Form B/50 - Jobsite Construction Recycling Checklist Page 2

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Deconstruction Waste Checklist
Name
Building Permit Number
Project Address
Deconstruction Contractor
Phone
Fax
City
State
Zip Code
Project Description
Check if applicable.
Full Deconstruction
Partial Deconstruction
Interior Deconstruction Only
Other
If other, please describe:
Building Information
Type of Structure.
House
Garage
Accessory Building
Floor Area
Deconstructed Building Components
Reuse
Recycle
Trash
Amount
Reuse
Recycle
Trash
Amount
Component
Component
Appliances
Light Fixtures
Cabinets
Lumber(dimensional)
Carpet
N/A
Lumber (trim)
Lumber (sheathing)
Concrete
Metallic Conduit
Doors (solid core)
Doors with Glazing
Metallic Piping
Door Hardware
Plumbing Fixtures
Roof Covering
Drywall or plaster
N/A
Siding
Flooring (wood)
Tile
Glass Products
N/A
Windows
Heating Appliances
Other
Insulation
Recycling & Waste Containers
Deconstruction recycling & waste containers are to be shown on the project Site Plan. Written documentation/receipt
must be provided to the Boulder County Building Division prior to final inspection.
Private Hauler
Contractor
Home Owner
Container Hauler Service Provider:
Form: B/50 • Rev. 11.23.15 • g:/publications/building/B50JobsiteConstructionRecyclingChecklist.pdf
2

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