HomeMy WebLinkAbout609 S COLLEGE AVE - SPECIAL INSPECTIONS - 6/15/2018„�rt of
/11"
PI uuitnl;, Dc%c101)intnt & Tt impoit than Str,.icts
Community Development S Neighborhood Services
281 North Colh-Te Avenue
P O Box 580
tort Collins CO 90522 0580
970 416.2740
970 224 6134 fax
fcgoi com
Asbestos Statement Disclosure
Address Pcrmit #
In accordance with the State of Colorado Senate Bill 13-152 property owners applying for a
remodel pt rnnit shall indicate their awareness about their property having been imcpt.cted for
Asbestos Containing Materials (ACMs)
Property owner, please check the appropriate box below ind sign
❑ I do not know if an asbestos inspection has been conducted on this pi opL*
C�-An asbestos inspection h-ts been conducted on this property on or about
❑ e s ec n not been conducted on this property
) a � 4,1�-
eture D ite
Your remodel project may be subject to State and Federal Regulations requiring an inspection
for ACMs Asbestos can be found in these and inany other building materials ceiling tics and
textures vinyl flooi cove, nags and mastic boiler and pipe insulation, heating and cooling duct
insulation roofing products and clapboard shingles etc
Foi more information about Asbestos please contact
Asbestos Compliance Assistance Group
Phone (303) 692-3100
H7 P /Ai mi, colorado eov/cdphelasbestos