HomeMy WebLinkAboutB12-0285 i
DeparEmenc of Community Uevelopment
�� 75 Souih Frontage Road
���� �� Ua�� ;;`` Vaii, C0 81657
� Tei: 970-479-2128
- .-_ �. - -.� www.vailgov.com
:-`��"" YDevefopment Review Coordinator
TR�NS�/11TT�L FOR�/I
Revision Submittals:
1. "Field SeY'of approved plans MUST accompany revisions.
2. No further inspections will be performed until the revisions are approved 8�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 �
� I Z � O Z� � �Response to Correction Letter I
attached copy of correction letter
( ) Deferred Submittal i
( )Other
�-- ---- —�
'Project Street Address:
� �'��M �a�u.��
(Number) (Street) (Suite#) �—_� �
�
1 I
�Building/Complex Name: � Description/List of Changes:
- — --� ��.t.v wcu�P�,v i
�Contractor Information +`T
� 7 /t � �) �LU15 �� SU � r ( '
Business Name: � �7iQ,�� (/i7J154"(lf G�'t LZIi( P UL2� �P.ti �P�/_� �Vl�i�lJ�/
i� i
; �'�.c�� �2G�� �S l,U I�t.� �Osi U�y�� � Z I
Business Address: � �
City� State: Zip: ���d 'Jr � ���"��
ContactName: r,/(1i� U. ��� 6-jj°1 �ul �U��� IGt, 6�(t,T�a.jvL_n�a,ri�t'
u r
Contact Phone: �?�" �j�l 'C'�3� ��v�
�r (use additional sheet if necessary)
�Contact E-Mail: ��rU1 p�2��� �10`Wt��• � Revised ADDITIONAL Valuations(Labor&Materials) �
i(DO NOT include original valuation) I
I hereby acknowledge that I have read this application,filled out ;
in full the information required,completed an accurate plot plan, Building: $ �
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 Plumbing: $ �
ordinances and state laws, and to build this structure according �
Ito the town's zoning and subdivision codes, design review ap- Electrical: $
� proved,Intemational Building and Residential Codes and other �
ordinances of the Town applicable thereto. Mechanical: $
I x �� � (�� � � �
�Owner/Owner's Representative Signature(Required) i Total: $ I
i
jAPplicant Information ?------------- ----- --- — —'
�Appticant Name: !��� Ul Y��,� i Date Received:
I f �
;Applicant Phone: �jGt/1it(,Qi � �.1�141�/ i � � � � � �
� ` D�Applicant E-Mail: G,�I.I.Q, a 5 /.�,�fI.�L �
� ,-
_ — - _ AUG 15 2012
For Office Use Only:
Fee Paid: °�!� G ��
;-� � (0- 1
Received From:
Cash �ne�k# �_ TO W N O� VA I L
CC: Visa/MC Last 4 CC# exp.date:
Auth #
NOTE: THIS PERM/T 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
COMBINATION BLDG PERMIT Permit #: B12-0285
Project #: PRJ12-0299
Job Address: 740 SANDY LN VAIL Applied.....: 07/06/2012
Location......: Issued. . . : 07/23/2012
Parcel No....: 210106315012
OWNER PLZAK, MAXIMILIAN F. & ELIZA 07/06/2012
740A SANDY LN
VA.I L
CO 81657
CONTRACTOR PLZAK CONSTRUCTION 07/20/2012 Phone: 970-476-4111
BETH PLZAK
740A SANDY LANE
VAI L
CO 81657
License: C000003564
APPLICANT PLZAK, MAXIMILIAN F. & ELIZA 07/06/2012
740A SANDY LN
VAI L
CO 81657
Description:
CHANGE DOORS/WINDOWS TO COMBINE CURRENT DUPLEX INTO A
SINGLE FAMILY RESIDENCE. REPLACE DECKS WITH TREX TO MATCH
EXISTING SIDE A DECKS.
Occupancy: Type Construction: Valuation: $121,600.00
...............................................................,,.,.,,,.._........ FEE SUMMARY =_,,.......:.,,.....,,..:_....,........_....«,,.,,.,...,......,,,..,.......,,,.,
Building Permit----------> $1,116.95 Bldg Plan Check--------> $726.02 Use Tax Fee------------------> $2,232.00
Electrical Permit---> $563.50 Elec Plan Check---------> $366.28 Restuarant Plan Review------->
Mechanical Permit—> $40.00 Mech Plan Check-----> $0.00
$10.00 Additional Fees---------------> $200.00
Plumbing Permit-------> $300.00 Plmb Plan Check---------> $75.00 Recreation Fee-------------- $0.00
--->
f r�vestigation----------------------> �O.GO
Will Call-------------------------> $20.00
TOTAL PERMIT FEES-----------> a5,649.75
Payments--------°---------------> $5,649.75
BALANCE DUE-----------------> $0.00
fflfleRf�1'YfYflft#fRJf'1t4�tYt#!!4RlVtfY�1'iflpf��ff'f'trtrrtY(4liifff+twtrftrfiR;fff4tt!!lwfffYftfffff!lRtrt�k4i`i`i`44f}�R1'fY`4ff#tilff`f'VtrRRf#it#lRRMRA'fiff#ff4R+tRw4#Y�ffi!!itlRAVVtriFfftt#�#fihtftritYtlf4!lftRR
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 970.479.2749
OR AT OUR OFFICE FROM 8:00 AM -4:00 PM.
combination permit_012811
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Yt4f�fftlrAtRlefYfLff4lit�t4tYefiil�4�lfttitw#Y`Y`tf�f!lRtrtr#frtffi`Lff�ff�lrtrtA'tfY`444il4ffff�a��kwrtittt�4ffttR4#4fili(ff�lt�ftrf'rti`4t�f1(4f4ffRfrLf ff#f4ff V#rt�Rffitff�fttwfRR�kfrtff4!letrtil'Ylfk#tff4l�flR44Yfft1�
CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit#: 612-0285 Address: 740 SANDY LN VAIL
Owner: PLZAK, MAXIMILIAN F. & ELIZABETH A. -JT Location:
..........................................................................................................................................�..........�..,...,,,,.....,,,..,....,,.,,.
Cond: 51
(FIRE 2007): MONITORED FIRE ALARM SYSTEM REQUIRED AND SHALL
COMPLY WITH NFPA 72(2007)AND VFES STANDARDS.
Cond: CON0012676
monitored carbon monoxide detection to be added to both
halves of duplex
Cond: CON0012683
The applicant shall provide an ILC for the reconstructed
deck showing it to be no closer than 7.5 feet to the
property line prior to requesting a final planning
inspection.
combination permit_012811
!
, �
T10WNOF VAAII� '
.**...*,*..*,*******,***********************.,,*****************...,******.*********.*******************�****.**.****.,*******..*.*****************,.,**
REQUIRED INSPECTIONS AND STATUSES
Permit#: F���-C�2R5 Address� 740 SANDY LN VAlL_
Owner: PLZAK, MAXIMILIAN F. & ELIZABETH A. -JT Location:
..««„*..**,.#****,.*....******„*****,.****�.***«*..**...*.......,,...***.....,.,,,,�..,,,,*******.**.,,«*****„*.�**.,,***.,,**.�««*******«***�*«*****,,,,***.****�
Item: 00010 BLDG-FOOTING
Item: 00020 BLDG-Foundation/Steel
Item: 00120 ELEC-Rough
Item: 00230 PLMB-Rough/Water
Item: 00220 PLMB-Rough/D.W.V.
Item: 00200 MECH-Rough
Item: 00030 BLDG-Framing
Item: 00050 BLDG-Insulation
Item: 00060 BLDG-Sheetrock Nail ;
Item: 00190 ELEGFinal
Item: 00290 PLMB-Final
Item: 00390 MECH-Final
Item: 00021 PLAN-ILC Foundation Plan
Item: 00542 PLAN-FINAL
Item: 00090 BLDG-Final
combination permit_012811
*******************************+********************+*****+**********+*****************+****
TOWN OF VAIL, COLORADOCopy Reprinted on 03-26-2013 at 10:18:05 03/26/2013
Statement
*************************************+******************************************************
Statement Number: R120001141 Amount: $110.00 08/21/201210:12 AM
Payment Method: Check Init: JRM
Notation:
-----------------------------------------------------------------------------
Permit No: B12-0285 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-063-1501-2
Site Address: 740 SANDY LN VAIL
Location:
Total Fees: $5, 759.75
This Payment: $110.00 Total ALL Pmts: $5, 759.75
Balance: $0. 00
****************************��*****************************************+********************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 110. 00
-----------------------------------------------------------------------------
Department of Community Development
75 South Frontage Road
TQUVN OF VAIL ""''� vai�, co s�s5�
� Tel: 970-479-2128
- ,�-,.c _- _._ www.vailgov.com
--�`��`'Development Review Coordinator
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 �
, �� r'� a QS °�- ( ) Response to Correction Letter ;
_� I v v .�-•1 � attached copy of correction letter !
( )Deferred Submittal '
�
��� � l7��9 �(,���v � )Other �
�— __ �
_� __ --- -- - -------
� �Project Street Address:
��� -1r-�c.vtdU �� •
I(Number) (Street) (Suite#) If.___ _�
k BuildinglComplex Name: � Description/List of Changes:
�, -- — - � �2_ I' ���n � � �e G 1\ I
�Contractor Information �
' F�G�t. I��-Z�c,�-- ' �
(Business Name: j i
^l I
Business Address: ��'�"U �]c�A.(� L� ' �
�Ciry V� State: � Zip: g� �5 7 �
Contact Name: �Qj v� ���(,,� I
Contact Phone: s�lU ' "t �(,r �'�l ��� (use additional sheet if necessary)
I
Contact E-Mail: ✓Q-�����Za� � Vi.4C�"U��C.l �LPLLt I Revised ADDITIONAL Valuations(Labor& Materials) �
(DO NOT include original valuation) j
I hereby acknowledge that I have read this application,filled out ;
iin full the information required,completed an accurate plot plan, Building: $ j
and state that all the information as required is correct. I agree to I
comply with the information and plot plan,to comply with all Town Plumbing: $ �
� ordinances and state laws, and to build this structure according j
to the town's zoning and subdivision codes, design review ap- Electrical: $ �
proved,Intemational Building and Residential Codes and other ;
i Xrdin of t Town��licable thereto. i
i Mechanical: $
i I
;Owner/Owner's Representative Signature(Required) i Total: $
i APPlicant Information �_...----------------------- -- --- ---�
1/��1/�- �` C��fk/ i
i
�Applicant Name: i Date Received:
i �7U �� 7� "( � �� ;
;Applicant Phone: � � � � � � �
I Applicant E-Mail: VJ.1�1 l.���'�t Kf�' �l.�Jl� � ��dl��y
� - D
For Office Use Only: ��f �� �O�^
Fee Paid: L L
i : .
Received From: i � . ; �� ,�; � Z
Cash Check# 'j'O�� �� �A��
CC: Visa/MC Last 4 CC# exp.date: - ---
Auth#
Pr� Close
612-0285
Warren Campbell (WCampbell@vailgov.com)
Fri 7/06/12 1:05 PM
beth plzak'(bethpizak@hotmail.com) (bethplzak@hotmail.com) ,
martin haeberle (martin.haeberle@gmail.com) (martin.haeberie@gmail.com); JR Mondragon ',
(JMondragon@vailgov.com); David Rhoades (DRhoades@vailgov.com) ',
I
Beth, '
�,
I have just reviewed your building permit submittal for the planning department and noted that the site plan
requested as a condition of your DRB approval has not been included. Please provide documentation that
the deck to be reconstructed complies with the required 7.5 foot side yard setback. This document should
be submitted to our front counter with a transmittal sheet identifying the permit number above. Getting
this in soon will help to avoid delay in the review by other departments.
Thanks
�1A �zrz�N -
vU� ���� l��T Az i-I� D -A
Warren Campbell, AICP, LEED AP ` 1
Chief of Planning ��J l5�'�7 ��� ��� ►`�
CommunityDevelopment �W� �����5 �� Z���S�����
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vailgov.com
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FOUND REBAR W/ALUM CAP
PE&LS 26626
FOUNp REBAR W/ALUM. CAP
(P.C.S. 2059B)
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� � � PARCEL B
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� � LOT 4 BU/LDING
; �� 16,942 SQ. FT.
� � 0.389 ACRES <.r
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/ PARCEL C �
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(VA/L ASSOC. — G.S 15196)
�
LOT 3
i hereby certify that this improvement location carhficate was prepared for
1Aox and Beth Plzak, that it is not a land survey plat or improvement
survey plat, and that it is not to ba retied upon for the establiehment of
fence, buiidinq, or other tuture Improvement linea. . ..
I further certify thot the improvements on the above described parcel on
Moy 9, 2071, except utility connections, are enttrely within the boundaries
of the parcel, except as shown, thut there are no encroachments upon
the described premises by improvements on any adjoin(nq premises, except
as indicated, a�d that there Is no appvrent evidence or siqn of ony
eosement crossing or burdening any part of sald parcel, except ae noted.
FOUND
PlN& CAP Thie certificate does not co�stitute a title search by inter—Mountain
([5 16B27) Engineering to determine ownership or easements of record. For all
information regarding eosements, rights—of—way or title of recard,
Inter—Mountoin reliad upon Vail/Potato Patch Second Ffling Plat.
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LOT 5
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BASIS OF ELEI�
FIRST FLOOR - ASSUMED 100.00'
SECOND FLOOR = 109.33"
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NOlES:
1. Portion of original Easement D to be dedicated
to Parcel A by separate document.
2. Proposed Easament D to be revised by la�d owners.
NOl10E: According to Colorado law you must commeoce
ony legal oction based upon any defect in this survey
withfn threa years aker you first discover such detect. In
no event, may any action based upon ony detect in this
survey be comme�ced mora than ten yeors trom the
dote of certlftootion shown hereon.
Department of Community Development
75 South Frontage Road
��{�/� �f �}�t(, # � Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: Project#: �����— �,�9 9
�,a� �7�I✓1�Y �I�iIJ� DRB#: ��Q I o�l O��-7 �C.
(Number) (Street) (Suite#)
Building/Complex Name:
Building Permit#: p1� — ���,�
Contractor Informati� Lot#: Block# Subdivision:
Business Name: �
—r
Business Address:
Work Class: New�j Addition �j Alteration(�
City State: Zip: Type of Building:
Single-Family�j Duplex�j Multi-Family�
Contact Name:
Commercial � Other�j
Contact Phone:
Contact E-Mail: Work Type: Interior o Exterior Q Both �
I hereby acknowledge that I have read this application,filled out Valuation of
in full the information required,completed an accurate plot plan, Work Included Plans Included Work
and state that all the information as required is correct. I agree to Electrical �Yes �No �Yes �No ZO 0%1l)
comply with the information and plot plan, to comply with all Town �
ordinances and state laws, and to build this structure according to Mechanical �Yes Q)No �Yes oNo
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing 7�Yes �jNo �Yes �No Z0, U��
ordinances of the Town applicable thereto. � Q � Q � Q �
Building Yes No Yes No �, 0
X Value of all work being performed: $ �ZO,DU(��
Owner/O er's Representative nature(Required) (value based on IBC Section 109.3 8 IRC Section 108.3�
Electrical Square Footage yg�� p��y�
Applicant Information Detailed Scope and Location of Work: _W� �U.�1�1 `i40�
Applicant Name: ��� L /� � y/1'N�y Lk IJ� _ �� �U�G�{���I� i�c� �J S I 17E
ApplicantPhone: �17� -�J�� ' ��, �J� (N M�`� � 'Zl�IZ �#�11� W�-N'� �D CO►�lFjt�.l�
Applicant E-Mail: bQ/I�V`D�Z� �(K/ V►O��,G�� -(�(�(,� �jpT}{ �jtp�7 0� "n.� (�UQ .X. (�� �
Project Information '��,r.�1 ��Z `�ItJC�I.I�� ��1,((�� �-}-p�Fi. (J�}� ` �Oj�
Owner Name: � rl p
�t t�►��IJC� �Ny �OT �E IP�Cs� O� Cti(ZF/-t
,
Parce�#: � 0 �j �i�Dr. A �3 Sl7. P
(For Parcel#,contact Eagle County ssessors O ice at(970-328-8640 or visit
www.eagl ecounty.uslpatie)
(use additional sheet if necessary)
For Office Use Only: Date Received: I.� � � � V ��
Fee Paid: D
Received From:
Cash Check# JUL 05 2012
CC: Visa/ MC Last 4 CC # exp date: �. j 23p�
Auth # TO W I� p� �/A I L
12-Mar-2012
State of Colorado
Asbestos Testing &Abatement Requirements
Asbestos testing and abatement protects workers, homeowners, neighbors and emergency services responders from ex-
posure to harmful asbestos. 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 testing required?
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 abatement contractor. The
air clearance letter or form 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.
� Tested 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 should be submitted to: Town of Vail, Community Development, 75 S Frontage Rd, Vail, CO, 81657.
Town of Vail Contact: State of Colorado Contact:
Fire Prevention Bureau Colorado Department of Public Health
Vail Fire Department and Environment
75 S Frontage Rd Asbestos Compliance Assistance Group
Fire_inspectors@vailgov.com 303-692-3158
970-479-2252 asbestos@state.co.us
www.vailgov.com www.cdphe.state.co.us
O1-Jan-11
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740 SANDY LAN
�VBrENT LOCATiON C�TiF�CATE ��,� MAX AND BEiH PLZAK
,�..�.._,�;�..,u;.,�,.�.w,w�,,,, Mter-Mo�tain
�" � .-._... UNIT A. LOT 4, BLOCK 2 �n��.�. ar i nr.��i� •
$ Y ;�,u..��;�a�;a��:P.:� � a:..:,�.ue_ ENGINEERING
�, p � � VAII/POTATO PATCH SECOND FlLJNG �> ��a�•���P.�r
°°1•'°'�a°�•�'^^"'O1^0^1O"O1"^"^'r�P1"�O^ Civil En neers 8�Surve ors
' � TOWN OF VAIL, EACLE COUNIY, COLORADO ��"R"�."^w.a'me:,,..OepY"ar°ui,°':,:��u:i;�`,°'n,,.�n°w, u�„ �wmrr..r.���.�:.�..wia �.:mv�n.�...�
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Boulder Environmental M anagement, I nG
5 Deer Trail Road Boulder,CO 80302
Pha� (303)449-1175 Fax: 1 (866)69�4121
June 8, 2012
Ms. Beth Pizak
740 A Sandy Lane
Vail CO 81657
bethPlzak cr,hotmail.com
RE: Bulk sampling of suspected asbestos-containing materials
740 B Sandy Lan� Vaii, Cdorado
Dear Ms. Plzak:
Attached is the report for the asbestos survey and bulk sampling of suspected asbestos-
containing building materials at 740 B Sandy Lan� Vail, CdOrado.
This investigation was conducted on behalf of and for the exclusive use of Beth Plzak
(client), solely for use in a limited asbestos survey of the property. This report and the
findings herein shall not, in whole or in part, be disseminated or conveyed to any other
party, nor used by any other party, in whole or in part, without prior written consent of
Boulder Environmental Management.
The results of this survey are limited to materials that were assessable and foreseeable.
Additional materials may exist behind hard surfaces. Personnel knowledgeable of
asbestos containing materials should always oversee demolition activities. Demolition
work should be halted and sampling performed by a state of Colorado licensed building
inspector if additional materials, which are suspected of containing asbestos, are
encountered.
If you have any questions regarding the contents of this report,please do not hesitate to
contact us.
Sincerel ,
��
Chr"s Maron
08/a6/12 16:56-06:00
I approve the docurr�nt �
Chris Maron
Project Manager
*Asbe�o�`Lead�`I ndustrial Hyc�'en�Safety*Final Air Testing*
*Health and Safety Training'`
Boulder Environmental Management, Inc. 2
5 Deer Trail Road Boulder,CO 80302
Phone: (303)449-1175 Fax: 1 (866)699-4121
BULK SAMPLING REPORT �
740 B Sandy Lan� Vaii, Cdorado I
I ntroduction:
, '
On M ay 31, 2012, Boulder Environmental Management, Inc. s building inspector, M ark
Symmank, conducted bulk samplin of suspected asbestos-containin�materials under
the direction of our client.
Sampling:
During the sampling process, suspect ACM was separated into three EPA categories.
These categories are thermal system insulation (TSI), surfacing ACM, and miscellaneous
ACM. TSI includes all materials used to prevent heat loss or gain or water condensation
on mechanical systems. Examples of TSI are pipe coverings, boiler insulation, duct
wrap, and mud packed fitting cement. Surfacing ACM includes all ACM that is sprayed,
trowelled, or otherwise applied to a surface. These applications are most commonly used
in fireproofing, decorative and acoustical applications. Miscellaneous materials include
all ACM not listed in the thermal system insulation or surfacing categories, such as
linoleum, vinyl asbestos flooring, and ceiling tile.
Boulder Environmental Management, Inc. followed EPA recommended sampling
guidelines for identification of asbestos in bulk matrices. A set of three (3), five (5), or
seven (7) samples were collected for each material type and analyzed by Polarized Light
Microscopy (PLM). Each sample set was systematically analyzed. Upon determination
that a sample in a set contained asbestos, analysis of the remaining samples in the set was
discontinued. If no asbestos was detected during the analyses, the suspect material was
determined to be negative for asbestos content.
*Asl�e�o�Lead*I ndustrial Hyc�'ene�''Safety*Final Air Testing'"'
*Heaith and Safety Training*
Boulder Environmental Management, Inc. 3
5 Deer Trail Road Boulder,CO 80302
Phone:(303)449-1175 Fax: 1 (866)699-4121
�
Results
The following materials were analyzed and determined to be non asbestos-containing
utilizing polarized light microscopy (PLM).
NON ASBESTO�CONTAI NI NG M ATERI ALS
MATERIAL LOCATION SAMPLE I D
Popcorn acoustical ceiling #B main hallway ceiling 5-31-MS-OlA
texture Northwest bedroom ceiling 5-31-MS-02A
Northeast bedroom ceiling 5-31-MS-03A
Orange peel textured #B main hallway north wall 5-31-MS-04B
drywall West hall bathroom north wall 5-31-MS-OSB
Northwest bedroom south wall 5-31-MS-06B
Orange peel textured Main hallway south wall 5-31-MS-07B
drywall and joint
com ound
Discusson:
Sample analyses results are reported in percentages of asbestos and non-asbestos
components. The EPA defines any material that contains greater than one percent (1%)
asbestos, utilizing PLM, as being an asbestos containing material. Materials that are
identified as "none detected" are specified as not containing asbestos.
Cond uson:
The materialssampled in thisstudy do not oontain asb�tos
The results of this survey pertain only to materials tested. The laboratory reports
supporting these findings above are attached. Please contact Boulder Environmental
Management, Inc. or visit www.BoulderEnvironmental.com if you have any questions or
concerns regarding this report.
Sincerel ,
�r��
Chris Maron
08A6/1216:56-06:00
I approve the document -
Chris Maron
Project Manager
*A�o�Lead*Industrial Hy�ene�`Safet�'`Final Air Testin�`
*Health and Safety Training*
Reservoirs Environmental,Inc.
Reservoirs Environmental�A Manual
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 236955-1
Boulder Environmental Management
None Given
740 B" Sandy Lane, Vail
May 31, 2012
PLM, Short Report
PLM Short Report, Bulk
May 31, 2012
Effective January t,2012
T:\QAqC\Lab\Reservoirs Environmental QA Manual.doc
ND=None Detected
TR=Trace,<1%Visual Estimate
Trem-Act=Tremolite-Actinol ite
ien a � s estos ontent on on-
Sample ID Number A Sub Asbestos Fibrous
Number Y Physical Part ; Fibrous omponents
E Description (%� Mineral ; visuai omponents (%)
R � Estimate(% (%)
5-31-MS-01A EM 134533 A White paint w/white texture 100 ND 5 95
5-31-MS-02A EM 134534 A White texture 100 ND 2 98
5-31-MS-03A EM 134535 A White texture 100 ND 2 98
5-31-MS-04B EM 134536 A Black fibrous tar 5 ND 15 85
B White paint w/white texture 30 ND 0 100
C White/brown drywall 65 ND 50 50
5-31-MS-056 EM 134537 A White/brown drywall 50 ND 50 50
B White/off white paint w/white texture 50 ND 0 100
5-31-MS-066 EM 134538 A Black fibrous tar TR ND 15 85
B White paint w/white texture 30 ND 0 100
C White/brown drywall 70 ND 30 70
5-31-MS-07C EM 134539 A White paint w/white texture 25 ND 0 100
B White/brown drywall 75 ND 15 85
TEM Analysis recommended for organically bound material(i.e.floor lile)if PLM results are<1%.
P:303-964-1986
F:303-477-4275
5801 Logan Slreet,Suite 100 Denver,CO 80216
Page 2 of 2
Data QA
1-866-RESI-ENV
www.reilab.com
Due Date: fa• l• �2.
Due Time:__ �,���
5 Deer 7rai!Road
Boulder,CO 80302
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680i loqan 51.Dgnver,CO 80216•ph:303 98�-5988•Fex 303-077-�27!•7011 Free:860 ftESl-ENV
Pager:S07.lp9.2096
INVOICE 70: (IF DIFFEREN CONTAC�
c°m°anY: Same coMOG�
,_ Chris Maron
_ A�°�� � Pn°"° 303-449-1175 ^`
F"x: 866-449-9175
RES 236955
rage_ 1 of__
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RCRA 8!Metals&Welding `P�Ior�otiflcadon Is � � c �ab�SW F=Fpod
Fume ScAn I TCLP .�RUSH�5 day v10 day requfred ror R113N � O � g '� Ddnking 1h/ater=DW Waste Waler a UWV ��
O eniCS turnarounds_"" �� t� y O � O`Othef
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10-201U_version 1
� V�.i`S z 3 C.� r'-, S S'
Baulder�nvironmental M[anagement, Inc.,
5 Deer Trail Road,Boulder,CO 803Q2,Phone:(303)449-}175,Fax: 1 (866}699-41.21,Emait:Cmaron3004�aol.com
�w�.� �,�� BTJLK SAlV��'L� Lt�G
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�LOCATION: ,c� VC(,�i, -DATE: s �31 ' �Z
C4MP�NY B�LIl��G INFO:
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Address ,C� Zi : ,
NAME: Q��-1� �i�Lo��- ��t��2v�1� I�t,�}'pitrM�:�om
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5 � - 6- F� _ �� .
SCOPE: ❑Complate buildin�demolition �Renovationirestoraiion �Sampie per client's direetion
�AHERA Protocol followed-Mlnimum 3 sampies,5 samples for surfacin�materials 1,OOOs.f.-S,OO�s.f.,7 samples if>S,OOOs.f
CONSTRUC'i'ION�RA.:
SAMPLE ID MA'I`�RIAL SA1I�IPLED � BUILDIlVG/LOCATION , � QUANTITY
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Q Pipe insulation on radia.�.t/domestic��a#.�r ❑Flue�Braeching aement ❑Transite sidin�L�, Transit�roof
ACCESSSED: ❑ Crawl spaae C�Basement[�A�:ic C�Roof ❑Checkeduader car�e�ing,layEr�cl�looring,arsd ov�riays
❑Ty�pe of heating system(s)[]Sieam;[��Forced air,�Electric baseboaxd,0 Rad'zant stove
PACM AREA(sj TNACCFSS1Bi,E
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INSTRUCTiONS: STQP ON FIRST P E TL�}.2N4ROUND: 2�
SAMFLES COLLECTED BY. DATE:�TLNIE:
SA11�lPLES R�CEIVE�BY: I DATE: S. 3�. '�TIM�: S��,_
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Boulder Environmental Management, Inc.
5 Deer Trail Road Boulder,CO 80302
Phone: (303)449-1175 Faa: 1 (866)699-4121
February 27, 2009
Ms. Beth Plzak
740A Sandy Lane
Vail, CO 81657
RE: Bulk sampling of suspected asbestos-containing materials
740A Sandy Lane,Vail, Colorado
Dear Ms Plzak:
Attached is the report for the asbestos survey and bulk sampling of suspected asbestos-
containing building materials at 740A Sandy Lane,Vail, Colorado.
This investigation was conducted on behalf of and for the exclusive use of Ms. Beth
Plzak(client), solely for use in a limited asbestos survey of the property. This report and
the findings herein shall not, in whole or in part, be disseminated or conveyed to any
other party, nor used by any other party, in whole or in part, without prior written consent
of Boulder Environmental Management.
The results of this survey are limited to materials that were assessable and foreseeable.
Additional materials may exist behind hard surfaces. Personnel knowledgeable of
asbestos containing materials should always oversee demolition activities. Demolition
work should be halted and sampling performed by a state of Colorado licensed building
inspector if additional materials, which are suspected of containing asbestos, are
encountered.
If you have any questions regarding the contents of this report, please do not hesitate to
contact us.
Sincerely,
��.
Chris M on
Project Manager
*Asbestos*Lead*Industrial Hygiene*Safety*Final Air Testing*
*Health and Safety Training*
-. Boulder Environmental Management, Inc. 2
5 Deer Trail Road Boulder,CO 80302
Phone:(303)449-1175 Fax: 1 (866)699-4121
BULK SAMPLING REPORT
740A Sandy Lane,Vail, Colorado
Introduction:
On February 26, 2009, Boulder Environmental Management, Inc.'s building inspector,
Mark Symmank, conducted bulk samplin o�f suspected asbestos-containin�materials
under the direction of our client.
Sampling:
During the sampling process, suspect ACM was separated into three EPA categories.
These categories are thermal system insulation (TSn, surfacing ACM, and miscellaneous
ACM. TSI includes all materials used to prevent heat loss or gain or water condensation
on mechanical systems. Examples of TSI are pipe coverings,boiler insulation, duct
wrap, and mud packed fitting cement. Surfacing ACM includes all ACM that is sprayed,
trowelled, or otherwise applied to a surface. These applications are most commonly used
in fireproofing, decorative and acoustical applications. Miscellaneous materials include
all ACM not listed in the thermal system insulation or surfacing categories, such as
linoleum, vinyl asbestos flooring, and ceiling tile.
Boulder Environmental Management, Inc. followed EPA recommended sampling
guidelines for identification of asbestos in bulk matrices. A set of three (3), five (5), or
seven(7) samples were collected for each material type and analyzed by Polarized Light
Microscopy(PLM). Each sample set was systematically analyzed. Upon determination
that a sample in a set contained asbestos, analysis of the remaining samples in the set was
discontinued. If no asbestos was detected during the analyses, the suspect material was
determined to be negative for asbestos content.
*Asbestos*Lead*Industrial Hygiene*Safety*Final Air Testing*
*Health and Safety Training*
. Boulder Environmental Management, Inc. 3
5 Deer Trail Road Boulder,CO 80302
Phone:(303)449-1175 Fax: 1 (866)699-4121
Results:
The following materials were analyzed and determined to be non asbestos-containing
utilizing polarized light microscopy(PLM).
NON ASBESTOS-CONTAINING MATERIALS
MATERIAL LOCATION SAMPLE ID
Exterior stucco South side front entry 2-26-MS-OIA
2-26-MS-02A
2-26-MS-03A
Popcorn acoustical ceiling Entry ceiling 2-26-MS-04B
texture Master bedroom ceiling 2-26-MS-OSB
Girls room ceilin 2-26-MS-06B
Orange peel texture Master bed room south wall 2-26-MS-07C
drywall and joint Entry closet 2-26-MS-08C
com ound Girls room closet 2-26-MS-09C
Discussion:
Sample analyses results are reported in percentages of asbestos and non-asbestos
components. The EPA defines any material that contains greater than one percent(1%)
asbestos,utilizing PLM, as being an asbestos containing material. Materials that are
identified as "none detected" are specified as not containing asbestos.
Conclusion:
The materials sampled in this study do not contain asbestos. The results of this
survey pertain only to materials tested. The laboratory reports supporting these findings
above are attached.
Please contact Boulder Environmental Management, Inc. with any questions or concerns
regarding this report.
Sincerely,
�
�
Chris M on
Project Manager
*Asbestos*Lead*Industrial Hygiene*Safety*Final Air Testing*
*Health and Safety Training*
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RESERVOIRS ENVIRONMENTAL, INC.
NVLAP Lab Code 101896-0
TDH Licensed Laboratory#30-0136
TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number: RES 168936-1
Client: Boulder Environmental Management
Ciient Project Number/P.O.: None Given
Client Project Description: 740 A Sandy Lane, Vail
Date Samples Received: February 26, 2009
Analysis Type: PLM, Short Report
Turnaround: 24 Hour
Date Analyzed: February 27, 2009
ient a
5ample �
Number
ID Number q
Y Physical
E Description
2-26-MS-01 A
2-26-MS-02A
2-26-MS-03A
2-26-MS-046
2-26-MS-056
2-26-MS-06B
2-26-MS-07C
2-26-MS-08C
2-26-MS-09C
EM 389987
EM 389988
EM 389989
EM 389990
EM 389991
EM 389992
EM 389993
EM 389994
EM 389995
A
A
A
A
�
A
A
B
C
D
A
B
C
D
A
B
C
D
ND=None Detected
TR=7'race,<1%Visual Estimate
Trem•Act=Tremol ite-Actinal ite
Note:Further analysis by TEM is reconunended for organically bound material(i.e.tloor tile)
if PLM results areQ%.
Cream/gray stucco w/white paint
Cream stucco w/white paint
Cream stucco w/white paint
White foamy texture w/white paint
White foamy texture w/white paint
White foamy texture w/white paint
White tape
Tan/white drywall
White joint compound
White texture w/white paint
White joint compound
White texture w!white paint
White tape
Tan/white drywall
White tape
White joint compound
White texture w/white paint
Tan/wn�tA,��,,.,���
Sub
Part
(%)
100
100
100
100
100
100
10
20
30
40
15
15
30
40
10
20
20
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03-06-2013 Inspection Request Reporting Page 18
4:21 pm Vail,Cp - Ci� Qf
Requested Inspect Date: Thursday�March 07,2013
Site Address: 740 SANDY LN VAIL
A/P/D Information
Activity: 612-0285 Type: COMBO Sub Type: ASFR Status: ISSUED
Const Type: Occupan�cy: Use: Insp Area:
Owner: PLZAK, MAXIMILIAN F.&ELIZABETH A. -JT
Contractor: PLZAK CONSTRUCTION Phone: 970-476-4111
Description: CHANGE DOORS/WINDOWS TO COMBINE CURRENT DUPLEX INTO A SINGLE FAMILY RESIDENCE.
REPLACE DECKS WITH TREX TO MATCH EXISTING SIDE A DECKS.
Requested Inspection(s)
Item: 90 BLDG-Final Requested Time: 08:00 AM
Requestor: Phone:
Comments: 331-5739
Assigned To: *"'**""`"* Entered By: MHAEBERI.E K
Action: Time Exp:
Item: 390 MECH-Final Requested Time: 09:00 AM ,`'
Requestor: Phone:
Comments: 331-5739
Assigned To: """"""'** Entered By: MHAEBERLE K
Action: Time Exp:
Item: 21 PLAN-ILC Foundation Plan Requested Time: 08:45 AM
Requestor: Phone:
Comments: 331-5739
Assigned To: BGIBSON Entered By: MHAEBERLE K
Action: Time Exp:
Item: 542 PLAN-FINAL Requested Time: 09:00 AM
Requestor: Phone:
Comments: 331-5739
Assigned To: BGIBSON Entered By: MHAEBERLE K
Action: Time Ex � �
. 1
Item: 290 PLMB-Final ���� e u sted Time: 04: PM�„ (�
Requestor: Phone:
Comments: 331-5739
Assigned To: SGREMMER Entered By: MHAEBERLE K
Action: Time Exp:
Insaection Historv
Item: 10 BLDG-FOOTING **Approved*•
08/23/12 Inspector: sgremmer Action: NR NOT READY FOR INSPECTION
Comment: cancelled
08/29/12 Inspector: mdenney Action: AP APPROVED
Comment: 4 piers for deck.
Item: 20 BLDG-FoundationlSteel "Approved"
09/18/12 Inspector: mdenney Action: AP APPROVED
Comment: for deck on south side of house.
REPT131 Run Id: 15077
/I: �� _ i
03-06-2013 Inspection Request Reporting a Page 18
4:21 pm Vail,_S'� - Ci�Of �'��2"�'2.4 /
Requested Inspect Date: Thursda�y, March 07,2013
Site Address: 740 SANDY LN VAIL
A/P/D Information
Activity: 612-0285 Type: COMBO Sub Type: ASFR Status: ISSUED
Const Type: Occupan_cy: Use: Insp Area:
Owner: PLZAK, MAXIMILIAN F. 8�ELIZABETH A. -JT
Contractor: PLZAK CONSTRUCTION Phone: 970-476-4111
Description: CHANGE DOORS/WINDOWS TO COMBINE CURRENT DUPLEX INTO A SINGLE FAMILY RESIDENCE.
REPLACE DECKS WITH TREX TO MATCH EXISTING SIDE A DECKS.
Requested Insaection(s)
Item: 90 BLDG-Final Requested Time: 08:00 AM
Requestor: Phone:
Comments: 331-573
Assigned To: "' ' Entered By: MHAEBERLE K
Action: Time Exp:
Item: 390 MECH-Final Requested Time: 09:00 AM
Requestor: Phone:
Com ments: 331-573
Assigned To: * * Entered By: MHAEBERLE K
Action: Time Exp:
em: 21 PLAN-ILC Foundation Plan Requested Time: 08:45 AM
uestor: Phone:
om ments: 331-5739
ssigned To: BGIBSON Entered By: MHAEBERLE K
Action: Time Exp:
Item: 542 PLAN-FINAL Requested Time: 09:00 AM
Requestor: Phone:
Comments: 331-5739
Assigned To: BGIBSON Entered By: MHAEBERLE K
Action: Time Exp:
Item: 290 PLMB-Final Requested Time: 04:30 PM
Requestor: Phone:
Comments: 331-5739
Assigned To: SGR Entered By: MHAEBERLE K
Action: Time Exp:
I_nsAection Historv
Item: 10 BLDG-FOOTING **Approved**
08/23/12 Inspector. sgremmer Action: NR NOT READY FOR INSPECTION I
Comment: cancelled �
08/29/12 Inspector. mdenney Action: AP APPROVED I
Comment: 4 piers for deck.
Item: 20 BLDG-Foundation/Steel **Approved**
09/18/12 Inspector: mdenney Action: AP APPROVED
Comment: for deck on south side of house. �I
REPT131 Run Id: 15077 �