HomeMy WebLinkAboutVAIL VILLAGE FILING 1 BLOCK 5D LOT O VILLAGE INN PLAZA UNIT 301V*l {illov*
liLua r '
16l*&a, lafs /4-D
t) */ lrtt.f '+ fitt't -t-lto seJF
;;; /u/ Pti,o'/at"/ I fi/a'z;"*
d^"ri{ 3or &nod*{
\).,--\ U,\ t
ADD/ALT MF BUILD PERMIT Permit #: 803-0080
Job Address.: 68 E MEADOW DR VAIL Status.....: ISSUED
Location......: 100 E MEADOW DR #301 Applied...: 0412412003
Parcel No....: 210108254019 Issued ...: 05106/2003
Project No...: Expires...: 1110212003
ovirNER ENCHANTED MESA EXEMPT CORP 04/24/2003 phone:
? FREDERICK S. OTTO
PO BOX 31_49
VAIL CO 816s8
License:
COI{TRACTOR HEID CONSTRUCTTON 04/24/2003 phone:
2077 NORTH FROTflIAGE ROAD
SUITE L1"0
vArL, co 816s7
License: 443 -B
APPLTCAI{T HEID CONSTRUCTION 04/24/2003 phone z 970-47G-4343
2077 NORTH FROI\TIAGE ROAD
SUITE 1.].0
VATIJ, CO A1657
License:
Desciption:
replace fixtures in the master bath and 3 guest baths and
remodel kitchen
Occupancy: Rl Multi-Family
Type Construction: II l-HR Type II l-Hour
Type Occupancy: ??
TOWN OF VAIL
75 S.FRONTAGEROAD
vArb, co 3{657
970-479-2138
DEPARTMENT OF COMMI]NIry DEVELOPMENT
U.,.*-(U.L("ftR i-^-1\-
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES \i
Valuation: $76,500.00
Fireplace lnformation: Restrict€d: Y # ofGas Appliances: 0
Add Sq Ft: 0
# of Gas Logs: 0 # of Wmd Pellet: 0
FEE SUMMARYBuilding---> 9832 . z5 Restuarant Plan Review->
Plan Check--> 9541.29 DRB Fee----------->
$o . oo Total Calculated Fe€s-> $L,377 .04
S0. oo Additional Fees-----> $7s.00
S0 . 00 Total Permit Fee-----> $L, 452 . 04
$0 . 00 Paynents---------> $1, 452 .04
lnvestigation->
Will CalL-->
$0.00 RecreationFe€----------->
$3.00 Clean-upDeposit----->
$0 .00
** * +r***** ** * **+ 'i*
Approvals:Item: 051-00 BUIITDING DEPARIMEN|
os/o6/2oo3 ecD Action: Ap
Item: 05400 PITANNING DEPARTMENT
Item: 05600 FIRE DEPARTMEI{T
Item: 05500 PUBLIC WORKS
TOTAL FEES----_-_> 5L,377.O4 BALANCE DUE------->
PACE 2
******{.**,1.*r:!&***{.****)t(*:1.*+*+++,r**!t<*d.***************,k*****ri***{<{<*.**:}***J<:}******,t rt***,F**i.*,r****,tr***t*****rtr
CONDITIONS OF APPROVAL
Permit #: 803-0080 as of 05-06-2003 Status: ISSUED
** * ** +* *+,F**tl.**** *. *:* * * * * * * * * * !k * * * *** ** **+*++ + +,t :B+:r** **** *** ** ** * ***********,t ***+,r'F+,F+{.*+,F+,r,k+'t*{.+!t,t +*'t **
PermitType: ADD/ALTMFBUILDPERMIT Applied: 04/2412003
Applicant: [{EID CONSTRUCTIO}I Issued: 05/0612003970-476-4343 ToExpire: 1110212003
Job Address: 68 E MEADOW DR VAIL
Location: 100 E MEADOW DR #301
ParcelNo: 210108254019
Description:
replace fixtures in the master bath and 3 guest baths and
remodel kitchen
Conditions:
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE
COMPLIANCE.
Cond: l4
(BLDG.): ALL PENETRATIONS IN WALLS,CEILINGS,AND FLOORS TO
BE SEALED WITH AN APPROVED FIRE MATERIAL,
Cond: 16
(BLDG.): SMOKE DETECTORS ARE REQUIRED IN ALL BEDROOMS AND
EVERY STORY AS PER SEC.3IO.9.1 OF THE 1997 UBC.
Cond: I
(FIRE): FIRE DEPARTMENT APPROVAL IS REQUIRED BEFORE ANY
WORK CAN BE STARTED.
:t**:t*:t **t*'i tt**t *t+ tf +*+tt *t*** * * *:t **+*****t,* *a**,*rtt +*+ t++t *
See page 2 of this Document for any conditions that may apply to this permit.
t/
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, Uniform Building Code and other ordinances of the Town applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY.FOUR HOURS IN OR AT OUR OFFICE FROM 8:00 AM - 4 PM.
GNATURE OF OWNER OR CONTRACTOR FOR HIMSELF AND OWNET
:*-.+Jr,-tl^ffr-CIHi+
tl
Building Permit #':,Ei6*t*irss *ixffi,[ l
NWtl0Pyln
75 S. Frontage Rd.
Vail, Colorado 81657
Separate
BUILDING: $ +8 ooo .ELECTRICAL: $ E,5oo, ao OTHER: $
TOTAL: SPLUMBING: $ 2o,ooo,()O
Parcel # Contact Assessors Otrice at 970-328-864O or visit
rob Mdress;
1 otgE. t'-&rutar^ br 4Sr
Legal Description ll Lot:Block0oo-J ll ririns:subdivision: \,/61r I V r Ilaatjr.,,
PXFT.fqtrf-w r' ? o*,r c PB}"o +tu]+z +?
Architect/Designer:Address:Phone:
Engineer:Address:Phone:
Detailed description of work:
R.mr-irj Ettr-hr v-.\
pQ?w*<aL ftY-' LtL A 5 L -r
d Ma^Ste.'r lratl,t a^/,-)
*f- pe vi-cu-/tN (,- 7frt+I3 C-qxrr G nrnr
WorkClass: New() Addition( ) Remodel(tuJ Repair( ) Demo( ) Other( )
Work Type: Interior ( rf Exterior ( ) Both ( )Does an EHU exist at this location: Yes ( ) No ( )
Type of Bldg.: Single-family ( ) Two-family ( ) MultFfamily (izf Commercial ( ) Restaurant ( ) Other ( )
No. of Existing Dwelling Units in this building:No. of Accommodation Units in this building:
No/Type of Fireplaces Existinq: Gas Appliances ( ) Gas Loqs ( ) Wood/Pellet ( ) Wood Burninq ({
No/Type of Fireplaces Proposed: Gas Apoliances ( ) Gas Loqs ( ) Wood/Pellet ( ) Wood Buminq (NOT ALLOWED)
Does a Fire Alarrn Exist: Yes(/ ) No (Does a Fire Sprinkler Systemlxist: Yes ( ) No (./ )
***************************r!**********FOR OFFICE * !t* rl * *r. * lr* * {r ** * * * **** *
F :/everyone/forms/bld9 p€rm
Type of constiuciod: APR ? lil zuPA"""O
Occup
)ate X leceived:i3D&r-t
Questions? Call the Building Team at 479-2325
Department of Community Development
r' This checklirt must be comoleted before a Buitding permit apptication is
a
D
D
tr
3
tr
D
tr
o
a
o
o
o
o
o
tr
d" /4/- /
Applicant's signaturs=-4L <'L l' /'F"<- k
Date of submittal:
F:/everyoneforms/bldperm 2
I0n'Ir
Project Name:
Project Address:
accepted.
All pages of application is complete
Has DRB approval obtained (if required) provide a copy of approval form
condominium Association letter of approval attached if project is a Multi-Family complex
Complete site plan submitted
Public way Permit application included if applicable (refer to public works checklist)
Staging plan included (refer to Public Works checklist) No dumpster,parkino or material storaoe
allowed on roadwavs and shoulders without wriften aporoval
Asbestos test and results submitted if demoliLion is occurrinq
Architect stamp and signature (All Commercial and Multi fafiily)
Full floor plans including building sections and elevations(4 sets of plans for Multi-Family and
Commercial)
Window and door schedule
Full structural plans, including design criteria (ie.loads)
Structural Engineer stamp and signature on structural plans (All Commercial and Multi Family)
Soils Report must be submitted prior to footing inspection
Fire resistive assemblies specified and penetrations indicated
Smoke detectors shown on olans
Types and quantity of fireplaces shown
Received By:
HOW DID WE RATE WITH YOU?
Town of Vail Suney
Community Development Department Russell Fones! Director,
(970) 479-2139
Check all that applies-
1. Which Deparfnent(s) did you contact?
Building _ Environmental_ Housing_ AdminPlanning DRB
Was your initial contact with our staff imrnediate_
no one available ?
lf you were required to wait, how long was it before you were
helped?
4.Was your project reviewed on a timely basis? Yes / No
if no, why not?_.
5. Was this your first time to file a DRB app_ PEC app
Bldg Permit l-l/A
Please rate the performance of the staff person who assisted you:54321Name:
(knowled ge; responsiveness, availability)
OverallefiectivenessoftheFrontServiceCounter. 5 4 3 2
What is the best time of day for you to use the Front Service
Counter?
9. Any comments you have which would allow us to beter serve you
nexttime?
Thank you for taking the lime to complete this survey. We are
committed b improving our service.
PEC
7.
R
WHEN A *PUBLIC WAY PERMIT" IS REQUIRED
PLEASE READ AND CHECK OFF EACH OF THE FOLLOWING QUESIIONS REGARDING THE NEED FOR A..PUBLIC WAY PERMIT":
D Is this a new residence? yES- NO_V
D Does demolition work being performed require the Ise of the Right-of-Way, easements or
public propefi? yES_ NO_V
a Is any utility work needed? yES NO r/
Is a different access needed to the site other than the existing driveway? yES- No-V'
u Is the driveway being repaved?YES NOJ
tr
tr Is any drainage wor[ being done that affects the Right-of-way, easements, or public property?YES -NO /
Is a "Revocable Right-of-Way Permit" required? yES
is the Right-of-Way,reasements or public property to be used for staging, parking or fencing?YES NO V
If answer is NO, is a. parking, staging or fencing plan required by public Works?YES NO ."/
If you answered YES to any of these questions, a "public way permit" must be obtained.
"Public Way Permit" applications may be obtained at the Public Work's office or at Community
Development (a sample is attached). If you have any questions please call Leonard Sandoval in public
Works at 479-ZI9B.
I HAVE READ AND ANSWERED ALL THE ABOVE QUESTIONS.
l]6tD C.a ^-r J7 . t ^t (-
Contractor Signature
Job or Project uame: f kM co P-6-tq oM c
Date Signed:
F :/everyone/forms/bldperm4
/?L{
Company Name
PUBLIC WORKS AND THE PUBLIC WAY PERMIT PROCESS
I{ow it relates to Building Permits:
Fill out the aLLached check list with the Buildinq Permit Application.
If yes was answered to any of the questions then a "Public Way" permit is required. You
can pick up an application at either Community Development, located at 75 South Frontage
Road or Public Works, located at 1309 Elkhorn Drrve.
Notice sign-offs for utility companies. ALL utilities must field verify (locate) respective
utilities prior to signing application. Some utility companies require up to 48 hours notice to
schedule a locate.
A construction traffic control/staging plan must be prepared on a separate sheet of paper.
An approved site plan may also be used. This plan will show locations of all traffic control
devices (signs, cones, etc.) and the work zone, (area of construction, staging, etc.). This
plan will expire on November lst and will need to be resubmitted for consideration for
approval through the winter. Be aware that your resubmission for winter may be denied
depending on the location of construction,
Sketch of work being performed must be submitted indicating dimensions (length, width
and depth of work). This may be drawn on the traffic control plan or a site plan for the job.
Submit completed application to the Public Work's office for review. If required, locates will
be scheduled for the Town of Vail electricians and irrigation crew, The locates take place in
the morning, but may require up to 48 hours to perform,
The Public Work's Construction Inspector will review the application and approve or deny
the permit. You will be contacted as to the status and any requirements that may be
needed. Most permits are released within 48 hours of being received, but please allow up
to one (1) week to process.
As soon as the permit is approved, the Building Department will be notified, allowing the
"Building Permit" to be released. Please do not confuse the "Public Way Permit" with a
"Building Permit".
NOTE: The above process is for work in a public way ONLY. Public Way
Permits are valid only until November 15th. A new Public Way Permit is required
each year if work is not complete. Re-application each November 15th does not
mean an automatic renewal.
I have read and understand the above.
Signature
F : /everyone/forms/bldperm5
Date Signed
BUILDING PERMIT ISSUANCE TIME FRAME
If this permit requires a Town of Vail Fire Department Approval, Engineer's (Public Works)
review and approval, a Planning Depaftment review or Health Department review, and a review
by the Building Depatment, the estimated time for a total review will take as long as three (3)
weeKs.
All commercial (large or small) and all multi-family permits will have to follow the above
mentioned maximum requirements. Residential and small projects should take a lesser amount
of time. However, if residential or smaller projects impact the various above mentioned
depaftments with regard to necessary review, these projects may also take three (3) weeks to
review and approve.
Every attempt will be made by this department to expedite this permit as soon as possible.
I, the undersigned, understand the plan check procedure and time frame. I also understand
that if the permit is not picked up by the expiration date, that I must still pay the plan check fee
and that if I fail to do so it may affect future permits that I apply for.
Agreed tooy: G6i4"t'D u4_ D
^ Print name(/ "..t/W
Project Name:
(l Ioate: \\/]lD.1
Signature
F : everyone/forms/bldperm3
APPLICATION
FOF TOWN OF VAIL
PUBLIC WAY PERMIT 19
PW*:TT-NTTT
Parcer#:IXII-Inn-I TTNT
Brds. Permit#'E n I -I I I tl
.t
Job Name Strost Address n n n - [l (lf unknown callLl L-r rl I | | 429-2198 ext. O
Maillng Address TOV Contractor's License Number BEOUIfiED
Phone #zipCity
^
Start Data
Work is for (circle one) Water
Completion Date
Sewer Gas Electric Telephone
(Permit Expiration Date)
CATV Landscaping Temp. Site Access
Other
Trench-width
(min.4')
Bond Amount $
ALL MATERIAL, EQUIPMENT, AND TRAFFIC
JOB IS STARTED.
Rubber out-riggers are required on
Asphalt surfaces underneath the
A sionalure below indicates a
signatures are obtained, permittee
necessary Town of Vail signatures.
BE ON THE JOBSITE BEFORE THE
working on asphalt.
at all times.
utility locations and approvals. Once all utility company
application through the Public Works office to obtain the
up to one week to process.
Depth
Total SF $
Total LF $
Permit Fee Total Permit Fee $
7.
8.
Public Service Natural Gas Group (1-800-922-1987')
Public Service Company (1
U.S. West (1 -800-922-1 987)
TCI Cablevision of the Rockies (1-800-922-1987)
Eagle River Water & Sanitation District (970-476-7480, ext. 114)
Holy Cross Electric Company (1-800-922-1987)
Town of Vail Electricians (970-479-2158)
Town of Vail lrrigation (970-479-2158)'
Town of Vail Public Works Construction lnspector (970-479-2198)
9. THERE WILL BE NO TOTAL STREET CLOSURES! A construction traflic control plan must be approved by the
Public Works Department prior to issuance ot the permit.
10. All excavation must be done by hand within 18" of utilities - (Senate Bill 172)'
11. permittee must contact public Works Department at 479-2198 24 hours prior to commencino of work. Failure to notity
the Town v'/ill result in fodeiiure of bond money. Scheduled inspections which are not ready may result in the Town
charging the contractor a reinspection lee.
12. I certify that I have read all chapters of Title 8 - Public Ways and Property, of the Vail Municipal Code and all utility
company agreements, signed by me, and will abide by the same, and that all utiliiies have been notified as required.
Contractor's Signature of Agreement
ATTACH PLAN OF WORK,INCLUDING CONSTFUCTION TRAFFIC CONTROL PLAN
show streets with names, buildings, and location ol cuts. USE DASH LINES FOH CUT.
Print name cleady Date of Signature
White - Public Works
Yellow - Contractor
IUR4\IOF
Please read and check off each of the items below:
o The Town of Vail Building Depaftment has developed the following procedures to
ensure that new construction sites have adequately established proper drainage
from building sites along and adjacent to Town of Vail roads or streets.
n The Town of Vail Public Works Depaftment will be required to inspect and approve
drainage adjacent to Town of Vail roads or streets and the installation of temporary
or permanent culveds at access points from the road or street onto the construction
site. Such approval must be obtained prior to any requests for inspection by the
Town of Vail Building Department for footings, temporary electrical or any other
inspection. Please call Leonard Sandoval at 479-2198 to request an inspection from
the Public Works Department. Allow a minimum of 24 hour notice.
u Also, the Town of Vail Public Works Depaftment will be approving all final drainage
and culveft installation with resulting road patching as necessary. Such approval
must be obtained prior to any Final ceftificate of occupancv issuance.
Agreed to by:
Print Name
Signature
Project Name:
Date Signed:.lir loe
F :/everyone/forms/bld perm6
Please read and check off each of the items below.
(Copies of complete text are available upon request)
CODE 5-2-1OI DEPOSITS ON PUBLIC wAYs PRoHIBITED
a Unlawful deposits: Subject to subsection C thereof, it is unlawful for any person to litter, track or
deposit, or cause to be littered, tracked or deposited, sand, gravel, rocks, mud, dirt, snow, ice, or any
other debris or material upon any street, sidewalk, alley or public place, or any poltion thereof.
o Notice; Abatement: The Director of Public Works may notify and require any person who violates or
causes another to violate the provision of subsection A hereof, or who has in the Director's employment
a pe6on who violates or causes another to violate the same, top remove such sand, gravel, rocks, mud,
dirt, snow, ice or any other debris or material within twenty four (24) hours after receipt of said notice
by the Director of Public Works. In the event the person so notified does not comply with the notice
within the period of time herein specified, the Director of Public Works, or other authorized agent, may
cause any such sand, gravel, rocks, mud, dirt, snow, ice, debris or any other material to be removed
from any street or alley at the expense of the notified.
s Summons and Penalty: As an alternative to the notice for removal provided in subsection B above,
any person who violates or causes another to violate the same, may be issued a summons to appear
before the Municipal Court of the Town for said violations, and upon being found guilty of a violation
hereunder be punished as provided in Section 1-4-1 ofthis code.
o Notice and Penalty: It is unlawful for any person to fail or refuse to comply with the notice of the
Director of Public Works as provided in subsection B hereof, and any such person shall, in addition to
payment of the expense of removal incurred by the Director of Public Works, as provided in subsection B
hereof, upon being found guilty of a violation hereunder, be punishable as provided in Section 1-4-1 of
this Code. (1997 Code: Ordinance 5 (1979).
CODES 7-34-1 AND 7-3A.3: PARKING OBSTRUCTING TRAFFIC & IMPOUNDMENT AUTHORIZED
u No person shall park any vehicle upon a street or at any other place within this Municipality in such a
manner or under such conditions as to interfere with the free movement of vehicular traffic or proper
street or highway maintenance. (Ord. 2(1968) 5 1)
o Whenever any police officer finds a vehicle attended or unattended, standing upon any portion of a
street or upon any place within this Municipality in such a manner as to constitute a violation of any
section of this Atticle, or left unattended for a period of tvventy four (24) hours or more and presumed to
be abandoned under the conditions prescribed by Colorado Revised Statutes section 42-4-1102, as
amended, the officer shall require the vehicle to be removed or cause it to be removed and placed in
storage in the nearest garage or other place of safety designated or maintained by this Municipality, and
the charges for towing and storage of such vehicle shall be charged to the owner of the vehicle in
addition to a ten dollar ($10) impoundment charge. (Ord. 2(1968) g 3: Ord. 28(1981) 5 1)
I have read and will comply with the above code provisions:
Print Name
Position or Relationship to Project:
Date Signed:
F:/€voryone/forms/bl dpermT
Signature
Apfil30.2003
Fanily Envimntnental Compliarrce Services, I
Attep: Dan Hurley
3650 Chestnut Place
Denver, CO 80216
Re: 950 Red $andstone Rd., Unit #10 - - LGN 0l 1800
Dear Mr. Hurle.v-:
Atfached are the resulF of Polarizod Light Microscopic analysis (PLM) for asbcsbos conraincd in thc bulk
sample materials submitted to this facility on 04i25/03.
Bulk samples aro analyzed in accordance with USEPA rest method$ EPA-600M4-E2-020 and EliA/600/R-
93/l 16, rrtich lequirc that distinctly d(fferent materials or laycrs prcscnt within f, $ample be analyzed and
rcportsd separately. Sometimes it io n91 pqs9161. to complel6[y separate th iD or strongly adhering layers,
such as paint or adhesive. and a combined retult is given. For some complex matetials! liuch as
dry"wallitapeimud joinb, a camposite or overall asbe$to3 cgnt€nt may be reported in addition t0 individual
layer rcsuls. [:amily Anal]tical Laboratory Services, Inc. is currently accredited for bulk asbestos analysis
blr ths National Voluntary Labofatory Accreditation Progran (NVLAP) of the National lnstitute of
StandardsandTechnology(N|ST). ourNVLAPlaboratorycodenumberis?00448.0.
Tho analyicol tesu)ts provided in this repor"t apply only ta the samples actuall]. submitted- This tepod is
considered confidential, Derails of this rcpon rvill nor be discu$sed widr any person 0r agency not
es$ociated with you or -vour ofganization. This report must be reproduced in its entireg, rnd shallnot be
copied in prt or used try the client to claim producl endocemeht by NVLAP or aoy agency ofthe U'5-
Covernmetlt. lf you havo any question$ regarding the content of this rEport, please call rs. lf Family"
Analltical may be offirrther assistance in other health and safet-v areag of conc€m, plea$,r tet us knorv.
CFFu,Co71
Odo
LABOMTORY DIRECTOR
(_lLl-df;/--
MarkCooperrr/
365O Choefnut Ftacc ' Dsnuor. Colorado 8O216 AIFIA lerfr;
Fhom:3O3-297-OA79. F*:3OZ-292-1451 ' ErnaihFamilgEnvlro@aol'com -PRoFlolENr'
ANALYST
Ilttn^U,F-
Mark Coopeniddr
John Chitholnt
sw[4
NV|IF |.AA CODe
z0qa48€
Family Analyticat Laboratory Service, fnc.
Report of Test Results
PLM Bulk Asbestos Analysis
Page l of4Client & Project ID: Farnilv Euvironrnental Compliance Service,€, Inc./ 950 Red tiandsronc Rd # t0
Completed: 04/25103
ADDITIONAL C0MMENT$: All separable parts or laycrs ( except paint ) within thc samo sarnplc art analyzed and
I:!ot"d individually. Composite asbestos percent is reported ifapplicable.
%TOS AREA ESTIMATE
% NON.ASBESTOS FI
Family Analytical Laboratory Service, Inc.
Report of Test Results
PLM Bulk Asbesros Analysis
Page 2 of4
Client & Project lD: Family Environmeiltel Compliance Services, lnc./ 950 Red $andstone Rd # 10
Complered: 04/25103 , "
LGN; 011800
SAMPLE NO;sMc+3 SMW4-1 sMw4-2 sMw4-3 {tMW5-1
Uesoription:
LAyers:
SURFACE
MATERI,AL
SURFACE
I{ATERIAL
SURFACE
MATERIAL
SURFACE
MATERt/AL
DRYWALL
\4/ITI"I PAINT
NO NQ NO NO NO
PI.ffire IYSICAL PROPERTIES
I WH[E- t/HtrE-
Visible Fiberg; , NO NO NO NO '\'Es
HOmOg€neQug YES YES YES YES t{o
o/o ASBESTOS ( VISUAL AREA ESTIMATE l
Arnosite;
AnttroBhyllite:
:hrysotile:
)rocldolito:
lr€fiolhe/Actinolite:
TOTAL ASBESTOS
CONTENT:
ND ND ND ND ND
% NON.ASEESTOS FIBERS
Fibelglass:.i1
Cellulose:10
Synthetics:
olhElrpcsryL
TOTAL NON
FtBROUST
100 100 100 100 e,0
Composite Asbestos
( if applicable )
ADDITTONAL COMMENT$: All geparafle part5 er layers ( excepl paim ) rvithin the same sample a:e analyzed and
reported individuatly. Composite asbestos percent is repo*ed ifapplicable.
ND= None Detected
AnalYst: ft^ tl*/--/'rta-*i coopfiia*
John Chisholm
Date:0'1/2512003
Family Analytical Laboratory Service, Inc.
Report of Test Results
PLM Bulk Asbestos Analysis
Page 3 of4
Cliant & Proicet ID: Family Environmental Cornpliance Services .lnc.l 950 Rcd $andstone Rd # l0
Completed; 04/25103 ., _
SAMPLE NO:SlvlWS-2 SMWF3 TJ1 TJZ TJ3
Description:WALI.PAPER SURFACE
MATERIAL
TAPE MUD TAPE MUO TAPE MUD
Layers:NO NO NO NO NO
ffi
Color:BEIGE WHITE WHITE WHITE \,VH]tE
e Fibers:YES NO NO NO t,totiomoseneous lhlo , . lyES lry,E5----
%ASEE
Amo$ e:
An[hophyllite:
Chrysotile:
te:
Tremoliter/,,Actinolite;
HDTOTAL ASBESTOS
GONTENT:
ND ND ND ND
% NON.ASBESTOS FIEERS
FlberglEss:
Celluiose:50
itynthettcs:
(,lner (specify)
TOTALNON -EO
FIBROUS: ,
100 100 '100 100
Composib Asbestos
( if appllcable I
ADDTT(ONAL CQMMENTS: All separable parts or layers l except paint ) within the rqr s s6mple a:e analyzed and
reponed individually. Conrposite asbestos percent is reported ifapplicabte.
ND= None Detected
,{nal1,st:Date:0'4/2512003lL
Mcrh
John
Family Analytical Laboratory Service, Inc.
Report of Test Results
PLM Bulk Asbesros Analysis
Puge 4 of4
Client & Projoct ID: Fsrnilv Envfuonmental Compliance Services, Inc./ 950 Red $andstonc Rd # l0
Completed: 04/25i03
LGN: 011800
ADDITIONAL COMMEN'I-S: All sepanble parts or layers ( except paint ) within the same sample ae analyzed aod
reported lndividually. Composite a,sbsrtos percer i$ repofted if applicable.
ND- Nonc Dctccicd
Anallst:Daw:Al/2512403
Johrr C}isholm
PHYSICAL PROPERTIES
EtYI-$!l!!H[$r' Gg[-I-slTDgilIOil gPECIf,ItIgrS' $fc'
711r ff. a6fi rw..ffirtE 72
DgtuEfr,t ffiu&nno Eoz7t'2338. (3o3r177-17a0
FAZ( 3O3 ) 477-7030
Date: Ecatenbcr 2, 200L
EIED CONSERUCrION INC.
2111 NORTII ERONTTOE BOAD SUITE I
vArL co e1657Phr {970) 390-267{rsx (9?0) 116-4337
RegueEt {or Paytsentr
Projcctr VAIL vIf,LAGE INtf VAIL, CO
Invqice N0: 2955.01
RE: APARTMBilI
DeEcription of
08/ s1 BUt'.K
NO ASBESTOS DEIBCTED ItI EIIHER SAI-IPL8 TAIEN
llork ConDlctrdl
sAr{prEs ol CEIEII{G AlfD l{All or APTnTHBNT 0410.00
Balance Due
All overdue
charge aftct
Thaak You
uDon rcccrpf r
lnvoicee are rubjcct
30 daye.
t{10.00
to a 1.5t fionthly intercrt
700w
,_iJ !* l:_E,l. - r_,! . s€'i I I
''lrg
O.|oBa€1ts, Itrd.
l4{l w. 46th Ave., SUIEe 14
Denver, C0 80211-23 3E
S€Dt.rnber 3, 2001
trr . Ni etc Ort i z
Envr.roru esrtal Construccion gpceialisEs, Itrc.
1441 t|. 46rlt Ave,, SuiE6 12
Dsrver, CO 80211-2338
Rc: LEb lturnlter 1053 69 ProJrct: VAil v1l1ag€ lnn
Davld A. schroeder, Ph,D.
Dage Contrcllcr
E:tclogtrres
MtT..Jl.P .*ecr€dlted Lab *1020?8- 0
AIHA AccrediEed Lrb #1c1557
-;rr']rlc'{!J
?hone:303/471-2559
80 0/3 s5-3136
FA:t:303/{77-2590
e-nal,l r frEg€ooix ' n5lcon - con
Dcar Mr. Nick grtlz;
rhc bulk eangrlce gu-bmlttod Bo !'Rg ceoEach, Ino. have begB araiyz€d by Polarized
light microelopy {DLM) . the E?A-recorflEnded ne;hod for dceerminauion of fibfoua
coietltuenEs i; buildins materials. Thr pcrceur, of asbgcto8 coneel'ned in Ehe
aar1ples ir a visurl ecti[1gtion basrd rpon cotlF.rllroag rith publishcd chaJ.t!.
Elh. r66u1tB of Ehese analyses art sumnrrizCd ln the encloFcd Eablo. Thit t€port
rel4beg oaly to the I terna racaived ind r€sEed by orr ltboreEory. According Lo
requircmaEe lcts LTf the HatlonaL lnsgl,futS of Standrrdt {rld T€chno logy /NVLAP 'thfr report mra; not $s uacd to clai$ c'dolEfit6ng by lqwAD ot aly, lgeRtry of Ehe
uS Goueinment. AIso, \l\rLAP gruldelines s9ccify tbaE thlt rrport should not bc
regroduced, cxtepts in full, rtithour lha lrgitE.Il altprovtl of FRg'
A colry of your chain of cuEEodly 16 aettqhGd for youa cqmvenlence. Thls report
!a conslderedl hlghIy conlldErElaL. ReruIEr will fioc bc discusscd tdleh any
pcr|on noE assoclatcd wirh you.
Please call lf you have any q'J€8tignr elput uhie rork'
Stncer€Iy,
,-!,Lr+arl
ng CPrEgl, lIg.
,144i !(. dSth Avenue, $uite 1{
Denvcs, co 8CAtl-2338
CllenE,: Errlrefirlntrt Codftrndtl€a Eil€lallllr ' IEc '
kojcct rD:l|ril trtllrgc bt
Serltbla l$lrnb€r
D-l*
rFaErnl 6r litgr rcEr4'ndr Srrr!-rrllilglfal8
gr-rr"- rtlt*t ."r*.gcnr t*-l rrr=-conz z'llg
Phoac:303,/417-255,
800/3 86-3136
Fax: 303/47?-2580
lab No.:10535t
PsE+r 1 qf z
10c&ar||r taroaDt r
Aebestos l'ti nef al.s:
AmoaiEr
AnEhophyl I i f.a
chrysot l lc
crocidolige
Pibrous Glasg
CeLluloce
Synthetice
Other:
Nonflbrous l,Iat crial
" Compoaice artalye ls
i * llD m€anE
anah'FI
Dtrat st, Sarpierrbrftcl nar.s DeEgljEt-igs
Err ggi:lJlll prvsrar I e dooF Fo nQr@
I]lfface maf,c?r'l tu
D-l fAl
- -m!.:.-[Ei3ll0l
fwlrit. dndita l L wlth ine€Dara4le srav-
oardboerdl ,
-
& [D.r 08131/01 toff-lghite Hurf.acc na=
D-1 r(:l !e|*r o8/311n1 .u{bile-ugi.Ail_
- _&rr _ Cg,/3f-lqf Dnn^rrll c€iL l fg eaEE cenrer hd
nurfrca :natcria]. l,nclPai-n!.I
-llrllrtrt (gcrcenEs deEermlned fu visual srtiJiation)
ga$Erle ltuinbert D-L' D:1-IA1- !:]-IEL- u:l-I$t- D-a*
x00 10?0
Trenol iE€-Actlnol i ta
rorr& $8r!fl9f e!a-
Oih€r Fibroue llaterialE :
lDrt -Er.--IEL- rir
TraaE <1tTre.ce <L* Trace <l&
50
57 39
(muL cllayered e.l[11e, sac
100 1.00 ..-. 73
ir:dividual lay+r analYseci .
Dace: .0.illLlll-Q.l
David A, $chro+d*r
tlt C.obr.lr lrd
''{al r.rt a6tts lYt., lEl'Ea la
Eaar.8 c9 follt-2ltl
thlr repore ls concl:scd only wiih r.aslet
cuhni uled io e'l6 !.-3--ed by FRg geoBasb. lBs.
-q..1t S.c!. fi l:t tterl.lElilili|bEl!
B.rik ranplas of cor.5lrucEiort ritLeEillc Fc-*nalFed rccord-:ng :o the 'liatitod fag
Etz Dc..@!nacJon or A#;;i;;-i; AiT-niiiai"i-tttiiliir' (EPA/6f0-/a-e3/1151 which sr:.
ibi tiiiit",lale as tbe i;;;i;;"# IGrcituccr Eo ebc o:'d r'-rrlrrjtit lt:ta'd' :n areag
il;r;-Eh;,".*. .'rairroa i;-;ii;;;, -Fri-lJriorc-iui'oId.. lac€lidi lfrslod r$d/or
sooiiti" nilingr iraurd bql ihe v+rioue rrguhsonr agraciat'*'--'-i;=il-;-.|];.ti-Jrlvl" li-postion o1 -rtrr i-antits-ir i*dlv-ldircllr .:r+lt,zed- srd
".porcrC,
-oioig rrch ""Ef:-fiv"i', volutt DsrcEcc at a prre of sh' to:a: sEBItr' 'enfiiiic"ifii, in irfcfuii[ii-ios,poeiil ror-chr--aotat seirpte. _as rtcclrrgc bv rh. I!b, tr
;;il;ile-i;;'rrie'ed-i-;;ia';--i;a!rn'"iion Jn ehr:uEsrr encl qurllelrv-o! maserialc at
iF.-"-iurpri"s iiic, r'tricrr-ii 'w"iirautr t,o rRs, .$utu.be, ""t'-lY-lf: crlrni so
dcEclTridi whagrer ot ooi ifrf i'irt inneiic coo,poiifi of chc ranglc ic. gprrrrneaglvc o!
i!.i rnacerlels. ar Ch+y rxisE isr Plrcc. Ehlr r.It8 lnfomrtiCn rrLtc br urcd qy s'l€
itlciE io-cr:orminc wlcehar ar nle erry reyrrra-uacirtet. as iE exisBs in place, lh'oulti
ii-iiiai.a a*ev.ral dlfiiring ritcrialr'cr 4s - e*porlcr cr:{fl.rl .-- -- l;;E i-a",pi"- t.i.3. li giipcred esrd raalyzod !n rifsec:lvc rndrx oilc BhrE aro
crreiEiai lv rie oan,lra"c"rii, -Cirlliii raUoi"cor!.r- ^ Rcfrrecivc indicr3 lrc ncasu;ed
bv elu Dtrpirrlon seer:rrng' -ilc[;-ti;;; or gbl lor lllrllri*suion nrEhoctr r€aarding Eo
i[iiii-."1[[a- !;-ue;;;$ii;.b1;'-;o-r-fi' rrnail-oiiiriar. ]sbrsEor conErttE is- reporsed
a* i percent o! Eha r$bl!. .nd !S A vfiuat estlfiarion batcd ugCn.grocs ranplc
Cianiiacion rnd iornpariions wigh publllhcd e*libzaelon charBc duling Pt,M 'rnalysis,
frrl|-flllrsArhlng lE a prcgarraEortr procedu;E-;;;;m-ouE co clirninr:i nur.y is!.erte-rE rEE alrd
arbarlcf 'look-aliics.- a Dorilon of Ehe raqllt ir placed ln a,furnacc aE 500 CcErc€!
Cel*iuc Eoc bclwccn 1 tnC a-hou:'€r th€ .CCull etOC varirr rccordlng Cq s4mpk tlDe.
{h€ {rou:re o! aebeEuos Dr6ta.rB iE th. originrl ta$Ft r lr celculaced, based. uDon fhe
wclgh! lors duc bo uhiirg. IE Ehe ra$pli-hrd r 30i wright lorr. rsrd Bh{ vitual
€sEIn.EIon of rl'c:rEor iricmr.c sar 20tl Bht rrtro$rE o! arblllol reporEadl eouli be 1C*.
AIt ashed terpl eg 953 9o nocrd on thc Final Bcport.
FarEiclsE oE l$Ots:lgUgEIIg& anEhoptl]fll lcc, cra oltBe, and acElnollE€ rith
lcngeh to widch rtBioa .quaI to or excce{ing 3rl radt ovrratl lcngcht gac.Eef, ebra 5
aicroo,e arc occerionally d:tesr,cd in aooi bulh r|ltglea. 9lhj,i,6 ruch garElclcs Cp ltecg
Eh€ 'olC' legal cieEinleioa o! fibrsr, chry do rrei mc6s ghf clresical drfiniqion oi
lrbcBco3 becatrse rhey do rrog occur as bgndlcc of pcrallel !!bc!t (ofren cxhibic3ng
agl|yed eads), neEead m*scec ol lndlvidua! fibers. or loog, flaxibLe. and/or euwed
iidividua! frbere, Tha $ejoriclr af ninrral fiberr in a trnple nust display chaic
charcc E erj,gqi cE ae wcll ag axhibiB I tgtrgBh eo wldch ratlo oE rc llrfB 20tl for th€
Eilleral to be deaignaeed 'arbcrioc,' thiec cuidolilr?s rrrG eprcitild in Eha "I{.w"
MeEhod: ErA/60C./R-t3/115. our Flnrl Re5lore rclale to non-etbea!ltqra *nghophvllicc.ttto$ltFE. rad actlnolic€ eE elgher '$gn-asbesE. Er.n,JrcEin. ". or 'Ncn-rsb.$L 'rnthoghyl ,', whlshiv6r iE rgproDriatC,
Of /Oe t!6€.4rr.f.l r.!.A tl'.
It'1l lauo.racory tircr arJ perfcr*td rccordinE to :iEiC Qe'/ Qc nrtcleline€, *od
analygical rosulEs arE tracisbla Eo knovrt seEarrnca r taadar&l and Proccdu!.3 ' taaddillon eo ehe 1egal requlr€ment tbae 10t of all sarlDles recrlv.d be re*analyrcd, rR$
CcglE€h re-aualyzrr all irnFlrs lor whlch e clace Eo 3l rsb€sEoc ts reporeed.
thc New Meshod (Epf/600/R-93/116) conErino Ehc lollowing Suggareed Ac€cpcrblc
Ersor T*bl+ for 9LM analycra wi,eh Eruauti ficaBion by virual +al,irnegr 6e.ts 100 fields of
VlgW !
1'!03'l??-rl5ll-t0o-!r--3131t1-t0l-a??-2ta0 llr
o! lttlr grrform€d o:r smpleg
Arosl Pcrceng AsbGrEot Acc*pcabh RaBge of Ar.3sEos Bepc5tad
ll >0t Ec 3i
5t ti Eo tr
t0t 5t to 15i
20t (or lrorg)plur or nlnur lOt
F r<Lil'l E.L.5,, .rr[,
,nn I /
clicnr: e- rxr fu. PLHGhalnof Custody
' Addlcss:FRS Geotech' Inc'
l44l w. zl6th Avc.. SuiP 14
hvcr. C:0 E0211.233
3031417 -7559 or tffi68&3 136
!Jr-U*-4t_rtrr ure; uctst I rl . tal4 itr4iJ /
FRS tab No
l-,Dr'
, CitY\- srue.-ZiP-Tclcphorc:- FAX; 303/4lt'?5t0
Tclcphone (if differcrt from abovc)-
Turnrpgd R4trc$tc(l:l{ryll 3{8y-)(. - 3{4v- 5{ay-
Rctcm S.ffolcc-Suptee-
P.4,X: --
PsrEotr to CcElttct:-U.-r4--Rurh- I
fof Chpol'r Rocotdl,
TSTRL P,B?
AccEpt/
Rcjoct
Sroplc
Numbcr
Saoplc Descriptiol
l-iur"r*,-
Rolinqui
1,"rJtf. r.
,
3.
.l
3,
by Nrdo. drwu.rimo):
-J.-, rt( ffi r' )r'd,/
liand WhtE Yellow ooptor wltn 8ampl68 (Ycllow copy l0 bE rolum$d $ln [6p0n), F'rnk coly
TOWN OF VAIL DEPARTMENT OF COMMI.INITY DEVELOPMENT
75 S.FRONTAGEROAD
VAIL, CO 81657
970-479-2138
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
ELECTRICAL PERMIT Permit #: E03-0043
-B(r-5'ocr3C
Job Address: 68 E MEADOW DR VAIL Status . . . : ISSUED
Location.....: 100 E MEADOW DR #301 Applied . . : 05/08/2003
ParcelNo...: 210108254019 Issued. .: 05/13/2003
ProjectNo ' -ili{.to:i r:)tcc' Expires. .: ll/0912003
oIrlNER ENCI{AtflfED MESA EXEMPT CORP 05/08/2003 phone:
* FREDERICK S. OTTO
PO BOX 3149
vAIIr CO 81558
License;
COMrRACTOR Ascmrf EI_,ECTRIC OS/O'/2O03 phone: 970-513-0053
P.O. BOX 2027
SIIJVERTHORNE, CO
80498
License: 134 -E
APPIJICAI{:I ASCENI ET_,ECTRIC o5/o8/20o3 phone: 970-513-0053
P.O. BOX 2027
SIIJVERTI{ORNE, CO
8049I
License: l_3 4 -E
Desciption: REMODELKITCIIEN-MASTERBATH
Valuation: $4,000.00
*****'l'i.t{.'t,t't:**'l***'i*'t**'t*'*'t**rta++:l+t+t*:t:i:}:t*.*:*t,N*:*****+**,1:***,t*,t:t+*ti FEE SUMMARYElectrical-----> g72 .00
DRB Fee----->
Investigation-->
Will Call---->
TOTAI FEES-> g?s. oo
90.00
s0. 00
s3.00
Total Calculated Fees-> $75.00
Additional Fe€s-----> $0.00
Total Permit Fee----> $75 . 00
Payments----------> $?5.00
BALANCEDUE----> $O. OO
Approvals:Itemr 05000 EITECTRICAIJ DEPARTMEMI
05/08/2oo3 DF Action: AP
Itemr 05600 FIRE DEPARTMENT
CONDITIONS OF APPROVALCond: l-2
(BLDG.): FfELD INSPECTIOI{S ARE REQUIRED TO CHECK FOR CODE COMPI-,IANCE.
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 strucfure according to the towns zoning and subdivision codes, design review
approved, Uniform Building Code and other ordinances ofthe Town appticable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY.FOUR HOURS IN ADVANCE BY
SIGNATT]RE OF OWNER
OR AT OUR OFFICE FROM 8:00 AM - 4 PM.
CTOR FOR HIMSELF AND OWNEF
{Jr l-r* -a-L,L,L ra!i' . drT i I
tt8 cEolr(g, tm.
,1441 }|. 45th Avenue, Suitc 14
Denver' gO 80a1L-2338
-J,t-+rEt!-'i
Fbouer 303/4??-2559
s00 /3 86-3136
Fax:303/47?-2980
La.b No. : 105369
9ago! 2 of 2
rretfi,,lrs ot rrlt.l-r-6r!nd! c.rFr,r .lxlrlltElll--E:l
l{ttrr?rE r.tm! rtaFrd6E? attrl tDr-3 6a,r.l=ll!/lt f
Clisrt ; Drvlrcclrtrl c€sttr|rstlG Ff,.cirlirt., trsr.
ProjccE ID: vril vLlhflG I![
Elerf-riDt[ibff
D-2 IA1
&rrc.!s serpl,c
rlDttlnl pete Deecrlption
frr lglSllgl f whira itr!,wall rttih t?lq€bArehl a g!"ey
fu rstf lEl:LIlOI loff-tth.lEe ntlrfaee mat'e:.iall .
D-2 rc l
lBalysa! (percenEa deEerm:n€d by
SeJrE)le ltlrunber I D=Z-IAL-.
vlsual eEElnaEltrr)
LIJII-- E:2-ll.l--
\-.' trtutrs tlsssgs
AsbesLos lfioerals I
ftno8ltrs
tuiLhophyl'1. J. Le
Chrysotll e
Crocidollte
Fibrous Gla6s
ceLlul.o6e
sy[chet lcs
oglrct t
trertroll Ec-A.cElno1 lt c
loln& ISI8SOS
-83--
Other FibsguE MelerialB l
rE rr __ltr!.!_
10
trace <1 t
30
Noaf lbfous UabcfiaL
-!9-
1 0O
r CoflrpoaiEe analy8is (multilayered sfiple, secrT ND NON€ DEE€CEEd
ind ivi clurl I.ayer an! 1y6eF )
Darc, !ll!.]lglerralyEt
C.ontractor:'- "'
Er..€,c-Tcr t-
Town of Vail Reg. No.:Contact and Phone #'s:
COMPLETE SQ. FEET FOR NEW BUITDS and VALUATIONS FOR ALL OTHERS (tabor & Materials)
AMOUNT OF SQ FT IN STRUCTURE:ELECTRICAL VALUATION : $
Contdct Assesorc Office at 970-328-8640 or visit for Parcel #
Parcel #
mBA0sro O R .
of work: Q<-w.*o<.
WorkClass: Neut() Addition( ) Remodel(f,) Repair( ) TempPower( ) Other( )
Exterior( ) Both( )Does an EHU exist at this location: Yes ( ) ffop()
Typeof Bldg.: Single-family( ) Duplex( ) Multi-famity( ) Commerciat (yf Restaurant( ) Other( )
No. of Existing Dwelling Unlts in this building:No. of Accommodation Units in this building:
it for a hot tub: Yes
Does a Fire Alarm Exisil Yes Does a Fire Sprinkler System Exist: Yes ( ) No
***************************************FOR OFFICE USE ONLy
\Wail\data\cdev\FORM S\.PERMITS\ELECPERM. DOC 07t26f2002
TOWN OF VAIL DEPARTMENT OF COMMTINITY DEVELOPMENT
75 S.FRONTAGEROAD
vAlL, co 81657
970-479-2138
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
PLUMBING PERMIT Permit #: P03-0031
Job Address: 68 E MEADOW DRVAIL Status . . . : ISSUED
Location.....: 100 E MEADow DR #301 Applied. . : 0510U2003ParcelNo...: 210108254019 Issued. . : 05/14/2003
ProjectNo : *?Rg,;otOG Expires. .: ll/10/2003
owNER EITCHAMTED MESA EXEMPT CORP O5/O8/20O3 phone:
? FREDERTCK S. OTTO
PO BOX 3L49
vArL co 8L558
Iricense :
COMTRACTOR CASTIJE PEAK PLI]MBING, INC, 05/08/2OO3 PhONE: 970-328-5031-
P.O. BOX 6s
EAGI-,E, CO
8l_631
I_,icense | 276-p
APPrrrcAlflr cAsrLE PEAK PLI]MBTNG, rNc. 05/oa/2003 phone: 970-328-5031
P.O. BOX 55
EAGLE, CO
8153 L
Iricense: 276-p
Desciption: replace fixtures in the master bath and 3 guest baths and
remodel kitchen
Valuation: $11,000.00
Fireplace tnformation: Restricted: ?? # ofGas Appliances: ?? # ofGas Lngs: ?? # of wood pallet ??**t'ia+*+'r+:i*:i:i+'r:i't;**'N*,***+**,t***i'*'r*lt+++r'r:+**,i:*********'r*****1a:r***t+
FEE SUMMARY :*+*+,ti+,r+:t,:r*:*:*jr*:r:*,t,:r.j+*+
Plumbing--> $165. OO Restuarant plan Review->$0.00 Total Calculated Fees-> 5209.25
Plan Check-->
lnvestigation->
Will Call--->
$41.25 DRBFee---------->$o. oo Additional Fees------->
$0.00 T0TAL FEES--------*> 9209.25 Total permit Fee------> 3264.25
s5s.00
s3.00 Payments----------> $284.2s
BALANCE DUE----*>$0 .00
ITCn: O51OO BUILDTNG DEPARTMENT
05/08/2003 DF Action: ApItem: 05600 FIRE DEPARTMEI\Ir
CONDITION OF APPROVALCond: l-2
(BLDG.): FIEL,D INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.
t*a'l *a'*t+++:|+*'i*+
DECLARATIONS
I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan,
and state flat all the information as required is correct. I agree to comply with the information and plot plan, to comply with all
Town ordinances and state laws, and to build this structure according to the towns zoning and subdivision codes, design review
approved, Uniform Building code and other ordinances ofthe Town applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOTIRS INADVANCE BY FROM 8:00 AM - 4 PM.
SIGNATURE OF OWNER OR CONTRACTOR FOR HIMSELF AND OWNEF
rd?horltl. gAV-5oAl
co[rfPLErE vAtuATIOt{ FOR PLUilET]rG pERllltc.bor I lfiGcrifF)
-
I rlurutc: | //,ooo'' r
I
\
l
1
Fl6,E yon{bfl€/plmDp.r|It
tobMdr€s6: .-:.f =i ^.t*i*+l
R.gtar. \rb*_auJ Tyb. .tJc\'lc:. *TiEt'**3'
WorkClas: Netv() Addltion( ) Altendon(X) Repair( ) O$er( )
Tlpcof BHg.: S|nglFfamllf ( ) Drrplcx( ) Multi+amlly(f) Commerdal( ) Rsstilrilrt( ) OUt!.( )
No, of AcorrmodaUon Unns h thls buitding:I'lo. of Exbtlng Dwelllng Un}b in thb building:
a con\rergon tlom a !O AN EPA No
oD-,gvd
Ad[t,, $J|JJ0
llBn to u/noJ
i'5
htio{a
e
e&
n
If
\.b).
N
\-oz
ra\Ica
J
- -rM.i 1c l-.0"
S ""0:F\d {' !'
.d,j*-t\), $le
\\t .&
:trdr
i.\.
(-\
Y '3
\^NJN,-+Y ,.1\r\' J
"..Jor+
otv\,,Jw\,'r5$r\Q-JJ\rs3
{i
ii
il!
${$
$ti:ir
E€Jil
xdL-F
t-
*-ta5ai
iir
its
.Egs
3*i4e:5
q
I
\J/L
J
o
O
J
tL
\\5
:
\--
?
X\J
b
'-|i'"
il/l
I
i
I
'.
6
-.\-,\
b:
\ft.bi
\. 5(
I
I
"to'
- .,")i.
h(.bt.r.
.,'t, .', ,(*t(
itf
.6/
..- ql 'auos6^o{!4 q-uDt uro{ rrolltlullad $rdxc lno$$i IrI Iw ul lacn a4 lou trlr! u(!) .cll '3uoie/roUul q.elJ.Dlo ,{u€dod .qq q uo uo4Bulorulllr pu! ouf{l|lp qql
Uaq"+l> ouytrot1.
,o-,t12/Lata)5 uDldJoola
- 8ES0g Of,'prrcle^ol 'rp proJpetrl t00tcil suoll€Aorrur srseue8 ^t,.'t]P,\J'\J'#
iqof
O?UDJA
J
-trL-,
o
I
-ile\
ESrF-Ef\ry0
?ts*
g^{o\J {o
's
'o2,,\tllu A r
t8u9FO t trv
CI@
arortilgfi6
tcoz g z uol,
qU{,Ags
r4'ffi
--F
_9
-ol^+JE€dENau:J
ad
{,ol
86r$;,o
,$+Tqa
ugl-'3
./l
rt, :t
qtll/
^$l:<f
3lt{r{+?U
t#fi!tt-a e
,{1il yl
stgi
=3s3
o
1L
a,
.<
J
o)
a
a
"1d
tL
/7
)t-'r
?
€
c
.-6g
0{-Xu
ir-ri -E-ot-)
*=
6#FO,d(|)0tll r
, Qx
, Hd$nr(MM^n>uu>+ild))P,txu{{.s0.
2$HHdP
tvllo'l
$l
,!
3
g g: $E E:g:
E riEE igE:';lE il E' :31;
i Ei ii;:l';iono<;lilo;'-:
bEPlllxii:
qli€i;c'
iEiililigI
cat()q)?.!-tie
(.1- ( )o L)T
c:1
L)
€:
Io
rC: c:0J ciEE
o(16 9.-
t) Clo
,),
rt
rlq.
@
s
I
-+-
I
I
s
rq
ff)
I
I
+
I
I
t-'t\
c\l:f
I
T
I
Itf\
I
II
I
Ip
I(\l
Er
$
crl+-l
p
I
IT
I$
C\
I
I+
Ip
I
C,li
Qr
F
9;
\
I
I
I
C\
R
I
I
II
@
G/€ 9?
\.\.-r\l
d(\
I
lT
I
s
rc\
o
I
i+
It(\
atu
\
v.,5i>*i
u&
tl
t-r
I
o
rq
I
eS
rl
-t
f--N
I
T
It-
c.l
I
oo
\l
ll
\t
C't
II
\
I
I
s
rgo
I
II
fo
T
Id
c"t
o'to
Jr lr tt tLe 9r evlt o€ eylL Et e o€ a
, ._ oll r1|oll8^0!!l qaeuao u/o4 r.Flrqru.6d stadxa uoqlt
^
Ir/$ ft, ut Deen a<t tou ,bu, n(9) 5ll auolF^oulrl ilsiueolo tu.dold q q ! uo qonFuJroM llE prjE 6u,nr.rp rl,li .o-,t,E/Lieta)5 aB v suol+o\al=
UAL4)+|> 6uyt"..tq
OR
XONA
NN\\
i{ ;{
UU--t -1
O'l
!)o
o
9r€6-S€9(016)xsJ Stffi
8€g0g oc .pu€le^ol .rp proJpeu t00tcll suorl€Aorrur srseuo8 o?uo))^t^tH\J'IJ'#
qor
nofs\-t- |'-r I-ll
sl^tl#10T IZlloS*l Fpo"', I lXllJllurr]* |-l- |tltlNltlejn Ir-\
-L-l-lf-
(
Zo
F
uJltl
Jt-vyt'€ y/Lge | ?/€ Ge , g€ |ffiil fi----
ilt ffi
Lffi
tcfl
' Q/t€6 i
NIIffiI[ffiItHllNltNlilffi|tffilL.-==-l
erl
:T
I
I
R
I
It
I
o
rfl
I
I-l
in
rq
I
crl
:l
cll--r \<-| '-T-
l-l
lltl$R
l.f
l-L:f
p-.112/t';atn5 c uo+a\ala
Uaq"+l> 6uy,tot4
R8
RN
NNmnoo
qq
crl
()o
h
-9r86-S€9 (016) )(BJ SIe6ffi, g€sOg oc .pu€le^ol .rp proJpeu t00?cil suorle^orrur srsoueE o?uo))nt t J1IJ'TJLPI
IL
H9il9u
d(|);
NHF
RH$r7u
Hffidu)5
(
qT
c\l,slilll8lullzl^r of s, k9, ldqlJ
ll'!']rOI*ll
+I
eLae+
dnV- vtt nn---*l- atE er.* ss1
8/L5 ?3 |
I +za#
s1 T9
T g+F .iH=r
=$oiii; lrij;5elel I g'1*r#3 ; F* 1r.viiF A&$ $,i*rJ'ffs
't
I
s
nl
-t
I
I
\Jo
I
I
C,l I:f
$
^l.T
I
U
fq
I
I
^.L\ t-r
_ - ql guolls^ouol ilsrugE urq4 uo'aa|tlrl6d iaeldx€ lnoqun ,(g/f, lus ut !,€in aa lou trluJ 1l(9) ctl tuone^ouul 313€rjso lo lpdold .ql q ll uo uoqEqlloJur ili pe oilprrrp rrqj ,O-.t,2/tiato"5 a uo+D\ala
UaLl"+!> 6uytrot6- gesOg oJ.pu€le^ol .ry pJoJpew t00tcII SuorlsAorrur srsouoE ozuoJA
c{l ""1-'-r I-tlal-ll
TIrlN c\'t\l6IN-tl
al-tlr{l
et' Itolarr
:+{.
ET
Ip
I
I
Ip
I+
I
I
I
S
\Jo
I
I
I-t
I
I
f'-
e,l
It^,
cisT
G/L 6g ,
' ?/LE€ ' G/EGL' 9€ I
-----L I' v/lo€ tG/gGl' g€ |
' g/L?a I
crl
:T
Ip
I
IT
I$(\
I
I+
I
Ip
I ,'r
F
:q
s-r
I\t
C'l
I
I-t-
I
I
s
a
fcl
I
I+
I
I+
c\
I
ds
dT
_.- all 'alrolprouul rrtduet uro4 uqaonlJad aaerdxa |noq[$ fta lur ul pasn aq lcj
^au
ll(0) 5ll 'tuolll^ouur .!3€u€o lo I}ndold eql i| I uo uoFurgq tF poc 8upBrp stql ,o-.t=E/L:eto2€ a\l+)adg)ad
Uaqt+> 6uyuo.,6
89s08 oJ'pllle^ol 'rp proJpeu t00tcII Suorle^orrur srsouoE o)u?))
Ll+De JA+9O|A 6u6no.r6
,o-,t="e/t:eP)6 uot+o\ala B uDld)oolJ
l Lo-!L9 \UL6,' xuJ I t L6-SL9 tUL6,' auur
88S08 03'pusle^ol 'rp proJpeu ?00tcil suorle^orrur srseuo8 O?UOJA
d
d
5!it-r\f
\ou
3
og
2I
,l
np,
fio-
dP
c\t fllT++l-l-llsal-r-rI Tfl5-ttTtrlsnNttttttt+5ltltsatr-l*l ^lt\*'-r '-r
erl+-l
p
I
--t*
I
I
I
roo
I
I-f
I
s
*lf-r
el
s
d
--
c.{
$Eq$ r'
$e3rts
4\"rd2{
I
>---$oY,-
t-- -!' 8/L€Z I
'LCI
'61
-vf
oY
og
J
:{let+
sl
€
Jd
r
-9
ulc
$)f
X||t
:fu
E$-rt
trr.t
F
t
r f'tIr-l;t'1( O rH.l\ \a uilIIJ 1S r MUrv ' tru.(u
i.i I ^ I n 2 Ul
HE H r # 6;)nAHslilil<U,'U Y Z t. < N\o t tr z r o
t__
Jlg/Lv ?/L€g ' 9€ |
o o
hOr -"1 Za -
J ll.l I -OoL
t\
it
uln
r
n
z
o
BEST
COPY
AVAITABLE
'iEF.,{-,i;:r
U J -UY-..:iJUJ l**: r.ran.*iatn *1.Inspestion h{eque*tx.--Y1,'r"" li'lsircstion h{equest ReB+*lnqu c'/ snr _. l*41i, il_O - IOtSttSF _ *
i{Bqus.sl'-.{; ,il$Fe{t f}*te j WBdnesda}. ,jult' Sr, ;r.tLr;inspecaor; Ar€a: ;L1
AiteArtdr-rss, Sf E [E&A[]OW FR VAIL{4{ E HFAOA}g DH rffiSr
&:P^'4)"!$P;-re$!:
Ai1hfil}: B$.+dOB{t - T4e: .,{_ttF g L., Typ*: r.tcjFCoost TtEd' __ Clcc;r:pair'cy: iJs€: ,!t t.Hf,{- r}lvri"* ENCtiANTqO Lit sl. taXErfpTCORpAppl{ant: 'dEIr'CQN$TI1L,*T|ON ilhorie. *?S;l7ri-1,j43Cor,iraclor HtiD COilIS Tt,i L !::TtLlH
frsscdp$on: r€Fiqq fixture$ lil"!t! iqe.ilqi ottir r,4 ? gr-r,.:e1 6p1]* uni! rsnn4d€t ki!{i?enf,,omrnrnt: A$BE$TS REFTIRT ROtTfi:.;O;ei+ _ nFL,?i{E$'
.
F'age ii
E€qu.;st+{x Tifte;
F'irono-
S&r!u$:
lnrF Afea"
03:0t] Ftrt
:r7$d7&4343,4r" 9?ti.47$
4337
ig$UN;}
GD
nggreEied In:i.E€rJ[gSjgi
fbrir: 9r3 ULDti-i::i.it3i
R(s$6rior. Flgtp Ci)NSTf Uij'ftcFl
{lo{,n meFt$: S34? *r 3g}-rig€8
A$algnrr.l to. (-'.L,,AV;S}
Aflrcn.
ln,lstf [ol: trlsrcrl.
4ni€red Fy: iiFiot?E$ t(
hem. 2?S FlffE tj,EFr. Nc)-iti'iCATEt!q€fi: -lii i3L fl(- -i:, ?$i;f,i .. Approwc -'
L''5,:.i. i[ llls{}n.:lar: erlavliIt$rB: ;0 tst.C{i-l$iulati$n -' Anirc},/ea .-
C5,?3'J3,nq)e:tH. r:d:[41l9,em: i{i BLDG-$iles$fi-J a,t - App;ovc,rj *
0e?+f3 tnsp€ligr. rrJavls '
itsr-vl ?0 lllDf;.f$iu.
hem. 9{i 8LD::-Fl$aiItem Ja o!{$l-it i: Foundaqlni eisn
fern: ai rt_{r,J_iLfj' g:le :}ra1
F,cliDn: AF r'rPFRoiltsi]
Acfiofi; ,G.P AFPF(]VED
,tctliorr, AP AFF'&rJv* I)(i
ir*'/
i,, t'li!
,j'.i
/1
.!
'.1
,t- -'-'
", ^,!{.\,P i.i i t,
i,' f,' ,1/\/ ; f lI
ir n
.-, i
i'.'-
l.J
I
,/ {tVi,!n6rxi *?fV
\,/
Run lrf : l-trj'l':