HomeMy WebLinkAbout1415 Blue Spruce Dr - Special Inspections/Field Verification - 03/15/2018Planning, Development S 1'ransportaIion Seri -ices
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Community Development &- Neighborhoud Services
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291 North College Avenue
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P.O. Box 590
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Port Collins, CO 80522.0580
970.416.2740
970.224.6134- Fax
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Asbestos Statement Disclosure
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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
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❑ An asbestos inspection has not been conducted on this property.
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Signat Date
Your remodel project may 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 prodticts and clapboard shingles, etc.
For more information about Asbestos, please contact
Asbestos Compliance Assistance Group
Phone: (303) 692-3100
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