HomeMy WebLinkAbout4745 Venturi Ln - Special Inspections/Field Verification - 08/23/2018-----------��.T—_ _ --___— annbrw, a obi wcLl &_.LraI►"p.0.11aliitt►
City of Community Development S Neighborhood Services
o { 281 North College Avenue
P.O. Box580
Fort Collins, CO 80522.0580
970.416.2740
970.224.6134-faz
,fcgov.com
Asbestos Statement Disclosure
4 A6 4 z�
Address
Permit #
In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
remodel permit, shall indicate their awareness about their property, having been inspected for
Asbestos Containing Materials (AGMs).
Property owner, please check the appropriate box below and sign:
❑ I not know if an asbestos inspection has been conducted on this property.
An asbestos inspection has been conducted on s property on or about
asbestos inspection has not been conducted on this property.
.ttu Date
Your remodel project may be subject to State and Federal Regulatioyis requiring an inspection
for ACAIs. Asbestos can be found in these and many other building materials: ceiling tiles and
textures, vinyl floor coverings and mastic, boiler and pipe insulation, heating and cooling duct
insulation, roofingproducts and clapboard shingles, etc.
For more information about Asbestos, please contact
Asbestos Compliance Assistance Group
Phone: (303) 692-3100
H7TR %www.eolorado.j-oviedc�he/asbestos