HomeMy WebLinkAboutB11-0089NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657
p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149
COMBINATION BLDG PERMIT Permit #: 1311 -0089
Project #: PRJ11 -0039
Job Address: 1034 HOMESTAKE CR VAIL Applied.....: 04/28/2011
Location......: 1034 HOMESTAKE CIRCLE Issued...: 05/23/2011
Parcel No....: 210109205006
OWNER KELTON, ARTHUR M., JR & ELAI 04/28/2011
225 WALL STREET SUITE 210
VAIL
CO 81657
APPLICANT LUNDBERG CONSTRUCTION 04/28/2011 Phone: 970 - 471 -1221
PO BOX 1202
EAGLE
CO 81631
License: 1067 -B
CONTRACTOR LUNDBERG CONSTRUCTION 04/28/2011 Phone: 970 - 471 -1221
PO BOX 1202
EAGLE
CO 81631
License: 1067 -B
Description:
INTERIOR REMODEL OF DEN WITH NEW WINDOWS ON SOUTH AND EAST
ELEVATIONS, FLOORING REPLACEMENT, LIGHT FIXTURE
REPLACEMENT, MOVE EXISTING CLOSET 3 FT., REMOVE EXISTING
SHED
Occupancy:
Type Construction: Valuation: $21,000.00
......................................,...... ..,..........,,..........,....� FEE SUMMARY ........... »...,........,x..............., ... .............................,.
Building Permit ------ - - - - ->
$335.25 Bldg Plan Check ----- - - - - -> $217.91 Use Tax Fee------------------ - - - - -> $220.00
Electrical Permit ---- - - - - ->
$115.00 Elec Plan Check ------ - - - - -> $74.75 Restuarant Plan Review--- - - - - -> $0.00
Mechanical Permit - - - - - ->
$0.00 Mech Plan Check ---- - - - - -> $0.00 Additional Fees--------------- - - - - -> $0.00
Plumbing Permit --- - - - - ->
$0.00 Plmb Plan Check ---- - - - - -> $0.00 Recreation Fee--------------- - - - - -> $0.00
Investigation------------------ - - - - -> $0.00
Will Call ------------------------------ > $10.00
TOTAL PERMIT FEES --- ---------- > $972.91
Payments -- ---------------------------- > $972.91
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 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 town's zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town
applicable thereto.
REQUESTS FOR INSPECTION SHALL
BE MADE TWENTY -FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM
8:00 AM - 4.00 PM.
r
Signature of Owner or
Mntractor Date
Print Name
combination permit_012811
CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit #: B11 -0089 Address: 1034 HOMESTAKE CR VAIL
Owner: KELTON, ARTHUR M., JR & ELAINE WHITE Location:
1034 HOMESTAKE CIRCLE
combination permit_012811
O WN
REQUIRED INSPECTIONS AND STATUSES
Permit #: B11 -0089 Address: 1034 HOMESTAKE CR VAIL
Owner: KELTON, ARTHUR M., JR & ELAINE WHITE Location:
1034 HOMESTAKE CIRCLE
Item: 00120 ELEC -Rough
Item: 00030 BLDG - Framing
Item: 00050 BLDG - Insulation
Item: 00060 BLDG - Sheetrock Nail
Item: 00190 ELEC -Final
Item: 00090 BLDG -Final
combination permit_012811
************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
TOWN OF VAIL, COLORADO Statement
Statement Number: R110000518 Amount: $698.45 05/23/201110:04 AM
Payment Method: Check Init: SAB
Notation: 2850 -
LUNDBERG CONSTRUCTION
-----------------------------------------------------------------------------
Permit No: Bll -0089 Type: COMBINATION BLDG PERMIT
Parcel No: 2101 - 092 - 0500 -6
Site Address: 1034 HOMESTAKE CR VAIL
Location: 1034 HOMESTAKE CIRCLE
Total Fees: $972.91
This Payment: $698.45 Total ALL Pmts: $972.91
Balance: $0.00
ACCOUNT ITEM LIST:
Account Code
--------------------
00100003111100, GFPO
BP 00100003111100
EP 00100003111100
PF 00100003112300
UT 11000003106000
WC 00100003112800
Description Current Pmts
------------------------ - - - - -- ------ - - - - --
ELEC PERMIT FEES- GFP012 95.00
BUILDING PERMIT FEES 335.25
ELECTRICAL PERMIT FEES 20.00
PLAN CHECK FEES 18.20
USE TAX 4 9 6 220.00
WILL CALL INSPECTION FEE 10.00
303 231 -1002 (Office) 303 235 -0124 (Fax)
May 3, 2011
Mr. Mike Dowling
P.O. Box 5110
Eagle, CO 81631
MAY - 3 2011
TOWN OF VAIL
Subiect: Asbestos Final Air Clearances in Home Scheduled for Remodel
Dear Mr. Dowling:
CB Environmental. LLC (CBE) was retained by Cernark, Inc ( Cemark to perform industrial
;iytJ:ieoe seivicej ielated to punt- asbestos auatement woiK aiewcontainrYient visuai ana ail
rmrNni +vrinn clearances. This r is specific t o the events co n ducted nn May ? 2011 tccated
at 1034 Homestake Circle, 'Vail, Colorado. Clearance services were conducted in the den of
the house. The CBE on -site representative was responsible for consulting with the Cemark
renre enr tide hhr i=nnaue � stac.'v t0 ensure Me abatement areas and materials rE?r''L'VeG!
were understood so that clearances could be properly performed. CBE was not present during
asbestos removai activities.
Final Visual Clearance
-- -- -. _ .e*'^o ° avt; : alas, a final . ist.:gi : nSpe J .
required by the applicable regulations. A certified AMS must visually inspect the work area for
any dust or debris remaining in the area If the inspector notes any such dust or debris, the
abatement contractor is required to re -clean the work area until such time that the inspecting
AMS does not observe any dust or debris in the work area
Mr Mike Lococo conducted the final visual inspection of the site Mr Lococo is certifiers
(#13438) as an Asbestos inspector, Abatement Designer, and Air Monitoring Specialist as
specified by the Asbestos Hazard Emergency Response Act (AHERA) and the Colorado
Department of Public Health and Environment iCDPHEI. It was deter -mined that the
auat e riient contractor nau pioperiy cieanea the work area compieteiy of ail dus and debris.
T i is ii ispeCtio ig �rv�v reyii+rir� i iv further icr iicailii ig.
Final Clearance Air Monitoring and Sampling Methodology
Final oiearance a= Garnples mi ist be r..ni!erteti frnm the ,yorlt araa after ^�mnletdnn n€ ? final
visual inspection and prior to teardown of the containment structure. Anaivsis of each these
samples must snow airborne asbestos fiber concentrations of less than or equal to 0.010 flcc.
If concentrations exceed this limit. the abatement contractor must re -clean the work area and a
second set of final clearance air samcles must be collected and analyzed. This process is
pea rntil o ar? sl tii�ai ra It ni rrt fin i i A ra ail gArT)n ;AC M-PiAt the on of ltnry
.ed _ _ . th _ , su..s e a e art o .
standard. Only upon successfully completion of the final clearance air monitoring process may
an asbestos abatement project be considered complete. and teardown of the containment
structure can commence. Mr. Lococo completed the final clearance air sampling.
Final clearance air samples were collected usin constant flow t high- volume air sampling
plumps, . :.3 . , < ..ii 5iii {iii ;; iy vCiS'e iubJ :y d: id ad asicatiEC 5cii :1
- =plin; cassettes were attached to one end of the flexible tubing and placed on the stands
approximately forty -eight (48) inches above the fioor. The opposite ends of the flexible tubing
were attached to the air sampling pumps. Each pump was activated and operated at a flow
rate Y f aor r xi- ,ately s xteer? liters per !?iinute (1F LPM1 for a period of approximately eighty -
five (85) minutes. Aggressive air sampling tecrtniques, as described in 40 C;FIR Part 783,
Appendix A iu S ubyai t E. we utiliz throughout the sal nple collectioi l process. Upoi
completion of the final clearance air sampling, labels containing sample identification numbers.
sample location. pump flow rate, and total sample time were applied to each sampling
`- asset's'
P er the appiicau i egula tior i s, uaseci on ine quantity cif Ak i removea ouring ine auaiei i let ii
project. five (5) final clearance a ir samp were collected in the full cont ainment work area
located at the site.
Analytical Methodology and Laboratory results
r,
is :GinEj .3 , 1:ase VoS :Li G 1�Y i croscopy s.ry �a :3 Gi3ai
Occupational Safety (NIOSH) 582 Equivalent Course and successfully participates in the
American industrial Hygiene Association (AiHA) Proficiency Analytical Testing Program (PAT)
for determining concentrations of airborne asbestos fibers (Lab ID 201293).
The results of the laborator,, analysis of the finai clearance air monitoring samples confirm that
Eire concentrations ul airoome loners within irie wuiK area were Uelow the f egula tory limit OT
v.v .v "cc. Results below the detection limit are listed as BDL. �' copy o the analytical result's
of the final clearance air sampling is included in Appendix A of this Report
Conclusions:
i�il= r:.,,jed asoesi- , k;,ca3 .ais:,e aarirt,ez� ;i; t;Ie w; :L3 >tg iocaieu a'. 1354
Homestake Circle Vail Colorado on May 2, 2011, Air samples were collected in a full
containment until ail samples were beiow the regulatory ievei of 0.010 ficc and before
teardown of containment was approved. Therefore, the work area was clean upon completion
of fine abatement project and is ready for re- occunan,_v
, ° +: on ,. .
�i�i itatia
T his report describes the data collected and observations made by CBE during the final
clearance sampling in the den of the above referenced building. CBE represents that its
cer„irac , ktcrp ne —fn r th th e l scrip b y rNlin bl regut {teth
_ __. .. u n e i .m its ._.� ore scribe , n
a..r...�a. :.e fa
. �,..... ris .. i ;:..n s cone ^ f ..
work as approved by the EPA and the State of Colorado and in a manner consistent with the
level of care and skill ordinarily exercised by other professional consultants under Similar
CBE accepts no responsibility for data collected. the recommendations made or expressed to
die client, andiuf Whei cufruniFdTlents made by peisons or Firms other than CBE. No other
representation is made to the client, expressed or implied, and no warranty or guarantee is
included or intended.
Respectfully Submitted,
CB Environmental, LLC
Mike Lococo
Project Manager
Attachment
LABORATORY RESULTS
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Date of Photographs 201 1
rinai Clearance 1034 Homestake Circle. Vail, CO
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TOWN OF VAIL, COLORADO Statement
************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Statement Number: R110000366 Amount: $274.46 04/28/201111:32 AM
Payment Method: Check Init: LC
Notation: #2841 /
lundberg construction
----------------------------------------------------------------------- - - - - --
Permit No: Bll -0089 Type: COMBINATION BLDG PERMIT
Parcel No: 2101 - 092 - 0500 -6
Site Address: 1034 HOMESTAKE CR VAIL
Location: 1034 HOMESTAKE CIRCLE
Total Fees: $929.81
This Payment: $274.46 Total ALL Pmts: $274.46
Balance: $655.35
************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------- - - - - -- ------------------------ - - - - -- ------ - - - - --
PF 00100003112300 PLAN CHECK FEES 274.46
Project Street
Ic 51 f S 12ke �jrc�e
(Number) (Street) (Suite 8)
Building/Complex Name:
Project #: t " \
DRB # M- /
Building Permit #: — UU
Lot #: Blodc # Subdivision:
Contractor Information
Business Name:
1S
Work Class: New( ) Addition(
) Alteration (
•�
Business Address: • V • V�)��
��7�
Type of Building: _
City State:
& Zip:
Single- Family 0 Duplex( ) Mutti- Family
( )
l aille, L
Commercial ( ) Other ( )
Contact Name:
Contact Phone: ft
Work Type: Interior ( ) Exterior
( ) Both)
Contact E -Mail: 1 e
r2
Valuation of
Work Included Plans Included Work
Co ctor R istration Number:
Electrical (XYes ( )No ( )Yes
�
(>QJNQ
X
Mechanical ( )Yes (x)No ( )Yes
(ANo
Owner /Owner's Representative S' tune (Required)
Plumbing ( )Yes (?dNo ( )Yes
(>dNo
Project Information
Building ( / 4Yes ( )No (Yes
( )No ,
:Owner Home: 'r
M
. "(d
Parcel 'O � r Q� �
� �
Value of all work being performed:
$ d
#: ,���
(value based on IBC Section 109.3 8 IRC Section 108.3)
(For Parcel #, contact Eagle County Assessors OlRce st (970.32B4*W or visit
,l
www.eagleewnnty.usrpeft)
Electrical Square Footage
V
Detailed Scope and Location of Work:
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(use additional sheet if necessary)
W _ •.s . .
For Office Use Only-
Fee Paid:
Received From: CS�S�r
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth # _
Y
)ate
ZqCi.4co
APR 27 2011
TOWN OF VAIL
01- Jan -11
BUILDING PERMIT APPLICATION
(Separate applications are req uired for alarm & sprinkler)
TOWNAIL' BUILDING PERMIT SUBMITTAL REQUIREMENTS
Residential additionsiremodels (112 family IRC buildings)
** *Return this foam with your application ***
❑ 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 (.e. DR13090001) or copy of DRB Action Form
L 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
❑ Asbestos project checklist & testing results
Ir 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/floorstroof. Show Gass 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.
❑ For additions, include energy code compliance forms (Rescheck) and heat loss talcs
http: //www.energvcodes.aov
• 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:
FACDev\BUILDINGIchecldiststlRC construction 022410.doc
A
APR 27 2011
TOWN OF VAIL
DS Consulting, Inc.
Asbestos Inspection and Sampling Report
1034 fl€ mestake- Cir, Vail, Colorado 816 ?
Presented To:
Mr. Duane Piper
Piper /Architecture, Ltd
48 E Beaver Creek Blvd
PO Box 5560
Avon, CO 81620
Performed & Prepared By:
Mr. Steve Shurtliff
DS Consulting Inc.
PO Box 6864
Avon, CO 81620
(303) 378 -1544
Project Details:
Project Number: 2727
Conducted: August 31, 2010
Kelton Residence
EXECUTIVE SUMMARY
On August 31, 2010, Mr. Steve Shurtliff with DS Consulting, Inc. (DSC) performed a limited asbestos
inspection and performed asbestos bulk - sampling at 1034 Homestake Cir, 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 scheduled for a 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 a single type of drywall (surfacing material) in a total of
three (3) locations within the main level den and den closet.
All three (3) bulk - samples were analyzed by Aerobiology Laboratory Associates, Inc. (NVLAP #200860 -0)
in Denver, Colorado with two (2) bulk - samples of the drywall collected reporting as positive for asbestos
at 4% Chrysotile (see Appendix B for laboratory results).
The following sampled materials were found to contain asbestosgreater than 1% (ACM):
K
*Quantities are approximations of damaged material and /or material to be removed and are subject to field verification, DO NOT
use for bidding purposes.
PROJECT OVERVIEW
I. Introduction
A limited asbestos inspection and bulk - sampling for ACM was conducted at 1034 Homestake Cir, Vail,
Colorado, by Mr. Shurtliff on August 31, 2010 at the request of Mr. Duane Piper with Piper /Architecture,
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 main level den and den closet of the residence.
II. Structural Design
The structure is a wood - framed, multi- 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/R/116, July, 1993)
and the McCrone Research Institute's The Asbestos Particle Atlas as methods references. Analysis of the
bulk - samples was performed on the "date reported," as listed in the bulk - sample analysis report
ij
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
Asbestos - containing material was identified during the bulk - sampling conducted at 1034 Homestake Cir,
Vail, Colorado. A total of three (3) bulk - samples were collected from drywall within the main level den
and den closet of the above - referenced residence. The following two (2) of the bulk - samples of the
drywall collected reported positive for asbestos at 4% Chrysotile.
4
■ Asbestos was identified in the main level den wall drywall (surfacing material) sample DW01 -01
at 4% Chrysotile
■ Asbestos was identified in the main level den closet wall drywall (surfacing material) sample
DW01 -02 at 4% Chrysotile
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 quantities are approximations and are subject to field verification:
Homogeneous Area #01
Homogeneous Area #01
Sample #: DW01 -01
Sample #: DW01 -02
Sample Description: Drywall
Sample Description: Drywall
Sample Location: Main Level Den Wall
Sample Location: Main Level Den Closet Wall
Material Classification: Surfacing Material
Material Classification: Surfacing Material
Material Quantity. <1,000ft
Material Quantity. <1,000ft
Material Condition: Good
Material Condition: Good
Sample Layers - Asbestos Detected:
Sample Layers - Asbestos Detected:
White paint - Negative
White tape - Negative
Brown wall covering - Negative
White texture w /white paint - Negative
White texture - 4% Chrysotile
White joint compound - 4% Chrysotile
White tape - Negative
White /tan drywall - Negative
White joint compound - 4% Chrysotile
White texture w /white paint - Negative
White tan drywall - Negative
Recommendations. IMMEDIATE -See Section VII
Recommendations. IMMEDIATE - See Section VII
Homo geneous •1
Sample #: DW01 -03
Sample Description: Drywall
Sample Location: Main Level Den Wall
Material Classification: Surfacing Material
Material Quantity. <1,000ft
Material Condition: Good
Sample Layers - Asbestos Detected:
White texture w /white paint - Negative
Brown wall covering - Negative
White tan drywall - Negative
Recommendations: IMMEDIATE -See Section VII
61
VII. Recommendations
IMMEDIATE: The laboratory results of the potential ACM sampled at 1034 Homestake Cir, Vail, Colorado,
indicate that two (2) bulk- samples of the drywall collected from the main level den and den closet were
reported as positive for asbestos at 4% Chrysotile.
If the above - referenced ACM is to be removed from the residence and the total quantity exceeds any of
the regulatory trigger levels of 50 linear feet on pipes, 32 square feet on other surfaces, or the volume
equivalent of a 55- gallon drum, a Colorado- licensed asbestos abatement contractor is required to
perform the removal, including formal notification to the Colorado Department of Public Health and
Environment prior to the abatement of the ACM.
M
APPENDIX A
CERTIFICATION
APPENDIX B
LABORATORY ANALYSIS
ASSOCIATES, INCORPORAYD
CONSULItNU LAUORAKWY
Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood, CO 80441
303.232.3746
vwwv.aerobioloov. net
Client Name
Street address
DS Consulting, Inc.
5366 Flatrock Ct.
(�-
Cfm \V
Date Collected:
Date Received:
08/31/10
08/31/10
City, State ZIP
Morrison, CO 80465
Matrix
Material
(composition
Date Analyzed:
09/02/10
Attn:
Steve ShurtlitT
NVLAP Lab Code 200860 -0
Date Reported:
09/02/10
Client Project Name:
1034 Homestake Cit. Vail, CO
Project ID:
106338
106338 -1B
Brown Wall Covering
N
Job ID:
Negative
Tact 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
H omo-
geneous
es/no
Number
of
La ers %
Asbestos Detected
Non-Asbestos
Fibers
area %
Non-Fibrous
Material
area %)
Matrix
Material
(composition
Cl ient
Lab Sample um r
DWO1 -01
106338 - 1A
White Paint
N
7,2%
Negative
100
106338 -1B
Brown Wall Covering
N
7,4%
Negative
50%
CELL
50
106338 -1C
White Texture
N
7,6%
POSITIVE
4% CHRY
96
C
106338 -1D
White Tape
N
7,6%
Negative
98%
CELL
2
106338.1E
White Joint Compound
N
7,10
POSITIVE
4% CHRY
96
C
106338 -1F
White Texture w/ White Paint
N
7,12%
Negative
100
106338 -IG
White/Tan Drywall
N
7,60%
Negative
15%
CELL
85
G
DWO1 -02
106338.2A
White Tape
N
4,4%
Negative
98%
CELL
2
106338 -2B
White Texture w/ White Paint
N
4,10%
Negative
100
C
106338 -2C
White Joint Compound
N
4,10%
POSITIVE
4% CHRY
96
C
CHRY=Chrysotile SYN = Synthetic G = Gypsum
"Y `` # _ CR = Crocidolite WO = Wollastonite M = Mica
TR = Tremolite NTR = Non - Asbestiform TR T =Tar
Paul Knappe Adam Humphreys Trace —Less Than 1% NAC — Non- Asbestifotm AC P — Perlite
Laboratory Analyst Asbestos Laboratory Supervisor FT = Fibrous Talc O = Organic
AH =Animal Hair B = Binder
OP = Opaques
*Page 1 of 3 13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746 D = Diatoms
A = Amosite C
CELL = Cellulose Q
Q = Quartz
AC = Actinolite M
MW = Mineral Wool C
C = Carbonates
AN = Anthophyllite F
FBG = Fiberglass V
V = Vermiculite
'%k,ArRobio1oqY [AbORATORY
.A.SS(7i( W-%, INC0RPrORATLD
CON5ULIt N(; LAt1O1211TOltY
Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood, CO 80401
303.232.3746
~.aerobioloay.net
Client Name
Street address
DS Consulting, Inc.
5366 Flatrock Ct.
r � ,���(� /�
U �:1 UL"J
Date Collected:
Date Received:
08/31/10
08/31/10
City, State ZIP
Morrison, CO 80465
-"
Date Analyzed:
09/02/10
Attn:
Steve Shurtlill'
NVLAP Lab Code 200860 -0
Date Reported:
09/02/10
Client Project Name:
1034 Horrestake Cir. Vail, CO
15%
CELL
Project ID:
106338
DW01 -03
106338 -3A
White Texture w/ White Paint
Job ID:
3,5%
Teat 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.
Sam le Identification
Physical Description of Sample;
Additional Comments
H omo-
geneous
es/no
Number
of
La ern %
Asbestos Detected
Non-Asbestos
Fibers
area %
Non-Fibrous
Material
area %)
Matrix
Material
(composition
Cl ient
Lab Samvle Number
DWO1 -02
106338 -2D
White/Tan Drywall
N
4,76%
Negative
15%
CELL
85
G
DW01 -03
106338 -3A
White Texture w/ White Paint
N
3,5%
Negative
NAC — Non- Asbestifotm AC
100
C
106338 -3B
Brown Wall Covering
N
3,10%
Negative
50%
CELL
50
106338 -3C
White /Tan Drywall
N
3,85%
Negative
15%
CELL
85
G
A = Amosite
CELL = Cellulose
Q = Quartz
AC = Actinolite
MW = Mineral Wool
C = Carbonates
AN = Anthophyllite
FBG = Fiberglass
V = Vermiculite
#,
CHRY=Chrysotile
SYN = Synthetic
G = Gypsum
CR = Crocidolite
WO = Wollastonite
M = Mica
TR = Tremolite
NTR = Non - Asbestiform TR
T =Tar
Paul Knappe
Adam Humphreys Trace —Less Than 1%
NAC — Non- Asbestifotm AC
P — Perlite
Laboratory Analyst
Asbestos Laboratory Supervisor
FT = Fibrous Talc
O = Organic
AH =Animal Hair
B = Binder
OP = Opaques
Page 2 of 3
13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746
D = Diatoms
A ERobI�Y 1o(j L.AbORATORY
13949 W. Colfax Ave
��� J
Suite 205
.ASSOCIATES, INCORIP" ATED
Lakewood, CO 80401
303.232.3746
C(NVS1 I IIhG I AB{�R.4TO UY
Certificate of Analysis
www.aerobioioav net
DS Consulting, Inc.
Date Collected:
08/31/10
5366 Flatrook Ct.�
Date Received:
08/31/10
Morrison, CO 80465 1 T
Date Analyzed:
09/02/10
Steve Shurtliff NVLAP Lab Code 200860 -0
Date Reported:
09/02/10
Client Project Name: 1034 Homestake Cir. Vail, (70
Project ID:
106338
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, ehrysotile, amosite, eroeidolite, anthophyllite, tremolite, and aetinolite) 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. Crooidolite is the common name used for the
asbestiform variety of the mineral reibekite,
► Tile, vinyl, foam, plastic, and fine powder samples may contain asbestos fiber 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, Inv.'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 thuty (30) days
before discarding. A shipping and handling charge will be assessed for the return of any samples.
Notes Reauired 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.
I. 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
06 -29 -2011 Inspection Request Re Page 9
4:18 pm Vail, CO - City Of
Requested Inspect Date: Thursday, June 30, 2011
Site Address: 1034 HOMESTAKE CR VAIL
1034 HOMESTAKE CIRCLE
A/P /D Information
Activity: 611 -0089 Type: COMBO Sub Type: ASFR Status: ISSUED
Const Type: Occupancy: Use: Insp Area:
Owner: KELTON, ARTHUR M., JR & ELAINE WHITE
Contractor: LUNDBERG CONSTRUCTION Phone: 970 - 471 -1221
Description: INTERIOR REMODEL OF DEN WITH NEW WINDOWS ON SOUTH AND EAST ELEVATIONS FLOORING
REPLACEMENT, LIGHT FIXTURE REPLACEMENT, MOVE EXISTING CLOSET 3 FT., REMOVE EXISTING
SHED
Reauested Insoection(s
Item:
90 BLDG -Final
Requestor:
LUNDBERG CONSTRUCTION
Comments:
471 -1221
Assigned To:
JMO GON
Action:
Time Exp:
r
Item:
190 ELEC -Final
Requestor:
LUNDBERG CONSTRUCTION
Comments:
471 -1221
Assigned To:
S
Action:
Time Exp:
Requested Time: 02:30 PM
Phone: 970 -471 -1221
Entered By: JMONDRAGON K
Requested Time: 08:30 AM
Phone: 970 -471 -1221
Entered By: JMONDRAGON K
Inspection Histo
Item: 120 ELEC -Rough ** Approved **
05/31/11 Inspector: sgremmer
Comment:
Item: 30 BLDG - Framing ** Approved **
05/31/11 Inspector: sgremmer
Comment:
Item: 50 BLDG - Insulation ** Approved **
06/06/11 Inspector: sgremmer
Comment:
Item: 60 BLDG - Sheetrock Nail ** Approved **
06/06/11 Inspector: sgremmer
Comment:
06/08/11 Inspector: JRM
Comment:
Item: 190 ELEC -Final
Item: 90 BLDG -Final
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
Action: PA PARTIAL APPROVAL
Action: AP APPROVED
REPT131
Run Id: 13240