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Home My WebLink AboutB10-0153NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES : �ow�o�vna, ' Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149 ADD/ALT SFR BUILD PERMIT Permit #: 610-0153 Job Address: 5030 PRIMA CT VAIL Location......: UNIT E Parcel No....: 210113106003 OWNER ST. LOUIS VAIL CONNECTION LL O6/30/2010 IN CARE OF NAME ROBERT K SWEARINGEN PO BOX 9859 NAPLES FL 34101 APPLICANT MASTIFF DEVELOPMENT O6/30/2010 Phone: 970-390-5827 P.O. BOX 2096 EDWARDS 81632 License: 287-A CONTRACTOR MASTIFF DEVELOPMENT 06/30/2010 Phone: 970-390-5827 P.O. BOX 2096 EDWARDS 81632 License: 287-A Description: INTERIOR 8� EXTERIOR REMODEL: DECK AND ROOF ADDITION, TRIM, WINDOW REPLACEMENT, KITCHEN AND BATH REMODEL Occupancy: Type Construction: Project #: Valuation: Total Sq Ft Added: Status . . : Applied . . : Issued . .. : Expires . ..: PRJ09-0640 ISSUED 06/24/2010 07/26/2010 01 /22/2011 $209,000.00 0 ....................................«..«..............:.........,.,...,,.....,... FEE SUMMARY ,......................,.......,,,..,.....,,........,,.....«.......,.....+..,.+. Building Permit Fee----> $1,604.15 Will Cal Fee----------------> $4.00 Total Calculated Fees--------> $6,630.85 Plan Check--------------> $1,042.70 Use Tax Fee---------------> $3,980.00 Additional Fees-----------------------> $0.00 Add'I Plan Check Hours-> $0.00 Restuarant Plan Review-----> $0.00 TOTAL PERMIT FEES----> 56,630.85 Investigation----------------> $0.00 Recreation Fee----------------> $0.00 Payments------------------------------> a6,630.85 Total Calculated Fees--------> $6,630.85 BALANCE DUE--------------------> 50.00 ♦Yttfil'�krtfYfttttf�!#�il4id�fft�fffx4 Vwf��wffRffftf4f4rtf'Y'fYYeiFfYYY�kik'k#Ye#iyf4YR1`4ff�lRlRf###fftr4fti/k1r41rM4R�R1r1rtRR V iRiRitR41'rtYrtfrrtYe�R11f4�k4�kYf`�444/i4tRfffrfr4f+��f1r4R*R41r41r1�1'HrR41rVR}LfxNtffflrVlMf�xlr DECLARATIONS I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. 1 agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the towns zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town applicable thereto. REQUESTS FOR INS CTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM 8:00 AM - 4•� j. 7210 ip Signature of Owner or Contractor ate ,�c�E�L. Print Name bld_a It_construction_perm it_041908 ++rxx��:��:rr��e��k�.,'+xxx�x�x�w,rtrrr++��:��xx��xx�rw�x��r+�+�xx�w+��xxxwe»ixr�eewxxe��w�+rrww�xxRxxi�x�x+ewwwrtw+��x�x:�x�xxxrxxr:�wxx�w++xx++��::x��x��:�:::�r��:e:r«x:xyr�� APPROVALS Permit #: B10-0153 as of 07-26-2010 Status: ISSUED tltik�k}iRiff�lf�IrRf4lrfRRfftY1'RMfrf Yikii}df/RteRf`frf'f'fMfhfii4rtrtYrrtrtfkL#LM*1`4ltfdtr�t`RUtr�wfwfxRR�RlriRtkfrfrY'1rrtfrYlM'Mi#f�4�tff4irAxf�fxAfY'RYrkffb#iIf**4#A4ff`HfwxfViR�R4AffitfM1�k�A'it##f#i#R1�}�#/41r�RRfrRRwRR VRfN Item: 05100 BUILDING DEPARTMENT 07/20/2010 Martin Action: COND Provide MEP plans for review prior to construction Item: 05400 PLANNING DEPARTMENT 07/19/2010 RLF Action: AP Item: 05600 FIRE DEPARTMENT 07/02/2010 drhoades Action: COND YtfY#4#+t4lRi4��#1`ff�}ffeR�RRffrMlrt4fYiklY+HnMk�Y�l�+tR+tR�*f'ifRfrfrlrfflhffiRfiRrttrfRY'iFiFt�R�y'iF4Y##Lif#fftifit441�4�t}4R1rkR�eRRtftfrtfrfrfrfrY'�RYr4'k�FYtYMY�!}�*tlR�4frRlrtfrR4wwNfrlrVRV VLflfff41r4iRf'flrfrtitYiRY4iRrtRfiHef See the Conditions section of this Document for any that may apply. bld alt construction_permit_041908 ffffx4fwi*w��xf/kf�#fYtf�***M4f4#�R��RRRffi�Yf�Yw*kfk###�}�RxxxxfYwffYHwfi##i4}4R1MfR�fRlftlw�wMw�ff*i4R4Rw�RfYtk�ffww/**44RfR4�fffkXYww��w�*+*#4NR##�#�fAw}fffYRww#*+fk##*#�i#fHf� CONDITIONS OF APPROVAL Permit #: B10-0153 as of 07-26-2010 Status: ISSUED tit+trt44#f1r4Vf1rfR4M'fr V YfrVY(Y14ft`1rf`1`f'4f`xt1lriR4YrLYrf4Mf'k'4'41`fi#/�f`f`Nf}xff4riRYtftkfFffFfFYMRRfRfftf`RRte}}t`�Rf'frtfN�FH"k'kR�#4fnY*1ffYrlffiR#Rff�FikY�kf4*#41ff*trHf'ff'f#1fYt'4'hF�k'4'4�k'M*##*#*4!lkftMlititRlMtRfRttfS Cond: 12 (BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE. Cond: 44 (BLDG 2009): (SFR) SMOKE DETECTORS ARE REQUIRED PER SECTION R314 OF THE 2009 IRC, IF APPLICABLE UNLESS A MONITORED FIRE ALARM SYSTEM IS REQUIRED. Cond: 42 (BLDG 2009) CARBON MONOXIDE DETECTORS REQUIRED TO BE INSTALLED PER 2009 IRC R315 Cond: CON0011503 (FIRE 2007): MONITORED FIRE ALARM SYSTEM REQUIRED AND SHALL COMPLY WITH NFPA 72(2007) AND VFES STANDARDS. Wireless system may be acceptable. Submit application/plans to VFES for review. bid_alt_constructio n_pe rm it_041908 ***********s*********************�***�**********************************************+****�** TOWN OF VAIL, COLORADO Statement ******s***�****�**********�*****++**********************************s�*�******�************* Statement Number: R100000913 Amount: $5,914.11 07/26/201011:35 AM Payment Method: Check Init: SAB Notation: 2676 MASTIFF DEVELOPMENT ----------------------------------------------------------------------------- Permit No: B10-0153 Type: ADD/ALT SFR BUILD PERMIT Parcel No: 2101-131-0600-3 Site Address: 5030 PRIMA CT VAIL Location: UNIT E Total Fees: $6,630.85 This Payment: $5,914.11 Total ALL Pmts: $6,630.85 Balance: 50.00 ****�***********++*************�***********************�**************��******************** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ BP 00100003111100 BUILDING PERMIT FEES 1,604.15 PF 00100003112300 PLAN CHECK FEES 325.96 UT 11000003106000 USE TAX 4g 3,980.00 WC 00100003112800 WILL CALL INSPECTION FEE 4.00 ----------------------------------------------------------------------------- � �W�: � � .. . �,; Department of Community Development; 75 South Frontage Road � Vatl,��or�do �� 81657 � � _ � ,�T�1: 97fl-479-2'(2$.�' � � �� -�°" � � �ax.,�g7o-#79-2452 � .��° . ,, ��,��Web: www.vaiigov.com BUILDING PERMIT APPLICATION Separate permits are required for electrical, plumbing, mechanical, fireplace, etc. Project Street Address: Office Use: �± _ 5030 Prima Court Project #: �t �— � � �� 9�-( � (Number) (Street) (Suite#) ' DRB#: ��_(,� Ucl �� Building/Complex Name: N�A Building Permit #: ,I�I G"' V( J� Contractor Information: . � Lot #: _ Block # Subdivision: Company: Mastiff Development Company Address: PO Box 2096 ' Detailed Scope and Location of Work: Deck addition ' City: Edwards State: Co Zip: 81632 roof addition, exterior trim, partial window replacement, , Contact Name: Ron Amass ' kitchen and master bath remove and replace, partial trirr Contact Phone: 970-390-5827 ' replacement E-Mail Ron@mastiffdevelopment.com '(use additiona� sneet if necessary) ` Work Class: Town of Vail Contractor R� ation No.: New ( ) Addition ( ) Remodel ( �/) Repair ( ) Other ( ) ; i� v J' .. �J Work TYpe Con ctor Signature (required) ' Interior ( ) Exterior ( ) Both ( �/) Property Information _ TYPe of Building: _ Parcel #: 4A bk-565 pg ' Sin le-Famil ✓ Multi-Famil g y ( ) Duplex ( ) y ( ) (For parcel #, contact Eagle County Assessors Office at 970-328-8640 or ', Commercial Other visit www.eaglecounty.us/patie) � ) � ) Tenant Name: ' Does a Fire Alarm Exist? Yes (�) No O Owner Name: Stlouis/vail connection Ilp Monitored Alarm? Yes O No (�) ' Does a Sprinkler System Exist? Yes O No (� Valuations (Labor & Materials) #& Type of Existing Fireplaces: Gas Appliances 1� Gas Log Wood/Pellet Wood Burning _ Building: $ �j �v � ' #& Type of Proposed Fireplaces: Gas Appliances Plumbing: $ �� D� � ' Gas Log Wood/Pellet Wood Burning ' Electrical: Mechanical: (including fireplace) Total: $ ��ioB� ' $ �`� D� � Date Received $ ��o�o LS � � 0 V � _ D JUN 2 4 201� � TOWN OF VAIL Ol-Jan-10 **�********************************************�******************+************************* TOWN OF VAIL, COLORADO Statement ******************************�*********************************************�*************** Statement Number: R100000783 Amount: $716.74 06/30/201004:00 PM Payment Method: Check Init: JLE Notation: 2627 MASTIFF DEVELOPMENT ----------------------------------------------------------------------------- Permit No: B10-0153 Type: ADD/ALT SFR BUILD PERMIT Parcel No: 2101-131-0600-3 Site Address: 5030 PRIMA CT VAIL Location: UNIT E Total Fees: $6,630.85 This Payment: $716.74 Total ALL Pmts: $716.74 Balance: $5,914.11 �********�***********************************************************************��********* ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ PF 00100003112300 PLAN CHECK FEES 716.74 � �,,� o� BUILDING PERMIT SUBMITTAL REQUIREMENTS Residential additions/remodels (1/2 familv IRC buildinasl ***Return this form with your application*** ❑ 2 sets of plans required for decks ��3 sets of plans required for interior remodels 0 4 sets of plans required for additions ..e��upply DRB application number (i.e. DR6090001) or copy of DRB Action Form � Architect stamp required on architectural plans if prepared by architect. Engineer's stamp required on all sheets of structural plans ❑ Site plan required if any exterior work is proposed C�sbestos project checklist & testing results — �c �`'(i-- c�.�,-r..� ❑ Floor plans for the unit showing all proposed work. Clearly show new, existing and � demolished walls. Provide a complete floor p�an for each level of the building where work is proposed ❑ Exterior elevations with all exterior materials shown if any exterior work is proposed. For deck additions, show guardrail requirements. ❑ Roof plan and building cross section required for any additions. Show all insulation R- values at walls/floors/roof. Show class A roof covering material for any new roofs per TOV requirements � Window schedule required for additions, or window replacements. Include U-value and safety glazing requirements. Co�or additions, include energy code compliance forms (Rescheck) and heat loss calcs ---� httq://www.enerQVCOdes qov �.� ��`� ��,,,, �.-� �� t � ❑ Structural plans for any proposed structural work (stamped and signed by engineer). Complete foundation and framing plans ❑ Mechanical plans required for all proposed mechanical work. Show bath fan locations, size, location and efficiency of any heating equipment and venting termination locations o Show locations, types and venting of all proposed fireplaces ❑ Plumbing plans for all proposed plumbing work. Include gas piping and sizing plan ❑ Electrical plans for all proposed work. Include electrical power and lighting plans, panel schedule and load calculations Notes: F:\CDev\BUILDING\checklists\IRC construction 022410.doc D. J. Enviro Trust Limited Asbestos Survey Report For: A Private Home 5030 Prima Court Vail, Colorado 81657 Provided for: Mr. Ron Amass Mastiff Development, Inc. P.O. Box 2096 Edwards, CO 81632 June 4t", 2010 CONTENTS Report Laboratory Analysis Photographs Credentials CDPHE Renovation - Demolition Information � �� JUN 28 2010 TOWN pF �'�!L D. J, Enviro Trust June �f'', 20�0 Mr, Ron Amass Mastiff Deve%pment, /nc. P,O, Box 2096 Edwarals, CO 8�632 Re: Limited Asbestos Sampling Report for a P�ivate Home at 5030 P�ima Court, i/ail, CO. Dea� Mr. Amass D. J. Enuiro T�ust performed the Limited Asbestos Su�vey you requested fo� the above referenced p�operty on F�iday, May 28th 20 �O. The Wo�k inc/uded a site uisit, and samp/ing of Five (5J Bulk PLM samples, which we�e then analyzed at an N/ST- acc�edited labo�atory. The sampling was /imited to those areas whe�e renouation actiuities will or have occu�red. Conc/usivns: There we�e NO,00sitive samples fo� Asbesios. The home, under this non- destructive survey, appears to be free ofAsbestos-containing Materials in the specified areas of this survey. Recommendativns- You may perform remodeling actiuities, with due di/igence towards all Fede�al, State and Local �egulations rega�ding your remode/ work. A signed CDPHE Demolition Pe�mit is endosed with this report. Please be awa�e that there may be undiscove�ed Asbestos-containing Mate�ials present that we we�e unab/e to find and sample. As regards your upcoming renovation actiuities, take care in se%ting your building materials. The N,4FTA Accords seem to a1/ow Mexican, Chinese and Canadian companies to send bui/ding products here that may contain asbestos. Thank you for this opportunity to wo�k with you on this issue. You may call me di�ectly at (303J 200�I466 with any questions as to the �esults of this Limited Su�vey. Sincerely, D. J. ENV/RO TRUST � B : on ontiza `:--y/ Y T �J C n� Tvny Contizano, Sr. /ndustria/ Hygienist CDPHE�IQCD License # �242 & �5670 P.O. Box � � �55�, Auro�a, CO 80042 Ph: �303J 200 4466 - Emai/.• tdd 03C�msn.com EMSL Analyticala �i��, 7330 S. Alton Way Building 52 Suite A, Centenniat, CU 6ii112 Phone: {303} 74Q-57pd Fax: {3�3} 741-140D Email: tienvertab msi corn ��a iti � �.��..,.r Attn: G. Anthony Contizano D.J. Enviro Trust PO Box 111551 Aurora, CO 80042 Fax: (720) 457-2911 Phone: (720) 628-8710 P�oject: 5030 Prime Court Customer ID: Customer PO: Recefved: EMSL Order: EMSL Proj: Analysis Date: DJET78 05/28/10 9:30 AM 221000960 5/28/2010 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos A t� Sample Description Appearance % Fibrous % Non-Fibrous % Type 5030-1 Drywall Texture White 100% Non-fibrous (other) None Detected z2�000sso-0oo� Kitchen Non-Fibrous Homogeneous 5030-2 Linoleum-Kitchen Gray/Tan 20% Cellulose 70% Non-fibrous (other) None Detected zz�000sso-0002 flOOf Fibrous 10% Glass Heterogeneous 5030-3-Texture Drywall Texture- White 100% Non-fibrous (other) None Detected z2�000ssavoos Living Room Closet Fibrous Heterogeneous 5030-3-Drywall Drywall Te�Rure- Brovm/Whke 10% Cellulose 85% Non-fibrous (other) None Detected 221000960-0003A Living Room Closet Fibrous 5% Glass Heterogeneous 5030-4-Te�dure Drywall Texture- White 100% Non-fibrous (other) ZZ�000yso�oo4 Dining Area None Detected Non-Fibrous Homogeneous 5030-4-Drywall Drywall Texture- Brown/White 10°/a Cellulose 85% Non-fibrous (other) None Detected 22�000yso�0004A Dining Area Fibrous 5% Glass Heterogeneous 5030-5-TeMure Drywall Texture- White 100% Non-fibrous (other) None Detected z2�000sso-000s Garage Ceiling Non-Fibrous Homogeneous Analyst(s) Jillian Doherty (8) � Erin Orthun, Laboratory Manager or other approved signatory tMSL maiMains liability limited to cost of analysis. This report relates only to fhe samples reported and may not be reproducEy, except in full, without written appro�l by EMSL. EMSI bears rw responsibility for sample collection activities or analytipl method limihations. krterpretation and use of test results are the responsibility of the clieM. This report must not be used by the client to claim product ceriification, approral, or erWorsement by NVLAp, NIST or any agency of tlie {edera� yo�� Non-fiable organically bound materials preseM a pioblem mahix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical Inc. 7330 S Alton Way Building 12 Suite A, CentennialCO Tact Rr�nM PI 11/�7 19 (1 Prinfc+�1• RH/9n1f1 1T11�(19 PM ,� E�IISL Analytical, 1nc. T�30 S. Altan Way Buiiding 12 Suite A, Centennial, Cp g{i1q2 Phone: (3d3j T44-S7QQ �ax: {303j 741-140D Ernaii: enveHab(a�ernsi corn Attn: G. Anthony Contizano Customer ID: DJET78 D.J. Enviro Trust Customer PO: PO Box 111551 Received: 05/28/10 9:30 AM Aurora, CO 80042 EMSL Order: 221000960 Fax: (720) 457-2911 Phone: (720) 62&8710 Project: 5030 Prime Court EMSL Proj: Analysis Date: 5/28/2010 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbes s Sample Description Appearance °/, Fibrous °/, Non-Fibrous °/, T Y Pe 5030-5-Drywall Drywall Texture- BrownNVhde 10% Cellulose 85% Non-fibrous (other) None Detected 22>000960-0005A Garage Ceiling Fibrous 5% Glass Heterogeneous � Analyst(s) " � Jill'ian Doherty (8) Erin Orthun, Laboratory Manager or other approved signatory EMSL maiMains liability limited to cost of analysis. This report relates only to ttie samples reported and may not be reproduced, e�acept in full, without writle� approval by EMSL. EMSL bears no responsibiliry for sample collection activities w analytical method limilations. hNerpretation and use of test results are the responsibility of the clieM. This 2pat must not be used by the client to claim product certificatipn, approva�, or endorsem ent by NVLAP, NIST or any agency of the federal govemment. Noniriable organically bound materials preseM a problem matrix and therefore EMSI recommends gravimetric redudion priw to analysis. Samples receioed in good condition unless otherwise rroted. Samples analyzed by EMSL Maly[ipl tr�c. 7330 S. Alton Way Building 12 Suite A. CeMennialCO Tact RPnrrF PI 111�7 17 n Printatl� RH/9n1(119-11•1f1 PM TLnc �c Tue 1 wcT �wf±C nC Tuc ocDnoT Asbestos Chain of Custody L��..�:;! ,;,.�:,, .- � s: ;;, EMSL Qrder Number tcab use �„ '��a � H_� -�:, �,n;� , �— �v) ` � i3::��;,�� ,,.��;:_ , EMSL�►�qLYT1CAL.INC_ L �. �.�- �:..., .I�l� _ 1_'} �r!J. '^'°"�'wrv•nwourn. . . �.'. -. (� rmw�o ��_ � __._ .... ., _ . t M� ��r�. ;�r.,:�—,..�. .. !IE ��J�, -t,,-;, �:{? F,: i;,�j^�:;ii-!a ;:. Comp� :�,�, F,�J U� r0 � j r�,�,� -�- i EMSL-Bill to: Same ❑ Different , - - -- - ' N Sill to is piflerent cqto insiructions in Commonis•. j -- -- --- i - ----- Stf�. n � r �� /�� J� I --- ___l_ 7hird Pa Billin re uires wriften authoriza6on from thirri a �!�/��r0� �1 State/Province: --- ( — r ��--- — — ---- � � ___�__Zip/Postal Code: v C! �� . Re rt To Name : ' , ' � — - Count : L ' ri ; � — P°— —�- ) �. /��t �-J� w — - �! —1 � �, -----,_ --- --- - - ------ - - -!�"�i Y,�{1V (� i Fax #�� S y - � � 1 1 -- --- --- ' -- -- Tele hone #: _ ,� (r� � j � — — -- _ _ --� _ � _ �� t�;2g - �- j _- - - - --- - Emait Address: .- -- — --- __ _ —_ , —.. _ —�c�—�?�f'�l�• �� , Project Name/Number: . C� ')t - �'t- ,' ' -- - ' Please Provide Resutts: - - � _ _ — - ❑ Fax � Emait Purchase Order. '- ---" -"— -- -- -- U.S. State Sam les Taken: , ( ❑ 3 Hours ' Turnaround Tme'�T'qT) O"ons" - Please Check — �L18 Hours , � 24 Nrs 48 Hrs � g ---- -- - For TEM A�r 3 hours/6 hours, pleese an authorizafion form for this service PCM - Air — ❑ NIOSH 7400 ❑ w/ OSHA 8hr TWq PLM - Bulk (reoortina limitl � PLM EPA 600/R-93/116 (�1 �i6) ❑ PLM EPA NOB (<1 %) Poirrt Count ❑ 400 (<0.25%) ❑ 1000 (<0.1°�6) Point Count w/Gravimetric ❑ 400 (<0.2�°%) ❑ 1000 {<0_1°�6) ❑ NYS 198.1 (fnable in NY) ❑ NYS �98.6 NOB (non-friable-NY) ❑ NIOSH 9002 (<1%) duJe •There is e pramrum cha Days -�-0 4 Days j�]-3 Days �❑ 10 Days rge for 3 Hour TEM ANF'RA or EPA Lave! 11 TAT. You wdl be asked to sign �ompleted in accordarrce wrfh EMSL's Terms erx! CondiNons locafed in fhe Analytrce! Prlce Guide. TEM - Air TEM- Dust � ❑ AHERA 40 CFR, Part 763 ❑ Microvac - ASTM D 5755 ❑ NI05H 7402 ❑ Wipe - ASTM D6480 ❑ EPA Level II ❑!SO 10312 � Carpet Sonication {EPA 60Q/J-93/167) ----- SoiURockNermiculibe i TEM - Bulk ❑ PLM CARB 435 - A(025% sens�tnrrty) , ❑ TEM EPA NOB !❑ PLM CARB 435 - 8(0 1% sensitivity) : ❑ NYS NOB 198.4 (non-friable-NY} ❑ TEM CARF3 435 - 6(p,1% sensitivity) ! ❑ Chatfield SOP , ❑ TEM CARB 435 - C(0 01% sensfivity) j ❑ TEM Mass Analysis-EPA 600 sec. 2.5 ❑ EPA Protocol (Semi-�uantitative) ' TEM - Waber. EPA 100.2 ❑ EPA Protocol (quantitative) f Fibers >10Nm ❑ Waste ❑ Dnnking � Otfier: -�--- -- All F�ber 5ize:: ❑ L^Jaste ❑ Dnnkinq ! n I� Check For Positive Stop - c , Samplers Name• ,� f lt�,ti ��uu �t'��Cn% ; 51'• r� 5ample # J : i �- : - �`l � � � ` ic " ) � � )L ! l , � � �- Identify Homogenou,s Group Samplers Signature: ,� � � _ . „�,�:�1( �,�,::�� #.'�1crJ C lt •,"/ — / . {v / � u'��. f l � t r � _ � �. , f r , ,� � -� « �.. � . ,,; � . � � � , l +� � �_:r� ..C1 -T�r ��t,� �' ,,, _ , '?re-t i � , _l �s f `� f�� _ �-"� u�- - �.:�.�<<<�ti L_c,(,._ , HA # (Bu � . � �� —•�. -- - - — I � iA►��) Date/Time ��_ Sam led •:%�/�� ;... i / - � � .-- � i —_ _ - ------ 1 CIieM Sample # (s): � � ; t . � : - - --- _ _ --- -- - - _ __�__ ' --- -- - -Totaf # of Sa�les: — `. - -- --- Relinquished (Client): / - , f -- - -- _ _ , Lr z=� :7 �; . i �{ p�_ �S -�� iC� _ _ Time: Received (Lab): = Date: CommentslSoeciallnst��,�-r:�.,a• Time: . 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"q� � ' ' - .� � Y� � yo_, `.+:x„ �i�i A' -':f? llf.. �� \ �. t� y ` �rti�. �t\ f6 � �_.__�� Dsm_� _ b`n- °'t ° ��,_ " `!� �_a°__c.c.=i r i -' _ _ ��g�;�"�� ' Q/i°a°erC; ► .�:��CCeF. ` ' a- 4,: o.a_,K; .==e° R; `�` -�� a' -_ •-. a��e � .>'� .; :.��:.=n=:: ___; '��•ir: ��'�� r Z�-. > i�s; y" � �'r�sisf.-. ,1`«:.;:_, ,. , �,; ,c.me_:; z� �'a � ° -=-�-• :; R: °�„ �==:-::_ $ �� °A %.° .+/rs<� .��°�i: �� _�,,� f`+ _= t•. _ : A� �� "� � ,a�z�e;>:�: :R;��-:°,,;e� ,, _ ___ ;�o:m - _= , � _::.:_ . . ,�` � �m� �.o =;%°: :;;:;: �`�d�=`:'` a Y ::: �� _ `�'�� '` _ _ ` �, � <, 7�' �-�� _ Colorado Department of Public Health and Envirorunent Air Pollution Control Division This certifies tha.t G. Anthony Contizano Certification No: 1242 ha.s met the requirements of 25-7-507, C.RS. and Air Quality Control Com�mission Regulation No. 8, Part g, and is hereby certified by the staxe of Colorado in the following discipline: Building Inspector* Issned: 8/17/2009 Egpi�'es on: S/17/2010 , _ � ,� ih ed APCD Represenhaffve * Thfs certificate is valid on[y with the pos�ession oja curreirt Divi.rioa-approved training course ce�[rJ'uation in the discipline speclfied above 0�:'i@4t\t\�, ei�'os"oiiea��\24�k��,+%ir%i,'� i f�.;�yj"��r ✓. ��, �� .�,b:a�e°i � u�� -�ii��di .d'y�`t�'wB��i� . ....�eC�4�p>��i�. .�.tti€ �y�iJifii :�.�k� --i?°�'r'S r1�9}S$;�tk��iaE• e�P836{m�4WSkF<<`Aa��JJBg/�P4��d+�'.�";0,0\Wbf�d.�: it:4��S�i: �-�J�/��i�:!' i1�'.\"'��//�I.e�,�l+�.��-��%��1F � :,�{^0£p9 �p �A�� r ��i+steit;' �':cai,�4�P@yt�p. �.�yri6<„�,�i RBa ��q� .�� a�eE�t lere ��a�E�'or ysL os-. �,(. i�� -.t �i ��y�,i��t' "�..� p>> t�Pj. !�r • ... �f i , ;'; ..-, ��:.�.•. i+< f �16� �� i�t�t@G$�.' yt".•.d�i4�0!be' ��:e�brs a4�lre:' �ir�i "f;4��'ei�1i i�d��e� '�Ht�l,\ . �i/�/ �v0 � � ,�y.;�i�s� rr � Z �j;i��. � °a�,��_! i. `.O�p�+�gi�C� ii� s�sv84A`��ed.,,d°. �m8f6y�4^y'0:' i'�-.,�i6�tb�fe ��eis ;iylvds„'�:c�°,yA� '° ,6;i�id��b�bi'4Qi:i .IIi/i��i T ,�,e.��/,�� •a.e.• � `46�sOOp• `�� :;i'pGR . j41,�tY�G`ip'�Y .,',��0�-14��ad., ��i � _� �._.__�''��_ i - � ?_ ;�i,� • a�a��r�i�� I� �'i��i��i��,�, i � ••��i � T �-: � �. ;• :�, Bin owens, co�emo� Dennis E. Ellis, Executive Director STAT� oF coLor��o Dedicated to protectfng and improving the heakh and environment of the people of Calorado 4300 Cherry Creek Dr. S. Denver, Colorado 80246-1530 Phone (303) 692-2000 TDD Line (303) 691-7700 Located in Glendale, Coiorado http://www.cdphe.state.co. us Laboratory Services Division 8100 Lowry Blvd. Denver, Colorado 80230-6g2g (303)692-3090 oF•co� a�4%-- - �'�o y : � * � * � * ' la�s • Colorado Department of Public Healch and Envirpnment BUILDING RENOVATION AND DEMQLITI4N WHAT YOU NEED TQ KNOW! Are you Remodeling, Renovating or Demolishin�? You are subiect to State and Federal Requlations reauirina insoection for asbestos. Avoid penalties and aeiays. nave your pro�ect mspected for asbestos by a Colorado-certfied asbestos building inspector before commencing work. /t is i/legal to improperly dis#urb asbestos containing materia/sl Asbestos can be found in these and other common building materials: Ceiling textures, vinyl floor coverings and mastic, boiler and pipe insulation, heating and cooling duct insulation, ceiling tile, roofing products, clapboard shingles, etcetera. These materials are regulated; a certified asbestos inspector can determine which materials corrtain asbesfos and which are regulated. Buildings of any age may contain asbestos; even those newly built may have asbestos-containing materials. ForALL Renovation Projects; • Buildings of any age may contain asbestos; even those newly built may have asbestos containing materials. • Inspection: the structures/components to be disturbed must be inspected for asbestos by a state- certified asbestos inspector. Contact CDPHE or go to our web site for a current list of Asbestos Inspectors htta:l/www.cdnhe state co us/ap/asbeshom asp or Asbestos Building Inspector Consulting firms can be found m the yellow pages section of most telephone books, under the heading °Asbestos Consulting and Testing°. � If 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 surtaces, or the volume equivalent of a 55-gallon drum. • With regard to atl areas other than single-family residential dwellings, the trigger levels are 2601inear feet on pipes, 160 square feet on other surtaces, or the volume equivalerrt of a 55-gallon drum. A certified removal contractor (General Abatement Contractor) must remove asbestos-containing materials that are regulated or may become regulated before they are disturbed by renovation or demolition activities. Contact CDPHE or go to our web site for a current list of General Abatement Contractors htt�://www.cdnhe state co us/ap/asbeshom as� or Contractors can be found in the yellow pages section of most telephone books, under the heading "Asbestos AbatemenY'. Notification: A written notification to CDPHE, payment of a notification fee and ten (10) working day waiting period is required before the removal (abatement) of regulated asbestos corrtaining materials. �:v�soe�ro. and �saa unn�w.ee,m, Fwms�cnaH�aemvaaan a�naa� �ax ;� :� Regulated asbestos-containing waste material must be disposed of at an approved asbestos waste disposal site. Demolitions, Destructive Salvage, House Moving If you demolish, pertorm destructive salvage, pertorm de-construction, burn, destroy, dismantle, dynamite, impiode, knock down, level, pull down, pulverize, raze, tear down, wreck all of a structure or structural components or you move a house you are subject to State and Federal Regulations even when there is NO asbestos in the facilit�r. Prior to Demolition: • Inspection: the building must be inspected for asbestos by a state-certifisd asbestos inspector. Contact CDPHE or go to our web site for a current list of Asbestos Inspectors http://www.cdphe.state co us/aa/asbeshom asp or Asbestos Building Inspector Consulting firms can be found m the yellow page section of most telephone books, under the heading "Asbestos Consutting and Testing". � Asbestos Removal (if necessary) must be pertormed by a Colorado-certified General Abatement Contractor. Any asbestos containing material 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 asbestos-containing material that is friable or will become friable during demolition exceeds the trigger levels. � Noti�cation of Demolition Form must be submitted to the CDPHE, even if no asbestos was found during the inspection, payment of a notification fee and ten (10) working day waiting period is required before the demolition can proceed. During Demolition: • Recycling of materials, such as concrete or wood, that are bonded or contaminated with asbestos- containing material (ACM), such as floor tile or mastic, is NOT permitted. • Demolition of a building that has non-friable asbestos containing VAT or tar-impregnated roofing materials remaining must be completed without causing the asbestos-containing materials to become friable. Concrete floors covered with floor tile shall be removed in as large sections as possible. Operations such as crushing, pneumatic jacking, etc. of materials containing asbestos are not permitted. � When imploding or buming a structure, ALL asbestos-containing material, regardless of quantity, must be removed prior to demolition. For More lnformation, please contact: Asbestos Compliance Assistance Group Asbestas and pemolition Permit Coordinator Phone: (303) 692-3100 Fax: (303) 782-0278 ToA Free: 1-800-886-7689 Web page: httn://www.cd�he.state co us/ap/asbeshom asn Email address: asbestos(�state.co.us All asbestos abatemerrt and demolition permit application forms are available from our web site or by calling the asbestos program. HAVE YOUR PROJECT INSPECTED BY A COLORADO-CERTIFIED ASBESTQS BUILDING INSPECTOR BEFORE YOU BEGIN Violation of asbestos regulations can result in monetary penalties and project delays. Page 2 of 3 J:1ASbes6n antl Lead UniblAsbnh�s Form�1CDPHkIRerwvatlon and DemoliHOn.doe I� °F � �O� ��;,_,;, � r' * �,.� * � * * f876 �` +lorado D�aranent mdF�t � DEMOLITION N4TIFlCATION APPLlCATION FORM APPLICATION FEE MUST ACCOMPANY THIS FORM INCOMPLETE APPLICATIONS WILL BE RETURNED (Notice will be mailed to the demolition contrador unless specified otherwise) Fee: �SO +� pef � ppp �� Hrea to be demolished =$ (See instruction #1 on reverse side) - - ----...__ . _ ........... .....�...�.�y ,��>��v� nas mrortnea me ebout any remaiNo9 esbestos-cw�lafning metetiels in the taci6ty to be �motished. �IBI� �8�111�Ai� N y°; CDPFiE Asbestos Permit � � �wv� Compieled (GA4� Total Qua�tFly d Asbestos Removed T� � TYPeis) � ��s-Containi� Material Removed: x w � � a :. 'o � 0 �p�}R. IZi v �a.'t� ��ir1 � e foaL�ge of footprint o(fa�r or pc �►: ��'vl`.) � �:IM�. �.it� 1��, (_ � �: Submi! tarm to: � �a c�ao �. or �a�� Heaph and Environment APCD-IE�1 � cre� o� Denver. CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 Asbestas�e.co.us memoaiMeans of DemoNtion: � Wrecldn9� Bumle9t ❑ ImP�osion [� Moving ❑� � tc n,.�i �K►'� C'"�- �YS"�'i'fC:�%:�r�a�(4 � 6�1 �� -� t ��9 �� aWhorizatian — Please cap (303) W2-310D �1d a6k i0 SOPB�[ te }hrt Anan R.m.:n.. Oe....w n _'__ � � Owners Name: _ � Street: C1 C � � mCaifacYs Name: Stale: � Zip Code: Telaphone # VY�th my signatune beiow, i certify that I possess current AHERA accreditation and state of Colorado certification as an Asbestos Buitdirtig tnspectar, t a4so certify that t have thocoughfy inspected the facility to be demoiished, as listed in the Demoiition Site blodc above, sampied a11 susped materials, had all sampies anafyzed fo� the presence of asbestos by a NVLAp_accredited Iaboratory, anrl have detennined that no Regulated ACM exists anywhere in the faal'ity.* I also certify that ! have informed the owr�erloperator of the facality or the demolition contrador that any asbestos-containing maieriai allowed to stay in the facility must cemain nofM- fnable during demoli�on. Specify type(s) of ACM remaining, below: (check appropriate box est - �ti � l�. �d'afiliGA �.t Mi'fi/'-1 t�:�. � i Z��t�t �W r %� �.+�.: �i 9 t y �l'� �� .. ❑ Vnyi asbestos floor tile (VA� � VAT mastic � Tar/asphaft impregnated roofing 0 Aspha�ic pipe coatings ❑ Spray-appued tar coatings Q Caulking [] Gtazin9 O Other. soecifv: �.�..,,. ,� o� `�tZ, � � � �C+ny m� an remgeraMs from air condi�on�ngtrefrige. 15 (for ir�formation on CFC requ'vements ca11692-3t0{ disposed of in accordance with 8 CCR 1007-1 subpart c►�cic Tt�►E a�to��aTe aox: ❑ e�o ow� ❑ c�a osbnahc or ffand Deiivery Date: orm of Payment 8 #: %,e�J • ��1'�iZ�;.t.)O' r> > ��--4- ,'�� >��/o >puarices have been prope�ty recovered (� �� h AQCC Regulation t� ier verify that aA luminous exit signs (containing radwac�ve materiaq have been (for informatlon on fuminous exit sign requ(remeMs ca11303-692-3320), � °"re` PriM Name: �ox �s FoR CDPHE Ust Approved By: Permit #: c--� Code: ❑ in�ai-310 ❑ transfer�380 Record # � Date tssued: ��a��d��+ asoescos-containing materials means (a} frf�bie asbestos-containing material (b) Cateoory i nonfriabie ACM thet has become frfable• {c} Cateaorv 1 noMriable ACM that wie be or has been sub�ected to sanding, grindina, o i, or abrading or (d) Cateoorv II noMriable ACM thffi has e high P��ity af becoming or has become crumbied, puhrerized, or reduced to powder by the forces expected to act on the materiai in the course of ol' ' or e i n operations regulated by thfs regulaGon. Note: Asbestos-containing sheet vinyl and linoleum must be properiy abated/removed prior to demolition. ,^, �. LkP ` Engincer'i��, I��. � ��I c;t a�t t� II�� •,� .fui: 't,_ '(il(i 11r. Itun :�ma�s RF.: Opcn Holc Obscr��ation .l Houn�lation Im�csti��tiun �iastif�t' 1)c��rlo��ment I'.1 �. 13�,� ?U9(, i :�i��.��-�i,. ( �( ) fi 1 t„? [)�ar R�,n: f��r .�n :�ddition �li;O ('rima Court I �,��n t�f��"ail f.,��1� (`��tutl��. ('��l��r.t�{�� Pr��jccl \�,. 1(1(! :' \t th� r�yu�st uf \1r. l.uk� IZirhtrr. �,n Jui� �(,. �t111), �� i:it�cl tli� c�,nstructiun si►�• ,it �ti �ii ('rima t'�,tn-t. l�,��n �,i��'ail. l�.a,�l� C��uni�. Cr�l��ra�l��. 1 h� ��urpua� ul�uu►� ;it� � i;it ��as tu �,h.�rc� an�i t��t thr �c�il �x��s�ci in ti�c fiinu�ciatic,n �xca��ati�m ti�r thr prc��os��i a�i�iiti�,n. I h� �,r�,�,�,sc�1 aclditit,n is lr�catccl tu th� �.�st ��f thc c�i,tin�� rc�i�icncc. I h< ��r.iratiun r�7nsi.��l c,l'..t .. �hap�d tr�nrh a�iac�nt t�, th< <ci:t ,i�lc �,t th� r�sicicnc�. l h� tr�nch ��as �y�E�r�,zimatel� I�� Itet h� ?j l�ct �uxl li�ur ic�t �I�rE�. ( he suil c��«5c�1 at tl�c hc�ltcnn ��f thc �x�a�,►ti��n rr,nsi,t��l uf li_�ht hrc��n. ;ancl� <<ra��l. I h� h��ri�,m ��I�th� cua��ti��n ��as muci�l�� ancl ha�i s�,mc small ��t�d�il�a «1��at�r. It is recc�mmcn�lc�1 that a small lrcn�h b� c�r�i��atcci ��l�m�� th� cast sicic «i thr c�ca��.ui��i�. l h� hc�tt��m ui�th� tr�nch sh�nilct hc t��, i�rt h�l�� th� hc�ttum �,f�th� Lz�ci�.�ti�,n :uui ,hc�ul�l �i�:iin t« a 1�� ,�,int. ;1 t�m�,«rar}� ��mij� sh��tiicl hc installc�l in the Icn�� iiu ��I�tltc tr�nch t�, �fi�rhar��r ��r�;� ��a�rr a��a� li�r thr e�ca� ati�m. ( h� �?um�� ;h<�ul�l r�n�ain in plarr until tl}r «m. r�tr hu, i�ru�,�rl� rur��1. l�h�� uil �•.��/��,>��1 i�� tl�r 1r�irltcl�r�i��r� ��.�-c•cn•��ini� t�,1� t1��• �r�l��i�i��rt i.c crrir�rf,lr J�,�• �hr rlc•s�r��tc•cl �nu.tt��irrnr �rllr��rut�lc� a��,i1 hc�urt�t:'/�rc�.,.ctr1•c� nf �IIIIIi/�.,�j, �(�hc h�,tt��m �,I�thr trcnch�� must h� ke�+i fi-cc ��t�,tan�lim� ��t�r �iin-in�� the c�m>truc�i��n <in�l ��irin�� l��ri�>�i �,i the ��,nrrct� li,un�lation. �uri�ar< «at�r naturall� �lrainin,� ti��ii•�i thc ��f(t�ltl��l{ IIUII�Ii11L sit� �huulcl hr �1i�crt��1 aroun�l an�i ,i��;i� fi�c�m it h� m�ans ��Cclraina_�� s��al�s �ir ��thcr a�,��r�� i1 mcth�ui:. I-h� rcx�f �ir.iin� an�i �It��n s��uts >hcruf�l ��t�ncf ,�n�i cli�chv-�� hr��nc) tht limits �7f th� har{�fill. �i17is r��,rt ha; h�rn ��r�}�.u-�d ace«rciin�� tr, lucall�� .iccc��t«1 ��r��f�ssi�,nal ��nrchniral �i��in��rin�� ,t:�nciard;. �I�h�rr fs n�� thcr ��arrant�� ithc-r esE�r�s��cl ��r im}�li��i. �in��r�l�- I.lil' I��a�,in��i�in�.!. lilc. ��-c�- �' !'�t�r I'�t��•ki ; o�PpO RE��s� . �:��„��i f,�: �o.,.�,��.��r�n1�.F� � ;V��, �f:�, �� ' �4 i � Lv��}v-�!°i 9? 29.52F r ' � : ` (i% � ��i �1'lr (_111z�t {'�il't��Sk�l. I'.�-_. '-s'�`�'•. . � � �`�s%i�a� E'�� I.hl' 1=m�incerin��. (n�. . 1'.( ). l;uX _'� i i. �'.��tU'ci�. i�( ) 11(i �?. 1�)?0 � 9�(�-�)1.1ti� � C�. (�)?(1 j�)?{� `)O;��) �;ic � 07-26-2010 Inspection Request Reporting Page 10 4:19 pm Vail, CQ - Citv Of Requested Inspect Date: Tuesday July 27, 2010 Assigned To: CGUNIO�I Inspection Type: BLDG Inspection Area: CG Site Address: 5030 PRIMA CT VAIL UNIT E A/P/D Information Activity: 610-0153 Type: A-BUILD Sub Type: ADUP Status: ISSUED Const Type: Occup ancy: Use: Insp Area: CG Owner: ST. LOUIS VAIL CONNECTION LLP Contractor: MASTIFF DEVELOPMENT Phone: 970-390-5827 Description: INTERIOR & EXTERIOR REMODEL: DECK AND ROOF ADDITION, TRIM, WINDOW REPLACEMENT, KITCHEN AND BATH REMODEL Requested Inspection(s) Item: 10 BLDG-FOOTING Requested Time: 09:00 AM Requestor: MASTIFF DEVELOPMENT Phone: 970-390-5827 Comments: 376-3855 3 pm pour Assigned To: CGUNION Entered By: JMONDRAGON K Action: Time Exp: �V �Gt� �/�r�/�S ��' . �J �!b r✓ rG� SO c � 5 ,�� l� � �`T'\ � � � �,F- S� �,'1� .SS � � ° .�-� pl; �C�-+— u� ��=wc.� u� � ✓�PS One Inspection HistoN Item: 10 Item: 20 Item: 21 Item: 22 Item: 30 Item: 60 Item: 70 Item: 535 Item: 536 Item: 533 Item: 542 Item: 90 • �q� o � �as '�— aF�' c � � i �e2� � �-d�/�55 � � ` �� (�C"J�-� C� � 1�,✓ � •�►t� - r � � t �/b L�4 ll.ht. i s� µ,� /' �� vµ�d � � �Q��l� REPT131 Run Id: 11747 Inspection Items for B10-0153 11:35 06/25/2013 Sec Item Id Description Appr Req Items Action Inheritable 10 BLDG-FOOTING Yes O 1 AP No 22 PLAN-ILC FRAMING Yes R 1 AP No 30 BLDG-Framing Yes O 3 AP No 60 BLDG-Sheetrock Nail Yes O 1 AP No 70 BLDG-Misc. Yes O 1 AP No 542 PLAN-FINAL Yes O 2 AP No 90 BLDG-Final Yes R 1 AP No Total Rows:7 Page 1 B10-0153 : Entries for Item:542 - PLAN-FINAL 11:40 06/25/2013 Action Comments By Date Unique_ Key DN bgibson 11/03/2010 A000138 231 AP bgibson 11/08/2010 A000138 418 Total Rows:2 Page 1 B10-0153 : Entries for Item:90 - BLDG-Final 11:41 06/25/2013 Action Comments By Date Unique_ Key AP sgremmer 01/22/2013 A000157 424 Total Rows: 1 Page 1