HomeMy WebLinkAbout123 N College Ave - Special Inspections/Field Verification - 07/03/2019Planning, Development & Transportation Services
City ®� Community Development & Neighborhood Services
281 North College Avenue
®r tt 6 Collins P.O. Box 580
Fort Collins, CO 80522.0580
970.416.2740
970.224.6134- fax
fcgov.com
Asbestos Statement Disclosure
123 N College Ave, FTC CO 80524
Address
Permit #
In accordance with the State of Colorado Senate Bill 13-15Z property owners, applying for a
remodel permit, shall indicate 'their awareness about their property having been inspected for
Asbestos Containing Materials (ACMs).
Property owner, please check the appropriate box below and sign:
❑ I do not know if an asbestos inspection has been conducted on this property.
® An asbestos inspection has been conducted on this property on or about
05/13/2019
❑ An asbestos inspection has not been conducted on this property.
07/03/2019
Sig re Date
Your remodel project nlay be subject to State and Federal Regulations requiring an inspection
for ACMs. 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, roofing products and clapboard shingles, etc.
For more information about Asbestos, please contact
Asbestos Compliance Assistance Group
Phone: (303) 692-3100
HTTP:Ilwww. colorado.gov/cdphe/asbestos