Planning, Development & Transportation Services
Community Development & Neighborhood Services
281 North College Avenue
P.O. Box 580
Fort Collins, CO 80522.0580
970.416.2740
970.224.6134- fax
fcgov.com
Short Term Rental Self-Inspection Form
Address: Date _
Each sleeping room/area is provided with a window or a door to the exterior for
emergency escape, that provides a clear opening of at least 720 square inches, sill
height 4ft maximum, and is in good working order
All exterior windows are provided with insect screens
Each sleeping room/area is provided with a smoke alarm
Carbon monoxide detector(s) are installed within 15 feet of any sleeping room/area
All interior and exterior stairs are structurally sound and free of trip hazards
All deck guardrails and stair handrails are firmly attached and capable of supporting
imposed loads and free of defects
All bathroom outlets are Ground Fault Circuit Interrupter (GFCI) protected
All occupied rooms are provided with working electrical outlets and lighting fixtures
without the need for extension cords or extended power strips
All plumbing fixtures provide sufficient hot and cold water
All sidewalks are free of defects and trip hazards
Heating system is in sound working order
Water heating system is in sound working order
Final approvals, inspections have passed, and supporting documents have been received for
any work performed requiring a building permit
I hereby certify under penalty of perjury pursuant to the laws of the State of Colorado that
the above items have been checked and were found to be in good working order.
Owner:
(Print) (Signature)
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