HomeMy WebLinkAboutB10-0387NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
MWWO 0
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 MF BUILD PERMIT Permit #: B10 -0387
Job Address: 1738 GOLF LN VAIL
Location......: UNIT 66
Parcel No....: 210109104056
APPLICANT CROSSROADS REALTY LTD
PO BOX 1292
1650 VAIL VALLEY DR, SUITE 3C
VAIL
CO 81657
License: 811 -B
CONTRACTOR CROSSROADS REALTY LTD
PO BOX 1292
1650 VAIL VALLEY DR, SUITE 3C
VAIL
CO 81657
License: 811 -B
OWNER TANABE, CHARLES Y., BOBROW
1734 GOLF LN
#S66
VAIL
CO 81657
10/18/2010 Phone: (970) 476 -4300
10/18/2010 Phone: (970) 476 -4300
10/18/2010
Description:
FOUR NEW SHOWERS. THREE ARE TUB /SHOWERS BEING CONVERTED TO
SHOWER ONLY. ONE IS SHOWER ONLY AND WILL REMAIN, GETTING
NEW WALL TRIM (TILE).
Project #:
Status .. :
Applied ..
Issued ...
Expires.
PRJ10 -0706
ISSUED
10/18/2010
11/02/2010
05/01 /2011
Occupancy: Valuation: $12,500.00
Type Construction: Total Sq Ft Added: 0
################################################## # # # # # # # # # # # # # # # # # # ### # # # # # # # # ## FEE SUMMARY # # # # # # # ##
Building Permit Fee - - ->
$223.25
Will Cal Fee — ------- -- ------ >
$4.00
Total Calculated Fees ------ - - ->
$422.36
Plan Check — ------- — ------ >
$145.11
Use Tax Fee — ---------- -- - ---- >
$50.00
Additional Fees — ---------- — --------- >
$0.00
Add'I Plan Check Hours-
$0.00
Restuarant Plan Review->
$0.00
TOTAL PERMIT FEES-- - - - - ->
$422.36
Investigation- ---------->
$0.00
Recreation Fee--------- - - - - ->
$0.00
Payments ---- ------- ---- ------- --- - ->
$422.36
Total Calculated Fees — ------ >
$422.36
BALANCE DUE------------ - - - - ->
$0.00
DECLARATIONS
i 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. I 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
i applicable thereto.
i
j REQUESTS FOR IN T N SHALL BE MADE TWENTY -FOUR HOURS IN ADVANCE BY LEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM
f 8:00AM -4:0
Si ture of Owner o ntr or Date
Print Name
bld— alt— constru ctio n _perm it- 041908
APPROVALS
Permit #: B10 -0387 as of 11 -02 -2010 Status: ISSUED
Item: 05100 BUILDING DEPARTMENT
10/25/2010 JRM Action: AP
Item: 05120 MECHANICAL REVIEW
Item: 05130 PLUMBING REVIEW
See the Conditions section of this Document for any that may apply.
bld_a It_construction _perm it_041908
CONDITIONS OF APPROVAL
Permit #: B10 -0387 as of 11 -02 -2010 Status: ISSUED
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE
COMPLIANCE.
Cond: 14
(BLDG.): ALL PENETRATIONS IN WALLS, CEILINGS, AND FLOORS TO
BE SEALED WITH AN APPROVED FIRE MATERIAL.
Cond: 1
(FIRE): FIRE DEPARTMENT APPROVAL IS REQUIRED BEFORE ANY
WORK CAN BE STARTED.
bld_a It_constructio n_perm it_041908
TOWN OF VAIL, COLORADO
Statement
#****####*******######*#*##########**###########**###########
# * * * * # # # # # # # # # * * * # # # # # # # # # * * * **
Statement Number:
R100001741 Amount: $422.36 11/02/201009:52 AM
Payment Method:
Check Init: LC
Notation:
#7588 /
CROSSROADS
-----------------------------------------------------------------------------
Permit No:
B10 -0387 Type: ADD /ALT MF BUILD PERMIT
Parcel No:
2101- 091 - 0405 -6
Site Address:
1738 GOLF LN VAIL
Location:
UNIT 66
Total Fees:
$422.36
This Payment:
$422.36 Total ALL Pmts:
$422.36
Balance:
$0.00
ACCOUNT ITEM LIST:
Account Code
Description Current Pmts
-------------- - - -
BP 00100003111100
- -- ------------------------ - - - - -- ------
BUILDING PERMIT FEES
- - - - --
223.25
PF 00100003112300
PLAN CHECK FEES
145.11
UT 11000003106000
USE TAX 4%
50.00
WC 00100003112800
WILL CALL INSPECTION FEE
4.00
BUILDING PERMIT APPLICATION
Separate permits are required for electrical, plumbing, mechanical, fireplace, etc.
Project Street Address: Office Use:
3 y l (� r��p _ Project #: �S
l 1 I(.i - rlOiO
(Number) (Street) (�(Suite #) DRB #: A
Buffing /Complex Name: Val I �U� Building Permit #: 810— 039 7
Contractor Information: -, or
Company: _ Q11A ac- ��q 1%5S f
Company Address l h� 6 f cL r -
City: v Gt ` State: Zip: D
Contact Name: `
U (�C
Contact Phone:
T
E -Mail �)e uG� ay- 155 f S ucu l I
Town of Vail Contractor Registration No.: /
Signature (required)
Lot #: Block # Subdivision:
Detailed Scope and Location of Work: N'0_ o-5 SV ve( j
3 T ',R srgpEns To SHowe -45:
bow Ass k(,D b)A-LL ki h
(use additional she6t if necessary)
Work Class:
New( ) Addition( ) Remodel YK Repair( ) Other( )
Work Type
Interior K) Exterior( ) Both( )
Property Information �^ I Type of Building:
Parcel #: 3[b I- C9 f ^ 0 (( " n62 Single- Family ( ) Duplex ( ) Multi - Family
(For parcel #, contact Eagle County Assessors Office at 970 - 328 -8640 or Commercial
visit www.eaglecounty.us /patie) [ ( ) Other( )
Tenant Name: ( Does a Fire Alarm Exist? Yes ( ) No A
Owner Name: I e c)!O t cx'.3 Monitored Alarm? Yes ( ) No 06
Does a Sprinkler System Exist? Yes ( ) No
Valuations (Labor & Materials)
cZ v
Building: $
Plumbing:
$
Electrical:
$
Mechanical: (including fireplace)
$
Total:
$
# & Type of Existing Fireplaces: Gas Appliances
Gas Log Wood /Pellet Wood Burning
# & Type of Proposed Fireplaces: Gas Appliances
Gas Log Wood /Pellet Wood Burning
Date Received:
FU�l 14 2010 N OF VA_ �L
15- May -10
Vail Fire Department
Asbestos Testing & Abatement Requirements
Asbestos testing and abatement protects workers, homeowners, neighbors and emergency services responders from ex-
posure to harmful asbestos. The Town of Vail asbestos abatement program is in addition to the State of Colorado's regu-
lations. It is your responsibility to be in compliance with the State. Please contact the State directly for their requirements
at the contact info listed below.
When is asbestos testing required?
ANY building projects disturbing more than these threshold levels of building materials require asbestos testing:
One- and Two - Family Dwellings: 32 square feet
All Others (commercial spaces, hotel rooms, etc): 160 square feet
Definition of a single - family dwelling: any dwelling unit that is used primarily for a single family, including
multi - family /condominium units, and fractional fee units.
Asbestos testing results must be provided with your application for a building permit.
Tests which identify POSITIVE results at more than 1% require abatement by a State - certified and Vail- registered abate-
ment contractor. An asbestos abatement permit must be approved, and the clearance letter must be submitted to the
Town of Vail before the building permit will be issued.
Project Checklist
My project falls into the category checked below:
Will not disturb more than the threshold limits identified above.
Tested negative, or at 1% or below (1 copies of test results included)
Tested positive at more than 1 %, requires abatement (1 copies of test results included)
Tips & Facts:
Even recent construction projects may include asbestos - containing materials, so buildings of gny age require testing.
• The "1989 Ban" on asbestos - containing materials is commonly misunderstood. "In fact, in 1991 the U.S. Fifth Circuit
Court of 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." - CDPHE
Asbestos test results and abatement permit applications should be submitted to: Town of Vail, Community Development,
75 S Frontage Rd, Vail, CO, 81657.
Town of Vail Contact:
Fire Prevention Bureau
Vail Fire Department
75 S Frontage Rd
Fire—inspectors@vailgov.com
970 - 479 -2252
www.vailgov.com
State of Colorado Contact:
Colorado Department of Public Health
and Environment
Asbestos Compliance Assistance Group
303-692 -3158
asbestos@state.co.us
www.cdphe.state.co.us
15- May -10
DS Consulting, Inc.
Asbestos Inspection and Sampling Report
1734 Golf Lane, Unit 66, Vail, Colorado 81657
Presented to:
Mr. Jay Nobrega
Crossroads Realty Ltd
1650 Vail Valley Dr
Fallridge, Suite C -3
PO Box 1292
Vail, CO 81658
Performed & Prepared by:
Mr. Steve Shurtliff
DS Consulting, Inc.
PO Box 6864
Avon, CO 81620
(303) 378 -1544
Project Details:
DSC Project #: 2693
Conducted: August 24, 2010
Consulting
EXECUTIVE SUMMARY
On August 24, 2010, Mr. Steve Shurtliff of DS Consulting, Inc. (DSC) performed a limited inspection and
collected asbestos bulk - samples at 1734 Golf Lane, Unit 66, Vail, Colorado, in order to identify potentially
hazardous friable and non - friable asbestos - containing materials (ACM) within a portion of the above -
referenced, single family residence that is scheduled for renovations. The Colorado Department of Public
Health and Environment's (CDPHE) Regulation 8, Part B defines an asbestos - containing material (ACM) as
a material containing more than 1% asbestos.
Mr. Shurtliff performed asbestos bulk - sampling of two types of drywall textures (surfacing material) in a
total of six (6) locations within the main level kitchen and common bathroom. All six (6) bulk - samples
were analyzed by Aerobiology Laboratory Associates, Inc. (NVLAP #200860 -0) in Denver, Colorado with
all six (6) laboratory results reporting as negative for asbestos (see Appendix B for laboratory results).
2
PROJECT OVERVIEW
I. Introduction
A limited inspection and bulk- sampling for ACM was conducted at 1734 Golf Lane, Unit 66, Vail, Colorado,
by Mr. Shurtliff on August 24, 2010, at the request of Mr. Jay Nobrega with Crossroads Realty Ltd. Mr.
Shurtliff is a Colorado State Certified Building Inspector; having EPA Accreditation #15413 (see Appendix
A for certificate). The purpose of the inspection was to identify, sample and assess potentially hazardous
friable and non - friable ACM within the residence.
II. Structural Design
The structure is a wood - framed, three - level, single - family residence with attached garage.
III. Sampling and Analytical Procedures
The inspection, assessment and sampling were conducted by an EPA and AHERA accredited Building
Inspector qualified by experience, education and training in the recognition of potential ACM and
approved bulk - sampling techniques. The asbestos bulk - sampling was conducted on suspect ACM with a
limited number of bulk - samples being collected within the residence.
The inspection, assessment and sampling were performed in accordance with Environmental Protection
Agency / AHERA recommended procedures. These procedures call for the visual inspection of the area of
concern and the collection and analysis of representative bulk - samples of suspect material.
Some minor destructive sampling was conducted. Walls, columns and perimeter pipe chases were not
broken into in order to locate and quantify suspect ACM. It should be noted that additional ACM might be
located in these and other inaccessible areas.
Random bulk - samples, representative of the suspect asbestos - containing building materials (ACBM) of
each homogeneous area (HA), were collected according to the guidelines published as Environmental
Protection Agency (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. Representative sampling is based on the
following criteria:
1. The distribution of the suspect material throughout the HA.
2. The suspect material's physical characteristics and application.
3. Random sampling patterns determined for each HA.
Suspect materials sampled and analyzed should be considered to be representative of materials in each
HA if they exhibit similar physical characteristics and the application of the sampled material can be
correlated to the application of un- sampled material. Bulk- samples collected were analyzed utilizing the
EPA's Method for the Determination of Asbestos in Bulk Building Materials (EPA 600/11/116, July, 1993)
and the McCrone Research Institute's The Asbestos Particle Ada as methods references. Analysis of the
bulk - samples was performed on the "date reported," as listed in the bulk - sample analysis report.
3
IV. Notes on Report Format
Suspect materials alike in appearance and application were sampled as HAs. Suspect materials were
divided into three classifications:
1. Surfacing Material: sprayed or troweled onto structural building member.
2. Thermal System Insulation (TSI): any type of pipe, boiler, tank, or duct insulation.
3. Miscellaneous Material: other suspect materials, floor tile, sheet vinyl /linoleum, ceiling tiles,
insulation, and finishing materials.
Condition assessments were performed by the accredited inspector at the time of inspection. Condition
assessments are listed in the following section. Ratings of "good," "damaged," and "significantly
damaged" are meant to indicate the overall condition of the material.
A material in "good" condition has no visible damage or deterioration, or showing only very limited
damage or deterioration.
A material in "damaged" condition has the following characteristics: 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 (one - quarter if the damage is localized). Accumulation of powder, dust or
debris similar in appearance to the suspect material on surfaces beneath the material can be used as
confirmatory evidence. A material in "significantly damaged" condition has one or more of the following
characteristics:
• The surface is crumbling or blistered over at least one -tenth of the surface if the damage is evenly
distributed (one - quarter if the damage is localized).
• One -tenth (one - quarter, if localized) of the material is hanging from the surface, deteriorated, or
showing adhesive failure.
• Water stains, gouges, or mars are over at least one -tenth of the surface if the damage is evenly
distributed (one - quarter if the damage is localized). Accumulation of powder, dust or debris
similar in appearance to the suspect material on surfaces beneath the material can be used as
confirmatory evidence.
Response- action recommendations for asbestos - containing HAs are listed in the section VII.
Recommendations may be for more than one HA, if materials are alike. Recommendations are either
"general" or "immediate." An immediate recommendation indicates the presence of asbestos greater
than 1% within the bulk - sample, or a bulk - sample in the same HA, and should be addressed accordingly.
A general recommendation indicates asbestos does not exist greater than 1% within the bulk - sample, or
a bulk- sample in the same HA, and no further abatement activities are required for removal of the
material. Any sample reporting a "TRACE" amount of asbestos must be considered to be positive for
asbestos greater than 1% unless it is analyzed by the point -count method to be less than 1 %.
V. Inspector Comments
No asbestos - containing material (ACM) was identified during the bulk - sampling conducted at 1734 Golf
Lane, Unit 66, Vail, Colorado. A total of six (6) bulk- samples were collected from drywall within the main
level kitchen and common bathroom of the above - referenced residence. All six (6) bulk - samples tested
negative for asbestos.
4
VI. Homogeneous Area Descriptions
The following section contains sampled HA descriptions and sample locations. Percent - asbestos content
for each sample indicated can vary depending on sample locations, homogeneity of the materials, and
type of application. The following samples were collected from the single family residence at 1734 Golf
Lane, Unit 66, Vail, Colorado, on August 24, 2010. The quantities are approximations and are subject to
field verification:
Homogeneous Area #01
Sample #: DW01 -01
Homogeneous Area #01
Sample #: DW01 -02
Sample Description: Drywall
Sample Description: Drywall
Sample Location: Main Level Kitchen Ceiling
Sample Location: Main Level Kitchen Ceiling
Material Classification: Surfacing Material
Material Classification: Surfacing Material
Material Quantity: <1,000ft2
Material Quantity: <1,000ft2
Material Condition: Good
Material Condition: Good
Physical Description (layers): White tape; White
texture w /white paint; White joint compound;
White tan drywall
Physical Description (layers): White tape; White
texture w /white paint; White joint compound;
White tan drywall
Asbestos Detected (layers): Negative; Negative;
Negative; Negative
Asbestos Detected (layers): Negative; Negative;
Negative; Negative
Recommendations: GENERAL - See Section VII
Recommendations: GENERAL - See Section VII
Homogeneous Area #01
Sample #: DW01 -03
Homogeneous Area #02
Sample #: DW02 -01
Sample Description: Drywall
Sample Description: Drywall
Sample Location: Main Level Kitchen Wall
Sample Location: Main Level Common Bathroom
Wall
Material Classification: Surfacing Material
Material Classification: Surfacing Material
Material Quantity: <1,000ft2
Material Quantity: <1,000ft2
Material Condition: Good
Material Condition: Good
Physical Description (layers): White tape; White
texture w white paint;
/ p White joint compound;
White tan drywall
Physical Description (layers): White /tan drywall
�,�, /white paint
Asbestos Detected (layers): Negative; Negative;
Negative; Negative
Asbestos Detected (layers): Negative
Recommendations: GENERAL - See Section VII
Recommendations: GENERAL - See Section VII
Homogeneous Area #02
Sample #: DW02 -02
Homogeneous Area #02
Sample #: DW02 -03
Sample Description: Drywall
Sample Description: Drywall
Sample Location: Main Level Common Bathroom
Wall
Sample Location: Main Level Common Bathroom
Wall
Material Classification: Surfacing Material
Material Classification: Surfacing Material
Material Quantity: <1,000ft2
Material Quantity: <1,000ft2
Material Condition: Good
Material Condition: Good
Physical Description (layers): White texture
w /white paint; White compound w /white paint;
White tan drywall
Physical Description (layers): White texture
w /white plaster; White tape; White texture; White
joint compound; White tan drywall
Asbestos Detected (layers): Negative; Negative;
Negative
Asbestos Detected (layers): Negative; Negative;
Ne ative; Negative; Negative
Recommendations. GENERAL - See Section VII
Recommendations: GENERAL - See Section VII
VII. Recommendations
GENERAL:
The laboratory results of the potential ACM sampled at 1734 Golf Lane, Unit 66, Vail, Colorado, indicate
that all six (6) bulk - samples of drywall collected were reported as negative for asbestos. Therefore, no
professional abatement activities are recommended to remove the above - referenced material.
31
APPENDIX A
CERTIFICATION
APPENDIX B
LABORATORY ANALYSIS
'kAERObio[o qy LA omoRy
�-,•` ASSOCIATES, INCORPORATED
GONSULTINC LABORATORY
Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood, CO 80401
303.232.3746
www.aerobiologv.nott
Client Name
Street address
DS Consulting. Inc.
5366 Flatrock Ct.
n T
Date Collected:
Date Received:
08/24/10
08/24/10
City, State ZIP
Morrison, CO 80465
Matrix
Material
(composition)
Date Analyzed:
08/30/10
Attn:
Steve Shurtliff
NVLAP Lab Code 200860 -0
Date Reported:
08/30/10
Client Project Name:
1734 Golf Ln, #66, Vail CO
98%
CELL
Project ID:
106094
106094 -1B
White Texture w /White Paint
N
Job ID:
Negative
Test Requested: 3002, Asbestos in Bulk Samples
Method: Polarized Light Microscopy / Dispersion Staining (PLM), Method for the Determination of Asbestos in Bulk Building Materials. EPA -600/R- 93/116, July 1993.
Sample Identification
Physical Description of Sample:
Additional Comments
Homo-
geneous
es /no
Number
of
La ers %
Asbestos Detected
Non - Asbestos
Fibers
area %
Non - Fibrous
Material
area %
Matrix
Material
(composition)
Client
Lab Sample Number
DWOI -01
106094 -1A
White Tape
N
4,4%
Negative
98%
CELL
2
T = Tar
106094 -1B
White Texture w /White Paint
N
4,4%
Negative
100
C
106094 -1C
White Joint Compound
N
4,4%
Negative
100
C
106094 -1D
White /Tan Drywall
N
4,88%
Negative
15%
CELL
85
G
DWO l -02
106094 -2A
White Tape
N
4,5%
Negative
98%
CELL
2
106094 -213
White Texture w /White Paint
N
4,5%
Negative
100
C
106094 -2C
White Joint Compound
N
4,10%
Negative
100
C
106094 -2D
White /Tan Drywall
N
4,80%
Negative
15%
CELL
85
G
DWO1 -03
106094 -3A
White Tape
N
4,3%
Negative
98%
CELL
2
106094 -313
White Texture w /White Paint
N
4,5%
Negative
100
C
A = Amosite
CELL = Cellulose
Q = Quartz
AC = Actinolite
MW = Mineral Wool
C = Carbonates
AN = Anthophylle
CHRY= Chrysotile
FBG = Fiberglass
SYN = Synthetic
V = Vermiculite
G = Gypsum
CR = Crocidolite
WO = Wollastonite
M = Mica
TR = Tremolite
NTR = Non - Asbestiform TR
T = Tar
Paul Knappe
Laboratory Analyst
Adam ump revs Trace =Less Than 1%
Asbestos Laboratory Supervisor
NAC = Non - Asbestiform AC
FT = Fibrous Talc
AH =Animal Hair
P = Perlite
O = Organic
B = Binder
OP = Opaques
Page 1 of 4
13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746
D = Diatoms
NkAERObiolo qy LkomTORy
Physical Description of Sample;
Additional Comments
Homo-
geneous
es /no
13949 W. Colfax A*
ASSOCIATES INCORPORATED
�
Non - Asbestos
Fibers
area %
Non - Fibrous
Material
area %
Suite 205
Lakewood, CO 80401
CONSULTING LABORATORY
Client
Lab Sample Number
303.232.3746
106094 -3C
Certificate of Analysis
N
www.aerobioloov.net
Client Name DS Consulting, Inc.
Street address 5366 Flatrock CL
n ��m
�� l� fl
Date Collected:
Date Received:
08/24/10
08/24/10
City, State ZIP Morrison, CO 80465
White /Tan Drywall
Date Analyzed:
08/30/10
Attn: Steve Shurtliff
NVLAP Lab Code 200860 -0
Date Reported:
08/30/10
Client Project Name: 1734 Golf Ln, #66, Vail CO
106094 -4
Project ID:
106094
1.100%
Negative
Job ID:
85
Test Requested: 3002, Asbestos in Bulk Samples
DW02 -02
106094 -5A
White Texture w /White Paint
Method: Polarized Light Microscopy / Dispersion Staining (PLM), Method
for the Determination of Asbestos in Bulk Building Materials. EPA
-600/R- 93/116, July 1993.
Sample Identification
Physical Description of Sample;
Additional Comments
Homo-
geneous
es /no
Number
of
La ers %
Asbestos Detected
Non - Asbestos
Fibers
area %
Non - Fibrous
Material
area %
Matrix
Material
(composition)
Client
Lab Sample Number
DWO1 -03
106094 -3C
White Joint Compound
N
4,10%
Negative
TR = Tremolite
100
C
106094 -3D
White /Tan Drywall
N
4,82%
Negative
15%
CELL
85
G
DW02 -01
106094 -4
White /Tan Drywall w /White Paint
N
1.100%
Negative
15%
CELL
85
G
DW02 -02
106094 -5A
White Texture w /White Paint
N
3,15%
Negative
100
C
106094 -513
White Compound w /White Paint
N
3,15%
Negative
100
G
106094 -5C
White /Tan Drywall
N
3,70%
Negative
15%
CELL
85
G
D W02 -03
106094 -6A
White Texture w /White Plaster
N
5,10%
Negative
100
C
106094 -613
White Tape
N
5,10%
Negative
98%
CELL
2
106094 -6C
White Texture
N
5,10%
Negative
100
C
106094 -6D
White Joint Compound
N
5,10%
Negative
100
C
A = Amosite
CELL = Cellulose
Q = Quartz
AC = Actinolite
MW = Mineral Wool
C = Carbonates
AN = Anthophylle
rysote
CR
FBG = Fiberglass
SON =Synthetic
V = Vermiculite
G =Gypsum
= Croc
CR = Crocrdolite
WO = Wollastonite
M = Mica
TR = Tremolite
NTR = Non- Asbestiform TR
T = Tar
Paul Knappe
Laboratory Analyst
Adam Humphreys Trace =Less Than 1%
Asbestos Laboratory Supervisor
NAC = Non- Asbestiform AC
FT = Fibrous Talc
AH =Animal Hair
P = Per] ite
O = Organic
B = Binder
OP = Opaques
Page 2 of 4
13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746
D = Diatoms
'kAERObio10 qy LAbowoRy
ASSOCIATES, INCORPORATED
�\ CONSULTING LABORATORY
Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood, CO 80401
303.232.3746
www.aerobioloov.net
Client Name
Street address
DS Consulting, Inc.
5366 Flatrock Ct.
n ��m
�� l�
Date Collected:
Date Received:
08/24/10
08/24/10
City, State ZIP
Morrison, CO 80465
Matrix
Material
(composition)
Date Analyzed:
08/30/10
Attn:
Steve Shurtliff
NVLAP Lab Code 200860 -0
Date Reported:
08/30/10
Client Project Name:
1734 Golf Ln, #66, Vail CO
15%
CELL
Project ID:
106094
Paul Knappe
Laboratory Analyst
Adam ump reys Trace =Less Than 1%
Asbestos Laboratory Supervisor
NAC = Non - Asbestiform AC
FT = Fibrous Talc
Job ID:
Test Requested: 3002, Asbestos in Bulk Samples
Method: Polarized Light Microscopy / Dispersion Staining (PLM), Method for the Determination of Asbestos in Bulk Building Materials. EPA -600/R- 93/116, July 1993.
Sample Identification
Physical Description of Sample,
Additional Comments
Homo-
geneous
es /no
Number
of
La ers %
Asbestos Detected
Non - Asbestos
Fibers
area %
Non - Fibrous
Material
area %
Matrix
Material
(composition)
Client
Lab Sample Number
DW02 -03
106094 -6E
White /Tan Drywall
N
5,60%
Negative
15%
CELL
85
G
Paul Knappe
Laboratory Analyst
Adam ump reys Trace =Less Than 1%
Asbestos Laboratory Supervisor
NAC = Non - Asbestiform AC
FT = Fibrous Talc
P = Perlite
O = Organic
AH =Animal Hair
B = Binder
OP = Opaques
Page 3 of 4
13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746
D = Diatoms
A = Amosite
CELL = Cellulose
Q = Quartz
AC = Actinolite
MW = Mineral Wool
C = Carbonates
AN = Anthophylle
CHRY= Chrysote
FBG = Fiberglass
SON =Synthetic
= Vermiculite
G =Gypsum
G
7y
CR = Crocidolite
WO = Wollastonite
M = Mica
TR = Tremolite
NTR = Non - Asbestiform TR
T =Tar
Paul Knappe
Laboratory Analyst
Adam ump reys Trace =Less Than 1%
Asbestos Laboratory Supervisor
NAC = Non - Asbestiform AC
FT = Fibrous Talc
P = Perlite
O = Organic
AH =Animal Hair
B = Binder
OP = Opaques
Page 3 of 4
13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746
D = Diatoms
'%k,AERObio1ogy LAbORATORy
--.�-� ASSOCIATES, INCORPORATED
CONSULTING LABORATORY Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood, CO 80401
303.232.3746
w.
wwaerobiolo".net
DS Consulting, Inc.
5366 Flatrock Ct.
(� ®
W V �W1J
Date Collected:
Date Received:
08/24/10
08/24/10
Morrison, CO 80465
V
Date Analyzed:
08/30/10
Steve Shurtliff
NVLAP Lab Code 200860 -0
Date Reported:
08/30/10
Client Project Name: 1734 Golf Ln, 466, Vail CO
Project ID:
106094
Job ID:
General Notes
♦ Negative indicates no asbestos was detected, the method detection limit is 1 %.
♦ Trace or "<1" indicates asbestos was identified in the sample, but the concentration is less than the method detection limit of 1 %.
♦ All regulated asbestos minerals (i.e. chrysotile, amosite, crocidolite, anthophyllite, tremolite, and actinolite) were sought in every layer of each sample, but only those asbestos
minerals detected are listed. Amosite is the common name for the asbestiform variety of the minerals cummingtonite and grunterite. Crocidolite is the common name used for the
asbestiform variety of the mineral reibekite.
♦ Tile, vinyl, foam, plastic, and fine powder samples may contain asbestos fibers of such small diameter (< 0.25 microns in diameter) that these fibers cannot be detected by PLM.
For such samples, more sensitive analytical methods (e.g. TEM, SEM, and XRD) are recommended if greater certainty about asbestos content is required. Semi- quantitative bulk TEM
floor tile analysis is accepted under the NESHAPS regulations.
♦ These results are submitted pursuant to Aerobiology Laboratory Associates, Inc.'s current terms and conditions of sale, including the company's standard warranty and limitation
of liability provisions. No responsibility or liability is assumed for the manner in which the results are used or interpreted.
♦ Unless notified in writing to return the samples covered by this report, Aerobiology Laboratory Associates, Inc. will store the samples for a minimum period of thirty (30) days
before discarding. A shipping and handling charge will be assessed for the return of any samples.
Notes Required by NVLAP
♦ This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
♦ This test report relates only to the items tested or calibrated.
♦ This report is not valid unless it bears the name of a NVLAP- approved signatory.
♦ Any reproduction of this document must include the entire document in order for the report to be valid.
13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746
04 -10 -2012 Inspection Request Reporting( Page 12
4:26 nm Vail [_n _ [_ifu of `a' 10- '1��[�
Requested Inspect Date: Wednesday April 11, 2012
Site Address: 1738 GOLF LN VAIL
UNIT 66
A/P /D Information
Activity: B10 -0387 Type: A -MF Sub Type: AMF Status: ISSUED
Const Ty e: Occupancy: Use: Insp Area:
Contra6tor: CROSSROADS REALTY LTD Phone: (970) 476 -4300
Owner: TANABE, CHARLES Y., BOBROW, ARLENE S.
Description: FOUR NEW SHOWERS. THREE ARE TUB /SHOWERS BEING CONVERTED TO SHOWER ONLY. ONE
IS SHOWER ONLY AND WILL REMAIN, GETTING NEW WALL TRIM (TILE). KITCHEN REMODEL
Requested Inspectionls
Item:
Requestor:
Comments:
Assigned To:
Action:
Insuection Histo
90 BLDG -Final
CROSSROADS REALTY LTD
306 -931
D ON
Time Exp:
l
Item: 501 PW- Access /Sta in /Erosion
Item: 226 FIRE DEPT. N07IRCATION
Item: 10 BLDG - FOOTING
Item: 504 PW- Retaining Wall Layout
Item: 502 PW -Rough Driveway Grade
Item: 20 BLDG - Foundation /Steel
Item: 21 PLAN -ILC Foundation Plan
Item: 410 Special Inspect - progress rept
Item: 22 PLAN -ILC FRAMfNG
Item: 30 BLDG - Framing
Item: 50 BLDG - Insulation
Item: 60 BLDG - Sheetrock Nail
Item: 70 BLDG -Misc.
Item: 535 DIA - 30 DAY REMINDER
Item: 536 DIA - SITE /LANDSCAPING
Item: 420 Special Inspect -final rept
Item: 503 PW -Final Driveway Grade
Item: 515 PW- Public Improvement
Item: 516 PW- Warranty Acceptance
Item: 90 BLDG -Final
Requested Time: 11:00 AM
Phone: 970 476 -4300 -or- 970-
79- 534
Entered By: JMONDRAGON K
REPT131 Run Id: 14333