HomeMy WebLinkAbout3500 John F Kennedy Pkwy - Special Inspections/Field Verification - 07/24/2018Planning, Development S "Transportation Services
City ®f Community Development S Neighborhood Services
1 c �} 281 North College Avenue
F6r6 Collin s P.O.Box :80
Cori Collins, CO 80522A580
970A 162740
970.224.6134- fax
fcgov.com
Asbestos Statement Disclosure
Address Permit #
In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
remodel permit, shall indicate their aivareness about their property having been inspected for
Asbestos Containing Materials (ACMs).
Property owner, please check the appropriate box below and sign:
❑ I do not ]glow if an asbestos inspection has been conducted on this property.
tro
en conducted on this property on or about
..t? Zo l�
❑ An asbestos inspect ion has not been conducted on this property.
Signature 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, Treating 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
HUR-11immcolorado.govfcdphe/asbestos.