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HomeMy WebLinkAbout424 E STUART ST - SPECIAL INSPECTIONS - 3/27/2019Planning, Development & Transportation Services Ci f of Commnni De dopmmt& noa ekbborhosenim 281 North College Avenue &t thus r_o_BOX 58o Fort Collins, CO 80599.0580 / 970.416.2740 970.224.6134- fax fcgoxcom Asbestos Statement Disclosure 424 E. Stuart Fort Collins, Co 80525 Address 13116S 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. El An asbestos inspection has been conducted on this property on or about About 2-15-201.9 - abatement scheduled for 4-15-2019 ❑ An asbestos inspection has not been conducted on this property. 7�� ©, On behalf of Chris Serbousek 3-27-2019 Signature Call or verification if neeTe-21 Date 303-419-6781 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 products and clapboard shingles, etc. For more information about Asbestos or forms, please contact: Asbestos Compliance Assistance Group Toll Free: 1-800-886-7689 Phone: (303) 692-3100 https.•Ilwww.colorado.zovlpacific/sites/default/files/AP ASB-RenovationDemolition.ndf https.11www. colorado.gov/cdphe/asbestos Email address: cdphe.asbestos(i�state.co.us