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Home My WebLink AboutB11-0115NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL T/MES ,. ��o��.� ,. 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 #: B11-0115 Job Address: Location......: Parcel No....: 1169 SANDSTONE DR VAIL 210301415015 OWNER PACHARAN LLC 1169 SANDSTONE DR VAIL CO 81657 APPLICANT HW BUILDERS LLC PO BOX 1823 VAIL CO 81658 License: 1072-B CONTRACTOR HW BUILDERS LLC PO BOX 1823 VAIL CO 81658 License: 1072-B 05/16/2011 05/16/2011 Phone:970-390-6089 05/16/2011 Phone:970-390-6089 Description: INTERIOR REMODEL AND RETROFIT. COSMETIC REFINISH AND FLOORING LAYOUT CHANGE. Occupancy: R-3 Type Construction: Project #: Applied.....: Issued. . . : PRJ 11-0178 05/16/2011 O6/23/2011 Valuation: $77,550.00 ......................................,......,,_......,,...,,,,......,............,,,. FEE SUMMARY ....,...,,...........�........,,,,......,................_..,.....,,.,,......... Building Permit -----------> $839.75 Bldg Plan Check ----------> $545.84 Use Tax Fee-----------------------> $1,351.00 Electrical Permit ---------> $460.00 Elec Plan Check -----------> $299.00 Restuarant Plan Review--------> $0.00 Mechanical Permit ------> $40.00 Mech Plan Check ---------> $10.00 Additional Fees--------------------> $0.00 Plumbing Permit --------> $150.00 Plmb Plan Check ---------> $37.50 Recreation Fee--------------------> $0.00 Investigation-----------------------> $0.00 Will Call------------------------------> $20.00 TOTAL PERMIT FEES-------------> $3,753.09 Payments------------------------------> $3,753.09 BALANCE DUE-----------------------> $0.00 R/tiM# fr:t*wtrRYrYrRYri1'R!f i(Ri(#1�1`1(1`4fr*dtrtrRY'4f rtf f�krt�kiFrt1`L*ff i(lYr�Fw4�Rtf trtr�ktriPf Y`f Ri(i(M4rt*1�+i�LfAfrff *k�,Ff fY'*VYrf tr/YertY'#i`rtkrtirYrirflR'Rkk�F4R1'whw#fY'f rttrtrY`#f i(�k�kM*rtrt!!!t`f Afr*xxktYrf f trtril'f!f i�Rk�k444i(inF1`#rt1` �Rt«xwtrwwYr• 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. V�,�-' ��-��-, � z� r l Signature of Owner or Contractor ± Date r Print Name combination permit_012811 ...............��.......,,,............,....,....................,.,...........,...�....,,,,,.....,,..,,....,.....�......,.�...,..,........,......,......,.....,......».......,........ CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit #: B11-0115 Owner: PACHARAN LLC Address: 1169 SANDSTONE DR VAIL Location: ...................................... �............,,,.....,...,..,.,.,.,........,....................,,,...........,.............,......,. �.,....................................... combination permit_012811 1 - `' # l. V� V,i (.��J � A * * *,t, r w * * * * *,r * * *,t,t+t * *,t,t * * * * w t r� * � * * * * * r * * * * * ,t *, t t * t * *, r *, t r t * * *+ * * * tr * * t * * t * * tr t, t t * * * * t t t * * * * * * r r * * , r ,r x * * *,t, r w ,r * * * x , r * r * * � * * * r, r,t * * * * t * * ,r w , r * ,r w w w w,t * t * r ,r * * * * x w w w w * * Permit #: 611-0115 Owner: PACHARAN LLC REQUIRED INSPECTIONS AND STATUSES Address: 1169 SANDSTONE DR VAIL Location: ******««****.,*******.*�*,.****«*****�****�*****««*««*«*****************.,*****„*****«„***«********�**«***„*.,*******.,.,«***«««*******««******.,*******��* Item: 00090 BLDG-Final combination permit_012811 *****++************************************+**+******************+*************��*�********* TOWN OF VAIL, COLORADO Statement **********************************************+**********************+********************** Statement Number: R110000697 Amount: $3,219.09 06/23/201103:37 PM Payment Method:Credit Crd Init: LC Notation: credit card from Matthew R Phillips/ Hw Builders ----------------------------------------------------------------------------- Permit No: B11-0115 Type: COMBINATION BLDG PERMIT Parcel No: 2103-014-1501-5 Site Address: 1169 SANDSTONE DR VAIL Location: Total Fees: $3,753.09 This Payment: $3,219.09 Total ALL Pmts: $3,753.09 Balance: $0.00 ****************+*************************************************************************** ACCOUNT ITEM LIST: Account Code -------------------- BP 00100003111100 EP 00100003111100 MP 00100003111100 PF 00100003112300 PP 00100003111100 UT 11000003106000 WC 00100003112800 Description ------------------------------ BUILDING PERMIT FEES ELECTRICAL PERMIT FEES MECHANICAL PERMIT FEES PLAN CHECK FEES PLUMBING PERMIT FEES USE TAX 4% WILL CALL INSPECTION FEE Current Pmts 839.75 460.00 40.00 358.34 150.00 1,351.00 20.00 ----------------------------------------------------------------------------- TRANSMlTTAL FORM Revision Submittals: 1. "Field Set° of approved plans MUST accompany revisions_ 2_ No further inspections wi[i be performed until the revisions are approved & the permit is r�issued. : 3. Fees for reviewing revisions are $55.00 per hour (2 hour minimum), and are due upon issuance. ; Permit #(s) information applies to: AtEention: O Re�isions ' �_.� (�f�Z ponse to Correction L'erter i ;� I�— O I' � ✓aftached copy of correciion fetEer i ( ) Deferred Submittal , ( ) Oiher Project Street Addr ss- (16 1 s� �� l�. {Number) {Street) Bui(dinglComplex Name: t Description / List of Changes= � 5 R ? � I �SUItE �� E �— j� �'. k 3 Confact lnfo a6on_ � Company �W �1 I(3QJ'� ' Company Address: �� r B y I� 7j� ICi'ry: vC%C � State: Zip: � � Contact Name: c � � � � ' ; Contad Phone: � ��U � �� a E-Maii —o� __� �yo� -� q�. � d�(�j �t/ �i � - �i� n�l `� Revised ADDITIONAL Va(uations (Labor � Materiats) (d0 NOT include original va(uation) Building: Plumbing: Elecirical: Mechanical Tetal � ��-ac..�� s A lao, ��D�.� , f��, i, � �a.�. ��..� A3,i � �I��. lni.l m�..� , (use addit �=.e�� --- � -��r � Date Re �v d: JUN 10 2011 � TOWN OF �l�l� 4 � � • TOWN OF 75 South Frontage Road West Vail, Colorado 81657 vaiigov.com Date: May 27, 2011 Re: Aziz Residence/ B11-0115 Dear Mr. Phillips, RESPONSE INSTRUCTIONS Community Development Department 970.479.2138 970.479.2452 fax • Submit _--- complete sets of revised construction documents containing the requested information with all plan revision items clouded or otherwise identified. • Please respond in writing to each comment with a response letter addressing each comment. BUILDING COMMENTS Architectural Comments� 1. Revise plans and general notes to reflect the 2009 International Building Codes as adopted by the Town of Vail. All references to 2003 IBC have been modified to 2009 International Building Code �as adopted by the TOV 2. Annotate on plans the u value for the new glazing and the r value of the new exterior walls, including how it will be achieved. Plans have noted required IECC 2009 insulation values and insulation type. Door/window schedules have noted required `U' values of new fenestrations Structural Comments: Provide a copy of the soils report referenced by the structural engineer Referenced 1987 soils report is no longer available. Refer to letter from structural engineer. Plumbinq Comments: Reviewed and accepted Mechanical Comments: Provide plans showing compliance with the adopted codes per Town of Vail submittal requirements Refer to attached mechanical plans. Electrical Comments: ,• Provide plans showing compliance with the adopted codes per Town of Vaii submittal requirements Refer to attached electricalllighting plans. PLANNING COMMENTS Provide plans and elevations showing screening of inechanical area, as required by DRB approval. Refer to attached exterior elevations. FIRE COMMENTS Reviewed and accepted PUBLIC WORKS COMMENTS NA Sincerely, Martin A. Haeberle Chief Building Official / �v O� COC �\ �Q' ' �O � ,r�- � 1 O � �* ��:��r � � 'FD R�� A � Town of Vail Page2 June 8, 2011 �� =k� Monroe 8� Newell Enginccts, lnc. Blue Line Architects, P O Box 574 Minturn, CO 81645 stuart@bluelinearchitects com Attn.: Mr. Stuart Brummet Re: Aziz Residence, Permit B/11-0115, Vail, Colorado (M�N #8499) Dear Mr. Brummet: Vail, Cotorado Denver, Colorado Frisco, Colorado Monroe & Neweli Engineers, Inc. provided structural design for foundations and framing of the Aziz Residence Addition at 1169 Sandstone Drive. One new foundation wall and footing is included in the design. The bearing pressure below the new footing will be less than 500 psf, because this wall is very lightly loaded under all live and dead loads required by the International Building Code, 2009 Edition. The soils report that was prepared during the construction of the original building listed an allowable bearing pressure of 2,000 psf, which is significantly higher than the soil bearing capacity used in our design of the addition. It is our opinion that the very low bearing capacity requirement of the existing soils for the new addition will not overload the soils that had been rated for a much higher bearing capacity during the original building construction. If required the existing soils conditions could be verified after excavation is complete during the construction phase. We believe that our response will satisfy the structural requirements of the Building Department comments of the plan review for Permit B/11-0115, dated May 27, 2011. If you have any questions or comments, please call. Very truly yours, MONROE 8� NEWELL ENGI Hannes Spaeh, P.E. Principal INC. :� - . _x��, www. monroe-newell. com 70 I3enchmark Road • Suitc 204 • P.O. Box 1597 • Avon, Colorado 81620 (970) 949-7?68 • FAX (970) 949-4054 • emaiL avon�monroe-newell.com . _. ' '� Department of Community Development - �.. ` 75 South Frontage P.oad �� .�� °, �� , Vaii .Colorac�o � 81 �57 �� _ _, s�, �� -. ��k� � � .�:� � " ��-�=I�: '_ , �t, .'�� ' � TeL•� 97Q-479-2128_�_�� z Web: www.vaiigov.com � � ` �- Development Review Coordi�ator' ; , r ... d � s , ` g. , , � : � _ � - , —.. .' _ . _�` � '� � ; .: . . . . � .«am..e..� ,..x . ". .:. _ ,. �.. � .s ,. , ' '� �t�lti��1�� br�#Y�a * _ ~ '��j �� f � ` .; � , . �� . >- . � . A4 t.: � �.�,�� .., . ,�,. ,; G «� � ii�'�. r �� '# , , � � .- < , � � .- .- _v . � , _. _._.._ . .. , ��...�.»;-, ...��x .c�.- , . ,. . .... .,.. ,..?'. ,..,..,,�. _ ..,.,......�,_... BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address: Project #: ��S � �- �� 7� ( I E�G �-r� b` � 0�6 � 2 (Number) (Street) � (Suite #) °RB #: —�� I I t�l y 3 � Building Permit #: � � � - Q � � � � Building/Complex Name: �'Z.12 IG C�1, (%2 f Contractor Information � Business Name: � � � �'�ii�� Business Address: �i"V �0�. ! � Z � City \�(� State: CC/ Zip: ! �js8 Contact Name: ��"� � � �(�(� 1 t� 'P� Contact Phone: �� 3� � � C� �j Contact E-Mail: Q��_��(�(7 ��(4.dli�. Gpr►.�•� Contractor Repistration Project Information �t� � /�� Owner Name: pW"Q IM �' �"'"� �«A'Ih% W�Q�O Parcel#: 2(D3 �'C�� -i' — �5 —��_�2 (For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit www.eaglecounty.uslpatie) Detailed Scope and Location of Work: �A^9�, Ga�-t I�co � , (use additional sheet if necessary) Lot #: Block # Subdivision: Work Class: New ( ) Addition ( ) Alteration (p�) Type of Building: Single-Family � Duplex ( ) Multi-Family ( ) Commercial ( ) Other ( ) Work Type: Interior () Exterior () Both () Valuation of Work Included Plans Included Work Electrical ( �}Yes ( )No ( )Yes ( )No �a�o Mechanical (�Yes ( )No ( )Yes ( )No � Plumbing (�Yes ( )No ( )Yes ( )No�� Building (p�Yes ( )No ( )Yes ( )No 66� -_ �'1 550'' Value of all work being performed: $� — (value based on IBC Section 109.3 & IRC Section 108.3� Electrical Square Footage For Office Use Only: Date Received: Fee Paid: � �� 7, � D Received From: j�E� c� ��.1�L�_� PS ��It� �t.n�S� Cash Check # CC: Visa /�Last 4 CC #�JD g exp date: _ autn # !c� o m�.�rraErz �?, P�r��Ps L� `I ��1C� --, MAY 16 2011 �rJWN OF VAIL O 1-Jan-11 A nnec ens � _ ��----� - � ASBESTOS INSPECTION REPORT FoR JUAN CARLO AZIZ I'�ii 1 169 SANDSTONE DR. VAIL, COLORADO Annectens Project # SME029 PREPARED BY ANNECTENS ENVIRONMENTAL MANAGEMENT, LLC MAY 9, 2011 ASBESTOS INSPECTION REPORT 1.0 Introduction This report provides information regarding an asbestos building materials survey performed at 1169 Sandstone Dr. Vail, Colorado on May 6, 2011. At the request of Reid Phillips with HW Builders, Annectens Environmental Management performed a visual inspection of the three level home, acquired samples of suspect asbestos containing building materials (ACBM), assessed the condition of the materials, and determined estimates of the quantities of those suspect materials. Tl�e purpose of the inspection was to determine locations and quantities of asbestos containing building materials that would have to be abated by removal prior to the intended remodeling and reconstruction of the home. . 'The subject residence is a stucco home located on a lot in Vail, Colorado. The subject property is a three level home, with a living room, family room, kitchen, five bedrooms and six bathrooms. There is no basement. The house is heated by central forced air. The roof was a hip roof with steel shingles. 'There was a three-car attached garage. Samples of suspect materials were sent to Reservoirs Environmental Inc., 5801 Logan Street in Denver, Colorado. Reservoirs is a NVLAP accredited (# 101896) laboratory for Polarized Light Microscopy, the required method of analysis for asbestos. Details of this survey and analysis follows. Please refer to the Bulk Sample Data Table for a summary of the laboratory analysis results. 2.0 Inspection Rationale According to Federal EPA NESHAP regulations, and State of Colorado Regulation 8, buildings that have suspect asbestos containing materials in excess of 160 square feet, 260 linear feet, or 35 cubic feet (one 55 gallon drum in Colorado) require that an inspection be performed prior to renovation or demolition. For Single Family Residential Dwellings, the trigger level for inspection is 50 linear feet, 32 square feet, of the volume equivalent of a 55-gallon drum. Colorado Regulation 8 requires that any friable ACBM with PLM lab result indicating more than zero, but less than 1% (trace amounts) be Point Counted. No sample indicated trace levels of asbestos in the survey that was representative of a homogeneous area declared to be ACM, so no Point Counts were performed for that reason. The EPA AHERA regulation contains inspection protocol, and is considered to be the state of the art method for performing building inspeetions for asbestos in building materials. This inspection was performed according to those protocols, taking into account the limited scope of the inspection due to limited destructive sampling. All samples were acquired in a random manner that also represented the materials sampled. A narrative description of the sampled materials and their relative locations is contained in the Bulk Sample Data Table. In addition, a copy of the Reservoirs laboratory report is attached. All samples, assessment and inspection activities were performed by William Schluterbusch, an EPA accredited and State of Colorado certified Asbestos Building Inspector. Attached is a copy of the certificate. 3.0 Inspection and Survey FindingslRecommendations At the time of inspection, a total of three suspect materials was discovered and documented. None of the suspect materials were assumed to be asbestos containing. Samples were acquired of all of the suspect materials and submitted for analysis. Following is a list of those suspect materials. Textured drywall located on the south wall in the south ground level room of the home. (Two Samples) Texture tape and joint compound located on the south wall and soffit in the south ground level room of the home. (One Sample) Stucco & grey fiber board located on the exterior south wall of the home. (One Sample) A total of four samples were acquired in the sampling event. Of these samples, no material contained detectable levels of asbestos through standard PLM analysis. Discussion of the results follows. 4.0 Conclusions and Recommendations In the case of the asbestos in the texture, joint compound, and stucco on the walls, of the subject home at 1169 Sandstone Dr Vail, Colorado, the affected area is without CDPHE reQulations since there was no asbestos found bv laboratory analysis for those materials sampled. Please remember that only those suspect materials that appeared to have a potential for disturbance during the remodeling/restoration process were sampled. All workers should be aware of the potential for other ACM's to be present under or behind those identified. All work should stop when these suspect materials are discovered. Suspect materials should be sampled and those samples be analyzed prior to work progressing that would disturb any suspect asbestos containing materials. 5.0 Bulk Sample Data Table Sample Number Sample Description and Location Lab Result PLM (P.C.) 1169S-01 Texture drywall ground level S room S wall between door ND & window 5' from floor. 1169S-02 Texturc joint compound ground level S room S wall soffit ND joint above S window. 1169S-03 Texture drywall ground level S room S wall center below ND S window 11695-04 Stucco & grey fiber board exteriar S wa116" W of entry 5' ND from ground Note: PLM means Polarized Light Microscopy; P.C. means Point Count; ND means None Detected; TR means Trace RE1�4LAB Reservoirs Envirvnmenta/, May 9, 2011 Laboratory Code: RES Subcontract Number: NA Laboratory Report: RES 212419-1 Project # / P.O. # SME029 Project Description: None Given Bill Schluterbusch Annectens Environmental Mgmt, LLC 10343 Federal Blvd. Unit J252 Westminster CO 80260 Dear Customer, //7C_ Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 212419-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, Jeanne Spencer Orr President Analyst(s): Paul D. LoScalzo Wenlong Liu Michael Scales Adam Humphreys Anita Grigg Robert R. Workman Jr. Bethany Nichols P: 303-964-1986 F: 303-477-4275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 2 1-866-RESI-ENV www.reilab.com RESERVOIRS ENVIRONMENTAL, INC. NVLAP Lab Code 101896-0 TDH Licensed Laboratory # 30-0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: Client: Client Project Number / P.O. Client Project Description: Date Samples Received: Analysis Type: Turnaround: Date Analyzed: RES 212419-1 Annectens Environmental Mgmt, LLC SM E029 None Given May 6, 2011 PLM, Short Report 24 Hour M ay 8, 2011 Page 2 of 2 ien a L s estos ontent on on Sample ID Number A Sub Asbestos Fibrous Number Y Physical Part � Fibrous Component E Description (%) Mineral � Visual omponents (%� R ; Estimate (°/a % 1169S-01 EM 735921 A White texture w/ gold/white paint 20 ND 0 100 B Tan/pink drywall 80 ND 15 85 1169S-02 EM 735922 A White tape 5 ND 95 5 B White compound w/ gold/white paint 15 ND 0 100 C White joint compound 15 ND 0 100 D Tan/pink drywall 65 ND 15 85 1169S-03 EM 735923 A Tan/pink drywall w/ gold/white paint 100 ND 15 85 1169S-04 EM 735924 A White foam 2 ND 0 100 B White fibrous woven material 3 ND 90 10 C Pink resinous granular plaster w/ gray 95 ND 0 100 granular plaster ND=None Detected TR=Trace, <I% Visusl Estimate Trem-Act=Tremol ite-Acti nolite Note: Fur[her analysis by TEM is recommended for organica(ly bound material (i.e. floor tile) if PLM results ared%. Data QA Due Date: S'`� . t� RCJ L IG'4ly Oue Time: 3�� As� ��5e�'.'l'Vl?//"a5 1�1��✓'/TL7i717?�Ilt'a�/, 1/7�. Pa e„+,1„�, of �� 5601 Logan St Oenver, CO 802 S6 • Ph: 3Q3 36'4-t98�i • Fax 30�-4?7•a2�5 • Ton Free :865 �E51-ENV � —�-�- . SUBMI7TED BY: INVOIC� TO: IF DIFFER�NT) CONTACT lNFORMAiION: °oin� Annectens Environmenta( Management °^°a^�� '� Bill Schluterbusch °Npa: amess: �a: � 720-333-8231 �^�: ProyCt Numba anNa P.O. !1: L� r•� ,C ,F)� — Flnel D�M Dei�ebb FsWI AOWess: ProJed Clefutptlonllaetlon: '(" � �`�—� I a�B�STUS LABORATOftY l�(]U�iS� Weekd �r: 7arr� - 7`rn ,. .:.;' '. F2�QUESiEA ANALYSi9 VALID M+4TRIN�':C4b�� ;; t,AB �!O'� PI.M / PCM ! TEM ,� RUSM (Sarrte Day) PRIORITY (Ne� Day) �STANDARD j � AEr = A gulk = B {RuSh PCM a 2h�� 7EM = 6hr.) c; Q _ — � ; � � � qusf = D Pairtt = P CHEMtS�'R1� I:ABC3F�ATt3RY Mt7l�ftS; Mfe�kdays: �am - 8 m `: g*� �, � S o i i = S W �pe = W Metal(s) / bust ,,_,_ RUSH „_,_ 24 hr. _,_„3,5 Day „ • 4��, � � Drinking Water = DW RCRA B 1 Metels E� Weiding '""Prla' notHtcation !s 3 Fume 5can / tCI.P ._._ R U5H i, 5 day _10 day requlred tor RuBH �� a r= turnarounds.'"' ^ � V � `"A&TM E1792 a ra+ed wi rnedia onl " Organies _,_, 24 hr, � 3 day _5 Day � � � � .� �~ � v � � u� ""Turnqtaund Gmes establish a lebo�atory pt%rNy, subJect to taharatory vo(ume and arr not nueranbeod. �� ,. K t' � i,,, � Addlfionai fees apPN toc at'tt6r bours� weekends and hotldeyn."" m Q U m ; ` 3 6 . � a ,� � � � � C , � Spedal lnstructions: �' '�� ^ F, � �7 � � � U'� DBt� Ti117g � i � _ � # � � � � � � ;� � CoNected Gotlected �� f�t�m Cfie�t sampie I t1Ut:'! �1' Satn ID's must be un ae � ti r Q� mmldvl�y hhlmm alp (kaboratory Us � ,�-�--'�---..� � - � s �- J 3 �— � � ' - �� Zz 5 ` �� ' ` ... 7'" , - � ; Z y 7 ,;; � •: s , 4 � :,. . �`'� i � r ,,;4 ,.� ( .`., .�, 9 . �. . 1� '`_' �� , : , <. � 11 �:�;. - 1 � ..-_ ..................�-T..'-- f t Nu#nber oF samples received: � (Addltibnal samples shall be listed an attached long form.) HOiE: REI will analy¢e incoming samptes ba upon i 10 on raceived end will not be responsible tor errors or omissbns in cadculations resuftlng from the inacCUracy of or�qinaf data. By signing clierttlrnmpany representative agtees ihat submission of tha foflowing samptes lor requested analysis ae in s Chain ot Custody shafl consHtute an analydcai services agreement with peymeM terms of NET 3p da , fai�ure to comply with payrnent terms may r�sult in a 1.5% monthly interest surcharge. R�linq�lished B: '` � � DateRime: � Sampie condition; dn �ce Sealed I ct a ora ory se n y / - / � Recelved B : (/(i�Lt�.. 'L/�.� � D��i�: � . (� • l 1 � 3 3o Temp. (F°) �+ Y/fV Y/N �YM Carrier Resuits: Contact P Phane Emafl �ax Date Time Initiais Contact Pa Phone Email Fax Date Time ►niU Contact P Phorte Email Fax Date Tfine Initials Coniact P e Phone Emall Fax Date Time Initi . , , �_ _ _ _ __.�_ _. ,�,'q*�,6°� 4 �K t1�f��f• tt .� �''�. ,.. t �"��"'�'.,z . .�.p , '�`,,?r.. �r., a-....�+ � .,! Ta � � + r..... � a`s qs � �. �.��..` ..e;oi"re„ w'�y4�;��1't��y";' +'� .,,a4� -0i�.�;_ riN4�i��sa*�e�.. ,.y��`�,ry6�v� �s�°p�a,�.�.,`+P�a"�i{6;+'s �a`��e1tr��`Pat� '�,.�'y�,��+fi�t'��a�.. �a♦ ::�I{$�: '`��„F';y.49"��a`.iY i tl�„�i�l� i3.zP�a,�f�,q��5¢�x�.�r 7�e: .ti:+°�i�lip�a .� p�. e#� i�-c�� Fqqktl��y 1 s�et�a.. 1f4lyimd0�ip�r�/ii� �iairj��+4;��le+pJ'„ �s°�'�t��1�+�.•:; . �r� o �I�s%t�',:�.>>. z1e��, t�I�lf,f ��r.�: a�., y4aro s� d�;r<<rs� � t'';[ f4' �`'`.� > .'i1a�i�jl�; , �, ��t�r. o$it �.✓.:, k{e.�ab .-:e� �tPf.t 'a.trn,lF�qaii/�� r� n..�q,\�k�1i#y+ke�Y.l�fiir��. \yi�t�4'�� o'. stl- J�; �r�d ��ty ..�,i' iy/A'�"t � pf,,� �i,ehY''lw ..+i�� ; F;''�kA •it"�t�l �f .�s�� t `r'IS'.4r� •.. `"i�,\- ��Q 1f4��i l,` J� h :}� !; t yFet � S • ..lV `' �� + � . ,� i�i;"r°lf�Ee,\� �:.'.l�.iiis�li�w �aJr4:y'�*k` .vF��A��\`��'' �,'��,�ifA'4Z�lR ,' xI%� W�t��.° �i�iy!��>�!� ! ie'��`�','�:�ifA'*�a� ` ,° `,� ��fi�b}, -. ti:�'s : � �� _ _,.�� s� V� rir .- ��1- ��pt�� 's� ��6 `�• i„s..�?e+Fyxi �� r��I.+�,�k<4� ' ��F ✓ �'� y. ° r �i�,c� ,,� *- `t�e'� :� � . .T4 . , . � �a ,4' �. +' \.� O4 �M ... _.� {4..�a., . _ .` w�y�...�� L � . � � ��' . � ��S.S J J�' . . � . Lf J . �. -e : . . . _,�.�... .. . ... . .�.� _. . �. ... . � ..� � '..� < . .. � �f .' �- � _ . . . . _ . , ."" ' ' m9,p„ / l� 'se =" =':_.,�.`i +�.� �� __. r'e r--� ' _ ' -_' �`�� c�« $`� STATE OF COLORADO '� �. ��i/i �f �� sy M +l�Y' � � �--_ . �s4 = ��..� � = ASBESTOS ��,;, � � J�ri� � = �� CERTIFICATION* y-� - == � R,\�� . � 4` i i �� ` ,� �� ,�� ;� ►�r�'��p . �C � ai� ♦ s� �+ a �..,.. . 6�� i �° �. �..,'- ey�, �� '.. H r� �..� ...! � - . . . �` m, i' .,� 1. q� g> f ••` �M' � �>js f0 '� � . � �t Colorado Department of Public Health � ,��. ;:; •�°`'-�� ``'``` `` and Environment br� = +��_ � ♦ ' '° � Air Pollution Control Division ` � ... - � . .,r� �w'- � � > : �� mr/�iiw� � � ` e, �' �.��:� [ �� >`°Ts -� � ., �� r i��a . `F� � ; � >;. _o _ This certifies that �� :- '.`�` fJ�, Y . � � ,, �.�,. . � t = �� "� �� William Schluterbusch �,��" ' , ��'Y�� '•.��i,.�r� � � �i. �si•;,. ��Q R �, /��/ /�/� � �i ia � � ��• /is• :� q'y�a � � - . 4. °�� Certification No: 13646 - . . �� . _: i � s �-. . � �� ' � � ��- �. ., �+ �� ( ` � a + �ii�i �k- � �� ' K« �� ;_..� _'$ �� has met the requirements of 25-7-507, C.R.S. and Air Quality Control ._��'"='%- ,� �� Ps � �:: � �. ��'- Commission Regulation No. 8, Part B, and is hereby certified by the �'� state of Colorado in the following discipline: 1. Building Inspector* r' °`' Issued: 8/12!ZO10 {� �4 �� Expires on: 8/12/2011 }r Authorized APCD Representative ''` This certiftcate is va/id nnly wit1: the possession of a current Divts,'on-approved traii�iirg corrrse cer[ification in the discipli�re specifted above. SEAL � ��' _ t{ �: x` :�. ^. t� :i�9 i �Y �S: ' � . . . tk !. u Q: 4�..`�,g,�` � . . - - . :,:✓� . . . . . . � II E\=r � T ��o �...,..:- .- �, y .� �;a; ,,or:. : �� ::`y�a � so� _- _ � ��%� ::�:r�e ..,, ��Y :.,_� w� . ..:. -:,.. 6 � t` �irti,,e°,�,.�� a '�/17�'} . ;�. _ ��t: ypiF� _ .� y� �y . y �4i � � � � � � �s�+� �.�. , ;: �� ti M\ )�%Y d iy " ��/ • �jJ /�s J ♦` - .� .•.+ � .� i : . ; .. �.. ;i . :::"`;�= . ; ;-�.•,;.�..:�i::"' f � . :.»y>> � ' . �,, ;,�3 ,. �;,; ...�:.. _ �Gii '� 3Z�+. ' ��Y. .. "w9 i\�qa .. � j__ :...'� �. � ,8}a?.3� � F•- ****************:«********************************+***************************************** TOWN OF VAIL, COLORADO Statement *****��********�*****�*******+***********************�************************************** Statement Number: R110000466 Amount: $534.00 05/16/201112:38 PM Payment Method:Credit Crd Init: DR Notation: MC MATTHEW PHILLIPS ----------------------------------------------------------------------------- Permit No: B11-0115 Type: COMBINATION BLDG PERMIT Parcel No: 2103-014-1501-5 Site Address: 1169 SANDSTONE DR VAIL Location: Total Fees: $3,753.09 This Payment: $534.00 Total ALL Pmts: $534.00 Balance: $3,219.09 ********�******************************s***************�********************************�*** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ PF 00100003112300 PLAN CHECK FEES 534.00 ----------------------------------------------------------------------------- l�RCHANi COPV TOWN �75 S�ROHIA6E ppOM DEU URIL, CO 81651 918-419-2324 TERMINAL I.D. � 1882 I�RCHANT #: ��A S�#�#�5B8R D SALE Bp1CH: BBB266 �UT H � 01680P MAV 16a 11 0g�21 TOTAL �534.00 WITTHEW R PHILLIPS CUSi01ER COPY Inspection Items for 611-0115 11:49 01 /08/2013 Total Rows: 14 Page 1