HomeMy WebLinkAboutB10-0416NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
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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
-----------------------------------------------------------------------------
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Department, of Community Development:� `
�� ` , � '� 75 South Frontage Ro�d ;
J �.y.� Va�l� �ol,orac�o 8�tG.5��=
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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: �
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Contact Information:
Company: � s °i�"�`
Company Address:
City: State: Zip:
Contact Name:
Contact Phone:
E-Mail
Valuations (Labor & Material))
Building:
Plumbing:
Electrical:
Mechanical:
Total:
$
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$
$ i
$
$
; (use additional sheet if necessary)
Date Received:
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DEC 15 2010
,
N OF VAIL
1-Sep-09
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CARLSON CENTER • 601 CARLSON PARKWAY, SUITE 1225 • MINNETONKA, MN 55305 • 952 / 475-0548 • FAX 952 / 475-2459
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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:
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DEC 15 2010
TOWN OF VAIL
1-Sep-09
■ , �E�sEn HomEs,�Nc.
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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±�' ��� ,�?"
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� � �# � 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�"
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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
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$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
, � ._ __„
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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.
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01-22-2013 Inspection Request Reporting (�p��� �� �—�, Page 3
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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:
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Inspection Historv ��
Item: 501 PW-Access/Staging/Erosion
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- 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
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REPT131 Run Id: 15055