HomeMy WebLinkAboutB12-0279E
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Project Street Address:
(Number) (Street)
Building/Complex Name:
Contractor Information
Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
�
Business Name: A' "�y �
Project #: 2� �-/I Z3 l 3�o
# DRB #:
, Building Permit#: ���� UZ�
L�L
Lot #: Block # Subdivision:
Business Address: ��b J Col�t �,�%-! � Work Class: New ( )
City V� / State: �/ Zip: _� I'''Pe of Building: ~ �
� �5� n ��37� /03/ � Single-Family (�) Duplex (
Contact Name: � v<
; Commercial ( ) Other (
Contact Phone:
Contact E-Mail: �� \ l \ � �'l � G-0 � - C���
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 ap-
proved, Intemational Building and Residential Codes and other
ordinances of the T icable thereto.
er/Owner's Representative Signature (Required)
Applicant Information
Applicant Name:
Applicant Phone:
Applicant E-Mail:
Project Information /, ,�Y�� /�I�, �L� �
Owner Name:
!N /� �
Parcel #: �G � l< 2- 3� 3�d �O
(For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit
For Office Use Only:
Fee Paid: L�' Z� � �
Received From: �� L- {�;� �.�--�-�
Cash Check #
CC: Visa / MC L 4 CC # � exp date: �'—"
jAuth# �Z��S�
Addition ( ) Alteration ( )
) Multi-Family ( )
Work Type: Interior () Exterior () Both ()
Valuation of
Wor1c Included Plans Included Work
es
Mechanical ( )Yes ( )No ( )Yes ( )No
Plumbing ( )Yes ( )No ( )Yes ( )No ��gD �
Building ( )Yes ( )No ( )Yes ( )No .S % � a
Value of all work being performed: $ O
(value based on IBC Section 109.3 8 IRC Section 108.3� ��
Electrical Square Footage /i.N1�
Detailed Scope and Location of Work:
�., %� �� /�
e �
� � c ���� � �-- � t�� --� %�� �
(use additional sheet if necessary)
Date Received:
_ _.._.. ...__... ........
� �c��o��
JUL o � 1012
J� � Z ( o
TOWN OF VAIL
15-Mar-2012
y3
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
a'
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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
COMBINATION BLDG PERMIT Permit #: B12-0279
Job Address: 4465 GLEN FALLS LN VAIL
Location......:
Parcel No....: 210112313006
OWNER MORETTI, WAYNE R. & JAINE
954 RALEIGH
GLENVIEW
IL 60025
APPLICANT PAINTING BY JESSE LLC
PO BOX 6581
AVON
CO 81620
License: C000003093
CONTRACTOR PAINTING BY JESSE LLC
PO BOX 6581
AVON
CO 81620
License: C000003093
Description:
bathroom remodel
Occupancy:
07/03/2012
Project #: PRJ12-0343
Appl ied.....: 07/03/2012
Iss ued. . . : 07/13/2012
07/03/2012 Phone: 970-376-1031
07/03/2012 Phone:970-376-1031
Type Construction:
Valuation: $62,970.00
.................................................................�..,..........,.. FEE SUMMARY ....,.....,,,......................................,......�,��,......,...........
Building Permit -----------> $734.75 Bldg Plan Check ---------> $477.59 Use Tax Fee-------------> $1,059.40
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 --------> $90.00 Plmb Plan Check --------> $22.50 Recreation Fee-------------------> $0.00
Investigation-----------------------> $0.00
Will Call----------------------> $15.00
TOTAL PERMIT FEES— > 52,588.99
Payments--------------------------> a2,588.99
BALANCE DUE------------------> �0.00
•4#*RRRlRR****if+Y***t*�RRRM1R�*#**�t!**�F###*#*###iRRY�R>!'k�k*#f�k'ky'�RM1M1'kiFy'# V y'ffffffYt!!!lrtfYty'y'y'fffYfV�1'f4f*f'#t#1rlrRf*�R#f4frYeYe*#R*#*#ffMf'1nt�f4friRR#fRR*f'friRle#f'RRiff#Ytf'f'f'f'f'f'ttttttrff'f'f'fefeff'f'*f'f'R##it
DECLARATIONS
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.
combination permit_012811
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit #: 612-0279 Address: 4465 GLEN FALLS LN VAIL
Owner: MORETTI, WAYNE R. & JAINE Location:
*fff4Y4�k�kYtf�Y�k�kYfrtf�k�kYrfY��R�kfr4#i'f#ft#Y`i`i`i`i(x�lfRfi`�RY�MF#ffit'k�k�kfl�k�kt�kRrtY'rt44iRfi4ffififiRiRf' V f'f�RRRffrRRRRRfit/f#ff�R+ttR+tRt##ti(ttt+tJ4i`i`*Yrf�RiFY`fiFffYYeY'YeY`Y'fr'kff4YrfitY`4 V NYr11rRM1#1`i*fR/###tf�1'Y'4�k#'f�k�kfYriR V f.
combination permit_012811
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REQUIRED INSPECTIONS AND STATUSES
Permit #: B12-0279
Owner: MORETTI, WAYNE R. & JAINE
Address: 4465 GLEN FALLS LN VAIL
Location:
**«.,*,.«*«*******,►«.**,►««*******.**..*.****...****************.,.,.***********.*****«**.,**********««*««**«««*«**********�«***.**«***,►,►,...*..*«***««**,.**
Item
item
Item
Item
Item
Item
Item
Item
Item
00120 ELEC-Rough
00220 PLMB-Rough/D.W.V.
00230 PLMB-Rough/Water
00030 BLDG-Framing
00050 BLDG-Insulation
00060 BLDG-Sheetrock Nail
00190 ELEC-Final
00290 PLMB-Final
00090 BLDG-Final
combination permit_012811
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,` I'�ECnorrs
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JUL 0 � 2012
L� �Z�,�o
HealthSafe Inspections Inc �pWN OF VAIL
1052 V'
ine St
Aspen CO 81611
970-920-2100
Jim Baker, ACAC Board Certified CIE, CMRS, CMI, CSDS
CDPHE Asbestos Building Inspector Certification #13437
ASBESTOS REPORT
DATE:
06/08/2012
CLIENT:
Painting by Jesse, LLC
PO Box 6581
Avon CO 81620
PROPERTY ADDRESS of PROJECT:
Wayne Moretti
C/O Painting by Jesse, LLC
4465 Glen Falls Lane
Vail, CO 81657
COLORADO ASBESTOS REGULATIONS SUMMARY:
Colorado State Regulation No. 8, Part B requires a State certified Asbestos Building
Inspector to inspect and sample for suspect asbestos containing materials (AC1Vn prior to
their disturbance, removal or demolition. In residential buildings of ten or fewer units if
more than 32 squaze feet of surfacing, flooring, roofing or insulating materials (e.g.,
drywall and associated textures, acoustic sprays and joint compounds, sheet vinyls, tiles,
roofmg felt, adhesives), 50 linear feet of asbestos covered/insulated pipe or volume
equivalent of materials which would fill a 55 gallon drum are going to be disturbed, an
asbestos inspection is required by a state certif ed asbestos building inspector. For
buildings with more than ten residential units (considered public), including commercial,
civic or industrial buildings, if more than 160 square feet of surfacing materials, 260
linear feet or more than 35 cubic feet of suspect ACM is going to be disturbed, an
asbestos inspection is required under NESHAP. County regulations may be more
stringent. The regulations require an absolute minimum of 3 samples (EPA suggests 7)
per homogenous suspect materials.. In order for the contractor to proceed with
restoration, renovation or demolition the suspect materials have to be sampled and
analyzed by a NVLAP accredited laboratory by polarized light microscopy PLM
methods.
CLIENT BACKGROUND:
T'he client, Moretti, is planning to remodel their upstairs bathroom. This will affect walls
and ceilings within the bathroom as well as a bedroom closet walls and ceilings.
HealthSafe Inspections, Inc. was hired to perform the required building permit asbestos
inspection prior to the remodel.
VISUAL INSPECTION & FINDINGS:
An inspection was conducted by Jim Baker of HealthSafe Inspections, Inc. on
Wednesday morning of June 6, 2012 with Jesse Nieto present during the inspection.
Suspect materials which would be disturbed during the remodeUrenovation were
sampled. Each homogenous suspect ACM covering more than the trigger level of 32
squaze feet were identified requiring a minimum of 3 samples each; there were a total of
3 different homogenous materials identified requiring a minimum total of 9 samples:
bathroom wall skim coated material; closets and bathroom ceiling trowel applied texture
and walUceiling joint compound with drywall.
There was no vinyl flooring, caulking, adhesives or other suspect building materials
which would be disturbed.
LABORATORY DATA:
The bulk samples were analyzed by PLM by a NVLAP accredited laboratory in
accordance with Colorado State Regulation 8 for the presence of asbestos mineral fibers.
A119 samples were:
NONE DETECT. No asbestos fibers were visible in the 9 samples.
See supporting Reservoirs Environmental, Inc. data report # 237397-1.
HEALTHSAFE RECONIlVIENDATIONS•
All materials necessary to be removed in the upstairs bathroom and adjacent bedroom
closet to complete the demolition/remodel may be removed and disposed of as normal
construction debris and can be disposed of in any landfill accepting such materials.
Sincerely Submitted,
Jim Balcer
2
Current Certifications:
Colorado Asbestos Building Inspector (#13437)
http://www.cdphe.state.co.us/ap/asbestos/index.html
American Council for Accredited Certification (formerly American IAQ Council) Board
Awarded Certifications:
1. Council-Certified Indoor Environmentalist (CIE)
2. Council-Certified Microbial Investigator (CMI)
3. Council-Certified Mold Remediation Supervisor (CMRS)
4. Council-Certified Structural Drying Supervisor (CSDS)
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STATE OF COLOR.ADO
ASBESTOS
CERTIFICATION*
Colorado Department of Public Health
and Environment
Air Pollution Control Division
This certifies that
Jim Baker
Certification No: 13437
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Commission Regulation No. 8, Part B, and is hereby certified by the =- _-_ =:.,::. �i
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A�� � Reservairs Envirvnmenta/, Inc.
June 8, 2012 Laboratory Code: RES
Subcontract Number. NA
Laboratory Report:
Project # / P.O. #
Project Description:
Jim Baker
HealthSafe inspections
1052 vne St.
Aspen CO 81611
Dear Customer,
RES 237397-1
Mor+etti
4465 Glen Falls Ln., Vail
CO 81657
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
P�oficiency 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 generat accordance with the appropriate methodology as
stated in the attached analysis table. The results have been submitted to your office.
RES 237397-1 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 Gaim endorsement of products or analytical results by NVLAP or
any agency of the U.S. Govemment. 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
President
_ ��iU:J��
Malyst(s):
Paul D. LoScalzo Wenlong Liu
Michael Scales Adam Humphreys
Anita Grigg Robert R. Workman Jr.
Bethany Nichols Anya Angst
P: 30&964-7986 5801 Lopen StrB6t, Suite 100 Denver, Cp 8(Y216
1-86frRESI-ENV
F: 303-477�275
www.reilab.com
Pege 1 oT 3
Reaervoin Erniiarnenlal, Inc.
Reaervoira EmM'onrt�enfal QA Manual
RESERVOIRS ENVIRONMENTAL, INC.
NVLAP Lab Code 101896-0
TDH Llcensed 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 237397-1
HealthSafe Inspections
Moretti
4465 Glen Falls Ln., Vall CO 81667
June 7, 2012
PLM, Short Report
24 Hour
June 7, 2012
Etbctive Janwiy 1, 2012
T:�pAOCLL.abUteservoirs EnvironmeMal OA Manual.doe
ND=None Deteded
TR=Trece, <1 % Viaud Estimate
Trom-Ac�Tromolite-AcUnolHe
en � n on on
Sample ID Number A Sub Asbestos Fibrou
Number Y Physicai Part � Fibrous omponent
E Description (°�) Minerai � Visua omponents (°k)
R Esam.a x °k
CLGWL-Trowelled Srfc-7 EM 136657 A White/tan paper 2 ND 80 20
B White compound w/ white paint 98 ND TR 100
CLGWL-Trowelled Srfc-2 EM 136658 A White compound w/ white paint 100 ND 0 100
CLGW�-Trowelled SrFc-3 EM 136659 A Tan/white paper 3 ND 80 20
B White compound w/ white paint 97 ND 0 100
WL-Sklm Srtc-1 EM 136660 A White compound w/ light pink paint 100 ND 0 100
WL-Skim Srfc-2 EM 136661 A Light pink paint w/ white compound 40 ND 0 100
B Tan/white paper 60 ND 80 20
WL-Skim Srfc-3 EM 136662 A White compound w/ light pink paint 100 ND TR 100
WLCLG�I-1 EM 136663 A White joint compound w/ white paint 3 ND 0 100
B White tape 3 ND 90 10
C White joint compound 3 ND TR 100
D White drywall 91 ND 10 90
TEM Anelysls rocommended ior orpanically bournf ineterial (i.e.11oor tile) if PLM reeulta aro <t%.
P: 3038641988
F: 303-4774275
5801 Lopan Stroet, Suite 100 Denver, CO 80218
P�pa 2 of 3
Data QA
1-888-RESI-ENV
www.rollab.com
Rsservoin Emrimnment�, Inc,
Reservoin Environmentai �A Marwe�
RESERVOIRS ENVIRONMENTAL, INC.
NVLAP Lab Code 101896-0
TDH Ucensed Laboratory � 30-0136
TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
Client:
Client Project Number / P.O
Client Project Description:
Date Sampies Received:
Analysis Type:
Turnaround:
Date Analyzed:
RES 237397-1
HealthSafe Inspections
Moretti
4465 Glen Falis Ln., Vali CO 81657
June 7, 2012
PLM, Short Report
24 Hou�
June 7, 2012
E�a .lanwry 1, T012
T:V]A�CLLabUtsaervoin Ernironmsnfal OA M�I.doc
ND■No�e Detected
TR=Trsce, <1% Visual EsUrt�e
Trom-Ad�Tromdito-Actinolite
en � n on on
Sample ID Number q Sub Asbestos Fibrou
Number Y Physical Pa�t � Fibrous omponent
E Description (°k) Min.rai Vlsua omponents (°h)
R Eidmate X %
WLCLG�J-2 EM 136664 A White joint compound w/ light pink paint 3 ND TR 100
B White tape 3 ND 90 10
C White joint compound 3 ND TR 100
D White tape 3 ND 90 10
E White joint compound 3 ND 2 98
F White drywall 85 ND 20 80
WLCLG�I-3 EM 136665 A White joint compound w/ white paint 3 ND TR 100
B White tape 3 ND 90 10
C White joint compound 3 ND TR 100
D White drywall 91 ND 15 85
TEM Anelysis rocommended for orpanicely bound metenal (i.e.11oor dle) H PLM roaulta aro <1 %.
P: 303-8841888 5801 Lopan Stroet, Sulte 100 Denver, CO 80218
F: 303�477�275
P�ps 3 oi 3
Data QA
1-88&RESI-ENV
www.roll�b.com
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INVOICE TO• DIFFER CONTACi
Jim Bak�r
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RES 23734i7
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. . . ####�###*�#�*#4.*#***�**#**4#*#*�#*##*#***i***ffi***�***####***��****#****#*�*####F****##*****##
TOWN OF VAIL, COLORADO Statement
****ss*�����***************�**���*���**********************���**********r*****���*********s*
Statement Number: R120000857 Amount: $472.90 07/03/201212:59 PM
Payment Method:Credit Crd Init: LC
Notation: CREDIT CARD
FROM JESSE NIETO
-----------------------------------------------------------------------------
Permit No: B12-0279 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-123-13UG-6
Site Address: 4465 GLEN FALLS LN VAIL
Location:
Total Fees: $2,588.99
This Payment: $472.90 Total ALL Pmts: $472.90
Balance: $2,116.09
*�*�*************r***************ss**�****r*****����s****�*�********�*****�*****************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 472.90
-----------------•------------------------------------------------------------
;
_.
10-17-2012
lnspection Request Reporting ����- J�2
va�i r_n _ r_�t� n�
Requested Inspect Date: Thursday, October 18, 2012
Site Address: 4465 GLEN FALLS LN VAIL
AlP/D Information
Activity: B12-0279 Type: COMBO Sub Type: ASFR
Const Type: Occupancy: Use:
Owner: MORETTI, WAYNE R. 8� JAINE
Contractor: PAINTING BY JESSE LLC Phone: 970-376-1031
Description: bathroom remodel
Requested Inspection(s)
Item: 90 BLDG-Final
Requestor:
Comments: 376-1031
Assigned To: J ON
Action: Time Exp:
Item: 190 ELEC-Final
Requestor:
Comments: 376-1031
Assigned To: JM D
Action: Time Exp:
Item: 290 PLMB-Final
Requestor:
Comments: 376-1031
Assigned To: JM RA
Action: Time Exp:
Inspection History
Item: 120 ELEC-Rough "" Approved **
08/01/12 Inspector: sgremmer
Comment:
Item: 220 PLMB-Rough/D.W.V. "" Approved "
07/30/1Z Inspector: sgremmer
Comment:
Item: 230 PLMB-Rough/Water *" Approved ""
07/30/12 Inspector: sgremmer
Comment:
Item: 30 BLDG-Framing �* Approved "*
08/01/12 Inspector: sgremmer
Comment:
Item: 50 BLDG-Insulation "` Approved "
08/07/12 Inspector: sgremmer
Comment: NA
Item: 60 BLDG-Sheetrock Nail " Approved "`
08l07/12 Inspector: sgremmer
Comment:
Item: 190 ELEC-Final
Item: 290 PLMB-Final
Item: 90 BLDG-Final
REPT131
Page 14
Status: ISSUED
insp Area:
Requested Time: 01:00 PM
Phone:
Entered By: MHAEBERLE K
Requested Time: 10:30 AM
Phone:
Entered By: MHAEBERLE K
Requested Time: 11:00 AM
Phone:
Entered By: MHAEBERLE K
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
Run Id: 14903
�
+**++**********++*******+*****************�*+****************�****************************+*
TOWN OF VAIL, COLORADOCopy Reprinted on 12-28-2012 at 11:47:22 � 2/2g/2p � 2
Statement
+********************************************+**********************************************
Statement Number: R120000902 Amount: $2,116.09 07/13/201208:12 AM
Payment Method: Check Init: DR
Notation:
-----------------------------------------------------------------------------
Permit No: B12-0279 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-123-1300-6
Site Address: 4465 GLEN FALLS LN VAIL
Location:
Total Fees: $2,588.99
This Payment: $2,116.09 Total ALL Pmts: $2,588.99
Balance: $0.00
************************************************�****************************************+**
ACCOUNT ITEM LIST:
Account Code
--------------------
BP 00100003111100
EP 00100003111100
PF 00100003112300
PP 00100003111100
UT 11000003106000
WC 00100003112800
Description
------------------------------
BUILDING PERMIT FEES
ELECTRICAL PERMIT FEES
PLAN CHECK FEES
PLUMBING PERMIT FEES
USE TAX 4%
WILL CALL INSPECTION FEE
Current Pmts
734.75
115.00
101.94
90.00
1,059.40
15.00
--------------------------------------------------------------------------