## Transmitta l o f

Omah aLea dSite Pain t Stabilizatio n Fil e Folde r
Sai d#_^;?3^aZ

_Date : ^" ^ ~ ^ ^ Address : 3<9' 7 A j V / S^ f Contractor : Cit v o f

Omah aYear : ^ O ^ O 

## Pain t Stabilizatio n Propert y Fil e Folde r Document s _j/wor k Writ e U p ^•^^igne dAcces s Agreemen t fo r

subjec t propert y Pre-Renovation for msignedby Propert y Owne r Pre-Renovation For mfo r

Occupant/Tenant , ifapplicabl e Lx-^aintin g Agreement'Cit y o f

Omah aPurchas e Orde r Settlemen t documents (i.e. , fo r

damag e o r

t

o replac e plants , etc. ) Renovation Recordkeepin g Checklis t signe db y Certifie dRenovato r ^^Propert y informatio n fro mDougla s Count y Assessor' s Offic e i : l Othe r

(describe) : iho-h S •

Cit y of Omah aRepresentativ e Signatur e Dat e
EP A Representativ e Signatur e ( Dat e 3026247 5 

# inm i Superfun d

# CIT Y O F OMAH A PURCHASIN G - ROO M 100 3 

### Purchas e Orde r 181 9 FARNA M STREE T ' REVISIO N PAG E OMAHA , N E 68183-100 3 PURCHAS E ORDE R NO . 116679 8 0 1 FAX # 402-444-542 3 SHI P TO : CITY 01 = OMAH A HOUSIN G & COM M DE V R M #111 1 181 9 FARNA M STREE T OMAHA,N E 6818 3 RO N BEL L BRUS H & LADDER S VENDOR : > : - < BIL L TO :

CITY O F OMAH A FINANC E 50 5 LARAMI E C R PAPILLION , N E 68046 ~ DISBURSEMENT S ROO M #100 7 181 9 FARNA M STREE T OMAHA.N E 6818 3 ORIGINA L PURCHAS E ORDE R • VENDOR' S COP Y (SE E INSTRUCTION S BELOW ) CUSTOME R ACCOUN T NO . VENDO R NO . DAT E O F ORDER / BUYE R REVISE D DATE//BUYE R 9993 7 23-JUN-1 0 H HUR T PAYMEN T TERM S SHI P VI A F.O.B .

IMMEDIAT E DESTINATIO N FREIGHTTERM S REQUESTOR/DELIVE R TQ- . CONFIR M T O / TELEPHON E MARUCA , T MARI E (Vij ^ ' (402)515-292 6 > < ITE M PAR T NUMBE R / DESCRIPTIO N DELIVER Y DAT E QUANTIT Y UNI T UNITPRIC E EXTENSIO N Al l price s an d amount s o n thi s orde r ar e expres s 5 d i n : U S Dol'a r NEEDED : 1,290.0 0 N 24-JUN-1 0 EP APAIN T STABILIZATIOf J PROGRA M GROU P 13 7 32 7 f l . 4iS T S T O SHI P TO : Addres s a t to p o f pag e NEEDED: ' 625.0 0 N 24-JUN-l O EP APAIN T STABILIZATIO N PROGRA M GROU P 13 7 4316 i BUR T S T o SHI P TO : Addres s a t to p o f pap e

SHIPTO : Addres s shew n above . I f shlpmenli s delaye d o ran y Item s no t available , advis e a t once . Pur ­ chas e orde rnumbe rmus t appea ro n al l invoices , packages , packin g lists , bil l o f lading , an d correspondence . 

### Tota l ( ^-9^5.00 ) SHIPPIN G CHARGE S T O B E PREPAID , I F APPLICABL E AN D ADDE D T O INVOICED , cop y t o b e fur ­ nishe d wit h Invoice . TA X EXEMPTION : Th e City o f Omah a I s exemp t fro m Federa l Excis e Taxe s an d th e Nebrask a an d City o f Omah a Sale s Taxes . Federa l I.D . 476006304 ; STAT E I.D . 01-0316768 ; Fue l Dealer s Uc : 91-0316768 . Cll y Purchasin g Agent ) Buye rPlamiin g Departmen t

• Omaha/Dougla s Civi c Cente r Inspector : Stev e Zivn y 181 9 Farna mStreet . Suit e 100 3 Date : 5/12/1 0 Omaha , Nebrask a6818 3 (402 ) 444-515 0 Telefa x (402 ) 546-0714 ' 

## Name : Jaso n M Caske y & Kirste%.£^eij(gh,„, , RA . RSAM E 

## jSfi^Mto r Address : 327 N 4 1 S t

Stree t OMAH A EXTERIO RPAIN T STABILIZATIO N PROGRAM FO RTH E EP A OMAH A LEAD SIT E The Contract biddocument s consis t ofth e followin g sections : •General Responsibilitie s for th e Contracto r an dOccupant . •LeadHazar dContro l Plan , Interi mContro l o f Lea dBase dPain t Hazards . 

### The Contracto r

Shall : •Compl y wit h HUD' s "Guideline s fo r th e Evaluatio n an dContro l o f Lead-Base d Pain t Hazard s i n Housing. " (Copie s ar e availabl e a t th e Plarmin g Department. ) ' •Compl y with Standard s calle dfo r in th e "Constructio n an dRehabilitatio n Specifications , Housin g an dCommunity Developmen t Division , Cit y o f Omaha , Nebraska. " (Copie s ar e availabl e a t th e Plannin g Department. ) •Compl y wit h th e Stat e ofNebrask aHealt h an dHuma n Service s Regulatio n an d Licensure , Titl e 17 8 Chapte r 2 3 LeadBas e Pain t Regulations . •Coordinat e dail y constructio n schedul e wit h th e occupan t •Submi t informatio n cu t sheet s for al l substitution s o r approve dequal s prio r t o writte n approval o f th e Constructio n Specialist.

­ • • Repai r b r replac e al l item s damage do r disturbe ddurin g pain t stabilizatio n activities . •Kee p wor k

sit e an dsurrounditi g are afre e fromaccumulation s o f waste material s o r

rubbis h cause db y th e wor k

a

t al l times . •Upondail y completio n o f work : clea n u p al l mbbish , exces s material , equipment , an detc. , that i s connecte dwit h th e work , an dleav e al l part s ofth e wor k

area s i n a neat , Siihitary , leadsaf e an dpresentabl e condition . •Complet e thi s projec t withi n 3 0 calenda r days

Th e Occupant/Owne r Shal l •Remov e an dstore away'an y persona l property Withi n twent y (20 ) feet ofth e are a t o b e remediated . •Provid e acces s to electricity an dwater throughou t th e pain t stabilizatio n process . •Ensur e tha t al l househol dmember s sta y at leas t te n fee t awa y fro mal l wor k

area s an dals o kee p al l .pet s at leas t te n feet away a t al l time s unti l th e wor k

ha s bee n complete dan dth e are aha s passe davisual inspection . Initial s

### 32 7 N 4ls t Stree t (Continued ) 

## Lea dHazar dContro l Plan Interi mControl of Lea dbasedPain t Hazard s Pain t Stabilizatio n •Stabiliz e all previousl y paintedexterio r

wood , brick , metal , concret e surface s ofth e dwelling to includ e bu t not limite d

to th e siding , fascia , eaves , trim , window trim , shutters , gutters , railings , downspouts , doo r

tri m an dfoundation . DO NO T INCLUD E WINDOW S ORMA N DOORS . • Prepar e an dpain t al l previousl y paintedsurface s by followin g th e Saf e Wor k

Practice s protoco l fo r

EP A exterio r

lea dbase dpain t stabilization . • Al l pain t color s to matc h existing pain tpattern . Prim e an dappl y tw o • coats of approve dfinish coat . (Refe r to Planning Dept . approve dpain t hst) . • IF SPRAYED , ON E COA T SHAL L

BE BACK-BRUSHE DOR BACK-ROLLED . 

### Lea dBase dPain t Wast e Lead-base dpain t wast e mus t be handle d as follow s •Al l pain t chip s an dcomponen t debri s must be doubl e bagge dfo r

disposal . •Clea n pain t chip s from groun daroun dperimete r of dwellin g befor e starting , during an dafte r

th e project . •Al l lea dpainte dcomponents an ddebri s must be remove dfro mth e sit e dail y unles s otherwis e approved by th e construction specialist . •Al l lead^base dpain t debri s (chip s an dcomponents ) must be dispose d

of in amunicipa l soli dwast e landfill. , :^|i^«

- Dat e 

# Sfn/^ o Dat e Witnes sDat e ipan appnca b Occupan t t (i

(if

f

applicable )Dat e 

# S[ii-7ni/ o fable )Dat e

### Exterio r Lead-base dPairi t Stabilizatio n Progra mManage db y th e Cit y p f Omah afo r EP A Regio n 7 Omah aLea dSit e Th e purpos e o f

thi s progra mi s t o preven t yard s wher e lead-contaminatedsoil i s cleane d u

p fro mbecomin g re-contaminatedb y deteriorating exterio r

lead-base dpaint . Thi s i s no t ahom e repai r program . Whic h Home s Ar e Eligible ? •Home s wher e soil clean-u p ha s bee n o r

wil l be don e an da n EP A contracto r

has identifie ddeteriorating exterior leadrbasedpaint . •Home s ar e eligibl e onl y by referra l fro mth e EPA . Wha t wor k

wil l b e done ? •

. • Loos e an d flaking lead-basedpaint wil f

be remove dsafel y fro mfascia , eaves , siding , trim , window trim , doo r

tri man dfoundation . •Surface s wil l b e prime dan dpaintedt o matc h existing pain t colo r

a s closel y a s possible . Wha t wil l notb e done ? • . Surface s whic h hav e n o pain t wil l no t b e treated . •Window s o r

door s will not be included . •Rotte n ^yoo dwil l not be replaced . •N o housin g repai r

wil l b e done . Wh o wil l perfor mth e work ? •EP A contractor s wil l tes t pain t o

n exterio r

hous e surface s an dgiv e the results t o th

e Cit y o f

Omah aPain t Stabilization Program . • Cit y Construction Specialist s wil l prepar e awor k

pla n an dcontact the propert y owne r

fo r

permission t o proceed . • Wor k

wil l be competitivel y bi db y approved , trainedcontractors . Whe n wil l th e wor k

be done ? •Thi s progra mbega n i n 2007 an dwill continue fo r

severa l years . • Th e Cit y staf f

will prioritiz e home s base do n the presenc e o f

childre n unde r

age si

x if know n an dth e severit y o f

th e problem . Pain t Stabilization i s voluntary an dwil l be don e onl y wit h permissior i ofth e owner . Initial s fc;gU

## Xjmd ^Cohsen t fo r Acces s t o Propert y RIGH T O F ENTRY T O PREMISE S Granto r (th e propert y owner ) consent s t o an dauthorize s th e Unite dState s Environmental Protectio n Agenc y (USEPA ) o r it s authorize drepresentatives , collectivel y th e Grantee , t o ente r an dperfor m certai n environmental resporis e activitie s upo n th e followin g describe dpremises : Owner' s Name : Davtime Phone : Owne r Name(s) : Jaso n M Caske y & Kirste n Caske y 502-986 5

Addresse s o f Propertie s Covere dby thi s Agreement Propert y Addres s City/State/Zi p Cod e 32 7 N . 41s t St . Omaha , N E 6813 1

- , Granto r understand s that thi s grant doe s no t limi t EPA' s righ t o f acces s unde r th e Comprehensiv e Environmenta l Respons e an dLiabilitv Ac t fCERCLA l 4 2 USC . & 9601-9675 . or anv other law . PURPOS E O F ACCES S Th e purpos e o f th e respons e actio n i s t o stabiliz e loos e o r flaking exterio r lead-base dpain t o n residentia l properties , includin g day-care facilities , where remediatio n o f lea dcoiitaminate dsoi l ha s o r

wil l tak e place . Samplin g o f soi l ma y b e conducted . Thi s consen t shal l allo w Grante e ont o Grantor' s property an dfiuther, provide s th e Grante e th e righ t t o perfor many an dal l environmental respons e action s an dactivitie s i t deem s appropriate . ENVIRONMENTA L RESPONS E ACTION S Th e environmenta l respons e action s t o b e performe do n subjec t propert y ma y includ e th e followin g activities : 1 .Locatin g equipmen t and/o r machiner y o n subjec t property i n preparatio n fo r an di n th e cours e o f th e respoiis e activities . 2 . Obtainin g sample s fro mGrantor' s property ;

2/12/200 7 (1 )Address : 32 7 N . 41s t St . Consen t for Acces s t o Propert y ("Pag e 2 ) 3 . Plarmin g an dimplementin g th e respons e actio n o n th e Grantor' s property . Thi s wil l includ e -1 ) removal o f loos e o r flaking pain t identifie dby EP A usin g lead-saf e method s i n complianc e wdt h HUD/EPA regulation s and2 ) repaintm g accordin g t o th e attache dspecifications . TERM Thi s acces s agreemen t shal l b e operabl e fo r th e perio do f time i t take s t o complete th e envirorunental respons e activities . Upo n completio n o f th e respons e actions , al l right s an d privilege s give n b y th e Graritor shal l ceas e o n tha t date , unles s extende db y asubsequen t agreement . AGREEMEN T NO T T O INTERFER E Granto r agree s no t t o interfer e wit h an y o f th e activitie s undertake n b y Grante e a t th e Property , tampe r wit h an y o f Grantee' s property , o r tak e an y action s regardin g th e us e ofth e Propert y whic h wil l endange r human healt h or welfar e o r th e environment , or allo w other s t o us e th e Propert y i n suc h manne r durin g th e ter mo f thi s consent . Granto r agree s to provid e notic e an dacop y o f thi s agreemen t t o prospectiv e purchasers , lessees , assigns , o r grantee s o f th e property o r any portio n o f it . Granto r agree s t o provid e 30-da y notic e to EPA prio r t o an y transfer o f ownershi p right s t o th e property . SAMPLIN G RESULT S Grante e agree s t o provid e Granto r wit h th e result s o f an y an dal l samplin g and/o r analysi s resultin g fromGrantee' s respons e attivitie s o n th e property . PRIO RCONDITION S AGREEMEN T Th e granto r agree s t o th e conditio n ofth e property prio r t o remediatio n an dindicate s o n Pag e 3 any item s t o b e remove db y th e Granto r before activitie s commence . RESTORATIO N O F PROPERT Y Excep t fo r th e abov e state dpain t stabilization , th e Grante e agree s tha t sai dproperty wil l b e restore d a s nearl y a s possibl e to it s origina l stat e an dconditio n a s foundimmediatel y precedin g th e beginnin g o f activitie s authorize db y thi s Agreement , followin g completio n o f th e respons e activities .

2/12/200 7 (2 )Address : 32 7 N . 41s t St . , Omaha , NE , 6813 1 CURREN T CONDITIO N / PROPOSE D RESPONS E ACTIVITIE S Th e purpos e o f thi s sectio n i s t o provid e amutual agreemen t a s t o condition s o f propert y prio r to contracto r activities . Thi s wil l als o serv e a s documentatio n fo r th e purpos e o f assurin g tha t restoratio n activitie s are complete dto th e satisfactio n o f th e property owne r an dth e Unite dState s Environmenta l Protectio n Agenc y (EPA) . Item s t o b e remove db v propertv owner prio r t o th e respons e activities : 1 . * 

### 2 . 3 . 4 . .

5 . ' • • • Item s NO T t o b e remove db y contracto r durin g removal activities : 

## 1 . flfUliVe^^ Nn ^ ^ i ^ lurviJ^ ' 2 . 3 . 4 . 5 . ADDITIONA L COMMENTS :

• I hav e rea dth e foregoin g documen t an dunderstan dthat i t i s a n agreemen t grantin g permissio n t o th e Grante e t o enter th e abov e describe dpremise s fo r th e purpos e o f conductin g environmental respons e activities , an dI agre e t o it s term s an dconditions . I acknowledg e that I hav e receive d the . pamphle t "Renovat e Right" . Grantor' s Signature : 

## [^aG(Al^gVV..^^ ^ Dat e ^If//C) .

(3 ) 2/12/200 7

### Dougla s Count y Accoim t Information Pag e 1 of 3 Dougla s County , Nebrask a Propert y Recor d - R161417000 0 Prin t Repor t NE W Featur e - Parce l Dimention s availabl e A scal e 0-S O f t wes t o f 52n d S t - VIe W O H Ma p Informatio n i s vali d a s o f 2010-4- 5 Treasurer' s Ta x Repor t Ne w Featur e ^ . ?> ' 'rl f Aut o Sale s Searc h Owne r CASKE Y JASO N M ETA L 32 7 N 4 1 S T OMAH A N E 68131-000 0 Propert y Informatio n Ke y Numbe r 141 7 000 0 1 6 . Accoun t Type : Residentia l Parce l Number : 161417000 0 Parce l Address : 32 7 N 4 1 S T OMAH A N E 68131-000 0 Lega l Description : L A VET A PLAC E LO T 7 BLOC K1 1/ 2 VA C ALLE Y & 4 0 X 11 6 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $ 5,500.0 0 $ 109,400.0 0 $ 114,900.0 0 200 8 $ 5,500.0 0 $ 109,400.0 0 $ 114,900.0 0 200 7 $ 5,500.0 0 $ 70,900.0 0 $ 76,400.0 0 200 6 $ 5,500.0 0 $ 70,900.0 0 $ 76,400.0 0 200 5 $ 5,500.0 0 $ 48,000.0 0 $ 53,500.0 0 200 4 $ 5,500.0 0 $ 48,000.0 0 , $53,500.0 0 Sale s Informatio n Sale s Date : 2006-10-2 3 Dee d Type : W D Boofr : 200 6 Page : 12341 8 Price : $116,000.0 0 Granto r Shurso n Elle n L Grantee : Caske y Jaso n M eta l Valid/lnvalid : Vali d Exclusio n Reason : .SalesDate : 1997-08-2 8 Dee d Type : D Book : 207 3 Page : 00 6 Price : $ 45,000.0 0 Grantor : 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=Rl6.. . 4/16/201 0Dougla s County Accoun t Informatio n Pag e 2 o f 3
Grantee : Valid/lnvalid : Vali d Exclusio n Reason : Sale s Date : 1993-06-2 6 Dee d Type : Book : 195 7 Page : 67 2 Price : $57,000.0 0 Grantor : Grantee : Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : 1991-05-2 8 Dee d Type : Book : 189 9 Page : 08 2 Price : $25,000.0 0 Grantor : Grantee : Valid/Invalid : Invali d Exclusio n Reason : Invali d Sal e Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0. 1 4640. 0 1. 0 116. 0 40. 0 N o Improvemen t Informatio n Buildin g 1

327N41S T "H|i ; 4 1 If f Fn « Floo r ,.7«4S«»n , ri f S««<MKtFIIM r &2 0 O4q.lt . '» 0 2 1/ 2 STCW Y UNR N V^j^^^-liL . Bwn m Blae k fl * i . iHA... . JM4. 0 iq.« . mes?,"^ " CLIC KT O ENLARG E IMAG E Squar e Footage : 1284. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl6. . . 4/16/201 0

### Dougla s Count y Accoun t Information Pag e 3 of 3

Uni t Type : ' . Conditio r i : Very.Goo d

Buii t As : 2 1/ 2 Stor y Unfi n Cond o Squar e Footage : 0. 0 HVAC ; Centra l Ai rt o Ai r Rooms : 6. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : 1. 5 Roo f Cover : Compositio n Shingl e Bedrooms : 3. 0

Roo f type : Hi p Stories : 2. 5 Floorcover : Allowanc e Foundation : Bloc k Sprinlde rSquar e Footage : 0. 0 yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 190 8 200 6 0 % 195 7 5 3 Detai l Typ e Detai l Descriptio n Unit s Ad d O n Fenc e Woo d 1. 0 Ad d O n Unfinishe d Atti c W/floo r 520. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 545. 0 Fixtur e Bas e Fixture s ^1• P Fixtur e Bat h Ful l 1. 0 Fixtur e Bat h Hal f 1. 0 Porc h Woo d Dec k 36. 0 Porc h Woo d Roo f 130. 0 Use r ML S UPDAT E 1. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountao=R16.. . 4/16/201 0