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HomeMy WebLinkAboutB09-0003Development Review Coordinator 75 South Frontage Road Vail, CO 81657 Phone: 970 - 479 -2128 Fax: 970 -479 -2172 ' Inspections. 970- 479 -2149 TIi' BUILDING PERMIT APPLICATION Separate Permits are required for electrical, plumbing, mechanical, fireplace, etc Project ALddress( Project # C \ i� DRB# _F1 - C-1- li t -�-� • —_. 1 Z- .... ........ .. . . Cont for Information Building Permit #: 00 Company: 5�((Y� M 1 4 b 12 E5t L�V�LO DO�i=1`l+ Detailed Description of Work: Klic r- Company Address: pp F�Ox SS°l City: WC)LCC ri State: CO Zip: B) (0,55 Contact Name: 'n Rjo 2CKC'_.q`A 1 r Contact Ph: 'YtV " O Cpl, -1 Cell: E -Mail: b06. olrchck- rA44�) 6A- MC','%L. C0rv% Town of Vail Contractor Registration No: 10 X Contractor Signature (required) Property Information Parcel #: 2101 I Z'2 0 5 0 0 5 Legal Description: Lot # Cl Blk # v1 ,, I Subdivision: rZlb � ovzt Four P� l4 d II ION Job Name: ALLY t� PX-G IDI: tic I- Owner Name: A L L.E- I.1 Mailing Address: (For Parcel # Contact Eagle County assessors Office at 970 - 328 -8640 or visit www.eaglecounty.us/patie) Valuations (Labor & Material) Building $ Plumbing $ Electrical $ Mechanical $ Total $ 'A2•r000 _— `T �XDo 51, ooa CWb6►J k �AN1�-Y Cr��,s, 5(N►�5 �Pz cd c6{ S, F2X -k Ti LE C (Use additional sheet if necessary) Architect ( ) Designer ( ) Engineer ( ) Phone: Fax: E -Mail: Work Class: New ( ) Addition ( ) Remodel ( repair ( ) Other ( ) Work Type: Interior ((Exterior () Both ( ) Building Type: Single - Family ( ) Two - Family (Multi- Family ( ) Commercial ( ) Townhome ( ) Other ( ) # & Type of Existing Fireplaces: Gas Appliances Gas Log ( ) Wood /Pellet ( ) Wood Burning ( ) # & Type of Proposed Fireplaces: Gas Appliances ( ) Gas Log ( ) Wood /Pellet ( ) Wood Burning ( ) Does a Fire Alarm Exist: Yes ( ) No Monitored Alarm: Yes ( ) No( Does a Fire Sprinkler Svstem Exist: Yes Date Received ' I u~ U r" n JAN 1 3 2004 + I sql. I '�_ I TOWN OF ti!All ?�Orf - 0 0�---Z-' JAN 13 2009 �j TOWN OF VAIL ASBESTOS INSPECTION AND SAMPLING REPORT 4394 Streamside Cir., Vail, Colorado Presented to: Bob Borchardt P.O. Box 559 Wolcott, CO 81655 Performed by: Mr. Cody Wittman DS Consulting, Inc. PO Box 6864 Avon, CO 81620 DSC Project #953 January 12, 2009 DS Consulting, Inc. Unmatched Credentials. Superior Results. Town of Vell OFFICE COPY EXECUTIVE SUMMARY On January 6, 2009, Mr. Cody Wittman of DS Consulting, Inc. (DSC) performed an inspection and limited asbestos sampling at 4394 Streamside Cir. Vail, Colorado, in order to identify potentially hazardous friable and non - friable asbestos containing materials (ACM) within a portion of the above - referenced, single- family residence. Mr. Cody Wittman performed asbestos bulk sampling of various surfacing materials on sheetrock in a total of twelve (12) locations in all four bathrooms in the residence. All twelve (12) bulk samples were analyzed by Reservoirs Environmental, Inc. with all twelve (12) laboratory results being non - detect for ACM (see Appendix A for laboratory results). R I. Introduction A limited inspection and bulk sampling for ACM was conducted at 4394 Streamside Cir., Vail, Colorado, by Mr. Cody Wittman on January 6, 2009, at the request of Mr. Bob Borchardt. Mr. Wittman is a Colorado State Certified inspector, and has EPA Accreditation #15425 (see Appendix B for a copy of certificate). The purpose of the inspection was to identify, sample and assess potentially hazardous friable and non - friable ACM in a portion of the single- family residence where some remodeling will occur. II. Structural Design The structure is a wood - framed, single - family home. III. Sampling and Analytical Procedures The inspection and assessment were conducted by an EPA and AHERA accredited Inspector qualified by experience, education and training in the recognition of potential ACM and approved bulk - sampling techniques. The asbestos bulk sampling was conducted on suspect ACM with a limited number of bulk samples being collected in the residence. The inspection and assessment were performed in accordance with Environmental Protection Agency / AHERA recommended procedures. These procedures call for the visual inspection of the area of concern and collection and analysis of representative bulk samples of suspect material. Some minor destructive sampling was conducted. Walls, columns and perimeter pipe chases were not broken into in order to locate and quantify suspect ACM. It should be noted that additional ACM might be located in other inaccessible areas. Random bulk samples, representative of the suspect asbestos - containing building materials (ACBM) of each homogeneous area (HA), were collected according to the guidelines published as Environmental Protection Agency (EPA) Final Rule: Title II of the Toxic Substances Control Act (TSCA), 15 USC, Sections 2641 through 2654 and in compliance with 40 CFR, Part 763. Representative sampling is based on the following criteria: 1. The distribution of the suspect material throughout the HA. 2. The suspect material's physical characteristics and application. 3. Random sampling patterns determined for each HA. Suspect materials sampled and analyzed should be considered to be representative of materials in each HA if- 1. They exhibit similar physical characteristics; and 2. The application of the sampled material can be correlated to the application of unsampled material. 2 Bulk samples collected were analyzed utilizing the EPA's Method for the Determination of Asbestos in Bulk Building Materials (EPA 600/R/116, July, 1993) and the McCrone Research Institute's The Asbestos Particle Atlas as methods references. Analysis of the bulk samples was performed on the "date reported," as listed in the bulk - sample analysis report. IV. Notes on Report Format Suspect materials alike in appearance and application were sampled as HAs. Suspect materials were divided into three classifications: 1. Surfacing material: sprayed or troweled onto structural building member. 2. Thermal systems insulation: any type of pipe, boiler, tank, or duct insulation. 3. Miscellaneous: other suspect materials, including flooring, ceiling tiles, insulation, and finishing materials. Condition assessments were performed by the accredited inspector at the time of inspection. Condition assessments are listed in the following section. Ratings of "good," "damaged," and "severely damaged" are meant to indicate the overall condition of the material. A material in "good" condition has no visible damage or deterioration, or showing only very limited damage or deterioration. A material in "damaged" condition has the following characteristics: • The surface is crumbling, blistered, water - stained, gouged, marred or otherwise abraded over less than one -tenth of the surface if the damage is evenly distributed (one - quarter if the damage is localized). Accumulation of powder, dust or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. A material in "severely damaged" condition has one or more of the following characteristics: The surface is crumbling or blistered over at least one -tenth of the surface if the damage is evenly distributed (one - quarter if the damage is localized). One -tenth (one - quarter, if localized) of the material is hanging from the surface, deteriorated, or showing adhesive failure. Water stains, gouges, or mars are over at least one -tenth of the surface if the damage is evenly distributed (one - quarter if the damage is localized). Accumulation of powder, dust or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. 3 Response- action recommendations for asbestos containing HAs are also listed in the following section. Recommendations may be for more than one HA, if materials are alike. Recommendations are either "general" or "immediate." An immediate recommendation indicates an imminent hazard exists and should be addressed as soon as possible. V. Inspector Comments No ACM was identified during the bulk sampling conducted at 4394 Streamside Cir., Vail, Colorado. A total of twelve (12) bulk samples were collected from the above- referenced residence. All twelve (12) bulk samples were reported as non - detect for asbestos (see Appendix A for laboratory results of bulk samples). VI. Asbestos- Containing Homogeneous Area Descriptions and Sample Locations The following section contains sampled HA descriptions and as well as sample locations where bulk samples were collected. Percent - asbestos content for each sample indicated can vary depending on sample locations, homogeneity of the materials, and type of application. The following samples were collected from the single - family residence 4394 Streamside Cir., Vail, Colorado on January 6, 2009: Homogeneous Area #01 Homogeneous Area #01 Material Description: White /red/black wall covering; Tan/pink drywall; White compound w/ white paint Material Description: Yellow mesh; White /red wall covering; White compound w/ white aint; Tan/ ink drywall Material Classification: Surfacing Material Material Classification: Surfacing Material Material Location: Master bathroom Material Location: Master bathroom Material Condition: Good Material Condition: Good Material Quantity: N/A Material Quantity: N/A Sample #: 9530SMA1 -1 Sample #: 9530SNUI -2 Composition: Non - detect; Non - detect; Non- detect Composition: Non - detect; Non - detect; Non - detect; Non - detect Immediate Recommendation: NONE Immediate Recommendation: NONE 4 Homogeneous Area #01 Homogeneous Area #02 Material Description: White compound w/ white paint; White /red/black wall covering; Tan/white drywall Material Description: White paint w/ white compound; White compound w/ white paint; White compound; White/blue /red wall covering; Tan/white drywall Material Classification: Surfacing Material Material Classification: Surfacing Material Material Location: Master bathroom Material Location: Third level bathroom Material Condition: Good Material Condition: Good Material Quantity: N/A Material Quantity: N/A Sample #: 9530SMAI -3 Sample #: 9530SMA2 -1 Composition: Non - detect; Non - detect; Non- detect Composition: Non - detect; Non - detect; Non - detect; Non - detect; Non - detect Immediate Recommendation: NONE Immediate Recommendation: NONE Homogeneous Area #02 Homogeneous Area #02 Material Description: White paint w/ white Material Description: White paint w/ white compound; White compound w/ white paint; compound; White compound w/ white paint; White compound; White/blue /red wall White compound; White tape; White joint covering; Tan/white drywall compound; White/blue /red wall covering; Tan/white drywall Material Classification: Surfacing Material Material Classification: Surfacing Material Material Location: Third level bathroom Material Location: Third level bathroom Material Condition: Good Material Condition: Good Material Quantity: N/A Material Quantity: N/A Sample #: 9530SMA2 -2 Sample #: 9530SMA2 -3 Composition: Non - detect; Non - detect; Non- Composition: Non - detect; Non - detect; Non - detect; Non - detect; Non - detect detect; Non - detect; Non - detect; Non - detect; Non - detect Immediate Recommendation: NONE Immediate Recommendation: NONE Homogeneous Area #03 Homogeneous Area #03 Material Description: White compound w/ white paint; White /green wall covering; Tan/white drywall Material Description: White paint w/ white compound; White /green wall covering; Tan/white drywall Material Classification: Surfacing Material Material Classification: Surfacing Material Material Location: Second level bathroom Material Location: Second level bathroom Material Condition: Good Material Condition: Good Material Quantity: N/A Material Quantity: N/A Sample #: 9530SMA3 -1 Sample #: 9530SMA3 -2 Composition: Non - detect; Non - detect; Non- detect Composition: Non - detect; Non - detect; Non - detect; Non - detect Immediate Recommendation: NONE Immediate Recommendation: NONE Homogeneous Area #03 Homogeneous Area #04 Material Description: White compound w/ white paint; White /green/multi- colored wall covering; Tan/white drywall Material Description: White paint; Tan/brown wall covering; Tan/white drywall Material Classification: Surfacing Material Material Classification: Surfacing Material Material Location: Second level bathroom Material Location: Main level bathroom Material Condition: Good Material Condition: Good Material Quantity: N/A Material Quantity: N/A Sample #: 9530SMA3 -3 Sample #: 9530SMA4 -1 Composition: Non - detect; Non - detect; Non- detect Composition: Non - detect; Non - detect; Non - detect Immediate Recommendation: NONE Immediate Recommendation: NONE Homogeneous Area #04 Homogeneous Area #04 Material Description: White tape; Tan/brown wall covering; White compound; White joint compound; Tan/white drywall Material Description: White paint; Tan/brown wall covering; Tan/white drywall Material Classification: Surfacing Material Material Classification: Surfacing Material Material Location: Main level bathroom Material Location: Main level bathroom Material Condition: Good Material Condition: Good Material Quantity: N/A Material Quantity: N/A Sample #: 9530SMA4 -2 Sample #: 9530SMA4 -3 Composition: Non - detect; Non - detect; Non- detect; Non - detect; Non - detect Composition: Non - detect; Non - detect; Non - detect Immediate Recommendation: NONE Immediate Recommendation: NONE VII. Recommendations The laboratory results of the potential ACM sampled at 4394 Streamside Cir. Vail, Colorado, indicated that no bulk samples were reported as positive for asbestos. Therefore, no abatement activities are recommended at this time. DSC recommends that when ACM is removed/abated, that only a Colorado- licensed asbestos abatement contractor using personnel trained in the handling of ACM be allowed to conduct such activities using appropriate methods (HEPA- filtered vacuuming, wet cleaning methods, respiratory protection, protective clothing, personnel decontamination, negative -air enclosures, air monitoring, etc.). 7 APPENDIX A BULK SAMPLE ANALYSIS REI LAB Reservoirs Environmental, Inc_ January 8, 2009 Laboratory Code: RES Subcontract Number: Laboratory Report: Project Description: Dave Sinkbeil DS Consulting, Inc. 3247 S. Indiana St. Lakewood CO 80228 Dear Customer, NA RES 166440 -1 953 4394 Streamside Cir. 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 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 166440 -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 Paul F. Knappe Rich Wegrzyn Michael Scales Adam Humphreys Nancy R. Adams Scott Klaus P: 303 - 964 -1986 5801 Logan Street, Suite 100 Denver, CO 80216 1- 866 -RESI -ENV F: 303 - 477 -4275 www.reilab.com Page 1 of 4 RESERVOIRS ENVIRONMENTAL, INC. NVLAP Accredited Laboratory # 101896 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 166440 -1 DS Consulting, Inc. 953 4394 Streamside Cir. January 6, 2009 PLM, Short Report 3 -5 Day January 7, 2009 Page 2 of 4 Analyst: NRA Client Sample Number a ID Number L A Sub Y Physical Part E Description ( %) R Asbestos Content Mineral Visual Estimate (% Non Asbestos Fibrous Components on- Fibrous Component N 9530 SMA 1 -1 EM 370090 A White /red /black wall covering 15 ND 90 10 B Tan /pink drywall 35 ND 20 80 C White compound w/ white paint 50 ND 0 100 9530 SMA 1 -2 EM 370091 A Yellow mesh 5 ND 98 2 B White /red wall covering 15 ND 90 10 C White compound w/ white paint 25 ND 0 100 D Tan /pink drywall 55 ND 15 85 9530 SMA 1 -3 EM 370092 A White compound w/ white paint 10 ND 0 100 B White /red /black wall covering 20 ND 90 10 C Tan /white drywall 70 ND 15 85 9530 SMA 2 -1 EM 370093 A White paint w/ white compound 10 ND 0 100 B White compound w/ white paint 10 ND 0 100 C White compound 10 ND 0 100 D White /blue /red wall covering 20 ND 90 10 E Tan /white drywall 50 ND 15 85 9530 SMA 2 -2 EM 370094 A White paint w/ white compound 10 ND 0 100 B White compound w/ white paint 10 ND 0 100 C White compound 10 ND 0 100 D White /blue /red wall covering 20 ND 90 10 E Tan /white drywall 50 ND 15 85 ND =None Detected TR= Trace, <1% Visual Estimate Trem - Act = Tremolite- Actinol ite Note: Further analysis by TEM is recommended for organically bound material (i.e. floor tile) if PLM results are <I %. Data QA RESERVOIRS ENVIRONMENTAL, INC. NVLAP Accredited Laboratory # 101896 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 166440 -1 DS Consulting, Inc. 953 4394 Streamside Cir. January 6, 2009 PLM, Short Report 3 -5 Day January 7, 2009 Page 3 of 4 Analyst: NRA Client Sample Number a ID Number L A Sub Y Physical Part E Description R Asbestos Content Mineral I visual ; Estimate (% Non Asbestos Fibrous Components on- Fibrous Component N 9530 SMA 2 -3 EM 370095 A White paint w/ white compound 10 ND 0 100 B White compound w/ white paint 10 ND 0 100 C White compound 10 ND 0 100 D White tape 10 ND 97 3 E White joint compound 10 ND 0 100 F White /blue /red wall covering 15 ND 90 10 G Tan /white drywall 35 ND 15 85 9530 SMA 3 -1 EM 370096 A White compound w/ white paint 15 ND 0 100 B White /green wall covering 20 ND 90 10 C Tan /white drywall 65 ND 15 85 9530 SMA 3 -2 EM 370097 A White paint w/ white compound 10 ND 0 100 B White /green wall covering 20 ND 90 10 C Tan /white drywall 70 ND 15 85 9530 SMA 3 -3 EM 370098 A White compound w/ white paint 15 ND 0 100 B White /green /multi - colored wall covering 20 ND 90 10 C Tan /white drywall 65 ND 15 85 9530 SMA 4 -1 EM 370099 A White paint 5 ND 0 100 B Tan /brown wall covering 20 ND 90 10 C Tan /white drywall 75 ND 15 85 ND =None Detected TP= Trace, <l% Visual Estimate Trem - Act= Tremolite- Actinolite Note: Further analysis by TEM is recommended for organically bound material (i.e. floor tile) if PLM results are <l %. Data QA RESERVOIRS ENVIRONMENTAL, INC. NVLAP Accredited Laboratory # 101896 Page 4 of 4 TDH Licensed Laboratory # 30 -0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 166440 -1 Client: DS Consulting, Inc. Client Project Number / P.O.: 953 Client Project Description: 4394 Streamside Cir. Date Samples Received: January 6, 2009 Analysis Type: PLM, Short Report Turnaround: 3 -5 Day Analyst: NRA Date Analyzed: January 7, 2009 Client a L Asbestos Content Non on- 97 Sample ID Number A Sub Asbestos Fibrous Tan /brown wall covering Number ND Y Physical Part Fibrous Components C E Description Mineral visual Components N 100 R ; Estimate (% D White joint compound 9530 SMA 4 -2 EM 370100 A White tape 10 ND 97 3 B Tan /brown wall covering 15 ND 90 10 C White compound 15 ND 0 100 D White joint compound 15 ND 0 100 E Tan /white drywall 45 ND 15 85 9530 SMA 4 -3 EM 370101 A White paint 10 ND 0 100 B Tan /brown wall covering 25 ND 90 10 C Tan /white drywall 65 ND 15 85 ND =None Detected TR= Trace, <1% Visual Estimate Trem - Act= Tremolite- Actinolite Note: Further analysis by TEM is recommended for organically bound material (i.e. floor tile) • if PLM results are <I %. Data QA Due Date: - C1 Due Time: 750 / '� -�` Reservvlrs Env /ronmenta /, /nC_ 5801 Logan St Denver. CO 80216 • Ph. 303 964 -1986 • Fax 303- 477 -4275 • Toll free .666 RES -ENV Pager : 303.608 -2098 S 166440 INVOICE TO: (IF DIFFERENT) CONIACI INFORMATION: Company PS GNS ULT(N� �NC Company contact (� n_ /c- S I Q I-gE 1 G Contact Address: 1 ?�J'1 S- - /N Address Phone 1, r`YG r Phone Fax _ _ Fax _ -- Uellipager , - %Q 1 _ r ( 1 Ceu /page Project Numoer and(or P C a „� Final Data Deliverable Email address Project Descnpncn:, crat:on CADj (�_4 T)SCO NS J 1- 7-1 r J G 1 ^K . G� ASBESTOS LABORATORY HOURS: Weekdays: lam - 7pm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES: LM 4 PCNI I TEM _ RUSH (Same Day) _ PRIORITY (Next Day) STANDARD & Air =A Bulk = B (Rush PCM = 2hr. TEM = 6hr.) `c o a ; RD O a N � Dust = D Paint = P Soil = S Wipe = W Water = DW CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm Metal(s) I Dust — RUSH _ 24 hr. _3 -5 Day T, RCRA 8 !Metals &Welding "Prior notification is N ! Waste Water = WW RUSH — 5 day __ 10 day required for RUSH Fume Scan / TCLP — m 4 _ re d p a LL t�, Other = O turnarounds." a' _ y � m F • •:1.5 � sil E' 792 approved wipe memo Organics _ 24 hr. — 3 day —5 Day °o J 0 T . v jwi g F m v E .:,:,arnw: ..:...... .. :.:;,.. i,, •.,. ...:... : _.;,:; .. r ,darer aced. AddittomTt fee apply for afterhourn weekend and hollda m- Lu o c U) j d W 2 c o Q j^ r Qe d ~ m V Z U ` a 0 v > o o c u v U m Date Time /+ Special Instructions: CAt-L �fi✓L W �/ T3 EM Number (Laburaiory use Only) N a s w ! a cr in O o E¢ o Collected Collected ar U rnnvod! y ^.h!mm a! U) g y p Client satmple ID number Sample ID's must be unique) 1 5-3 $►Mdj (- l 2 — Z _ - -- z-3 - —._ _ 4 6 - -- 10 cam - 11 13 Number of samples received: (X (Additional samples shall be listed on attached long form.) NOTE: RE wdl analyze incoming samples based upon information received and will not be respons,ble for errors or emiss.ons r car.u7at ons resulting from the inaccuracy of original data By signing cl:enticompany reprasentatve agrees that submission of the Touovnng samples Tor requested analysis as in d:cated on this Ohara of Custody shall constitute an analyticai services agreement w8h payment terms of NE? 30 days.. failure to comply with payment terrs —By result Ina 1.5% monthly interest surcharge aJ Relinquished By: �►, +j Date,Time G o� L. Sample Condition- On Ice Sealed Intact Laboratory U Tomp (F°) Y/N YIN Y 1 Received By: Date;Time Carrier Results ntact Page P ne Email Fax Date Tinlie Initials C ntact Page Phone Email Fax Date Time Initials Contact Page hone Email Fax Date Time Initials Contact Page Phone Email Fax Date Time Initials APPENDIX B CERTIFICATE STATE OF COLORADO ASBESTOS CERTIFICATION* Colorado Department of Public Health and Environment Air Pollution Control Division This certifies that Cody Wittman Certification No: 15425 has met the requirements of 25 -7 -507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: Building Inspector* Issued: 6/13/2008 Expires on: 6/13/2009 4ed Auth A CD Representative This certificate is valid only with the possession of a current Division- approved training course certification in the discipline specified above. f .T ., 17 \� \��t/� h 1 i� f 55 5 \ ^o va 44 1, a i` ✓SS�%�, 1 m°ug�,/ _ M �\�� `�'•r'riiiid�' �\ �: ffi?i� � � \ ji�j•� 4�StP��Sh�ti.. � �� � �a�.j�.�� �—. �9 ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TOWN OF VAIL, COLORADO Statement ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Statement Number: R090000059 Amount: $1,897.74 01/22/200901:01 PM Payment Method: Check Init: LC Notation: 49347 /SUMMIT FOREST DEVL ----------------------------------------------------------------------------- Permit No: B09 -0003 Type: ADD /ALT SFR BUILD PERMIT Parcel No: 2101 -123- 0500 -5 Site Address: 4394 STREAMSIDE CIR W VAIL Location: WEST UNIT Total Fees: $1,897.74 This Payment: $1,897.74 Total ALL Pmts: $1,897.74 Balance: $0.00 ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------- - - - - -- ------------------------ - - - - -- ------ - - - - -- BP 00100003111100 BUILDING PERMIT FEES 650.75 PF 00100003112300 PLAN CHECK FEES 422.99 UT 11000003106000 USE TAX 4 9s 820.00 WC 00100003112800 WILL CALL INSPECTION FEE 4.00 ----------------------------------------------------------------------- - - - - -- NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES TOWN OF VAII Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149 ADD /ALT SFR BUILD PERMIT Permit #: B09 -0003 $650.75 Project #: PRJ09 -0011 Job Address: 4394 STREAMSIDE CIR W VAIL Status .. ISSUED Location......: WEST UNIT Applied ..: 01/13/2009 Parcel No....: 210112305005 Issued. 01122/2009 Restuarant Plan Review Expires ... 07/21/2009 OWNER ALLEN, CHARLES & AMY 01/13/2009 Investigation------------ - - - - -> $0.00 2260 BLUFF CT - - - - -> $0.00 CEDAR HILL TX 75104 Payments ------------------------------- > APPLICANT SUMMIT FOREST DEVELOPMENT, 101/13/2009 Phone: 970 - 926 -2567 PO BOX 559 - - - - -> $1,897.74 BALANCE DUE ------------------------ > WOCOTT CO 81655 License: 103 -A CONTRACTOR SUMMIT FOREST DEVELOPMENT, 101/13/2009 Phone: 970 - 926 -2567 PO BOX 559 WOCOTT CO 81655 License: 103 -A Description: INTERIOR REMODEL: UPGRADE KITCHEN, BATHROOMS, NEW CABINETS, TILE, PLUMBING FIXTURES Occupancy: IRC Type Construction: IRC Valuation: $51,000.00 Total Sq Ft Added: 0 xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx FEE SUMMARY "' xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Building Permit Fee ------ > $650.75 Will Cal Fee --------------------- > $4.00 Total Calculated Fees ------------- > $1,897.74 Plan Check--------------- - - - - -> $422.99 Use Tax Fee --------------------- > $820.00 Additional Fees------------------ - - - - -> $0.00 Add'I Plan Check Hours -> $0.00 Restuarant Plan Review - - - - -> $0.00 TOTAL PERMIT FEES--------- - - - - -> $1,897.74 Investigation------------ - - - - -> $0.00 Recreation Fee------------ - - - - -> $0.00 Payments ------------------------------- > $1,897.74 Total Calculated Fees--- - - - - -> $1,897.74 BALANCE DUE ------------------------ > $0.00 xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxx xxwxxxxxxxx rxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx +......+ xxx.. :xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxx+ xxxxxxxxxxxxxxxxxxxxxxxxx. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx 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 towns 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. S ature of Owner or Co ractor / Date Print Name bld_alt_construction_perm it_041908 APPROVALS Permit #: B09 -0003 as of 01 -22 -2009 Status: ISSUED Item: 05100 BUILDING DEPARTMENT 01/21/2009 JLE Action: AP Item: 05600 FIRE DEPARTMENT 01/15/2009 drhoades Action: AP See the Conditions section of this Document for any that may apply. bld_a It_co nstruction_perm it_041908 CONDITIONS OF APPROVAL Permit #: B09 -0003 as of 01 -22 -2009 Status: ISSUED Cond: 12 (BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE. Cond: 16 (BLDG.): (SFR) SMOKE DETECTORS ARE REQUIRED PER SECTION R313 OF THE 2003 IRC. Cond: CON0010536 NO STRUCTURAL MODIFICATIONS APPROVED bld_alt_construction_perm it_041908 Development Review Coordinatc 75 South Frontage Roar Vail, CO 8165; Phone: 970 - 479-2128 Fax: 970- 479 -2452 Inspections; 970 -479 -2149 Transmittal Form Revision Submittals: 1. "Field Set' 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 10 • •• Project Address: Attention: Hb,N 5 recR,m_5_Ir>& CIr. W. Contact Information Company: LkYY%M t+ �-o QE- :ST Dr-V. Company Ph: `K(o' 25e,? Fax: 9 7.(o - ES 87 Contact Name: &n b ?7o rck a,r(�t Contact Ph: �9C-000Z% Cell: 390 -C p2_% E- Mail: t?�b,bO `Chot.cd4 ho�AJ(LAL •COM Town of Vail Contractor Registration No: /\ Signature (required) Revised ADDITIONAL Valuations (Labor & Materials) (DO NOT include original valuation) Building $� Plumbing $ Electrical $ Mechanical $ Fire Sprinkler /Alarm $ Total $ Revisions () Response to Correction Letter _attached copy of correction letter O Deferred Submittal () Other Description / List of Changes: gEPL)gGE a^1E �NINdo� 4 oNr- 1 ���IO door ]P_-EV tic t d ec (c� O__oL Fir cE &IL10ce (Use additional sheet if necessary) v Date R 00 a — 4 -,b (..� 2 I f,4AR 13 7009 , J TOWN OF MAIL TOWN OF VAIL, COLORADO Statement Statement Number: R090000282 Amount: $536.35 04/02/200912:48 PM Payment Method: Check Init: LC Notation: #9410 /Summit Forest Development ----------------------------------------------------------------------------- Permit No: B09 -0003 Type: ADD /ALT SFR BUILD PERMIT Parcel No: 2101 - 123 - 0500 -5 Site Address: 4394 STREAMSIDE CIR W VAIL Location: WEST UNIT Total Fees: $2,434.09 This Payment: $536.35 Total ALL Pmts: $2,434.09 Balance: $0.00 ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ACCOUNT ITEM LIST: Account Code -------------- - - - Description Current Pmts - -- BP 00100003111100 ------------------------ - - - - -- ------ - - - - -- BUILDING PERMIT FEES 119.00 PF 00100003112300 PLAN CHECK FEES 77.35 UT 11000003106000 USE TAX 416 340.00 NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES MWNou Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149 ADD /ALT SFR BUILD PERMIT Permit #: B09 -0003 Project #: PRJ09 -0011 Job Address: 4394 STREAMSIDE CIR W VAIL Location......: WEST UNIT Parcel No....: 210112305005 OWNER ALLEN, CHARLES & AMY 01/13/2009 2260 BLUFF CT CEDAR HILL TX 75104 APPLICANT SUMMIT FOREST DEVELOPMENT, 101/13/2009 Phone: 970 - 926 -2567 PO BOX 559 WOCOTT CO 81655 License: 103 -A CONTRACTOR SUMMIT FOREST DEVELOPMENT, 101/13/2009 Phone: 970 - 926 -2567 PO BOX 559 WOCOTT CO 81655 License: 103 -A Description: INTERIOR REMODEL: UPGRADE KITCHEN, BATHROOMS, NEW CABINETS, TILE, PLUMBING FIXTURES Occupancy: IRC Type Construction: IRC Status .. : ISSUED Applied . . : 01/13/2009 q Issued... „4 : �� yIZ40 Expires ...: 07/21/2009 Valuation: $68,000.00 Total Sq Ft Added: 0 FEE SUMMARY Building Permit Fee ------ > $769.75 Will Cal Fee --------------------- > $4.00 Total Calculated Fees ------------- > $2,434.09 Plan Check--------------- - - - - -> $500.34 Use Tax Fee --------------------- > $1,160.00 Additional Fees------------------ - - - - -> $0.00 Add'I Plan Check Hours -> $0.00 Restuarant Plan Review - - - - -> $0.00 TOTAL PERMIT FEES--------- - - - - -> $2,434.09 Investigation------------ - - - - -> $0.00 Recreation Fee------------ - - - - -> $0.00 Payments------------------------ - - - - -> $2,434.09 Total Calculated Fees--- - - - - -> $2,434.09 BALANCE DUE------------------ - - - - -> $0.00 DECLARATIONS I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the towns 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. ignature of Owner or Contractor ate Print Name bld_alt_constru ctio n_perm it_041908 + f!#* R## fiRRR# Yf4R* RRRrtrt# i### RRRRY+!## RRR## R## fff!**# R# RrtrtRR####!## i#* RRRrtrtrt# ffffiiR, RRRRRR# Y# f!! RRl RrtrtY#+##!## fiRRrtrtrt# rt*#!***# Rrtrtrtrt# ifi*! fi* RRRrt# Yf# i*! RlRRrtRYYYi # #! # * # *RRRRrtrt # # # #iH ** APPROVALS Permit #: B09 -0003 as of 04 -02 -2009 Status: ISSUED ### rtf+###,,, firt+#+,*!!!## rtrtY#+ Yl R#, RRrtrt++#*# RRR# Rrtrtrtrt# rt#### ff,##„} RRrtrtR+++# i!!!!#!„ RRrtrtrtrt##!##,*„ RRrtrtrtfi##**!# RRrtrtrtrtY#!!l fiRRfiRrtrtrtrt## ii!*** rtrtrtrtrt# Y+## # +,Rfi #rtrtrt # + * *i + *R #fR *RRrt # * +lf +! Item: 05100 BUILDING DEPARTMENT 01/21/2009 JLE Action: AP 03/17/2009 cg Action: AP APPROVED REVISIONS Item: 05600 FIRE DEPARTMENT 01/15/2009 drhoades Action: AP Item: 05400 PLANNING DEPARTMENT 03/25/2009 bgibson Action: AP plans routed to C -4 *#*#************ i#!! i* f, fifirtrtrtrt#### f!! R,* RRrtrtYrt+#+ f** R! R# RRfifirtrtrtrt### f## iiii## RRRRRrtrtrtrtY++#!! R! R## RRRrtrtfYtff#* Rl RRrtrt+ rtrt##++#!!,* Rrtrtrtrtrt##!!#,l fifiRRRrtrtrt### * * * #f * * * * * * * * *** * * * *iYR * * ** * *** See the Conditions section of this Document for any that may apply. b Id_a It_co n st ru ct i o n_pe rm i t_041908 CONDITIONS OF APPROVAL Permit #: B09 -0003 as of 04 -02 -2009 Status: ISSUED Cond: 12 (BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE. Cond: 16 (BLDG.): (SFR) SMOKE DETECTORS ARE REQUIRED PER SECTION R313 OF THE 2003 IRC. Cond: CON0010536 NO STRUCTURAL MODIFICATIONS APPROVED Cond: CON0010599 The adjacent duplex owner shall replace their deck rails to match this proposal. bld_alt_ construct ion_perm it_041908 U4-15-2012 Inspection Request Reporting Page 1 9:16 am Vail, CO =City Of Requested Inspect Date Inspection Area Site Address A/P /D Information Activity: B09 -0003 Type: A -BUILD Const Type: Occupancy: Owner: ALLEN, CHARLES & AMY Contractor: SUMMIT FOREST DEVELOPMENT, INC. Monday, April 16, 2012 JRM 4394 STREAMSIDE CIR W VAIL WEST UNIT Sub Type: ADUP Use: IRC Phone: 970 - 926 -2567 Status: ISSUED Insp Area: JRM Description: INTERIOR REMODEL: UPGRADE KITCHEN, BATHROOMS, NEW CABINETS, TILE, PLUMBING FIXTURES Requested Inspection(s) Item: 90 BLDG -Final Requestor: SUMMIT FOREST DEVELOPMENT, INC. Comments: FOLLOW UP Assigned To: JMONDRAGON Action: Time Exp: Comment: bee condition adjacent deck KIP- �kv Requested Time: 04:00 PM Phone: 970 - 926 -2567 -or- 970 -390- 0627 Entered By: JMONDRAGON K Inspection History Item: 30 BLDG - Framing ** Approved ** 02/18/09 Inspector: JRM Action: AP APPROVED Comment: LOWER LEVEL MASTER BATH APPROVED 05/08/09 Inspector: shahn Action: AP APPROVED Comment: framing for new door /header in low level. letter for 8x4HSS ok. Item: 50 BLDG - Insulation ** A proved ** 02/18/09 Inspector: JRMp Action: AP APPROVED Comment: Item: 60 BLDG - Sheetrock Nail ** Approved ** 03/13/09 Inspector: JRM Action: AP APPROVED Comment: 05/12/09 Inspector: JRM Action: AP APPROVED Comment: Item: 70 BLDG -Misc. ** Approved ** 04/27/09 Inspector: shahn Action: AP APPROVED Comment: footer rebar ok. 04/28/09 Inspector: shahn Action: AP APPROVED Comment: foundation wall rebar ok. Item: 90 BLDG -Final * Approved ** 06/05/09 Inspector: MH Action: COND APPROVED /CONDITIONS Comment: See conditions on adjacent deck Item: 534 PLAN - FINAL C/O ** Approved 06/12/09 Inspector: bgibson Action. AP APPROVED Comment: QV / REPT131 Run Id: 14370