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HomeMy WebLinkAboutB10-0416NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES .� �ow�oFV�, � 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 Job Address: Location......: Parcel No....: 1085 RIVA GLEN VAIL 210105301005 OWNER ERICKSON, RONALD A. & KRISTI 11/15/2010 5123 LAKE RIDGE RD MINNEAPOLIS MN 55436 APPLICANT JENSEN HOMES INC. 11/15/2010 Phone: 952-475-0548 601 CARLSON PKWY STE 1225 MINNETONKA MN 55305 License: 1081-B CONTRACTOR JENSEN HOMES INC. 11/15/2010 Phone: 952-475-0548 601 CARLSON PKWY STE 1225 MINNETONKA MN 55305 License: 1081-B Description: CABINET INSTALLATION WITH MINOR PLUMBING AND ELECTRICAL Occupancy: R3 Single Family Residence Type Construction:V6 Permit #: Project #: Valuation: Total Sq Ft Added: Status . . : Applied . . : Issued . .. : Expires . ..: B10-0416 PRJ10-0757 ISSUED 11 /15/2010 01/12/2011 07/11 /2011 $20,350.00 0 .....>..«....,,........�..� ....................................................�.. FEE SUMMARY .....�.�...x,...............,........,,,....,,.....................,.+....� Building Permit Fee------> $335.25 Will Cal Fee---------------------> $5.00 Total Calculated Fees-------------> $765.16 Plan Check--------------------> $217.91 Use Tax Fee---------------------> $207.00 Additional Fees-----------------------> $0.00 Add'I Plan Check Hours-> $0.00 Restuarant Plan Review-----> $0.00 TOTAL PERMIT FEES-------------> $765.16 Investigation-----------------> $0.00 Recreation Fee-----------------> $0.00 Payments------------------------------> $765.16 Total Calculated Fees--------> $765.16 BALANCE DUE-----------------------> $0.00 ».,.,.,,.,..> ..........................................«..,....,,,..,...,<,.....,.,........,.,.....,........................«..«..................�...........»............»......... 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 informatior 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 applicable thereto. REQUESTS 8:OOAM-4s SHAL,L-B�NIADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM ii Date N b I d_a It_co n st r u ct i o n_pe rm i t_041908 APPROVALS Permit #: B10-0416 as of 01-12-2011 Status: ISSUED ,,...» ..................................>,...,.............�.............,.....................,�.....,,...,.,.,..,..,....,.,,.,.....,....,...,.,.,...,.............................. Item: 05100 BUILDING DEPARTMENT 11/30/2010 Martin Action: CR 2. Indicate ceiling height of remodeled areas Reference section R304 IRC 3. Clarify existing use versus proposed use 01/03/2011 JRM Action: AP Item: 05110 ELECTRICAL REVIEW 11/30/2010 Martin Action: CR 1. Provide electrical load calculations for the additional electrical loads proposed. 01/03/2011 JRM Action: AP Item: 05120 MECHANICAL REVIEW 11/30/2010 Martin Action: NA Item: 05130 PLUMBING REVIEW 11/30/2010 Martin Action: AP Item: 05400 PLANNING DEPARTMENT 12/20/2010 bgibson Action: NA proposed "kitchenette" is not a"kitchen" per zoning definitions; so no new additional dwelling units proposed per the zoning defintions. Item: 05600 FIRE DEPARTMENT 12/02/2010 mvaughan Action: AP .............>.,,......,,��,,...............,,....,,..,....,,,......�..,�................,..,...,,,,...,,,...<.......,...................,.....,>,,.....,<......,,,,.....,...,,.,..,. See the Conditions section of this Document for any that may apply. b I d_a I t_co n st ru ct i o n_p e rm it_041908 ...........................................�.»...................,,..,,,..,,...,,.,.,,,,..,,,,......,................,..,,,,......,...........................,., �...,,.............,.. CONDITIONS OF APPROVAL Permit #: B10-0416 as of 01-12-2011 Status: ISSUED ...............x„�,,,......,.,,.........»..»...<,.�,,......<...»...,.,.,..,,,,,.,........,,..........».».....,......................,.».....,.............,.....,,..............�... 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 b I d_a It_co n st ru ct i o n_pe rm i t_041908 ********************************************************************�*********************** TOWN OF VAIL, COLORADO Statement ********************************++*****�*�********r*+******************+***********�****r*** Statement Number: R110000025 Amount: $765.16 Ol/07/201101:33 PM Payment Method: Check Init: SAB Notation: 49083-JENSEN HOMES ----------------------------------------------------------------------------- Permit No: B10-0416 Type: ADD/ALT SFR BUILD PERMIT Parcel No: 2101-053-0100-5 Site Address: 1085 RIVA GLEN VAIL Location: Total Fees: $765.16 This Payment: $765.16 Total ALL Pmts: $765.16 Balance: $0.00 *�*******�*********r******************�****+***�****r********************************s****** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ BP 00100003111100 BUILDING PERMIT FEES 335.25 PF 00100003112300 PLAN CHECK FEES 217.91 UT 11000003106000 USE TAX 4°s 207.00 WC 00100003112800 WILL CALL INSPECTION FEE 5.00 ----------------------------------------------------------------------------- „� � ����.4 � �=fr��' � t:� '� x + ,���� ��e � � � .,.f%ss.F� � �rv' � ,� �� �.� � � � � � � � � n X �t �*��5 �` �� � - �Y �� � ; , d ��.- ... �� Department, of Community Development:� ` �� ` , � '� 75 South Frontage Ro�d ; J �.y.� Va�l� �ol,orac�o 8�tG.5��= � ` �,, � `��' � _s� ��:',Tei`,970=4�9 ��f2��; ����a��?�� � 1” � � _ ��z�/ r F��C'_ �7�i-�t���G� i ,� r, y � .' �: �111et� v�Mi�nt da�;�c�'�v'��Ci� � � �� �f�' ��� � Deve�o�pinent�E��vfi[eir� ��oard���t�,� ��'� � v_ �` ` `� � `° � � . � � �,� �°� � " � �" y � �,t�.�..'��'„ w��� ."`� — �..���a�.��'�.:s��.,�,., TRANSMITTAL FORM Revision Submittals: 1. "Field SeY' of approved plans MUST accompany revisions. 2. No further inspections will be performed until the revisions are approved & the permit is re-issued. 3. Fees for reviewing revisions are $55.00 per hour (2 hour minimum), and are due upon issuance. _�...__.._ _._.__..___�...�___ _ Permit #(s) information applies to: Attention: () Revisions ,,.�}-Response to Correction Letter (� `U — Cj �--( ( �p �`�����.-� _attached copy of correction letter ( ) Deferred Submittal ( ) Other Project Street Address: �� C���,,� � Description / List of Changes: s �.CU�Z's�j ,�' .r � i (Number) (Street) (Suite #) � .Q-t ��'� � L-'� c' ��- � ? ;' � �- �'� I�� ��. �.— ' Building/Complex Name: � � Contact Information: Company: � s °i�"�` Company Address: City: State: Zip: Contact Name: Contact Phone: E-Mail Valuations (Labor & Material)) Building: Plumbing: Electrical: Mechanical: Total: $ � $ $ i $ $ ; (use additional sheet if necessary) Date Received: � � L� � V � D DEC 15 2010 , N OF VAIL 1-Sep-09 s ��� � � ■ � �EnsEn NomES,�Nc. ��� - v � 1 � CARLSON CENTER • 601 CARLSON PARKWAY, SUITE 1225 • MINNETONKA, MN 55305 • 952 / 475-0548 • FAX 952 / 475-2459 D �c�c�a�c� December 14, 2010 n �� 1 5 2��0 TOWN OF VAIL Mr. Martin Haeberle Chief Building Official Department of Community Development 75 South Frontage Road Vail, Colorado 81657 Re: 1085 Riva Glen — Interior Remodeling Dear Martin: Per your request and as a follow-up to our November 8'h submittal, please find enclosed a resubmittal of three (3) sets of drawings for the above project. The additional information you requested has been added to these documents. As previously noted, the proposed interior remodeling project includes the installation of wall and base cabinets, some associated electrical work and the additional of bar sink. The cabinets will be staged in the existing garage and parking will be confined to the existing driveway. Please call should you have further questions. Thank you. Sincerely, Jensen Homes, Inc. �� Dave Hill jdh0122@msn.com cc: Jim Jensen TRANSMITTAL FORM Revision Submittals: 1. "Field $eY' of approved plans MUST accompany revisions. 2. No further inspections will be performed until the revisions are approved & the permit is re-issued. 3. Fees for reviewing revisions are $55.00 per hour (2 hour minimum), and are due upon issuance. �__.�__—____��..._____�.�__..__�..____..�._..,�....�,__..�._,.__�...�.._____.___........�._..._.__�..____ _._.�._.,.____..�_..._.m._...�_..�_.�.__...�.�...�_�_._._.�._. Permit #(s) information applies to: Attention: () Revisions (? l v _ � �t � � ,,.�}�Response to Correction Letter 1� V���1;� attached copy of correction letter ( ) Deferred Submittal ( ) Other Project Street Address: �U �S _ ,/1%L..1 c.� CX l ��,--� (Number) (Street) (Suite #) Building/Complex Name: Contact Information: Company: � s �''"� Company Address: City: Contact Name: Contact Phone: E-Mail Valuations (Labor & Material)) Building: Plumbing: Electrical: Mechanical: Total: State: Zip: $ $ � $ $ $ Description / List of Changes: .Q`l .�� E- (_-o � c �:..5� S� . C �. �'� I��-- c�,�.-- (use additional sheet if necessary) Date Received: � ���oM� DEC 15 2010 TOWN OF VAIL 1-Sep-09 ■ , �E�sEn HomEs,�Nc. ��� - v � � � CARLSON CENTER • 601 CARLSON PARKWAY, SUITE 1225 • MINNETONKA, MN 55305 • 952 / 475-0548 • FAX 952 / 475-2459 December 14, 2010 Mr. Martin Haeberle Chief Building Official Department of Community Development 75 South Frontage Road Vail, Colorado 81657 Re: 1085 Riva Glen — Interior Remodeling Dear Martin: 0 DEC �a�c� 15 2010 TOWN OF VAIL Per your request and as a follow-up to our November 8th submittal, please find enclosed a resubmittal of three (3) sets of drawings for the above project. The additional information you requested has been added to these documents. As previously noted, the proposed interior remodeling project includes the installation of wall and base cabinets, some associated electrical work and the additional of bar sink. The cabinets will be staged in the existing garage and parking will be confined to the existing driveway. Please call should you have further questions. Thank you. Sincerely, Jensen Homes, Inc. �'q" Dave Hill jdh0122@msn.com cc: Jim Jensen f±�' ��� ,�?" � <. ��' � � � � �# � Department of Community Development ��� � ti. 75 South Frontage Road ,# ; •. � � w � :T� = � , " ��, Vail, Colorado 81657 �� A °.`� `'�'� ` T I• 970-479 2128 �'4`t� �� ����� _�� y'z':� �;�. � Fax: 970-479-2452 i� �i. .����y_ , � -r � = Web: www.vailgov.com - - Development Review Coordinator .. �...�.�•�.,,_ _.r�" �:.'� � �-� BUILDING PERMIT APPLICATION Separate permits are required for electrical, plumbing, mechanical, firepiace, etc. Project Street Address: 1085 Riva Glen (Number) (Street) Building/Complex Name: Contractor Information: Company: �ensen Homes, Inc. (Suite #) Office Use: nT I� Project #: �K U I D`��5 I DRB#: %Vl}' Building Permit #: � � �" � L� �� SPlt�1�p« c,a�r Lot #: Jc Block # Subdivision: �STRIES SueD���s�o�1 Company Address: 601 Carlson Parkway, Suite 1225 Detailed Scope and Location of Work: Cabinet installation City: Minnetonka State: MN Zip: 55305 with minor plumbing and electrical Contact Name: Dave Hill Contact Phone: 952.475.0548 E-Mail dave@jensenhomes.com Town of Vail Contractor Registration No.: 1081-B x ���� Contractor Signature (required) Property Information Parcel #: 2101-053-01-005 (For parcel #, contact Eagle County Assessors Office at 970-328-8640 or visit www.eaglecounty.us/patie) Tenant Name: Owner Name: Erickson, Ronald A. & Kristine S. Valuations (Labor & Materials) Building: Plumbing: Electrical: Mechanical: (inGuding fireplace) Tota�: � ,� ,1 � �� $17,250 g 1,250 $1,850 $ $ 20,350 (use additional sheet if necessary) Work Class: New ( ) Addfion ( ) Remodel ( /1 Repair ( ) Other ( ) „� Work Type Interior (�) F�cterior ( ) Both ( ) Type of Bui�ding: Single-Family (� Duplex ( ) Multi-Family ( ) Commercial( ) Other { ) Does a Fire Alarm Exist? Yes (� No () Monitored Alarm? Yes (� No ( ) Does a Sprinkler System Exist? Yes () No (✓j #& Type of Existing Fireplaces: Gas Appliances 3 Gas Log Wood/Pellet Wood Burning #& Type of Proposed Fireplaces: Gas Appliances Gas Log WoodlPellet Wood Burning _ Date Received � � � � V � D NOV 112010 TOWN OF VA1L 15-May-10 , � ._ __„ �� � . .i Vail Fire Departrnent 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 testin4 rectuired? 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. aTested 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 � 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@vai Igov.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 � ■ � �EnSEn NomES,�Nc. CARLSON CENTER • 601 CARLSON PARKWAY, SUITE 1225 • MINNETONKA, MN 55305 • 952 / 475-0548 • FAX 952 / 475-2459 November 8, 2010 Department of Community Development 75 South Frontage Road Vail, Colorado 81657 Re: 1085 Riva Glen — Interior Remodeling Dear Department of Community Development: Please find enclosed the following submittals: • Building Permit Submittal Requirements • Building Permit Application • Asbestos Sampling Report • Drawings D ���a�� NOV 112010 TOWN OF VAIL The proposed interior remodeling project includes the installation of wall and base cabinets, some associated electrical work and the additional of bar sink. The cabinets will be staged in the existing garage and parking will be confined to the existing driveway. Please call should you have questions. Thank you. Sincerely, Jensen Homes, Inc. ,�j .� Nx Dave Hill cc: Jim Jensen � . TO�NQFV��' BUILDING PERMIT SUBMITTAL REQUIREMENTS Residential additions/remodeis (1/2 familv IRC buildinqs) *�""Return this form with your application*** 0 2 sets of plans required for decks �( 3 sets of plans required for interior remodels ❑ 4 sets of plans required for additions ❑ Supply DRB application number (i.e. DRB090001) or copy of DRB Action Form ❑ Architect stamp required on architectural plans if prepared by architect. Engineer's stamp required on ail sheets of structural plans ❑ Site plan required if any exterior work is proposed � Asbestos project checkiist 8� testing results °� Floor plans for the unit showing all proposed work. Clearly show new, existing and demolished walls. Provide a complete floor plan 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. Incfude U-value and safety gtazing requirements. ❑ For additions, include energy code compliance forms (Rescheck) and heat loss calcs http://www. enerqvcodes. gov ❑ 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 c Plumbing plans for aN proposed plumbing work. Include gas piping and sizing plan ❑ Electrical plans for all proposed work schedule and load calculations Notes: Include electrical power and lighting plans, panel F:\CDev\BUILDING\checklistsllRC construction 022410.doc Indoor Environmental Services, Inc Dba: Q Consulting, Inc. Project —1085 Riva Glen, Spraddle Creek, Vail, CO Asbestos Sampling Report — Page 1 of 2 November 4, 2010 Dave Hill Jensen Homes On November 4, 20l 0, Quentin Danziger conducted an asbestos inspection of the suspect materials to be disturbed during the planned remodel of the room above the garage at l 085 Riva Glen, Spraddle Creek, Vail, Colorado. Asbestos was NOT detected, as described below. Homogenous Description Number % Asbestos Square Friable? Area of Feet Sam les Ol Texture 3 None Detected 03 Sheetrock/Joint Compound 3 None Detected BACKGROUND: A remodel is planned for the room above the garage. Indoor Environmental Services was requested to conduct an asbestos inspection of the suspect materials that will be disturbed. This inspection includes only suspect materials that are visible to the inspector. If other suspect materials become visible during demolition, they must be sampled before they are disturbed. Examples of suspect materials include but are not limited to: linoleum, floor tile, ceiling tile, mastic, sheetrock, joint compound, roofing materials, etc. There are over 3000 known asbestos containing materials. SAMPLING PLAN: Colorado State Requirements - For each homogenous area of less than 1000 square feet, a minimum of three samples must be collected in random areas. For each homogenous area of 1000 — 5000 square feet, a minimum of five samples must be collected in random areas. Areas of 5001 square feet or greater require a minimum of 7 samples. These laws are defined by the EPA (AHERA) and Colorado State Regulation 8. Determination of homogenous sampling areas — Homogenous Areas are determined by type of suspect material, texture, color and location. Determination of random sampling areas — The samples were collected in a random manner. Indoor Environmental Services, Inc Dba: Q Consulting, Inc. Project —1085 Riva Glen, Spraddle Creek, Vail, CO Asbestos Sampling Report — Page 2 of 2 Thank you for using Q Consulting, Inc. We are proud to be your local indoor air quality consultants. We look forward to working with you in the future. Quentin Danziger, BS, CIE, ABI — Colorado Asbestos Inspector Certification # 12781 Indoor Environmental Services, Inc. Dba Q Consulting, Inc. 970-390-0087 QConsultinglnc@yahoo.com EMSL Analytical, Inc. _.. Way Building 12 Suite A, C=; 5'00 �ax: (303) 741-?4G4 �ma:: Att�: Quentin Danzi er g Custorner ID: INES78 Q Consulting, Inc. c�StoR,e� Po: PO Box 997 ReCeived: 11/04/10 8:53 AM Vail, CO 81658 EMSI Order: 221002145 Fax: Phone: (970) 390-0087 EMSL Proj: Project: 1085 Riva Glen- Vail Analysis Date: 11/4/2010 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous °/a Non-Fibrous % Type 01-01 Texture White 100% Non-fibrous (other) None Detected z2�oo2�as-000i Non-Fibrous Heterogeneous 01-02 Texture White 100°� Non-fibrous (other) None Detected 2z�oo2�4s-0002 Non-Fibrous Heterogeneous 01-03 Texture White 221002145-0003 Non-Fibrous Heterogeneous 02-01-Jant Sheetrock/ Joint White Compound Compound Non-Fibrous 22 f 002145-0004 100°k Non-fibrous (other) 100°� Non-fibrous (other) None Detected None Detected Homogeneous 02-01-Sheetrock Sheetrock/ Joint BrowrUWhite 10°� Cellulose 90°� Non-fibrous (other) None Detected 22f002145-0004A Compound Fibrous Heterogeneous 02-02-Joint Sheetrock/ Joint Whfte 100°� Non-fibrous (other) None Oetected Compound Compound Non-Fibrous 221002145-0005 �i0fT10 j2t120US 02-02-Sheetrock Sheetrock/ Joint Bravn/White 10°r6 Cellulose 90% Non-fibrous (other) None Detected n�oo2�as-000sa Compound Fibrous Heterogeneous Initial report from 11/04/2010 17:1725 Analyst(s) Erin Orthun (9) Erin Orthun, Laboratory Manager or other approved signatory EMSL maintains liability limited to cosi of analysis. This report 2lates only to the samples reported and may not be reproduced, e�ept in full, without wntten appm�al by tnnsl. trnsi bears no responsibility for sample collection actiHties or analy[ipl method limitations. Interpretation and use of test results are the responsibility of the dient. This 2port must not be used by the client to Gaim product certification, approval, or erWOrsement by NVLAP, NIST or any agency of the federal goHemment. Non-fiable organically bound materials present a problem matrix and the2fore EMSL recommends graHmetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Samoles analvzed bv EMSL Analvtical. Inc. 7330 S. Alton Way Buildin5� 12 Suite A, Centennial CO NVLAP Lab Code 200828-0 . Test Report PLM-721.0 Printed: 11/4/2010 5:17:25 PM EMSL Analytical, Inc. 7330 S. Aiton Way �uilding 12 Suite A, Centennial, CO 80192 Phone: {303) 740-II- Fr:,: (303) 741-1400 � rlabaer -> Att�: quentin Danziger Custorner ID: INES78 Q Consulting, Inc. c�stome� Po: PO Box 997 Receiv�ed: 11/04l10 8:53 AM �/81�, CO 81658 EMSL Order: 221002145 Fax: Phone: (970) 390-0087 EMSL Proj: Project: 1085 Riva Glen- Vail Analysis Date: 11/4/2010 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous °!o Non-Fibrous % Type 02-03-Jant Sheetrock/ Joint White 100% Non-fibrous (other) None Detected Compound Compound Non-Fibrous z2�oo2�a�oos Homogeneous 02-03-Sheetrock Sheetrock/ Jant BrowNWhite 10% Cellulose 90% Non-fibrous (other) None Detected z2fooz�as-000sa Compound Fibrous Heterogeneous Initial report from 11104/2010 17:17:25 Analyst(s) Erin Orthun (9) Erin Orthun, Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This repoA relates only to the samples reported and may not be reproduced, except in tull, without written appro�el by EMSL. EMSL bears no responsibility for sample collection achHties or analytipl method limitations. Interpretation and use of test results are the responsibility of the Gient. This report must not be used by the Gient to daim product ceRification, appro�ral, or endorsement by NVLAP, NIST or any agency of the federel govemment. Non-fiable organically bound materials present a problem matrix and the2fore EMSL 2commends gravimetric redudion prior to analysis. Samples receiHed in good condilion unless othern�ise noted. Samples analyzed by EMSL Analytical, Inc. 7330 S. Alton Way Building 12 Suite A, Centennial CO NVLAP Lab Code 200828-0 Test Repat PLM-7.21.0 Printed: 11/4/2010 5:17:25 PM THIS IS THE LAST PAGE OF THE REPORT. r � 01-22-2013 Inspection Request Reporting (�p��� �� �—�, Page 3 A.OG ...., .. . .. .- � 0 Requested Inspect Date: Wednesday January 23, 2013 Site Address: 1085 RIVA G�LEN VA7L A/P/D Information Activity: 610-0416 Type: A-BUILD Sub Ty pe: ASFR Status: ISSUED Const Type: ""-- Occupancy: Use: VB Insp Area: Owner: ERICKSON, RONALD A. & KRISTINE S. Contractor: JENSEN HOMES INC. Phone: 952-475-0548 Description: CABINET INSTALLATION WITH MINOR PLUMBING AND ELECTRICAL Reauested Insuection(s) Item: 542 PLAN-FINAL Requestor: Comments: Follow-up� Assigned To: BGIBSON Action: Item: 543 PW FINAL Requestor: Comments: Follow-up Assigned To: LSANDOVAL Action: Item: 90 BLDG-Final Requestor: Comments: Follow-up Assigned To: SGREMMER Action: Time Exp: Time Exp: Time Exp: 23�3 � w��� � �- Inspection Historv �� Item: 501 PW-Access/Staging/Erosion ITnm• i!1 Ri nr__rnnri�i� - GIGI 11 ♦1Q11 LQ V4l : 502 PW-Rough riveway rade : 20 BLDG-Foundation/Steel : 21 PLAN-ILC Foundation Plan : 22�PLAN ILC FRAMfNG-�ess rept : 30 BLDG-Framing : 50 BLDG-Insulation : 60 BLDG-Sheetrock Nail : 70 BLDG-Misc. : 535 DIA - 30 DAY REMINDER : 536 DIA - SITE/LANDSCAPING : 533 PLAN-TEMP. C/O : 420 SRe�cial Ins� ect-final rept : 503 PW-Final Drivewav Grade Requested Time: 08:30 AM Phone: Entered By: MHAEBERLE K Requested Time: 08:00 AM Phone: Entered By: MHAEBERLE K Requested Time: 10:00 AM Phone: Entered By: MHAEBERLE K �,� o � � �0 � REPT131 Run Id: 15055