HomeMy WebLinkAbout1526 Oakridge Dr - Special Inspections/Field Verification - 04/06/2017Planning, Development & Transporl:ation Services
Communily Development &- Neighborhood Services'
281 North Co11cge Avenue
P.O. Box 58o
Port Collins, CO 90522.0580
970.4161740
970.224.6134- fax
tceor.com
Asbestos Statement Disclosure
15a6 0 rl'►^Ir✓ic
Address LI
1701785
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.
U9 An asbestos inspection has been conducted on this property on or about
a/ a3/)7-
❑ An asbestos inspection has not been conducted on this property.
Sign:atu Date
Your remodel project may be subject to State and Federal Regulations requiring an inspection
for ACA1s. 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 i furmation about Asbestos, please contact
Asbestos Compliance Assistance Group
Phone: (303) 692-3100
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