HomeMy WebLinkAboutFile Documents.1427 Crystal Lake Rd.0140-2020-BRES (3) 1
DATE: 12-22-2020 MASTER PERMIT: PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT N
BUILDING PERMIT APPLICATION 1,0../p4
CITY OF ASPEN
PROPERTY INFORMATION
ADDRESS 1427 Crystal Lake Rd UNIT# PARCEL ID# 27371 81 31 005
LOT BLOCK TRACT Aspen Club;Unit 1, Bldg D
OR SUBDIVISION
OWNER NAME Nancy Ferrillo CELL 314-910-8844 EMAIL nancy.ferrillo@me.com
BEST CONTACT Nancy Ferrillo,Owner CELL 314 910 8844 EMAIL nancy.ferrillo@me.com
NAME
PROJECT DETAILS (READ DEFINITIONS BELOW) COIMPLETEDINITSENTIRETY
DESCRIPTION OF Interior remodel of 4 bathrooms;replace existing fixtures with new in 3 bathrooms,1 master bath reconfiguration-replace existing fixtures w/new,new
WORK IN DETAIL
existing window in 1 bedroom with new,add two new skylights.
PROJECT 175,000 Use of Building Class of Work Fixture Counts Important Review Triggers
VALUATION
❑ Commerical ❑ New 4 Toilets,Bidets Major Engineering Review
SQ FT OF ❑■ Multi-Family ❑ Addition Bathtub •Projects involving less than 50%
BUILDIN
G
EA 370 ElSingle Family ❑■ Alteration 5 Lavatory(Wash Basin) hardscape area and work affecting
WK AR
❑ Mixed-Use ❑ Repair Shower 75%or greater of unit sq ft
Kitchen Sink(+Disposal) •Projects involving greater than
UNIT SQ FT 370 ❑ ❑ IFFR o Dishwasher 50%hardscape area and work
❑■ Tenant Finish 7—Laundry Bar,Utility Sink affecting 50%or greater of unit
LOT SIZE
(SQ FT) NA Will there be ❑ Demolition . Clothes Washer sq ft
SQ FT OF SOIL NONE any roof/wall CI Change Order °Floor Sink •Projects involving 1,000+sq ft of
DISTURBANCE penetrations? El Floor Drain soil disturbance area
■❑ Yes 0Water Heater(Pan Req)
NEW SQ FT NA ❑ No0 #Gas Outlets Water Efficient Landscaping
Water Treatment •Projects that trigger a major
BUILDING NA r 1 _Other engineering review
FOOTPRINT NOTICE: This permit becomes null and void if work •Projects involving interior
or construction authorized is not commenced within affecting 50%or more
HARDSCAPE NA 180 days,or if construction or work is suspended or alterations exisiting ngross square for e
AREA abandoned for a period of 180 days at any time after g q g
ZONE R-15,PUD,LODGE OVERLAY work is commenced.
DISTRICT
Project Valuation:Cost of project as defined in Valuation Affadavit.
2 Sq Ft of Building Work Area:Total square footage of interior area undergoing change or reconfiguration.
O Unit Sq Ft:Gross square footage,not FAR,of permitted unit.
H Lot Size:Total surveyed square footage of property. APPROVALS
Sq Ft of Soil Disturbance:Exterior area of the lot where the ground is disturbed Reviewing Needs Reviewer Date
Z New Sq Ft:Total added square footage for additions to net livable or net leasable space. Department Review Sign-Off Approved
L.T. Building Footprint:Grade floor square footage of the permitted structure. PC
CI Hardscape Area:Square footage of impervious lot surface.
Zone District:Underlying zone district of permitted parcel. Zoning
HPC
Building
SUBMITTAL FEES ISSUANCE FEES ISSUANCE FEES Fire
Building Building Parks Impact Engineering
Review Permit Fee CMP
Engineering Zoning School Lands Water
Review Review(50%) Dedication Stormwater
Zoning o CMP(50%) TDM Impact Sanitation
Review(50%)
Energy Code REMP Pedestrian Env. Health
Review Payment Amenity ' Parks
CMP(50%) GIS Housing Cash in Lieu Landscape
City Use Efficiency
Parks Review Water Tap
Tax Approved 1!.,tr 4_,,
County Use To Issue `I a ' �.. ' at"
Utility Review Tax Sanitation
Issuance
( CITY OF ASPENJanuary2019 130 S. GALENA ST I ASPEN,
CO 81611 ,
1427 Crystal Lake Rd
ADDRESS: PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT ��� �
BUILDING PERMIT CONTACT SHEET CITY OF ASPEN
FOR PLAN REVIEW QUESTIONS
Name DELVON NEMECHEK,AIA Phone -, •
E-mail se von • signa uresesigns usio.ne
FOR INSPECTION QUESTIONS
Name SCOTT FORSYTHE Phone , , , E-mail • •7• •
OWNER
- • 4-- _••I I A- -::. I
Name Phone Cell Phone
Mailing Address 1427 Crystal Lake Rd
City Aspen
State CO
ZIP 81611
E-mail Address nancy.ferrillo@me.com
OWNER'S AUTHORIZED AGENT
Name Carol Cisco,Allied ASID Phone Cell Phone -
Mailing 2920 Rimrock Dr Lawrence KS 66047
Address City State ZIP
E-mail Address carol@signaturedesignstudio.net
APPLICATION BEST CONTACT
Name DELVON NEMECHEK,AIA Phone 9 -, • Cell Phone ,
Mailing P.O Box 5361 Snowmass Village State CO ZIP 81615
Address City
E-mail Address delvon@signaturedesignstudio.net
ARCHITECT OR DESIGNER OF RECORD
Name DELVON NEMECHEK,AIA Phone , , Cell Phone
Mailing P.O Box 5361 Snowmass Village State CO ZIP 81615
Address City
E-mail Address delvon@signaturedesignstudio.net
CIVIL ENGINEER OF RECORD
Name NA Phone Cell Phone
Mailing
Address City State ZIP
E-mail
Address
STRUCTUAL ENGINEER OF RECORD
Name GLENWOOD STRUCTURAL AND CIVIL,INC-ADOLFO GORRA Phone , • , Cell Phone - - -
Mailing Address 812 Pitkin Ave City Glenwood Springs State CO ZIP 81601
E-mail Address gsc@sopris.net
GENERAL CONTRACTOR
Name FORSYTHE FINISH CARPENTRY,INC-Scott Forsythe Phone - , -, , Cell Phone -
Mddresailings 4565 County Road 3
City Marble
State CO
ZIP 81623
A
E-mail Address scottffcinc@gmail.com
INSPECTIONS: The General Contractor must schedule inspections online.
Please visit www.aspenpitkin.com/Departments/Community-Development-Forms/to do so.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. It is my responsibility to review the approved plans and any comments that are contained thereon and see that the
structure and/or project is built in compliance with all applicable codes.
Contractor Digitally signed by Scott Forsythe
Signature Scott Forsythe Eti
Date:2020.12.18 06:55:12-07'00' Date 12 22 2020 �.
Check if you are a tested owner builder(single-family homes only).You must take a test and complete the owner/bu dingg`affi av�t.
(CITY USE ONLY) Owner builder approved by: Date: Affidaviton file 10 Q
( CITY OF ASPEN August2017 130 S. GALENA ST I ASPEN, CO 81611J
1.10,
BUILDING DEPARTMENT
1427 Crystal Lake Rd
ADDRESS: PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT i�� 1
HOMEOWNER ASSOCIATION COMPLIANCE FORM CITY OF PEN
All applications for a building permit within the City of Aspen are required to include a certification of compliance
with applicable covenants and homeowner association policies. The certification must be signed by the property
owner or attorney representing the property owner. The following certification shall accompany the application
for a permit.
ADDRESS 1427 Crystal Lake Rd UNIT# PARCEL ID# 273718131005
I, the property owner, certify as follows: (pick one)
❑ This property is not subject to a homeowners association or other form of private covenant.
❑ This property is subject to a homeowners association or private covenant and the improvements
proposed in this building permit do not require approval by the homeowners association or covenant
beneficiary.
This property is subject to a homeowners association or private covenant and the improvements
proposed in this building permit have been approved by the homeowners association or covenant beneficiary.
I understand the City of Aspen does not interpret, enforce, or manage the applicability, meaning, or effect
of private covenants or homeowner association rules or bylaws. I understand that this document is a public
document.
Digialty slgnetl by Nancy Ferill"
N:G-US.E-nancy femllo@mecom,OM
Nancy Ferrillo qe °"""s -sge" -a°`;`e;;' 12-22-2020
a a"e"pia
�re m�e do""mam
Owner Signature Date
Nancy Ferrillo,Mischief in the Mountains,LLC
Owner Printed Name
OR
Owner's Attorney Signature Date
Owner's Attorney Printed Name
12
10
( CITY OF ASPENJanuary2018 130 S. GALENA ST I ASPEN, CO/81611j
BUILDING DEPARTMENT
1427 Crystal Lake Rd
ADDRESS: y PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT ��0 1
ip
SCOPE OF WORK CHECKLIST CITY OF PEN
LAND USE QUESTIONS
If you check any of the boxes below, please consult with the Planner of the Day(planneroftheday@gmail.com) before submitting your
permit application.
Does your permit involve any of the following?
❑ Part of an approved COA Land Use Review ❑ Work involves Landmark Parcel or Historic District
❑ Work affects net leasable, net livable, or ❑ Located in 100-year flood plain or within 100' of high
non-unit space water mark
▪ Work involves lot splitting or combining a lot Work involves changes in occupancy to structure
❑ Work involves exterior of structure Changes to elevator or stair configuration
▪ Changing the number of residential units Changes to the use of existing structure or space
❑ Changes to number or location of
onsite parking
ADDITIONAL SCOPE OF WORK QUESTIONS
Does your permit involve any of the following?
▪ Exterior lighting added or changed ❑ Work involves exterior wall penetrations
❑ Work involves roof penetrations ❑ Work involves digging or excavation
EiWork adds, removes, or changes ❑ Work involves restaurant or food service
plumbing fixtures
❑ Disturbs 1,000 sq ft or more of soil within ❑ Affects parking spaces/meters, loading zones, or alleys
12 months
▪ Work occurs in public right of way Adding structures or systems over utility lines
▪ Work affects trees or occurs within the ❑ Work within City Mall boundaries
dripline of a tree
RECEIVE
12( CITY OF ASPEN August2017 130 S. GALENA ST I ASPEN, CO/81611j
BUILDING DEPARTMENT
ADDRESS: 1427 Crystal Lake Rd PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT ,4' ►�
,,►ego
ASBESTOS VERIFICATION AND CHECKLIST CITY OF ASPEN
ASBESTOS INFORMATION
Asbestos is a known human carcinogen and is an airborne hazard.Once airborne,asbestos fibers can stay suspended in the air for days,
weeks,or even months before settling out of the air.The fibers can easily become airborne again from a minor disturbance like turning
on an air conditioner. Uncontrolled asbestos abatement projects or renovation projects that disturb asbestos may cause latent asbestos
hazards that could expose people to asbestos in the future,long after the renovation activity occurred.The airborne asbestos fiber
concentrations resulting from disturbances may result in a significant exposure to the current and future occupants of the home.
The 1989"ban"on asbestos-containing materials is commonly misunderstood. In fact, in 1991 the U.S. Fifth Circuit Court of appeals
vacated much of the so-called "Asbestos Ban and Phaseout Rule"and remanded it to the EPA.Thus, much of the original 1989 EPA ban
on the U.S. manufacturing, importation, processing, or distribution in commerce of many asbestos-containing product categories was
set aside and DID NOT TAKE EFFECT.Therefore,ALL demolition, remodel or renovation projects must determine if disturbed material
above the trigger levels contains asbestos.
ASBESTOS CHECKLIST
[ Yes❑No
Residential: Will you be removing more than 32 sq ft, 50 linear feet (e.g., pipe insulation), or the volume
equivalent of a 55-gallon drum of any material besides concrete, wood, bricks, or steel —examples are drywall,
linoleum, ceiling tiles, roofing materials, etc.?
❑Yes❑No
Commercial: Will you be removing more than 160 sq ft, 260 linear feet (e.g., pipe insulation), or the volume
equivalent of a 55-gallon drum of any material besides concrete, wood, bricks, or steel —examples are drywall,
linoleum, carpet, carpet adhesives, ceiling tiles, roofing materials, etc.?
If the answer is YES to any of the above, you will need an asbestos test before you can receive a building and/
or demolition permit. You will also need to provide plans indicating areas to be demolished and determine if a
CO state demolition license is required. A state certified asbestos inspector must do this test and the test report
must be submitted with the building permit application. If the building has asbestos, a state certified asbestos
abatement firm must remove it. After removal, the abatement firm must provide a letter to the Building
Department stating that all the asbestos has been removed and that the air is clean. This letter must be received
BEFORE a permit will be issued. (See the local or statewide Yellow Pages, DexOnLine, or http://www.cdphe.state.
co.us/ap/asbestos/index.html for certified asbestos inspectors and abatement companies. ALWAYS ask for proof
of current state certification.)
If you are demolishing the building, you must submit a demolition permit app with the CDPHE in addition to the
Aspen permit app. This form may be found at https://www.colorado.gov/pacific/cdphe/asbestos-forms NOTE:
A copy of this demolition permit app must be submitted with the initial building permit application. When the
CDPHE approves the app, their issued permit must be given to the Aspen Building Dept before we issue our
permit.
I hereby certify that the above information is true and complete.
Nancy Ferrillo, Mischief in the Mountains, LLC 970-309-4176
Owner Phone #
Applicant (print name) Nancy Ferrillo Phone#970-618-4467
Nancy FerriIIo �n,�,.eMo ,as 12-22-2020
Applicant Signature o.,,T aoazosoo Date �� I
Please call the City of Aspen Environmental Health Department at 920-5039 at any time if you havequetTo s f
about asbestos, interpreting your test results, or other matters.
12/22/20 0
( CITY OF ASPEN August 2017
130 S. GALENA ST I ASPEN, CO 8,1611�
PHASE
ENVIRONMENTAL CONSULTANTS
Asbestos Building Materials
Inspection Services
(Construction Specific Inspection Scope)
Client: Nancy Ferrillo, 1427 Crystal Lake Road, Aspen, CO 81611
Project Site: 1427 Crystal Lake Road, Aspen, CO 81611
Inspection Date(s) : August 24, 2020
Phase Con Project #: 20-08-24D2 /�+►
2166 Peregrine Court RECEIVED
Grand Junction, CO 81507 12/22/2020
Office: 970-260-3341 pceconsuitants@gwestoffice.net
ASPEN
BUILDING DEPARTMENT
1427 Crystal Lake Road, Aspen, Colorado
Sampling Description
Phase Con provided construction specific asbestos building inspection
services at the property described above on August 24, 2020. The
inspection was performed by Mr. Douglas Close, a Colorado State and
EPA Asbestos Building Inspector/Management Planner. The scope of
this inspection was limited to sampling and analysis of building materials
within the planned renovation scope of work in the three bathroom areas
at the address listed above. Suspect materials within the scope of work
were sampled and analyzed as per Colorado State Regulation #8.
A random sampling scheme was utilized in choosing sampling locations.
This scheme used a grid system and randomly generated numbers. The
Inspector, Mr. Douglas Close, classified the suspect materials by type
(Thermal System Insulation (TSI), Surfacing Materials, and
Miscellaneous Materials), and obtained the appropriate number of
samples of each material based upon material type, and quantity.
Tables are provided which detail the individual samples obtained, the
laboratory analysis results for these samples, the quantity and condition
of Asbestos Containing Material (ACM), the locations of each
homogeneous area, and other material specific information. Potential
for damage to materials information is provided in the following
sampling information tables.
Discussion & Recommendations
The following materials were positive for 'trace' asbestos
content (<=1% asbestos):
• Wallboard Texture & Joint Compound - present on and in
association with the wallpapered wallboard and skip trowel
textured wallboard in the bathrooms tested on all three levels of
the home. The orange peel type textured wallboard present in
the closets of the mid-level (master) bathroom was negative for
asbestos content.
The trace asbestos content (<=1% asbestos as verified by point count
analysis) listed above is NOT considered to be an Asbestos Containing
Material (ACM) by the State of Colorado or the EPA and therefore is not
regulated by these two bodies; however, OSHA regulations apply
RECEIVED
12/22/2020
ASPEN
BUILDING DEPARTMENT
damage, disturbance or handling of this trace asbestos content material.
OSHA requirements are detailed here:
• Use of wet methods, or wetting agents, to control employee
exposures during asbestos handling.
• Prompt clean-up and disposal of wastes and debris contaminated
with asbestos in leak-tight containers.
• Prohibition of high speed abrasive disc saws not equipped with
HEPA filtration.
• Prohibition of compressed air used to remove asbestos, or as a
clean up technique.
• Prohibition of employee rotation as a means of reducing employee
exposure to asbestos.
• Asbestos awareness training for all personnel.
Furthermore, I recommend the use of half-face negative pressure
respirators equipped with HEPA filtered cartridges by all personnel along
with other appropriate Personal Protective Equipment (PPE).
Although not required by the State and the EPA; I recommend that any
materials which contain asbestos in any quantity only be damaged or
disturbed by properly trained and protected personnel in the employ of
a licensed asbestos abatement contractor utilizing appropriate
engineering controls and methods. Even trace asbestos content
materials can release significant asbestos into the air potentially
contaminating portions of the building and resulting in personnel
exposure.
If any previously unknown or undiscovered materials are found during
demolition activities which are suspect for asbestos content then these
materials should be tested for potential asbestos content prior to
continuing any further demolition work.
Disclaimer
The inspection services process consists of initial inspection/sampling
and sampling of subsequently discovered hidden or inaccessible building
materials as the inspection/abatement/demolition process occurs within
the building. Discovery of hidden or inaccessible building materials by
any interested parties can and will occur at any time during the
inspection/abatement/demolition process and necessitates stopping
demolition until the discovered materials can be properly
inspected/sampled. The discovery of hidden materials during
�CEIVED
12/22/2020
ASPEN
BUILDING DEPARTMENT
building demolition process is common, should be expected by the client
and is a normal part of the inspection process.
This inspection was performed using non-invasive sampling techniques.
This report does not imply, or guarantee that every material on the
property, or in the property building, which may potentially have
asbestos as a component has been identified and/or sampled. A
guarantee that all asbestos materials have been identified and/or
sampled would require cost-prohibitive and destructive sampling
protocols. Furthermore, identified asbestos containing materials may
be in areas which are inaccessible or hidden due to their application
during the construction process and their subsequent enclosure or
covering with building and finish materials. Areas behind walls, inside
chases, or other hidden, covered or enclosed areas were not included
within the scope of this inspection, as destructive techniques would have
been required to access these areas. These areas should be inspected
whenever renovation or demolition activities are scheduled which may
disturb the materials within or beneath these barriers. `Overspray' or
excess materials from the installation or application process of asbestos
containing materials is common, should be expected in the vicinity of
installed asbestos containing materials, and is often present either
covered by other building materials or in hidden or unexpected
locations. This inspection cannot determine the presence of these
materials and their locations and therefore the determination of these
locations and material quantities is outside of the scope of this
inspection.
Bulk material samples are obtained in accordance with applicable
regulations, industry standard techniques and analyzed by a NVLAP
accredited laboratory; however, due to the asbestos content fluctuations
which may occur in a building material due to the application and/or
initial mixing process no guarantee can be made as to an `exact'
percentage asbestos content (this includes 'no asbestos detected' and
'trace' contents) which represents the entirety of the material (asbestos
content fluctuations can and will occur throughout a building material).
Abatement cost estimates and material quantity estimates are
approximate only (due to the hidden nature of many of the materials),
and are provided only as a general guideline to the client. More than
one licensed Colorado State asbestos abatement contractor should be
consulted to determine actual abatement costs of the ACBMs described
above. Actual material quantities can only be determined by complete
removal of covering materials.
RECEIVED
12/22/2020
ASPEN
BUILDING DEPARTMENT
Please call us with any questions which you may have concerning this
report and our recommendations. Thank you.
D,e�g as A. Close
olorado State and EPA Certified Asbestos Building
Inspector/Management Planner #2930
RECEIVED
12/22/2020
ASPEN
BUILDING DEPARTMENT
Sample Description Table
RECEIVED
12/22/2020
ASPEN
BUILDING DEPARTMENT
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12/22/2020
ASPEN
BUILDING DEPARTMENT
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RECEIVED
12/22/2020
ASPEN
BUILDING DEPARTMENT
Field Sketch - Sample Locations & ACM
Locations
RECEIVED
12/22/2020
ASPEN
BUILDING DEPARTMENT
Feld Sk # A - /in /oca �,o� s
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RECEIVED
// S 12/22/2020
ASPEN
BUILDING DEPARTMENT
Laboratory Analysis Results
RECEWED
12/22/2020
ASPEN
BUILDING DEPARTMENT
CA Labs CA Labs, L.L.C.
12232 Industriplex,Suite 32 NVLAP#200772-0
Dedicated to Baton Rouge, LA 70809 =� —• TDSHS#300370
Quality Phone 225-751-5632 CDPHE#AL-18111
Fax 225-751-5634 LELAP#03069
Polarized Light Asbestiform Materials Point Count
Laboratory Analysis Report- Point Count
Analysis and Method
Point counting was performed on a polarized light microscope with a calibrated reticle according to the revised NESHAP method of November
20, 1990(Federal Register,V.55,N.224, 11/20/90). Original asbestos content of bulk materials was determined using procedures outlined in the
interim method(40 CFR part 763,Appendix E to subpart E)and Al-=ERA method(EPA-600/R-93/116). Samples were prepared using HCL acid
washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by
dispersion staining/becke line method.
Qualifications
CA Labs is accredited by the National Voluntary Accreditation Program(NVLAP)for selected test methods for airborne fiber analysis(TEM),
and for bulk asbestos fiber analysis(PLM).All analysts have a college degree in a natural science(geology,biology,or environmental science)or
are recognized by a state professional board in one of these disciplines.Extensive in-house training programs are used to augment education
background of the analyst.The group leader of polarized light has received supplemental McCrone Research training for asbestos identification.
This report is not covered by the scope of NVLAP or ANHA accreditation. Analysis performed at CA Labs,LLC 12232 lndustriplex,Suite 32
Baton Rouge,LA 70809.
Customer Info: Attn: Doug Close Customer Project: CA Labs Project#:
Phase Con Environmental Consultants, LLC CBR20083862B
2166 Peregrine Court 1427 Crystal Lake Rd
Grand Junction,CO 81507 Date: 8/29/2020
Turnaround Time: 24 hr Samples Received: 8/28/2020
Phone# 970-241-6480 Date Of Sampling:
Fax# 970-241-6584 Purchase Order#:
Sample# Layer Analysts Physical Homo-geneous Point Counted%/
# Description of (Y/N) Asbestos Type
Subsample
Tan Surfaced White
1 1-1 Compound N 0.75%Chrysotile
2 2-2 White Compound Y 0.75%Chrysotile
3 3-2 White Compound Y 0.50%Chrysotile
This report relates to the items tested.This report is not to be used by the customer to claim product certification,approval or endorsement by NVLAP,NIST or any other agency of the federal
government.This report may not be reproduced except in full without written permissioi from CA Labs.These results are submitted pursuant to CA Labs'current terms and sale.condition of sale,
including the company's standard warranty and limitations of liability provisions and no respcnsio-lity 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,CA Labs will store the samples for a pxrioo of ninety(90)days before discarding.A shipping or handling fee may be assessed for the return of
any samples.
Approved Signatories:
Sidney Pinkertoi Senior Analyst Laborato Director
Analyst Alicia Stretz Cl 1tie EI /ED
12/22/2020
Page 1 of 1 ASPEN
BUILDING DEPARTMENT
CA Labs CA Labs, L.L.C.
12232 lndustriplex,Suite 32 NVLAP#200772-0
Dedicated to Baton Rouge,LA 70809 TDSHS#300370
Quality Phone 225-751-5632 CDPHE#AL-18111
Fax 225-751-5634 LELAP#03069
Materials Characterization - Buik Asbestos Analysis
Laboratory AnE,l'sis Report- Polarized Light
Phase Con Environmental Consultants, LLC Attn: Doug Close
2166 Peregrine Court Customer Project: 1427 Crystal Lake Rd
Grand Junction,CO 81507 Reference#: CBR20083862 Date: 8/27/2020
Analysis and Method
Summary of polarizing light microscopy(PLM/Stereomicroscopy bulls asoestes analysis)using the methods described in 40CFR Part 763
Appendix E to Subpart E(Interim and EPA 600!R-93/116(imp oved). The sample is first viewed with the aid of stereornicroscopy.Numerous
liquid slide preparations are created for analysis under the polarize,microscope where identifications and quantifications are preformed.Calibrated
liquid refractive oils are used as liquid mouting medium.These oils are used for identification(dispersion staining).A calibrated visual estimation is
reported,should any asbestiform mineral be present.Other techniques sJch as acid washing are used in conjugation with refractive oils for
detection of smaller quantities of asbestos.All asbestos percentages are based on calibrated visual estimation traceable to NIST standards for
regulated of asbestos.Traceability to measurement and caibration is achieved by using known amounts and types of asbestos from standards
where analyst and laboratory accuracy are measured. As Ittle as 0.001%asbestos can be detected in favorable samples,while detection in
unfavorable samples may approach the detection limit of 0.50%(well above the laboratory definition of trace).
Discussion
Vermiculite containing samples may have trace amounts of ac:ino!ite-tremolitc,where not fcund be PLM should be analyzed using TEM methods
and/or water separation techniques.Suspected actinolite/vermiculite presence will be indicated through the sample comment section of this report.
Fibrous talc containing samples may even contain a related asbestos fiber known as anthophyllite.Under certain conditions the same fiber may
actually contain both talc and anthophyllite(a phenomenon called intergrowth).Again,TEM detection methods are recommended.CA Labs PLM
report comments will denote suspected amounts of asbestiform anthophyllite with talc,where further analysis is recommended.
Some samples(floor tiles,surfacings,etc.)may contain`fibers too small to be detectable by PLM analysis and should be analyzed by TEM bulk
protocols.
A"trace asbestos"will be reported if the analyst observes far less thar. 1%asbestos.CA Labs defines"trace asbestos"as a few fibers detected
by the analyst in several preparations and will indicate as such tinder these circumstances.
Quantification of<1%will actually be reported as<=1%(allowable variance close to 1%is high).Such results are ideal for point counting,and the
technique is mandatory for friable samples(NESHAP,Nov. 1990 and clarification letter 8 May 1991)under 1%percent asbestos and the"trace
asbestos".In order to make all initial PLM reports issued from CA Labs NESHAP compliant,all<1%asbestos results(except floor tiles)will
be point counted at no additional charge.
Qualifications
CA Labs is accredited by the National Voluntary Accreditation Program (NVLAP)for selected test methods for airborne fiber analysis(TEM),and
for bulk asbestos fiber analysis(PLM).All analysts have a college degree in a natural science(geology,biology,or environmental science)or are
recognized by a state professional board in one these disciplines.Extensive in-house training programs are used to augment education background
of the analyst.The group leader of polarized light has received supplemental McCrone Research training for asbestos identification.This report is
not covered by the scope of AIHA accreditation.Analysis performed at CA Labs,LLC 12232 Industriplex,Suite 32 Baton Rouge,LA 70809.
RECEIVED
12/22/2020
Page 1 of 6 ASPEN
BUILDING DEPARTMENT
CA Labs CA Labs, L.L.C.
12232 Industripiex,Suite 32 NVLAP#200772 0
Dedicated to Baton Rouge,LA 70809 - TDSHS#300370
Quality Phone 225-751-5632 CDPHE#AL-18111
Fax 225-751-5634 LELAP#03069
Overview of Project Sample Material Containing Asbestos
Customer Project: 1427 Crystal Lake Rd CA Labs Project#: CBR20083862
Sample# Layer Analysts Physical Description of Asbestos type l
# Subsample calibrated visual List of Affected Building
estimate percent Material Types
Tan Surfaced White Compound
1 1-1 Tan Surfaced White Compound 2%Chrysotile Pink Surfaced White Compound
2 2-2 White Compound 2%Chrysotile
3 3-2 White Compound 2%Chrysotile
Pink Surfaced White
6 6-1 Compound .-1%Chrysotile
Glossary of abbreviations(non-asbestos fibers and non-fibrous minerals):
ca-carbonate pe-perlite fg•fiberglass pa-palygorskite(clay)
gypsum-gypsum qu-quartz mw-mineral wool
bi-binder wo-wollasti�ite
or-organic to-tal.
ma-matrix sy•synthetic
mi-mica co-cellulose
ve-vermiculite Sr-bruute
of-other ka-kao,in(clay)
This report relates to the items tested.This report is not to be used by the customer to claim product certification,approval or endorsement by NVLAP,NIST,AIHA LAP,LLC,or any other agency of
the federal government.This report may not be reproduced except in full without written permission from CA Lats.These results are submitted pursuant to CA Labs'current terms and sale,condition
of sale,including the company's standard warranty and limitations of liability provisions and 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,CA Labs will sloe the samples for a period of ninety(90)days before discarding.A shipping or handling fee may be assessed for the
return of any samples.
RECEIVED
12/22/2020
Page 2 of 6 ASPEN
BUILDING DEPARTMENT
CA Labs, L.L.C.
CA Labs 12232 Industriplex,Suite 32 NVLAP#200772-0
Dedicated to Baton Rouge,LA 70809 - --.- TDSHS#300370
Quality Phone 225-751-5632 CDPHE#AL-18111
Fax 225-751-5634 LELAP#03069
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Doug Close Customer Project: CA Labs Project#:
Phase Con Environmental Consultants, LLC CBR20083862
2166 Peregrine Court 1427 Crystal Lake Rd
Grand Junction,CO 81507 Date: 8/27/2020
Turnaround Time: 24 hr Samples Received: 8/27/2020
Phone# 970-241-6480 Date Of Sampling:
Fax# 970-241-6584 Purchase Order#:
Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent !percent
us estimate percent
Y.'N)
98%qu, mi, ma,
1 1-1 Tan Surfaced White Compound N 2% Chrysotile bi,ca
1-2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
2 2-1 Brown Woven Covering Y None Detected 100%ce
98%qu, mi,ma,
2-2 White Compound Y' 2%Chrysotile ca
2-3 White Drywall with Paper N None Detected 10%ce 90%qu,gy
3 3-1 Brown Woven Covering Y' None Detected 100%ce
98%qu, mi,ma,
3-2 White Compound Y 2% Chrysotile ca
Analysis Method:Intern)(40CFR Part 763 App idle E to Suopsrt E)-Improved(EPA-600!R-93/1161
Preparation Method:HCL acid washing tot carbonate oast.d samples,chemical reduction,for organically bound components,oil immersion for
identification of asbestos types by cisparsion attaining becke line method.
ca -carbonate mi•mica to-fiberglass ce-cellulose
gypsum-gypsum ve-vermiculite mw-minera.wool or-brucite
bi-binder or-ether ma mcllasti rite ka-kaolin(clay)
or-organic pe-perlite to talc pa-palygorskite(clay) Approved Signatories:
ma-matrix qu-grar:z sy-synthetic
i •
Sidney Pinkerton Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
1.Fire Damage significant!be,damage-reported percentages reflect unaltered fiber; 6.Ant eery Ste,v association with cibrous-laic
2.Fire Damage no significant fiber damages effecting fibrous percentages r.Conk r.ntrtion suspected from otner building materials
3.Actinolite in association%nth Vermiculite 6.Favorable scenario for waver separator on vermiculite for possible analysis by another method
4.Layer not analyzed•attached to previous positive layer and contamination is suspected 9. .,1%Result point counted positive
5.Not enough sample to analyze i e.TE'a-a ysis suggested
RECEIVED
12/22/2020
Page 3 of S ASPEN
BUILDING DEPARTMENT
CA Labs CA Labs, L.L.C.
12232 Industriplex,Suite 32 NVLAP#200772-0
Dedicated to Baton Rouge,LA 70809 ,T' TDSHS#300370
Quality Phone 225-751-5632 CDPHE#AL-18111
Fax 225-751-5634 LELAP#03069
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Doug Close Customer Project: CA Labs Project#:
Phase Con Environmental Consultants, LLC CBR20083862
2166 Peregrine Court 1 427 Crystal Lake Rd
Grand Junction,CO 81507 Date: 8/27/2020
Tt rnaround Time: 24 hr Samples Received: 8/27/2020
Phone# 970-241-6480 Date Of Sampling:
Fax# 970-241-6584 Purchase Order#:
Sample# Corn Layer Analysts Physical Description of Hc:mo- Asbestos type! Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent !percent
us estimate percent
Y'Nj
3-3 White Drywall with Paper N None Detected 10%ce 90%qu,gy
Pink Surfaced White 100%qu, mi. ma,
4 4-1 Compound Al None Detected bi,ca
4-2 White Drywall with Paper N None Detected 10%ce 90%qu, gy
Pink Surfaced White 100%qu, mi, ma,
5 5-1 Compound N None Detected bi,ca
5-2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
Pink Surfaced White 100%qu, mi,ma,
6 6-1 Compound N <1% Chrysolite bi,ca
6-2 White Drywall with Paper N None Detected 10%ce 90%qu, gy
Analysis Method:Inter m(4CCCR Part 763 App:radix E to Suboait E),Improved(EPA-600/R-93/116'.
Preparation Method:HCL acid washing for carbonate pastel samples.chemical r ducttor tor organically bound components,oil immersion for
identification of asbestos types by dispersion attaining:becke lice method.
ca -carbonate mi-mica Ni tiborglass ce-cellulose
gypsum-gypsum ve-vermiculite now-mineral woe! br-brucite
bi-binder of-other wo•woitaatinite ha-ke,olin(clay)
or-organic pe-penile la•talc pa-palygorskite(clay) Approved Signatories:
ma-matrix qu gcarrtz sy-synthetic
Sidney Pinkerton Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
I.Fire Damage significant fiber damage reported percentages reflect unaltered ribras 3 Antncony roe.n asrroclatioowitn Fibrous Talc
2.I-ire Damage no significant hoer damages effecting fibrous percentages '.Ca itaina-aeon weaseled'rem other building materials
3.Actinolite in association with Ve•micutte -i.Favorable scenari0 for waver separation on vermiculite for possible analysis by another metrod
4.Layer not analyzed attached to previous positive layer and contamination is suspected point counted positive
5.Not enough sample to analyze !C. FA';•a vs.5 suggested
RECEIVED
12/22/2020
Page 4 of 6 ASPEN
BUILDING DEPARTMENT
CA Labs, L.L.C.
CA Labs 12232 /ndustriplex,Suite 32 NVLAP#200772-0
Dedicated to Baton Rouge,LA 70809 TDSHS#300370
Quality Phone 225-751-5632 CDPHE#AL-18111
Fax 225-751-5634 LELAP#03069
Polarized Light Asbestiforrn Materials Characterization
Customer Info: Attn: Doug Close Customer Project: CA Labs Project#:
Phase Con Environmental Consultants, LLC CBR20083862
2166 Peregrine Court 1 427 Crystal Lake Rd
Grand Junction,CO 81507 Date: 8/27/2020
TLrnaround Time: 24 hr Samples Received: 8/27/2020
Phone# 970-241-6480 Date Of Sampling:
Fax# 970-241-6584 Purchase Order#:
Sample# Corn Layer Analysts Physical Description of Horno- Asbestos type/ Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent /percent
us estimate percent
iY,N)
7 7-1 Tan Surfaced White Compound N None Detected 100%qu,bi
7-2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
White Surfaced White 100%qu, mi, ma,
8 8-1 Compound N None Detected bi,ca
8-2 White Drywall with Paper N None Detected 10%ce 90%qu, gy
White Surfaced White 100%qu, mi, ma,
9 9-1 Compound N None Detected bi,ca
9-2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
Analysis Method:Interim 40(",`'R Part 763 Appends E to Suopart E)'Improved(EPA-600/R-93/116)
Preparation Method:HCI.acid washing for carbonate bascd samples.chemical reduction tor organically bound components,oil immersion for
identification of asbestos types by dispersion attaining;becks tine method.
ca -carbonate mr-mica fg-fiberglass ce-cellulose
gypsum-gypsum ve-vermiculite mw-minera'wool br-brucite
bi-binder of-other wo-woifastinite ka-kaolin(clay)
or-organic Pe-aerlite to•talc pa-palygorskite(clay) Approved Signatories:
ma-matrix qu-quartz sy-synthetic
Sidney Pinkerton Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
1.Fire Damage significant fiber damage- reported percentages retied unaltered Ilbers 6.Anthopny de,n assoclal:oi with Fibrous Talc
2.Fire Damage no s.gnilicant tuber damages eflecting fibrous percentages 7.Conlmnlnution suspected'-am other building materials
3.Actinolrte in association with Vermiculite 8.Favorable scenario tar waver separation on vermiculite for possible analysis by another method
4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<Is.Result point counted positive
5.Not enough sample to analyze 10.TEM aru yes suggested
RECEIVED
12/22/2020
Page 5 of 6 ASPEN
BUILDING DEPARTMENT
CA Labs CA Labs, L.L.C. NVLAP#200772-0
12232 Industriplex,Suite 32
Dedicated to Baton Rouge, LA 70809 — TDSHS#300370
Quality Phone 225-751-5632 CDPHE#AL-18111
Fax 225-751-5634 LELAP#03069
Polarized Light Asbesfiform Materials Point Count
Laboratory Analysis Report- Point Count
Analysis and Method
Point counting was performed on a polarized light microscop,with a calibrated reticle according to the revised NESHAP method of November
20, 1990(Federal Register,V.55,N.224, 1 1/20/90). Original asbestos content of bulk materials was determined using procedures outlined in the
interim method(40 CFR part 763,Appendix E to subpart E)and AHERA method(EPA-600/R-93/116). Samples were prepared using HCL acid
washing for carbonate based samples.chemical reduction for organically hound components.oil immersion for identification of asbestos types by
dispersion staining/becke line method.
Qualifications
CA Labs is accredited by the National Voluntary Accreditation Program(NVLAP)lot selected test methods tbr airborne fiber analysis(TEM),
and for bulk asbestos fiber analysis(PLM).All analysts lit ve a colle-ge deg.ee in a natural science(geology,biology,or environmental science)or
are recognized by a state professional board in one of these disc plinzs. Extensive in-house training programs are used to augment education
background of the analyst.The group leader of polarized light has received supplemental McCrone Research training for asbestos identification.
This report is not covered by the scope of NVLAP or AIHA accreditation. Analysis performed at CA Labs,LLC 12232 Industriplex,Suite 32
Baton Rouge,LA 70809.
Customer Info: Attn: Doug Close Customer Project: CA Labs Project#:
Phase Con Environmental Consultants, LLC CBR20083862
2166 Peregrine Court 1427 Crystal Lake Rd
Grand Junction,CO 81507 Date: 8/27/2020
Turnaround Time: 24 hr Samples Received: 8/27/2020
Phone# 970-241-6480 Date Of Sampling:
Fax# 970-241-6584 Purchase Order#:
Sample# Layer Analysts Physical Homo-geneous Point Counted%/
# Description of (YiN) Asbestos Type
Subsample
Pink Surfaced White
6 6-1 Compound iV 0.25% Chryso/Ile
This report relates to the items tested.This report is not to be used by the customer to claim product certification,approval or endorsement by NVLAP,NIST or any other agency of the federal
government.This report may not be reproduced except in full without written pc rmissict from CA Labs.These results are submitted pursuant to CA Labs'current terms and sale,condition of sale.
including the company's standard warranty and limitations of liability provisions and no responsuo lily or iiuo.hty.•a assamed for the manner in which the results are used or interpreted.Unless notified
in writing to return the samples covered by this report.CA Labs will sto-e the samples 1.31a penod cf ninety(90)days before discarding.A shipping or handling tee may be assessed for the return of
any samples.
Approved Signatories:
Sidney Pinkerton Senior Analyst Labo It
Analyst Alicia Stretz C ..`s. L IVE
D
12/22/2020
Page 6 of 6 ASPEN
BUILDING DEPARTMENT
C.A.Labs,LLC. Phone:225-751-5632
Labs12?421ndustl•iplex Fax:225-751-5634
Suite 32 Mobile:225-993-3471
Baton Rouge. i,A "Dt309
Chain of Custody
Client Name: ot•ase Con Errv:mnrnetisi r.a:,s;.u.a.,ti.a-C r CA Labs jab#r CBR •
Client Address: 21oF:N:ecr in.Cr Billing Address: Same
Giant!Junction,CO S1 507 (if different)
-
phone number: ;,.6-260•33:t
fax number: 888-966 0231 Send Reports to: Doughy Close
Project Number: ------ -_-- P oject Name: •14� � a ( LQ t
Reports Results (/ �/
Contact: Dot:cias(Dose _— VIA: EMAIL /� FAX VERBAL
Total#Samples Submitted: I Total# Samples to be Analyzed: 1 lYlate atrix: i
--- --
f j ABnVJate:
Asbestos: pieese call ahead for availability of all rush and/or after hours samples.
TEM 1 TA Time I PEW TA Time Optical/ FAQ TA Time
Circle analyss cm TA rir,.z C.•rcir c:a',,u 1ni TA crn.. 2 hnur Allergen Particle: 2 hour
AHERA 4 hour I imprcved 4 nour tape/bulk/swab 4 hour
EPA Level II 8 hour I Interim 8 hour Cyclex-d cassettes 8 hour
Drinking Water 16 hour \ 16 hour_ Air-a-cell cassettes 16 hour
Wipe 24 hour AI-IEE�" ou, Anderson cultures_ 24 hour
Micro-vac 23 days 2 days Bulk/swab cultures 2 days
NIOSH 7402 3 days Point Count- 3 days Bacteria cultures 3 days
Chatfield Bulk 5 days (NESHAPS) 5 days I PCM:NOSH 7400 5-10 days
Lead: c.te2 X,,;yu una ,.•,k _
Matrix: Paint Chips Soil Air Wipes -1—astewater I Tad)
TA Time: 8 hour ` 1 day i 2 days 1 3 days 5 days I 6-10 days
Sample Information: ___ _ _ _ ___ _
Sample Number: 1 Sample Location: i Sample Date/Time: - Sample Volume(L)]
---- —
_ ----- -- , —— -- 2 /31)i
ldata\wordprd.torms\ChainafCustody.hvp Rev:sia;: 2 3 12 i,: —?age-
I
n /O
Custody Information: �� !700
m
Samples relinquished: 8 (�j i`��_(j Saples received:
411/1
Sig ature Date in'i*nc/, Signature I Da.T
e! re
Samples relinquished: Ssmp:es received:
Signature r Dar: '.,a,e Signature!Date i Time
RECEIVED
12/22/2020
ASPEN
BUILDING DEPARTMENT
Certificates
RECEIVED
12/22/2020
ASPEN
BUILDING DEPARTMENT
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•..•_..-., =_ Certification No.: 2930
••. V `l._ has met the requirements of 25-7-507, C.R.S. and Air Quality Control � . =-
sAti 1. Commission Regulation No. 8, Part B, and is hereby certified by the (i ' ='zt-s$
s'=' state of Colorado in the followingdiscipline:
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ASPEN
BUILDING DEPARTMENT
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/,%Q/ .•00)• . t/ fi: ii. ). .�wJ-.�..tt..✓imo .. .._% a` aI.,2. . ASPEN
BUILDING DEPARTMENT
PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT ��� 1
4410
BUILDING DESCRIPTION FORM - IRC & IBC CITY OF ASPEN
BUILDING CODE INFORMATION
❑ 2015 IRC ❑■ 2015 IBC ❑ 2015 IEBC ❑ Other (Please Explain)
Code Editions (As Adopted and Amended) (As Adopted and Amended) (As Adopted
and Amended)
Fire Sprinkler System I Existing? No I Required? WYNeos I Type ❑ NFPA 13 0 NFPA 13 R ❑ NFPA 13 D
Type Of Construction ■❑ VA 0 VB 0 IV 0 IIIA ❑ IIIB ❑ IIA ❑ IIB 0 IA 0 IB Fire Alarms Installed ■❑ Yes❑ No
Required Special Inspections 0 High-Strength Bolting 0 Epoxy Anchors ❑ Structual Steel Welding
❑ Permanent Micropiles 0 Sprayed Fire-Resistants 0 Other
Energy Code Compliance 0 Prescriptive Table ❑ Other
❑ RESCheck UA Alternative 0 COMCheck UA Alternative
Exterior Energy Use Total Approved On-Site Snowmelt Spa Pool
(Existing + New)
Building Type/ I ❑ A_ ❑■ B ❑ F ❑ E ■❑ R_ I ❑ One Family 0 Two Family
Occupancy Group g ❑ B (A<50) ❑ H_ ❑M ❑ S R
C ❑ I ❑ U C ❑ Townhouse
UNIT DESCRIPTION AS PROPOSED
Gross Area of Building: Gross Area of Unit: ADU BUILDING DESCRIPTION
Occupant Load:
Is there an ADU? 0 Yes
❑■ No
# Stories Above Grade 3 # Stories Below Grade 1 # Living Rooms
Attached Garage Detached Garage Carport # Kitchens
Parking Spaces Parking Spaces Parking Spaces 2 # Full Baths
# Bedrooms 4 # Full Baths 1 Deck Area ° # 3/4 Baths
# 3/4 Baths ° # 1/2 Baths 3 # Bed Baths
# Bedrooms
# Kitchens ° # Wood Fireplaces ° #Other Rooms (List)
# Gas Appliances ° # Gas Logs 1
BUILDING ROOMS AND USES BY LEVEL AS PROPOSED (Include Mechanical & Storage)
Basement BATH W/SHOWER. BEDROOM
Main Level LIVING ROOM
2nd Floor MASTER BATH W/SHOWER,BEDROOM
3rd Floor BATH W/TUB SHOWER, BEDROOM
Additional 4TH FLOOR-BATH W/SHOWER,BEDROOM
Reviewed By: DELVON NEMECHEK Date: 12 22 2020 12 2 2 2 0 0
( CITY OF ASPEN January2018 130 S. GALENA ST I ASPEN, CO 81611j
ADDRESS: 1427 Crystal Lake Rd PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT ��0 1
ip
VALUATION AFFIDAVIT
CITY OF ASPEN
AFFIDAVIT POLICY
All applications for a building permit within the City of Aspen are required to include a certification of
compliance with building permit valuation requirements. The certification must be signed by the property
owner or authorized representative. The following certification shall accompany the application for a permit.
I, the property owner or authorized agent, understand and certify as follows:
City of Aspen Ordinance No. 40, Series of 2016 adopts the 2015 International Residential Code (IRC) and
International Building Code (IBC) with certain amendments. These codes define building valuation as follows:
R108.3 Building permit valuations. Building permit valuation shall include total value of the work for which a
permit is being issued, such as electrical, gas, mechanical, plumbing equipment, and other permanent systems,
including materials and labor.
109.3 Building permit valuations. The applicant for a permit shall provide an estimated permit value at time
of application. Permit valuations shall include total value of work, including materials and labor, for which the
permit is being issued, such as electrical, gas, mechanical, plumbing equipment and permanent systems. If, in
the opinion of the building official, the valuation is underestimated on the application, the permit shall be
denied, unless the applicant can show detailed estimates to meet the approval of the building official. Final
building permit valuation shall be set by the building official.
City policy indicates that permit valuation includes materials and labor for the structure and mechanical,
electrical, plumbing and gas, fire sprinkler and elevator systems and equipment. Permanent systems such as
audio visual, lighting and HVAC controls are included in the total as are expenses directly related to construction
such as equipment rental and contractor fees. Finish materials such as paint, floor coverings, tile, cabinets and
counter tops are included in the permit valuation total.
Costs such as architectural and engineering design fees, landscaping and planting, tap fees, development
mitigation fees, trash removal, and cleaning are not included.
I certify that the permit valuation entered on the permit application for this property complies with the above
valuation requirements. I understand that this document is a public document.
Nancy Ferrillo° �'" "���'— 12 22 2020
Owner Signature: s, as� Date:
Nancy Ferrillo,Mischief in the Mountains,LLC
Owner Printed Name:
or,
Authorized Agent Signature: Date:
Authorized Agent Printed Name:
RECEIVE
12( CITY OF ASPEN January2019 130 S. GALENA ST I ASPEN, CO/81611j
BUILDING DEPARTMENT
1
ADDRESS: 1427 Crystal Lake Rd PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT ,�'�:►�
, 11
ZONING COMPLIANCE VERIFICATION POLICY CITY OF ASPEN
Applicability: All development projects must comply with the City's zoning regulations, including height and
location, and are subject to periodic inspection during construction and a final inspection prior to project
completion. When required by the City's Zoning Officer, certain development projects within the City of Aspen
shall verify height and/or location compliance through submission of a survey report.
Unless otherwise exempted, all commercial, multi-family, lodging, and mixed-use projects proposed within one
foot of the maximum permissible height or within one foot of allowable setbacks shall verify zoning compliance
through this method.
In addition, the Zoning Officer may require this method be used to verify zoning compliance for single-family/
duplex development or other projects where compliance may be in question. Independent of this policy, all
projects must comply with all applicable zoning limitations.
The Zoning Officer will inform the applicant during building permit review if verification will be required.
However, circumstances may require zoning compliance verification of a project which is already underway.
Timing: Height verification should be accomplished at a point of construction when enough roof structure is in
place to accurately measure the structure yet early enough in the process to still make changes if the structure
is too tall. Location verification should be accomplished at a point of construction when the final exterior of the
structure can be accurately measured in relation to setback requirements. Applicants are encouraged to confer
with the Zoning Officer regarding the timing of zoning compliance verification. Applicants are encouraged to
perform their own verification during construction to ensure the building is progressing to plan, including the
height and location of foundation forms prior to concrete pours.
Survey Report: A Colorado Professional Land Surveyor shall describe and depict the height and location of a
structure compared to the dimensions shown on the zoning sheets of the approved building permit plan set. The
City's Zoning Officer can assist in determining which elements of the structure should be measured and if natural
or finished grade should be used.
The report shall include the following information:
1-A brief cover letter with the building permit number, name of the project, name of the owner and general
contractor, with a written description of the measurement methods including date(s) of measurement.
2-For location verification: A plan drawing showing property boundaries, permitted setbacks, building envelope
(if applicable), location of foundation walls, location of the outermost exterior of each structure (inclusive of all
exterior veneer or other exterior treatments), and the location and dimension of each observed measurement.
3-For height verification: Elevation drawing(s) showing the natural or finished grade of the property, maximum
permitted height, building elevations including the nominal roof form (inclusive of the first layer of exterior
sheathing or weatherproofing membrane but excluding all exterior surface treatments such as shakes, shingles,
or other veneer treatments orornamentation), and the location and dimension of each observed mea5ur m r p :£;
Additional roof plans showing location of measurements may be necessary.
( CITY OF ASPEN August 2017 130 S. 12/21 0
GALENA ST I ASPEN, CO 8,161611�
PERMIT NUMBER: ADDRESS: 1427 Crystal Lake Rd
1
COMMUNITY DEVELOPMENT DEPARTMENT �40 1
cip
ZONING COMPLIANCE VERIFICATION POLICY CITY OF PEN
4-Plans and elevations must include height or setback exemption items unique to the building, such as stair/
elevator overruns, utility/mechanical apparatus, hot tubs and spas, and other height or setback exemption items
unique to the project.
5-The report shall include a written description or drawing notes of the benchmarks or control points used to
establish property boundaries, setbacks, building location, building height,and grades for each measurement.
6-All drawings must correlate with the building locations, elevations, and grading/drainage representations in
the approved building permit set.
7-The report must include the signature, date, and stamp of Colorado Professional Land Surveyor who
conducted the field measurements certifying that the field measurements areaccurately represented.
Review and Acceptance of Report: The Zoning Officer shall review the report(s) and either confirm the project
conforms to the dimensions shown on the zoning sheets of the approved building permit plan set and meets
the zoning limitations for the property or shall determine which elements of the project are not in compliance.
The Zoning Officer may request additional information to verify zoning compliance, which may include but is not
limited to additional survey work or a site visit.
All drawings of the survey report must correlate with representations in the approved building permit set for
acceptance. Modifications to field conditions or amendments to the building permit may be required.
A determination of non-compliance shall result in the issuance of a correction notice and possible work
stoppage. Applicants are encouraged to verify zoning compliance as early as reasonably practical in the
construction process to minimize disruption to the construction schedule.
Acknowledgment:
Scott Forsythe
I (contractor name) understand this policy. I agree that this project will
comply with the zoning limitations affecting this parcel and the representations made on the zoning sheets of
the approved building permit plans. I understand that a Certificate of Occupancy will not be issued until this
project complies with all applicableli♦ zoning limitations.
Scott Forsythe DDatleal 0210.12.180656t20r07t00'
Contractor Signature:
Date:
12-18-2020
RECEIV
2/202,0
( CITY OF ASPEN August2017 130 S. GALENA ST I ASPEN, CO 81611j
�*
BUILDING DEPARTMENT