HomeMy WebLinkAbout3025 Cumberland Ct - Special Inspections/Field Verification - 06/20/2018Planning, evelopment & Transportation Services
CI yof C to 1 c Neighborhood Series
F6rt Collin! p o orth College Avenu
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Fort Collor , CO 80522 0580
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Asbestos Statement Disclosure
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In accordance with the State of Colorado Senate Bill 13-1 S2, 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 bog below and sig
M 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
❑ An asbestos inspection has not been conducted on tlus property
Signature Date
Your remodel project maybe subject to State and Fede i Regulations � requiring an inspection
for ACMs Asbestos can be found in these and many c • building materials ceiling tiles and
textures, vinyl floor coverings and mastic, boiler and 1 - e 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
H7TP www Colorado ov cd he asbestos