HomeMy WebLinkAboutB12-0471 Application12-Mar-2012
Project Street Address:
__________ ______________________________ ___________
(Number) (Street) (Suite #)
Building/Complex Name: ________________________________
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project #: __________________________________________
DRB #: ____________________________________________
Building Permit #: ___________________________________
Lot #: ____ Block #____ Subdivision: ___________________ Contractor Information
Business Name: ________________________________________
Business Address: ______________________________________
City ______________________ State: _______ Zip: ____________
Contact Name: _________________________________________
Contact Phone: _________________________________________
Contact E-Mail: _________________________________________
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, International Building and Residential Codes and other
ordinances of the Town applicable thereto.
X___________________________________________________
Owner/Owner’s Representative Signature (Required)
Applicant Information
Applicant Name: ________________________________________
Applicant Phone: ________________________________________
Applicant E-Mail: ________________________________________
Detailed Scope and Location of Work:
(use additional sheet if necessary)
Work Class: New ( ) Addition ( ) Alteration ( )
Type of Building:
Single-Family ( ) Duplex ( ) Multi-Family ( )
Commercial ( ) Other ( )__________________________
Work Type: Interior ( ) Exterior ( ) Both ( )
Project Information
Owner Name: ________________________________________
Parcel #: ___________________________________________
(For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit
www.eaglecounty.us/patie)
Value of all work being performed: $______________
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage ______________
For Office Use Only:
Fee Paid: _________________________________________
Received From: ____________________________________
Cash _________ Check # ___________
CC: Visa / MC Last 4 CC # _________ exp date: ________
Auth # _________
Date Received:
Work Included Plans Included
Valuation of
Work
Electrical ( )Yes ( )No ( )Yes ( )No __________
Mechanical ( )Yes ( )No ( )Yes ( )No __________
Plumbing ( )Yes ( )No ( )Yes ( )No __________
Building ( )Yes ( )No ( )Yes ( )No __________
Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
193 Beaver Dam Road
George Shaeffer Construction Company
PO Box 373
Vail CO 81658
Travis Cremonese
970-390-6317
travisc@gsconco.com
Travis Cremonese
970-390-6317
travisc@gsconco.com
Hines M Marshall Jr
2101-071-12-003
50000
30000
75000
845000
1000000
6000
Interior and exterior
remodel including landscaping, new roof, exterior
material changes and interior finishes.
RECEIV
VED
09/18/2012 2:34PM
PRJ12-0274
DRB120326
B12-0471
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
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)
My project falls into the category checked below:
Tips & Facts:
Even recent construction projects may include asbestos-containing materials, so buildings of any 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
01-Jan-11
Indoor Environmental Services, Inc
Dba: Q Consulting, Inc.
Project: 193 Beaver Dam Rd, Vail, CO
Asbestos Sampling Report – Page 1 of 2
December 3, 2010
Gary Gilman
SteamMaster
On December 1, 2010, Quentin Danziger conducted an asbestos inspection of the suspect
materials that have been affected by a water incident. Asbestos was NOT found, as described
below.
Homogenous
Area
Description Number of
Samples
% Asbestos Square
Feet
Type/Friable
01 Texture 3 Non Detect
02 Sheetrock/Joint Compound 3 Non Detect
03 Flooring 3 Non Detect
BACKGROUND:
A water incident occurred. Indoor Environmental Services was requested to conduct an asbestos
inspection of the suspect materials that have been affected, as determined by the drying
contractor.
This inspection includes only suspect materials that are visible to the inspector. If other suspect
materials become visible during demolition, they must be sampled before they are disturbed.
Examples of suspect materials include but are not limited to: linoleum, floor tile, ceiling tile,
mastic, sheetrock, joint compound, roofing materials, etc. There are over 3000 known asbestos
containing materials.
SAMPLING PLAN:
Colorado State Requirements - For each homogenous area of less than 1000 square feet, a
minimum of three samples must be collected in random areas. For each homogenous area of
1000 – 5000 square feet, a minimum of five samples must be collected in random areas. Areas
of 5001 square feet or greater require a minimum of 7 samples. These laws are defined by the
EPA (AHERA) and Colorado State Regulation 8.
Determination of homogenous sampling areas – Homogenous Areas are determined by type of
suspect material, texture, color and location.
Determination of random sampling areas – The samples were collected in a random manner.
Indoor Environmental Services, Inc
Dba: Q Consulting, Inc.
Project: 193 Beaver Dam Rd, Vail, CO
Asbestos Sampling Report – Page 2 of 2
Thank you for using Q Consulting, Inc. We are proud to be your local indoor air quality
consultants. We look forward to working with you in the future.
Quentin Danziger, BS, CIE, ABI – Colorado Asbestos Inspector Certification # 12781
Indoor Environmental Services, Inc.
Dba Q Consulting, Inc.
970-390-0087
QConsultingInc@yahoo.com
Sample Description Appearance % Type
AsbestosNon-Asbestos
% Fibrous % Non-Fibrous
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using
Polarized Light Microscopy
221002311
Attn:Quentin Danziger
Q Consulting, Inc.
PO Box 997
Vail, CO 81658
Customer PO:
Received:12/02/10 9:10 AM
139 Beaver Dam Rd. - Vail
Customer ID:INES78
Fax:Phone:(970) 390-0087
Project:
EMSL Order:
EMSL Proj:
12/2/2010Analysis Date:
EMSL Analytical, Inc.
7330 S. Alton Way Building 12 Suite A, Centennial, CO 80112
Phone: (303) 740-5700 Fax: (303) 741-1400 Email: denverlab@emsl.com
01-01
221002311-0001
Texture Tan None Detected
Non-Fibrous
Heterogeneous
Non-fibrous (other)100%
01-02
221002311-0002
Texture Tan/White None Detected
Non-Fibrous
Heterogeneous
Non-fibrous (other)100%
01-03
221002311-0003
Texture Tan/White None Detected
Non-Fibrous
Heterogeneous
Non-fibrous (other)100%
02-01-Joint
Compound
221002311-0004
Sheetrock/Joint
Compound
Tan/White None Detected
Non-Fibrous
Heterogeneous
Non-fibrous (other)100%
02-01-Sheetrock
221002311-0004A
Sheetrock/Joint
Compound
Brown/White None Detected
Fibrous
Heterogeneous
Cellulose10%
Glass5%
Non-fibrous (other)85%
02-02-Joint
Compound
221002311-0005
Sheetrock/Joint
Compound
Tan/White None Detected
Non-Fibrous
Heterogeneous
Non-fibrous (other)100%
02-02-Sheetrock
221002311-0005A
Sheetrock/Joint
Compound
Brown/White None Detected
Fibrous
Heterogeneous
Cellulose10%
Glass5%
Non-fibrous (other)85%
1
Erin Orthun, Laboratory Manager
or other approved signatory
Analyst(s)
Test Report PLM-7.21.0 Printed: 12/2/2010 5:04:49 PM
EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. 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. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted.
Samples analyzed by EMSL Analytical, Inc. 7330 S. Alton Way Building 12 Suite A, Centennial CO NVLAP Lab Code 200828-0
Erin Orthun (16)
Initial report from 12/02/2010 17:04:49
Sample Description Appearance % Type
AsbestosNon-Asbestos
% Fibrous % Non-Fibrous
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using
Polarized Light Microscopy
221002311
Attn:Quentin Danziger
Q Consulting, Inc.
PO Box 997
Vail, CO 81658
Customer PO:
Received:12/02/10 9:10 AM
139 Beaver Dam Rd. - Vail
Customer ID:INES78
Fax:Phone:(970) 390-0087
Project:
EMSL Order:
EMSL Proj:
12/2/2010Analysis Date:
EMSL Analytical, Inc.
7330 S. Alton Way Building 12 Suite A, Centennial, CO 80112
Phone: (303) 740-5700 Fax: (303) 741-1400 Email: denverlab@emsl.com
02-03-Joint
Compound
221002311-0006
Sheetrock/Joint
Compound
Tan/White None Detected
Non-Fibrous
Heterogeneous
Non-fibrous (other)100%
02-03-Sheetrock
221002311-0006A
Sheetrock/Joint
Compound
Brown/White None Detected
Fibrous
Heterogeneous
Cellulose10%
Glass5%
Non-fibrous (other)85%
03-01
221002311-0007
Rubber Floor Tile Tan None Detected
Non-Fibrous
Homogeneous
Non-fibrous (other)100%
03-02-Flooring
221002311-0008
Rubber Floor Tile Tan None Detected
Non-Fibrous
Homogeneous
Non-fibrous (other)100%
03-02-Mastic
221002311-0008A
Rubber Floor Tile Tan None Detected
Non-Fibrous
Homogeneous
Non-fibrous (other)100%
03-02-Leveler
221002311-0008B
Rubber Floor Tile Gray None Detected
Non-Fibrous
Homogeneous
Non-fibrous (other)100%
03-03-Flooring
221002311-0009
Rubber Floor Tile Tan None Detected
Non-Fibrous
Homogeneous
Non-fibrous (other)100%
2
Erin Orthun, Laboratory Manager
or other approved signatory
Analyst(s)
Test Report PLM-7.21.0 Printed: 12/2/2010 5:04:49 PM
EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. 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. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted.
Samples analyzed by EMSL Analytical, Inc. 7330 S. Alton Way Building 12 Suite A, Centennial CO NVLAP Lab Code 200828-0
Erin Orthun (16)
Initial report from 12/02/2010 17:04:49
Sample Description Appearance % Type
AsbestosNon-Asbestos
% Fibrous % Non-Fibrous
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using
Polarized Light Microscopy
221002311
Attn:Quentin Danziger
Q Consulting, Inc.
PO Box 997
Vail, CO 81658
Customer PO:
Received:12/02/10 9:10 AM
139 Beaver Dam Rd. - Vail
Customer ID:INES78
Fax:Phone:(970) 390-0087
Project:
EMSL Order:
EMSL Proj:
12/2/2010Analysis Date:
EMSL Analytical, Inc.
7330 S. Alton Way Building 12 Suite A, Centennial, CO 80112
Phone: (303) 740-5700 Fax: (303) 741-1400 Email: denverlab@emsl.com
03-03-Mastic
221002311-0009A
Rubber Floor Tile Tan None Detected
Non-Fibrous
Homogeneous
Non-fibrous (other)100%
03-03-Leveler
221002311-0009B
Rubber Floor Tile Gray None Detected
Non-Fibrous
Homogeneous
Non-fibrous (other)100%
3
Erin Orthun, Laboratory Manager
or other approved signatory
Analyst(s)
THIS IS THE LAST PAGE OF THE REPORT.Test Report PLM-7.21.0 Printed: 12/2/2010 5:04:49 PM
EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. 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. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted.
Samples analyzed by EMSL Analytical, Inc. 7330 S. Alton Way Building 12 Suite A, Centennial CO NVLAP Lab Code 200828-0
Erin Orthun (16)
Initial report from 12/02/2010 17:04:49