HomeMy WebLinkAboutB13-0239 NOTE: TH/S PERMIT 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 #: B13-0239
Project #: PRJ13-0276
Job Address: 5148 GORE CR VAIL Applied.....: 06/25/2013
Location......: Issued. . . : 09/25/2013
Parcel No....: 209918203003
OWNER WAGNER, SCOTT E.& RACHEL A. 06/25/2013
5040 LAKESHORE DR
BOW MAR
CO 80123-1537
APPLICANT ANKERHOLZ INC. 06/25/2013 Phone: 970-949-6341
PO BOX 296
AVON
CO 81620
License: C000003141
CONTRACTOR PINNACLE PROPERTIES AND CONS 09/18/2013 Phone: 303-829-6750
SHAWN LOWE
4258 TENNYSON STREET
I DENVER
CO 80212
License: C000003858
Description:
RELOCATE AND FIX PLUMBING AND ELECTRICAL IN MASTER BATH PER
PLAN.ADD ONE OUTLET OVER NEW FIREPLACE IN MASTER.ADD
POWER TO MASTER FIREPLACE. NEW GAS LOCATION PER PLAN,
INSTALL ONE WINDOW WELL AND WINDOW PER PLAN. UPGRADING
PLUMBING AND ELECTRICAL DEVICES THROUGHOUT.
Occupancy: R-3 Type Construction: VB Valuation: $15,950.00
.................�,..,.........,....,...,......,,,,.,.......,,.�........_,._.....= FEE SUMMARY .«................,...........,,......,,<..__..,.............,,,,..,,.......,.,,...
Building Permit-----------> $265.25 Bldg Plan Check----------> $172.41 Use Tax Fee-----------------------> $119.00
Electrical Permit---------> $0.00 Elec Plan Check-----------> $0.00 Restuarant Plan Review--------> $0.00
Mechanical Permit------> $320.00 Mech Plan Check---------> $80.00 Additional Fees--------------------> $249.50
Plumbing Permit--------> $45.00 Plmb Plan Check---------> $11.25 Recreation Fee--------------------> $0.00
Investigation-----------------------> $600.25
Will Call------------------------------> $20.00
� TOTAL PERMIT FEES--------------> $2,217.66
Payments-------------------------------> $2,217.66
BALANCE DUE------------------------> $0.00
...,.,.,,,............................................................................>.,,....,.....,...._....................,.«..................».........................,..,.......
DECLARATIONS
I agree to comply with the information and plot plan, to comply with aIl 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.
1
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit#: B13-0239 Address: 5148 GORE CR VAIL
Owner: WAGNER, SCOTT E.& RACHEL A. Location:
.....................................................................................................................................................................................
combination permit_012811
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REQUIRED INSPECTIONS AND STATUSES
Permit#: B13-0239 Address: 5148 GORE CR VAIL
Owner: WAGNER, SCOTT E.& RACHEL A. Location:
******.,,..,**««*«******«*****************,.*****,.***********.****,.,....*******w**********************«*******«***«*«**,.*****,.,,**,.****x��************.*****
Item: 00120 ELEC-Rough
08/21/2013 By: sgremmer Action: AP
Item: 00200 MECH-Rough
07/17/2013 By: sgremmer Action: AP
Item: 00220 PLMB-Rough/D.W.V.
07/17/2013 By: sgremmer Action: AP
Item: 00230 PLMB-Rough/Water
07/17/2013 By: sgremmer Action: AP
Item: 00240 PLMB-Gas Piping
Item: 00310 MECH-Heating
Item: 00030 BLDG-Framing
08/21/2013 By: sgremmer Action: AP Comments:
window well
Item: 00050 BLDG-Insulation
Item: 00060 BLDG-Sheetrock Nail
Item: 00190 ELEC-Final
Item: 00290 PLMB-Final
Item: 00390 MECH-Final
Item: 00090 BLDG-Final
Item: 00542 PLAN-FINAL
combination permit_012811
i
Inspection Items for B13-0239 15:07 01/14/2015
Sec Item Id _ Descrption _ A r Re Items Action Inheritable
120 ELEC-Rou�h Yes R 1 AP No
200 MECH-Rou h Yes R 1 AP No
` 220 PLMB-Rou h/D.W.V. Yes R 1 AP No
230 PLMB-Rou h/Water Yes R 1 AP No
30 BLDG-Framin Yes R 1 AP No
' 50 BLDG-Insulation Yes R 1 AP No
190 ELEC-Final Yes R 1 AP No
* 290 PLMB-Final Yes R 1 AP No
390 MECH-Final Yes R 1 AP No
90 BLDG-Final Yes R 2 AP No
"` 542 PLAN-FINAL Yes R 2 AP No
Total Rows: 11
Page 1
TOWN OF VAIL, COLORADO Statement
############**########*############*###############***####**# # # # # * * # # # # # * * # # # # # * # * # # # # # # # # ##
Statement Number: R130002101 Amount: $714.95 12/17/201309:53 AM
Payment Method: Check Init: SAB
Notation: 1434
SCOTT /RACHEL WAGNER
-----------------------------------------------------------------------------
Permit No: B13 -0239 Type: COMBINATION BLDG PERMIT
Parcel No: 2099 - 182 - 0300 -3
Site Address: 5148 GORE CR VAIL
Location:
Total Fees: $2,932.61
This Payment: $714.95 Total ALL Pmts: $2,932.61
Balance: $0.00
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------- - - - - -- ------------------------ - - - - -- ------ - - - - --
EP 00100003111100 ELECTRICAL PERMIT FEES 483.00
PF 00100003112300 PLAN CHECK FEES 313.95
PN 00100003153000 INVESTIGATION FEE (BLDG) -82.00
TOWN OF VAIL, COLORADO Statement
Statement Number: R130001518 Amount: $574.50 09/20/201311:39 AM
Payment Method:Credit Crd Init: CG
Notation: visa rachel
wagner
-----------------------------------------------------------------------------
Permit No: B13 -0239 Type: COMBINATION BLDG PERMIT
Parcel No: 2099 -182- 0300 -3
Site Address: 5148 GORE CR VAIL
Location:
Total Fees: $2,217.66
This Payment: $574.50 Total ALL Pmts: $2,217.66
Balance: $0.00
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------- - - - - -- ------------------------ - - - - -- ------ - - - - --
MP 00100003111100 MECHANICAL PERMIT FEES 260.00
PF 00100003112300 PLAN CHECK FEES 65.00
UT 11000003106000 USE TAX 4% 249.50
----------------------------------------------------------------------- - - - - --
Fee Items- B13-0239 10:51 09/20/2013
Item# Description Fee Amount Pmt Amount Balance Account code
10 BUILDING PERMIT FEES $265.25 $265.25 $0.00 BP 00100003111100
20 PLUMBING PERMIT FEES $45.00 $45.00 $0.00 PP 00100003111100
30 MECHANICAL PERMIT $320.00 $60.00 $260.00 MP
FEES 00100003111100
40 ELECTRICAL PERMIT $0.00 $0.00 $0.00 EP 00100003111100
FEES
47 ELEC PLAN REVIEW $0.00 $0.00 $0.00 PF 00100003112300
80 PLAN CHECK FEES $263.66 $198.66 $65.00 PF 00100003112300
140 RECREATION FEES $0.00 $0.00 $0.00 RF 11100003112700
150 WILL CALL INSPECTION $20.00 $20.00 $0.00 WC
FEE 00100003112800
160 RESTAURANT PLAN $0.00 $0.00 $0.00 FS 00100003112400
REVIEW
940 USE TAX 4%REVISION $249.50 $0.00 $249.50 UT 11000003106000
1205 USE TAX 4% $119.00 $119.00 $0.00 UT 11000003106000
1210 � INVESTIGATION FEE $935.25 $935.25 $0.00 PN 00100003153000
� BLDG
Total Rows: 12
Page 1
,
*************************************************************************************+******
TOWN OF VAIL, COLORADOCopy Reprinted on 09-20-2013 at 10:28:06 09/20/2013
Statement
******************************************************************+*************************
Statement Number: R130000933 Amount: $1, 470.75 07/09/201310: 11 AM
Payment Method: Check Init: CG
Notation: ck 2104
ankerholz inc
-----------------------------------------------------------------------------
Permit No: B13-0239 Type: COMBINATION BLDG PERMIT
Parcel No: 2099-182-0300-3
Site Address: 5148 GORE CR VAIL
Location:
Total Fees: $2, 217. 66
This Payment: $1, 470.75 Total ALL Pmts: $1, 643. 16
— Balance: $574 .50 -—
***************************************************�**+******+******************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BUILDING PERMIT FEES 265.25
MP 00100003111100 MECHANICAL PERMIT FEES 60.00
PF 00100003112300 PLAN CHECK FEES 26.25
PN 00100003153000 INVESTIGATION FEE (BLDG) 935.25
PP 00100003111100 PLUMBING PERMIT FEES 45.00
UT 11000003106000 USE TAX 4% 119.00
WC 00100003112800 WILL CALL INSPECTION FEE 20.00
-----------------------------------------------------------------------------
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL T/MES
l.
1C}WN OF VA(I„ "
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 #: B13-0239
Project #: PRJ13-0276
Job Address: 5148 GORE CR VAIL Applied.....: 06/25/2013
Location......: Issued. . . : 07/09/2013
Parcel No....: 209918203003
OWNER WAGNER, SCOTT E.& RACHEL A. 06/25/2013
5040 LAKESHORE DR
BOW MAR
CO 80123-1537
APPLICANT ANKERHOLZ INC. 06/25/2013 Phone: 970-949-6341
PO BOX 296
� AVON
CO 81620
License: C000003141 _
CONTRACTOR ANKERHOLZ INC. 06/25/2013 Phone: 970-949-6341
PO BOX 296
AVON
� CO 81620
License: C000003141
Description:
RELOCATE AND FIX PLUMBING AND ELECTRICAL IN MASTER BATH PER
PLAN.ADD ONE OUTLET OVER NEW FIREPLACE IN MASTER.ADD
POWER TO MASTER FIREPLACE. NEW GAS LOCATION PER PLAN,
INSTALL ONE WINDOW WELL AND WINDOW PER PLAN. UPGRADING
PLUMBING AND ELECTRICAL DEVICES THROUGHOUT.
Occupancy: R-3 Type Construction: VB Valuation: $15,950.00
.................�........x......................,..,..,�......,,«....,........... FEE SUMMARY ,,......,,,,,.,,............,,..,..,.,.........,.....,..........._<.,.............._.
Building Permit-----------> $265.25 Bldg Plan Check----------> $172.41 Use Tax Fee-----------------------> $119.00
Electrical Permit---------> $0.00 Elec Plan Check-----------> $0.00 Restuarant Plan Review-------->
Mechanical Permit------> $0.00
$60.00 Mech Plan Check---------> $15.00 Additional Fees--------------------> $0.00
Plumbing Permit--------> $45.00 Plmb Plan Check---------> $11.25 Recreation Fee--------------------> $0.00
Investigation-----------------------> $600.25
Will Call------------------------------> $20 00
TOTAL PERMIT FEES--------------> $1,643.16
Payments-------------------------------> $1,643.16
BALANCE DUE------------------------> 50.00
..........................................................................x.,,.,,...................._......x..,,x...................__....,....,............................x..�........
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.
1
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
� Permit#: 613-0239 Address: 5148 GORE CR VAIL
Owner: WAGNER, SCOTT E.& RACHEL A. Location:
......................................................................»....,..................�,.....,..........,,,..,,�,,..,,.....,.......»....,..,...,......,...,.,...,...,.......,.
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REQUIRED INSPECTIONS AND STATUSES
Permit#: B13-0239 Address: 5148 GORE CR VAIL
Owner: WAGNER, SCOTT E.& RACHEL A. Location:
*««***.**********«*********.,*�*„*****,�******.*********«*«*«*******«*************�***««**„****.,*********,.**�***********«************,**«****�,.«*.,,,***�
Item: 00120 ELEC-Rough
Item: 00200 MECH-Rough
Item: 00220 PLMB-Rough/D.W.V.
Item: 00230 PLMB-Rough/Water
Item: 00240 PLMB-Gas Piping
Item: 00310 MECH-Heating
Item: 00030 BLDG-Framing
Item: 00050 BLDG-Insulation
Item: 00060 BLDG-Sheetrock Nail
Item: 00190 ELEC-Final
Item: 00290 PLMB-Final
Item: 00390 MECH-Final
Item: 00090 BLDG-Final
Item: 00542 PLAN-FINAL
combination permit_012811
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***********+*+********************************************+*+****+**************************
TOWN OF VAIL, COLORADOCopy Reprinted on 07-09-2013 at 10:11:32 07/09/2013
Statement
*****************************************************++�******************************+*****
Statement Number: R130000933 Amount: $1, 470.75 07/09/201310: 11 AM
Payment Method: Check Init: CG
Notation: ck 2104
ankerholz inc
-----------------------------------------------------------------------------
Permit No: B13-0239 Type: COMBINATION BLDG PERMIT
Parcel No: 2099-182-0300-3
Site Address: 5148 GORE CR VAIL
Location:
Total Fees: $1, 643. 16
This Payment: $1, 470.75 Total ALL Pmts: $1, 643. 16
Balance: $0.00
********************************************************************************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BUILDING PERMIT FEES 265.25
MP 00100003111100 MECHANICAL PERMIT FEES 60. 00
PF 00100003112300 PLAN CHECK FEES 26.25
PN 00100003153000 INVESTIGATION FEE (BLDG) 935.25
PP 00100003111100 PLDMBING PERMIT FEES 45.00
UT 11000003106000 USE TAX 4% 119. 00
WC 00100003112800 WILL CALL INSPECTION FEE 20.00
-----------------------------------------------------------------------------
*�*****************++**************+*******+++*�***+*****************************+**********
TOWN OF VAIL, COLORADO Statement
**+******+�*****+******+********+*��*********************************s********+*******++****
Statement Number: R130000868 Amount: $172.41 06/25/201311: 17 AM
Payment Method:Credit Crd Init: DR
Notation: VISA MATTHEW S.
SAYRE
-----------------------------------------------------------------------------
Permit No: B13-0239 Type: COMBINATION BLDG PERMIT
Parcel No: 2099-182-0300-3
Site Address: 5148 GORE CR VAIL �
Location: �i
Total Fees: $1, 643. 16
This Payment: $172. 41 Total ALL Pmts: $172.41
Balance: $1, 470.75
*�**************************�********+******************�********************�**************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 172.41
-----------------------------------------------------------------------------
� Department of Community Development
75 South Frontage Road
TOWN OF VAIL � �� va�i, co s�ss7
Tei: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#: PR
5148 Gore Circle n Z
(Number) (Street) (Suite#) DRB#: ,�1�.�I,� ���� '
Building Permit#:__ 1� — �,�,��
Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:
Business Name: Ankefiolz Inc
Business Address:
PO BOX 296 Work Class: New�j Addition�j Alteration(�
City Avon State: CO Z�p: 81620 Type of Building:
Steve Ankerholz Single-Family�j Duplex�) Multi-Family(Oj
Contact Name: Commercial� Other�j
Contact Phone: 970-949-6341
Contact E-Mail: AnkerholzinC@yahoo.COm Work Type: Interior O Exterior O Both�i
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 OYes �No OYes �No 3250
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 O)No QYes �No 3000
the town's zoning and subdivision codes,design review ap-
proved,Intemational Building and Residential Codes and other Plumbing �Yes OjNo �Yes �No 2200
ordinances of the Town applicable thereto. 7500
Building �i Yes allo !Yes QNo
X Value of all work being performed: $ 15950
OwnedOwner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3� p�R E•C.
Electrical Square Footage `�/8 �
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Ankerholz Inc Relocate and Fix Plumbing and Electrical in Master Bath
Applicant Phone: 970-949-6341 Per plan.Add one outlet over new FP in master, add
Applicant E-Mail: ankerholzinc@yahoo.com power to master fp. 1 New gas location per plan, Install
Project Information one window well and window per plan.
Owner Name: Scott Wagner
Upgrading Plumbing and Electrical Devices throughout.
Parcel#: 2099 182 03 003
(For Parcel#,contact Eagle County Assessors Offlce at(970�28-8640 or vlslt
www.eaglecounty.us/paUe)
(use additional sheet if necessa
For Office Use Onl : Date Received• � � � � a " �
Fee Paid: ��a�� �� '
Received From: �UN 2 4 Z0�
Cash Check#
CC: Visa/MC Last 4 CC# exp date: 3��p�
A��, # TOWN OF VAIL
12-Maz-2012
� NE� �� �a nn �sT� � ��
S O LAC E/S KY L I N E
� mar9uis � �S
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COILECTION by Kingsman
Installation Instructions Intertek
a000no
Zero Clearance Direct Vent Gas Firepiace
Listed Certified for USA.and Canada
Model Numbers: MQHBZDV3636, MQHBZDV4236, MQRB4236, MQRB4236T,MQHBZDV4736
Stock#'s: MQHBZDV3636N, MQHBZDV3636LP, MQHBZDV4236N, MQRB4236N, MQHBZDV4236LP,
MQHBZDV3636NE, MQHBZDV3636LPE, MQHBZDV4236NE, MQRB4236NE, MQHBZDV4236LPE
Certified to:ANZI Z21.88-2009, CSA 2.33-2009, CGA 2.17-M91
Stock#'s: MQRB4236NT, MQR64236LPT, M�HBZDV4736N, MQHBZDV4736LP,
MQR64236NTE, MQRB4236LPTE, MQHBZDV4736NE, MQHBZDV4736LPE,
Certified to:ANSI Z21.50b-2009, CSA 2.22b-2009, CGA 2.17-M91
This appliance may be installed in an aftermarket permanently located, manufactured home (USA only)or mobile
home,where not prohibited by local codes.
This appliance is only for use with the type of gas indicated on the rating plate.This appliance is not convertible for
use with other qases, unless a certified kit is used.
. . . . . • . • - . . .
. . - - . .
� � � � �
� WARNING: If the information in these instructions is not followed exactly, a flre o�explosion may
result causing property damage, personal injury or loss of life.
� Warning: Improper installation,adjustment, alteration,service or maintenance can cause property
damage, personal injury or loss of life. Refer to this manual.lnstallatlon and service must be performed by
a qualified installer,service agency or the gas supplier.
Do not store or use gasoiine or other flammable vapors and liquids in the vicinity of this or any other appliance.
What To Do If You Smell Gas
Do not try to light any appliance.
Extinguish any open flame.
Do not touch any electrical switch.
Do not use any phone in your building.
Immediately call your gas supplier from a neighbour's phone.
If you can not reach your gas supplier, call the fire department.
For Propane Horizontal installations the venting must be a minimum of one foot vertical off the flue before
going horizontal.
INSTALLER: Leave this manual with the appliance. AWARNING
CONSUMER: Retaln this manual for future reference.
HOT GLASS WILL
'' � CAUSE BURNS.
A Division of R-Co. Inc. ".°� DO NOT TOUCH GLASS
2340 Logan Avenue - � ` UNTIL COOLED.
Winnipeg, Manitoba, Canada R2R 2V3 NEVER ALLOW CHILDREN
P h: (2 0 4)6 3 2-1 9 6 2 TO TOUCH GLASS.
Printed in Canada May 8,2012 Part#36MQ-MAN-11
.
This gas appliance should be installed by a qualified installer in accordance with local building codes and with cur�ent CAN/CGA-
6149.1 or.2 installation codes for Gas Burning appliances and equipment in Canada and the Nationai Fuel Gas Code ANSI Z223 in the
U.S.A.
1.The gas pipeline can be brought in through
either the right or the left side of the appliance. 3is^UNION-- �
A knockout is provided at either location �.-_-�
to allow for the gas pipe installation and �C�;r,Y
testing of any gas connection. ��2"X 3/8"SHUTOFF—�� ���.�
2.The gas control inlet is 3/8" NPT. Typical vALVE t �"'�
installation layout for rigid pipe is shown at
right. �,�
3.When using copper or flex connector, use _,�-�
only approved fittings.Always provide a y—'
union so that gas line can be easily '�� 3i8°NIPP�E
disconnected for burner or fan servicing. See 1/2"GAS SUPPLY
gas specification for pressure details and ratings.
4. When a vertical section of gas pipe is
required for the installation, a condensation trap is needed. See CAN/CGA-6149.1 or.2 for code details.
5. For natural gas, a minimum of 3/8"iron pipe with gas minimum pressure of 4.5"w.c. must be used for supply from the
gas meter. Consult with the
local gas utility if any questions arise concerning pipe sizes.
6.A 1/8"NPT plugged tappings are accessible for test gauge connection both on the inlet and outlet of the gas valve.
7. Turn the gas supply ON and check for leaks. DO NOT USE OPEN FLAME FOR THIS PURPOSE. Use an approved
leak testing solution.
8.The appliance and its individual shutoff valve must be disconnected from the gas supply piping system during any
pressure testing of that system at
test pressures in excess of 1/2 PSIG (3.5 KPa).
9.The appliance must be isolated from the gas supply piping system by closing its individual shutoff valve during any
pressure testing of the gas supply piping system at test pressures equal to or less than 1/2 PSIG (3.5 KPa).
Note:The gas line connection may be made of 1/2" rigid pipe or an approved flex connector. Since some
municipalities have additional local codes, it is always best to consult your local authorities and the current
CAN/CGA-6149.1 or.2 installation code in Canada or the National Fuel Gas code ANSI Z223.1 in the U.S.A.
For the state of Massachusetts a T-handle gas shut-off
valve must be used on a gas appliance. This T-handle gas Important:Always check for gas leaks with
shut-off valve must be listed and approved by the state of a soap and water solution. Do not use open
Massachusetts.This is in reference to the state of flame for leak testing.
Massachusetts state code CMR238.
Gas Specifications
M � M HBZ V M RB
4736N 4736LP 4236N 4236LP 3636N 3636LP 4236N 4236LP 4236NT 4236LPT
Fuel Natural Propane Natural Propane Natural Propane Natural Propane Natural Propane
Gas Control Millivoft Adjustable
Ma�cimum Input HI[Btu/hrJ 40,000 36,000 30,500 29,200 30,500 29,200 30,500 29�00 24,000 24,000
Maximum Input LO[Btu/hr] 27,000 30,000 20,600 22,200 20.600 22,200 20.600 2�Y� 18,000 19,000
Maximum Output HI[Btu/hr] 27,200 24,100 23,180 22,100 23,200 21,900 23,180 2
Orifice Size(0-4500ft) #31 #49 #36 tR51 #36 #51 #36 � � #42 #53
Air Shutter Opening 5/16' Fully Open 3/16" 5/16' 3/16" 5/16" 7/16' S�".� 1/32' 1/4'
Gas Inlet Size S.I.T.820 Nova,3/8'NPT �
Gas Supply Pressure Minimum Normal Maximum � A
Natural Gas[n.w.c.] 5.5' 7" 9' y y
Propane[n.w.c.] 11• 71" 12" m T
Man'rfold Pressure Nat.Gas Propane �
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Low(n.w.c./kPa] 1.6"/0.40 6.3"/1.57
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Envirnnrne:nt.+l ?< Uiti��ster Kr:storatic�n,Inc.
Date: 06-20-2013 Asbestos Sampling Report Page: 1/ 1
To: Scott Wagner Regarding: 5148 Gore Circle, Vail, CO
Mr. Wagner,
On 06-19-2013, ECOS Environmental & Disaster Restoration Inc. conducted a limited asbestos
inspection of VISIBLE suspect ACM (asbestos containing materials) that would be disturbed per
the remodeling scope of work. If other suspect materials become visible/apparent during
demolition or construction, work in that area should be halted and more sampling/testing must
take place, per Colorado regulations.
A limited bulk sampling of suspect ACM was conducted in accordance with Colorado State
Requirements. Said requirements state for surfacing materials: each homogenous area of less
than 1000 SF, a minimum of three samples must be collected randomly. For each homogenous
area of 1000-5000 SF, a minimum of five samples must be collected. For areas larger than 5001
SF a minimum of seven samples must be collected, respectively. For miscellaneous materials at
least one sample must be taken. A homogeneous area is defined as one which shares suspect
material,texture, color, location, and/or apparent time of construction.
Joshua Johnson, a Colorado Department of Public Health & Environment certified building
inspector, certification number: 18401, performed the inspection. Samples taken were sent to
the lab Reservoirs Environmental,for PLM (Polarized Light Microscopy) analysis.
DESCRIPTION OF SAMPLING AREA
Basement and Master Bathroom
SUSPECT MATERIALS SAMPLED
Drywall,Tape,Joint Compound, and Texture
CONCLUSIONS
Construction had already began so we sampled the existing drywall in the rooms that were
being remodeled. No asbestos was detected.
:*EROb10�OCiy IAbORATORy
ASSOCIA7ES, INCORF'ORATE�
� �
Certificate of Analysis
780 Svnms Street
Suite 104
Golden,CO,80401
303.232.3'746
www.aerobiolo�/.nat
Client Name ECOS Environmental �9 Date Collected: 06/19/13
Street address 6690 Hwy 82 ��aQ� Date Received: 06/20/13
City,State ZIP Glenwood Springs,CO 8160 i Date Malyzed: 06/20/13
Attn: Josh Johnson NvLAP Lab Code 200860-0 Date Reported: 06/20/13
Client Project Name: Ankerholz 061913 Project ID: 13008022
Job ID:
Test Requested: 3002,Asbestos in Bulk Samples
Method: Polarized Light Microscopy/Dispersion Staining(PLM),Method for the Determination of Asbestos in Bulk Building Materials.EPA-600/R-93/116,July 1993.
Homo- Non-Asbestos Non-Fibrous Matrnc
Sample Identification Layer
Physical Description of Sampie/L,ayer 8�O1S percentage ��gt°3 Detected Asbestos Pereentage Fiber Material Material
Client Lab Sam le Number (Y/I`D Percenta e Percenta e Com siaon
13008022-1A WhiteTape N 5% ND 99 1
13008022-IB White Joint Compound N 5% ND Trace 100 C
5148 A1 13008022-1C White Texture N 5% ND Trace ]00 C
13008022-ID White Resinous Material w/'I'an Paint N 30% ND Trace 100 C
13008022-1E Tan/White Drywall N 55% ND ]0 90 G
13008022-2A White Fibrous Mesh N 2% ND 100
5148 A2 13008022-2B White Texture N 2% ND Trace 100 C
13008022-2C White Joint Compound w/Tan Paint N 96% ND Trace ]00 C
13008022-3A White Tape N 5% ND 99 1
5148 A3
13008022-3B White Texture w/White Paint N 5% ND Trace 100 C
�����-
on eyan
Laboratory Analyst
��°�
on eyan
Asbestos Laboratory Supervisor
A=Amosite Q=Quartz P=Perlite
AC=Actinolite C=Cazbonates B=Binder
AN=Anthophylli[e G=Gypsum D=Diatoms
CHRY=Chrysotile M=Mica
CR=Crceidolite T=Tar
TR=Tremolite NTR=Non-Asbestiform TR
Trace=Less Than 1% NAC=Non-Asbestiform AC
ND=None Detected
Page'I ot 3 780 Simms Street, Suite 104,Golden,CO,80401,303.2323746
AEROb10�OC�y IAbORATORy
ASSOCIA7ES, INCORPORATE�
�w9�e�r3 �
Certificate of Analysis
780 Simms Street
Suite 104
Golden,CO,80401
303.2323746
www ae�ohioloq�/.nec
Client Name ECOS Environmental ������9 Date Collected: 06/19/13
Street address 6690 Hwy 82 �
City,State ZIP Glenwood Springs,CO 81601 Date Received: 06/20/13
Date Analyzed: 06/20/13
AUn: Josh Johnson NVLAP Lab Code 200860-0 Date Reported: 06/20/13
Client Project Name: Ankerholz 061913 Project ID: 13008022
Job ID:
Test Requesced: 3002,Asbestos in Buik Samplea
Method: Potarized Light Microscopy/Dispersion Staining(PLM),Method for the Determination of Asbestos in Bulk Building Materials.EPA-600/R-93/116,July 1993.
Sample Identification Homo- � e� Non-Asbestos Non-Fibrous MaVix
Physical Description of Sample/L,ayer g�"eO� percentage Asbestos Detected Asbestos Percentage Fiber Material Material
Client Lab Sam le Number (Y/I`D Pereenta e Percenta e Com sition
13008022-1A White Tape N 5% ND 99 �
13008022-1B WhiteJointCompound N 5% ND Trace 100 C
5148 A1 13008022-1C White Texture N 5% ND Trace 100 C
13008022-1D White Resinous Material w/Tan Paint N 30% ND Trace 100 C
13008022-1E Tan/White Drywall N 55% ND 10 90 G
13008022-2A White Fibrous Mesh N 2% ND 100
5148 A2 13008022-2B White Texture N 2% ND Trace 100 C
13008022-2C White Joint Compound w/Tan Paint N 96% ND Trace 100 C
13008022-3A White Tape N 5% ND 99 1
5148 A3
13008022-3B White Texture w/White Paint N 5% ND Trace 100 C
A���-
on eyan
Laboratory Malyst
`C !o�
Ron eyan
Asbestos Laboratory Supervisor
A=Amosite Q=Quartz P=Perlite
AC=Actinolite C=Carbonates B=Binder
AN=Mthophyllite G=Gypsum D=Diatoms
CHRY=Chrysotile M=Mica
CR=Crocidolite T=Tar
TR=Tremolite NTR=Non-Asbestiform TR
Trace=Less Than 1% NAC=Non-Asbestiform AC
ND=None Detected
Page'I of 3 780 Simms Street, Swte 104,Goldeq CQ 80401,303.2323746
AEROI�IO�OC.�y LAbORATORy
ASSOCIATES, INCORPORATED
�'� ��
Certificate of Anatysis
780 Simms Street
Suite 104
Golden,CO,80401
303232.3746
vvww.aerobioloav.net
ECOS Em�ironmental
6690 Hwy 82
Glenwood Springs,CO 81601
Josh Johnson
Ciient Project Name: Ankerholz 061913
a�dQ��
NVLAP Lab Code 200860-0
Date Collected: 06/19/13
Date Received: 06/20/13
Date Analyzed: 06/20/13
Date Reported: 06/20/13
Project ID: 13008022
Job ID:
General Notes
♦
♦
ND indicates no asbestos was detected;the method detection limit is 1 %.
Trace or"<1"indicates asbestos was identified in the sample,but the concentration is less than 1%.
♦ All regulated asbestos minerals(i.e.chrysotile,amosite,crocidolite,anthophyllite,tremolite,and actinolite)were sought in every layer of each sample,but only those asbestos
minerals detected are listed.Amosite is the common name for the asbestiform variety of the minerals cummingtonite and grunerite. Crocidolite is the common name used for the
asbestiform variety of the mineral riebeckite.
♦ Tile,vinyl,foam,plastic,and fine powder samples may contain asbestos fibers of such small diameter(<0.25 microns in diameter)that these fibers cannot be detected by PLM.
For such samples,more sensitive analytical methods(e.g.TEM,SEM,and XRD)aze recommended if greater certainty about asbestos content is required. Semi-quantitative bulk TEM
floor tile analysis is accepted under NESHAP regulations.
♦ These results are submitted pursuant to Aerobiology Laboratory Associates,Inc.'s current terms and conditions of sale,including the company's standard warranty and limitation
of liability provisions. No responsibility or liability is assumed for the manner in which the results are used or interpreted.
♦ Unless notified in writing to return the samples covered by this report,Aerobiology Laboratory Associates,Inc.will store the samples for a minimum period of thirty(30)days
before discazding. A shipping and handiing charge will be assessed for the return of any samples.
♦ Aerobiology does not guarantee the results of tape lifts,microvacs,wipe,and/or debris samples. Accurate analysis cannot be performed due to particle size,media used,and/or
amount of material given. Analysis of these materials should be preformed by a TEM. A result of ND does not indicate that the sample area does not co�ain asbestos. It means the
analyst could not identify asbestos in the specif c sample jor the reasons[isted above.
Notes Reauired bv NVLAP
♦ This report must not be used by the client to claim product certification,appmval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.
♦ This test report relates only to the items tested or calibrated.
♦ This report is not valid unless it bears the name of a NVLAP-approved signatory.
♦ Any reproduction of this document must include the entire document in order for the report to be valid.
Page 3 of 3
780 Simms Street, Suite 104,Golden,CO,80401,303.232.3746
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-- --
Deferre Entered Time Type
d
06/25/2013 11:17 AM Payment
07/09/2013 10:11 AM Pavment
Credit
Crd
---- ----- - -- _. _
07/25/2013 02:50 PM Payment Check
----- - _ _ _ _
07/25/2013 04:28 PM Payment Void
--- -- ---- _ _ -
09/20/2013 11:39 AM Payment Credit
Crd
Total Rows:5
Payment History- B13-0239
- - -_ _ - -- _ _ _ --- — --- -
Amount Posted Notation Receipt No Trans Id Set
Reference
$172.41 06/25/2013 VISA MATTHEVV S.SAYRE R13000086 T00002666 n/a
8 1
--- --- --
$1,470.75 07/09/2013 ck 2104 ankerholz inc R13000093 T00002672 n/a
3 6
-- --
$110.00 07/25/2013 CK#1380 ANKERHOLZ INC R13000105 T00002684 n%a
2 5
-- - _ __- --
—— ---
($110.00) 07/25/2013 S/B FOR PERMIT 613-0189 R13000105 T00002684 n/a
-- --_ _ _-- _ -—__ _�CONTRACTOR ERRO� - - 2--- 8
-- --- ——
$574.50 09/20/2013 visa rachel wagner R13000151 T00002731 n/a
8 7
Page 1
09:04 10/14/2013
- - -
Reference Check No CC r
0 2104
T00002684 1380
8
----- ___ --
0 1380
� -----
*******************************************************************************************************************
REQUIRED INSPECTIONS AND STATUS
Permit #: Owner:
B13-0239 WAGNER, SCOTT E.& RACHEL A.
Address:
5148 GORE CR VAIL
Location:
********************************************************************************************************************************************
Inspection Sign Off with Comments:
Item: 00120 ELEC-Rough
08/21/2013 By: sgremmer Action: AP
Item: 00200 MECH-Rough
07/17/2013 By: sgremmer Action: AP
Item: 00220 PLMB-Rough/D.W.V.
07/17/2013 By: sgremmer Action: AP
Item: 00230 PLMB-Rough/Water
07/17/2013 By: sgremmer Action: AP
Item: 00030 BLDG-Framing
08/21/2013 By: sgremmer Action: AP Comments:
window well
Item: 00050 BLDG-Insulation
10/01/2013 By: sgremmer Action: AP
Item: 00190 ELEC-Final
01/14/2014 By: sgremmer Action: AP
Item: 00290 PLMB-Final
01/14/2014 By: sgremmer Action: AP
Item: 00390 MECH-Final
01/14/2014 By: sgremmer Action: AP
Item: 00090 BLDG-Final
01/14/2014 By: sgremmer Action: DN Comments:
Planning to sign off
07/10/2014 By: JB Action: AP Comments:
Planning has signed off.
Item: 00542 PLAN-FINAL
01/17/2014 By: JB Action: DN Comments:
Siding has been cut back above the window's header.
OSB is visible. Siding needs to be repaired. Wiring
above window well needs to be rerouted together.
Paint vents on east facade to match. Clean up
building materials.
07/10/2014 By: JB Action: AP