le.
crushing mastic -coated concrete), these materials must be abated of all ACM prior to shipping
offsite for recycling.
OSHA regulations regarding occupational exposure during demolition activities is still mandatory.
OSHA 29 CFR 1926.1101 requires that workers performing construction -related activities be
protected from asbestos fibers in excess of the permissible exposure limit of 0.1 f/cc of air.
Contractors are must comply with applicable provisions of OSHA 29 CFR 1926.1101 during
demolition and renovation activities. These OSHA provisions include, but are not limited to, PPE
and respirators, personnel training, personal -exposure air monitoring, employee medical
surveillance, wet removal methods, signage for regulated areas, etc.
10.0 Disclaimer & Limitations
The activities outlined in this report were conducted in a manner consistent with a level of care and
expertise exercised by members of the environmental consulting and industrial hygiene profession.
All activities were performed in accordance with all applicable federal, state, and local regulations
as well as generally accepted standards and professional practice. No warranty is either expressed
or implied. Banyan Environmental assumes no responsibility or liability for error in public
information utilized, statements from sources other than Banyan, or developments resulting from
situations outside the scope of this project.
The details provided within this report outline the inspection activities on the date(s) indicated and
should not be relied upon to represent conditions at a later date, the limited number of bulk -
samples collected, and the laboratory results of those bulk -samples. The laboratory results
contained in this report apply specifically to the materials in which bulk -samples were collected.
The results do not include or apply to any other materials within the structure that were not
sampled, but may contain asbestos; including materials that may be hidden or inaccessible.
Additional inspection and bulk -sampling activities would be required to determine if any other
materials contain asbestos.
This report has been prepared on behalf of and exclusively for use by the Client, with specific
application to their project as discussed in the scope of work. The results of any surfacing material
indicated in this report also includes any associated overspray of that material, e.g., under carpet,
above suspended ceilings, etc. The information contained in this report is intended as
supplementary material for abatement design and is not to be used as the scope of work for
abatement activities, bidding or billing purposes. Contractors or consultants reviewing this report
must draw their own conclusions regarding further investigation or remediation deemed
necessary.
7