Loading...
HomeMy WebLinkAboutApplicationDocusign Envelope lD: 7C6C3178-709C-4FF3-9964-A4A60EOD095E munity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81501 ltg7ol945-8212 www.garfieldcountvco.gov Com ?t il f' ;- iii J 1 :\-l !...1 ,-(v '{f-3. Garfield County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/M u lti-Family I Demolition I Manufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM S|ZE OF 1,200 SQUARE FEET INVOLVED PARTIES Property Owner:Rick Tomlinson phone:(970 )319-5649 Mailing Address 3371 County Road 313, New Castle, CO 81647 Ema it Address: sherick500@msn.com contractor: Alpine Roll-Off Services Phone: ( 970 ) 640-7058 Mailing Address:13 Powerline Road, Rifle, CO 81650 Email Address ka itlyn@a I pinerolloffs.com Architect:nla Phone: ( ) Mailing Address: Email Address: Engineer . nla Phone: Mailine Address: Email Address Manufactured Home lnstaller: hh Phone:( Mailing Address: Email Address: PROJECT DETAIIS Describe Work:Demo and Haul off Mobile Home Unit Job Address:3369A County Road 313, New Castle, CO 81647 Assessor's Parcel Number: Sub. 239921300012 Lot Block Owner's Valuation of Work: Property Size (Sq. Ft. or Acres) Sq. Ft. of Building Height:f of Floors: Class of Work:New Remodel/Alteration Addition Garage:Attached Detached Docusign Envelope lD: 7C6C3178-709C-4FF3-9964-44A60E6D095E I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. Signed by: Kc[ fa'nnUrn"sow 05t22t25 Property Owner Print and Sign Date Type of Heat: Septic: PROJECT DETAI[S CONTINUED Community ral Gas Propane Electric Other Driveway Permit: NOTICE AuthoriU. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Lesal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (L) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. I understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct ihe structure(s) anci faciiities cietaiieci on the submittais revieweci bythe Buiiciing Division. in consideration of the issua nce of the Building Permit, I agree that I and my agents will comply with provisions of a ny federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations (County Regulation(s)). All County development requiring a permit, except for residential uses are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, ifany, discovered after issuance; or (2) stopping construction or use ofthe structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Building Division do not constitute an acceptanceof responsibilityorliabilitybytheCountyof errors,omissions,ordiscrepancies. AstheOwner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or builder. Permit #: OFFICIAL USE ONtY ?o.'sfD Special Conditions:I Alli.'c+ael llalr ra+iaa.^iYipi ""''""Dl-h ali^-|, E^^.'#'trrflri=Darmi+ Eaa.'F5S*er"ina*.' U^*a Eaa'.\t\ J R nniar Eaar."'f5lR Total FEes:sff)"ec''s'$".*,Balance Due:#5 "e'o BP No: " Oxrro-gZ*S Setbacks: ^\\ t r\l\ I I t--1, ottktilof+'"ft\'|"ff'zflrlc: BUILDTNG / PTANNTNG DtVtStON : a:---l A ----.,-aJ16l lEu APPI rrv.ll v t Docusign Envelope lD: 7C6C31 78-709C-4FF3-9964-A4A60E6D095E ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED. Colorado Deparment of Public Heal*r rndfnvimnmenr Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-81 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 asbestos@state.co.us Public and Comme rcial Building, School, and Single-Family Residential owAtino: > 260 LF or 160 SF or a S5aallon drum Courtesy Notice Non-Public Access Notice Notice 30-Dav P&C/SFRD Permit 90-Dav P&C/SFRD Permit 365-Dav P&C/SFRD Permit Phase Phase of Multiple Permit # $0 $80 $80 $400 $800 $1200 $80 code 100 LI I code 190/292 I Ll code 165/267 I code 177 ] Ll t code 1 05 code 1 10 Single Family Residential Dweiling (SFRD) > 50 LF or 32 SF or a 55-gal. drum, but < 260 LF or 160 SF or a S5gallon drum Courtesv Notice Non-Public Access Notice (Opt Out) Notice 30-Dav Permit 90-Dav Permit 365-Day Permit Notice or Permit Transfer $0 $60 $60 $180 $300 $420 $55 code 200 code 205 I Ll code 210 code230ll I code290ll I code 265 I code 1 80/280 ] Ll Building Owner Owner Name Contact Street Address Zip code Fax #() Disposal Site Landfill Name Street Address Zip code CDPHE Use Only Approved by: PM req'd? N W Date lssued: State State City City Postmark or Delivery date Form of Payment & # Record # Telephone #() Permit# Abatement Site Building Name Specify location in the building where work will take place (e.9. floor, room, wing, etc.) Street Address Zip code Cell Phone #() Project lnformation End Date End Time AM PM Check the day(s) of operation: Sun MTuWThFSantntrnn Type of ACM: TSl, Texture, VAT, etc. 55 gal. Drums County Square Feet / Type Building Contact Start Date Start Time PM AM City Emergency?YN NN Linear Feet / Type Abatement Contractor Company Name Street Address Zip code Fax #() CO. Cert # Project Personnel CO Project Mgr. Name CO Project Designer # CO Project Designer Name CO Project Designer # Registration # A.M.S. Name CO A.M.S. Cert # State Project Supervisor Consulting Firm Name City Telephone #() Cell Phone #() Cell Phone #() Cell Phone #() Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. lndicate type(s) of ACBM to be abated (e.9. VAT, ceiling tile, TSl, etc.). Use another page if necessary. Fom: AANPA08 Rw. 01/30/2008 Docusign Envelope lD: 7C6C31 78-709C-4FF3-9964-A4A60E6D095E Asbestos PermiUNotice Application Form lnformation and Instructions: 1. There is a 10 working-day advance notification requirement for permit applications. Day 1 is the 1't business day following the postmark or hand-delivery date. (Working Day means Monday through Friday and including holidays that falls on any of the days Monday througFr Friday.) 2. lf you wish to request a deviation from Colorado Regulation No. 8. Part B, a Variance Request Form must be completed and submitted to the Division with a $50 review fee. Variances must be submitted on the Division's form to be accepted. 3. Please be specific on the types of materials to be abated and the work practices to be used. 4. All spaces must be filled in on the permit. lf the information is not applicable, please write N/A. lncomplete informaiion may result in a delay in processing the application, which may delay your project. 5. ln the "Abatement Site' box, we must have a building contact telephone number on the permit application before it can be processed. This must be someone other than the GAC or its employee who can provide the Division access to the site if the GAC is not on site. 6. lf there needs to be modifications to the notice after the application has been submitted, notify the Asbestos Unit by fax at 303-782- 0278 or e-mail at asbestos@state.co.us before the end of the next regular state business day following the modiiication. Project modifications include changes in scope of work, AMS, supervisor, the scheduled work dates or scheduled work t mes. Please use the PermiUNotice Modification Form. 7. Supporting digital photographs or documentation may be e-mailed to: asbestos@state.co.us 8. Prior to the start of any asbestos abatement in an area of public access of a non-school building, in which the amount of asbestos- containing material to be abated exceeds 1,000 linear feet on pipes or 3,000 square feet on other surfaces, a Project Designer certified under Regulation No. 8, Part B, shall develop a written project design. 9. Prior to the start of any asbestos abatement in a school building in which the amount of friable asbestos-containing material to be abated exceeds 3 linear feet on pipes or 3 square feet on other surfaces, a written project design shall be developed by a Project Designer certified under these regulations, in accordance with paragraph lV.G.7 of Regulation No. 8, Part B. 10. A Project Manager is required on all projects where the amounts of friable asbestos-containing materials to be abated exceed 1,000 linear feet and/or 3,000 square feet. The Project Manager requirement may be waived; please see section lll.8.6 of the CAQCC's Regulation No. 8, Part B, for more information. 11. All provisions of laws and ordinances governing this type of work shall be complied with whether specified herein or not. Abatement permits or approval notices appearing to give authority to violate or override the provisions of any other laws or ordinances shall be invalid. Furthermore, abatement permits or approval notices issued in error or based upon incorrect information supplied to the Division shall also be invalid. Fom: AANPAoS R* 0lA0/2008 Docusign Envelope lD: 7C6C31 78-709C-4FF3-9964-A4A60EOD095E GENERAL INFORMATION ON ASBESTOS What is Asbestos? Asbestos is the name given to a number of naturally occurring minerals that have been mined for their useful properties such as thermal insulation, chemical and thermal stability, and high tensile strength. The types of asbestos that are regulated are: Chrysotile, Amosite, Crocidolite, Anthophyllite, Tremolite, and Actinolite. Asbestos deposits can be found throughout the world and are still mined in South America, Australia, Canada, South Africa, and the former Soviet Union. Why is Asbesfos a hazard? Asbestos is made up of microscopic bundles of fibers that may become airborne when disturbed. lf these fibers get into the air, they can be inhaled into the lungs where they may cause significant health problems. Researchers still have not determined a "safe level" of exposure but we do know that the higher the concentration of fibers and the longer the exposure, the greater the risk of contracting an asbestos-related disease. Some of these health problems include: . Asbestosis - a lung disease that causes scarring of the lungs. Eventually, this scarring may become so severe that the lungs cannot function. The latency period (meaning the time between the exposure and the onset of disease) is often 25-40 years.. Mesothelioma - a cancer of the lining of the lung and chest and/or the lining of the abdominal wall. Asbestos exposure is one of the few causes of this cancer. The latency period for mesothelioma is often 15-50 years. . Lung Cancer- Lung cancer can be caused by exposure to asbestos. A person has a much greater chance (50 to 84 times greater) of developing lung cancer if they are exposed to asbestos and they smoke. Cancer of the gastrointestinal tract can also be caused by asbestos exposure. The latency period for these cancers is often 15-30 years. Despite the common misconception, eposuretoasbestos fibers does not cause headaches, upper respiratory irritation or other immediate symptoms. As mentioned above, the effects often go unnoticed for 15-50 years. When is Asbesfos a hazard? Asbestos-containing materials (ACM) in good condition should not pose ahazard to building occupants. lf these materials can be maintained in good condition, it is recommended that they be left alone and periodic surveillance performed to monitor their condition. lt is only when ACM is disturbed or the materials become damaged that it becomes ahazard. When the materials become damaged, the fibers separate and may then become airborne. ln the asbestos industry, the term 'friable' is used to describe an ACM that can be reduced to powder by hand pressure. 'Non-friable'means an ACM that is too hard to be reduced to powder by hand pressure. Mechanical grinding, sanding and dry-buffing are some ways of causing non-friable materials to become friable. COLORADO Revised 3/24115 1tffi Docusign Envelope lD: 7C0C3178-709C-4FF3-9964-A4460E6D0gSE Where Can Asbesfos Be Found? Asbestos was, and still is, used in building materials for a variety of reasons. Asbestos fibers are incredibly strong and have properties that make them resistant to heat, chemical damage and insulate against electricity as well as adding durability to a product. Asbestos was added to thermal and acoustic insulation, fireproofing, roofing products and flooring. Some of the more common products that may contain asbestos include. ustical Plaster rative Plaster Wasn't Asbesfo s Ban ned? There are common misunderstandings about an Environmental Protection Agency (EPA) ban on ACM products or uses from 1989. Many sources incorrectly report that all asbestos- containing products have been banned. ln 1991, the U.S. Fifth CircuitCourtof Appeals vacated much of the so-called "Asbestos Ban and Phaseout" rule and remanded it to the EPA. Thus, much of the original 1989 EPA ban on the U.S. manufacturing, importation, processing, or distribution in commerce of many asbestos-containing product categories was set aside and did not take effect. Six asbestos-containing product categories are still subject to the 1989 asbestos ban. However, EPA has no existing bans on other asbestos-containing products or uses. Products manufactured in other countries may also contain asbestos and can be imported into the United States. EPA does NOT track the manufacture, processing, or distribution in commerce of asbestos-containing products. lt would be prudent for a consumer or other buyer to inquire as to the presence of asbestos in particular products. Possible sources of that information would include inquiring of the dealer/supplier or manufacturer, refer to the product's "Safety Data Sheet" (SDS), or consider having the materialtested by an accredited laboratory before installing it in your building. For More Information, please eontact: Asbestos Compliance Assistance Group Phone: (303) 692-3100 Fax: (303) 782-0278 Toll Free: 1-800-886-7689 Web page: www. colorado. gov/cdphe/asbestos Email address: cdphe.asbestos@state.co.us cotoFAno )eco Uoint Comoounds Adhesives and Mastics )uctwork Flexible Fabric Connections lLaboratorv Gloves Asphalt Floor Tile !lectric Wirino lnsulation lLaboratorv Hoods/Table Toos Base Flashing Electrical Cloth lPacking Materials (for wall/floor lpenetrations) Blown-in lnsulation Electrical Panel Partitions lpi lot pe lnsulation (corrugated air-cell, ock. etc.) Boiler lnsulation Elevator Brake Shoes lRoofinq Felt Breaching lnsulation Elevator Eouioment Panels iRoofino Shinoles Carpet Backinqs Fire Blankets lspackling Compounds Caulking/Putties Fire Curtains lsprav-Applied I nsulation Ceilinq Tiles and Lav-in Panels Fire Doors lTapino Compounds (thermal) Cement Pipes Fireproofing Materials lTextured Paints/Coatinqs Oement Sidinq Floorinq Backinq lThermal Paper Products Oement Wallboard Heatinq and Electrical Ducts Minvl Floor Tile 0halkboards Oonstruction Mastics (floor tile, carpet -^:l:-- r:r^ -r- \Jcil[tg Urtr, gtu,, High Temperature Gaskets lVinvl Sheet Floorinq High Temperature Paper Products [VinylWall Coverings I Oooling Towers HVAC Duct lnsulation lwallboard Revised 3/24115 2 t^ffi Docusign Envelope lD: 7C6C3178-709C-4FF3-9964-,A4460E6D095E ffiTEOFCOLORADC Bill Owens, Governor Dennis E. Ellis, Executive Director Dedicat€d to protecting and lmproving th€ health and envlronm€nt ol the psople of Colorado 4300 Cherry Creek Dr. S, Laboratory $ervices Divlsion Denver, Colorado 80246-1530 81 00 Lowry Blvd. Phono {30s) 692-2000 Denver, Colorado 80230-6928 TDD Llne (303) 69.1-200 (303) 692-3090 Colorado DeparrmentLocated in Glendale, Colorado ofpubficftealthhttp://www.cdphe.6tate.co.us andfnvironment BUILDING RENOVATION AND DEMOLITION WI{AT YOU NEED TO KNOW! Are you Remodeling, Renovating or Demolishing? Yo.q are subiest to,Slate,andEslleral Regulations requiring_inspection for asbestos. Avoid penalties and delays: have your project inspected for asbestos by a Coforado-ce(ifled asbestos building inspector before commencing work. It is illegal to improperly disturb asbestos containing materials! Asbestos can be found in these and other common building materials: Ceiling texture$, vinyl floor coverings and mastic, boiler and pipe insulation, heating and cooling duct insulaiion, ceiling tile, roofing products, elapboard shingles, etcetera, These materials are regulated; a certified asbestos inspector can determine which materials contain asbestos and which are regulated. Buildings ol any age may contain asbestos; even those newly built may have asbestoscontaining materials, For ALL Renovation Projects:. Buildings of any age may contain asbestos; even those newly built may have asbestos containing materials.. lnspection: the structures/components to be disturbed rnusf be inspecfed for asbestos by a state- certified asbestos inspector. Contact CDPHE or go to ourweb site for a current list of Asbestos lnspectors http:/Aulvw._e-dphe,stale.cg.tlp/ao/asbeshom.qgp or Asbestos Building lnspector Consulting firms can be found in the yellow pages section of most telephone books, under the heading "Asbestos Consulting and Testing".. lf the amount of asbestos-containing material to be disturbed exceeds the following trigger levels than an abatement contractor must remove the material.o Trigger levels means amounts of material as follows:. With regard to single-family residential dwellings, the trigger levels are 50 linear feet on pipes, 32 square feet on other surfaces, orthe volurne equivalent of a S5-gallon drum. ' With regard to all areas other than single-family residential dwellings, the trigger levels are 260linear feet on pipes, 160 square feet on other surfaces, orthe volume equivalent of a 55-gallon drum.r A certified removal contractor (General Abatement Contractor) must remove asbestos-containing materia{s that are regulated or may become regulated before they ate disturbed by renovation or demolition activities. Conlact CDPHE or go to our web site for a current list of General Abatement Contractors httB://wrlt|"!y,p.dphejitateso.us/ap/asbeshom.asp or Contractors can be found in lhe yellow pages section of most telephone books, underthe heading 'Asbestos Abatement".o Notification: A written notlfication to CDPHE, payment of a notification fee and ten (10) working clay waiting period is rec;uired before the removal (abatement) of regulated asbestos containing materials. Page 1 of 3 J:\Asbosbs and Lead Unlts\Asbesbs Foms\CoPHE\Renovaff on and Demolltlon.doc Docusign Envelope lD: 7C6C3178-709C-4FF3-9964-44460E6D095E All asbestos abaterilent and demolition permit application form$ are available from our web site or by callingthe asbesios program. I-.nVE YOLIR PRQJHCT IIISPECTED BY A COLORANO-CHRIIF I Eil ASBSSTCIS BffiFORH YOU EEGINB {"Jl LDI l{ G I I'ISFECTOR msnet$ry psnaltie.$ and project rJelays. ' Regulated asbestos-containing waste material must be disposed of at an approved aebestos wastedisposat site. Demolitions, Destrucflve salvage, Hous e [vlovinglf you demolish, perform destructive salvage, perform de-construciion, burn, des-troy, dismanle, clynamite,implode, knock down, level' pult down, pilveiize, raze, teai clovun, wreili '"rr-oi a' etructure or structuratcontponents or you move a house you are subjec't to staie and Fedeial negutations even when there is Noasb€Btor in tho faclfity. Prior to Demolitian: ' lnspection: the building mast be insneclT.tt.foyllfsgtos by a state.certified asbestos inspector. contact 9DPHE or go to our web site for a cunent rist of Asbestos tndpectors orAsbestosBuiIdinglnspectorConsultinglirmscanbe found in the yellow page section of mom6Fone uoor.s,-unoerthe heading,Asbestos consulting andTesting''. " Asbestos Removal (if.necessary) must be performed by a colorado-certifled GeneralAbatementcontractor. Any'asbestos coniaining material that is irialrte or will be made friabte Juring demolitionactivities must be removed prior to demolition. Removit, in accoroance with Regulation No. g, is required ifthe amount of asbestos-containing material that is friable or *itt n""o*e rriaote o-uiing demolition exceedsthe trigger tevets.o lEttlflgq!.i9,q gf DelTplitio$ Fqrm must be subrnitted to the cDpHE, evsn if no asbesto$ rwas foundduring the inspection, payment of a notification fee and ten ilo) wcrrlring day waiting period is requiredbefore the demolition can proceed. During Demolitian: ' Recycling af materials, such as concreie or woocl, that are bondecl or contaminaied with asbestos-containing maieriar (AcM), such ag floor tire or mastic, is NbT permitted." Demplition of a building that has non-friahle asbestos containing. vAT or tar-impregnated rooflng materialsremaining must be completed without eausing the asbestos-containing materials to become friable.concrele floors covered with floor tile shall he removed in as large. sections as possible. operations suchas crushing, pneurnaiic jacking, etc. of matsrinis containin[ aiidstos ui* *i p,i*iiiuc.o when imploding or burning a structure, ALL aehestor-.oni"ining material, regardless of quantity, must beremoved prior to demolition. Fs r Nlsre dsEforrma ti,o n, pre€se e& ffitect: Asbestos Compliance Assistance, Groun Asbestos and Demoliiion permit Coordinatsr Phsne: i303) 6pE-S100 Fax: i303) 7&2-AZT? Toll Free: 1-8fi0-Ag6-7689 Web.page: atgjlryIry= E ma il aeldre ss: gs-he$as(Aglat j,go_.jJg"-* Vio{ation of asbestos negufintisns cen !"ost!trt in J:lqsbdsbs snd Lrad unrsBsl,esbs Forms\corro***** fif,$"?"?ollr.1 Docusign Envelope lD: 7COC31 78-709C-4FF3-9964-A4460E6D095E STATE OF' COLORADO RENOVATION/DEMOLITION FACT SHEET Prior to ANY renovation or demolition in any public and commercial building that may disturb greater than the trigger levels of a suspect asbestos-containing material (ACM), an inspection must be performed to determine if abatement is required. Trigger Levels Single-family residential dwelling - 32 square feet (SFRD) 50 linear feet The volume of a 55-gallon drum All other areasexcluding a SFRD - 160 square feet 260 linear feet The volume of a 55-gallon drum Individuals performing these inspections shall be State of Colorado certified Building Inspectors. The inspection, sampling and assessments of the suspect materials must be performed as required by Colorado Regulation No. 8, Part B. Buildings, or those portions thereof, that were constructed after October, 12,1988 shall be exempt from inspection requirements IF an architect or project engineer responsible for the construction of the building or a State of Colorado certified Building Inspector, signs a statement that no ACM was specified as a building material in any construction document for the building or that no ACM was used as a building material in the building. Building Inspectors must be independent of the General Abatement Contractor (GAC) who will be abating any asbestos found. Abatement, in accordance with Regulation No. 8, is required if the amount of ACM that will be disturbed in connection with the renovation exceeds the trigger levels. ANY ACM that is friable or will be made friable during demolition activities MUST be removed prior to demolition. Removal, in accordance with Regulation No. 8, is required if the amount of ACM that is friable or will become friable exceeds the trigger levels. A permit for abatement of friable ACM or demolition of a building, or a notice for the removal of non-friable ACM, must be applied for and received from the Division prior to commencing the activity. o Abatement and Demolition application forms can be obtained from: r www.cdphe.state.co.us/aplasbeshom.asp o Completed applications, along with the requisite fee, can be submitted to: r Permit Coordinator, CDPHE, APCD-SS-B1, 4300 Cherry Creek Drive S., Denver, CO 80246-1530, (303) 692-3100 by mail or in person There is a 10 working day waiting period from the postmark or hand-delivery date to start work on a project requiring a permit or notice. a a a a a a a