HomeMy WebLinkAbout6464 S College Ave - Affidavits/Owner Agent - 05/04/2011FFa t Collins
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Commnnity.Developmerrt & Neighborhood Services:.
PO Box,W— 28i.N,CaliegepAye,
Fort Collins CO 80522
t� 970-22167fi0 `Phone 970.224:6134 Fax
BUILDING OWNER AFFIDAVIT
. as owner(s)� of record' of the property
located'at Fort Collins, Colorado, hereby declare and attest to tM—following:,
:.
RESIDENTL4L BUILDING OWNER i x
p This is, a residential project, ,which is, not, myrprimaryyesidence ,for which` he total: construction value ofall.work
k,including:electrlc, plumbing. and :mechanical trades,does not.exceed $5,000 for any one such building or,collectively
exceed $10,000 for all such buildings combined within any twelve month period and; is considered ' Minor Alterations
and Repairs" *(see definition below).
I am `acting on my befialf�f&r ie purpose'bf obtaining'a'building'permif for minor alteratlons to'the buildi g° referenced above I
am/we are persoinally perfoeMiing;all of the -work a's allowedby Cityof Fort Collins code,and as approved on, permit
# I understand that all work related to electrical, plumbing, HVAG,, gas piping_and fire
extinguishing systems must be performed by a City of Fort Collins licensed subcontractor and that this work cannot
commence until the ON of Fort.Collins Neighborhood & Building Services department is notified of. the subcontractor.
❑ I understand that I maybe asked to provide the City of,Fort Collins with a copy of the bids from all
subcontractors -that will be involved in any alterations to fhis project
COMMERCLU BUILDING OWNER
his is a commercial project for which: the total construction value -of all work including electric, plumbing! and
mechanical trades does not exceed $5,000 for any one such building or collectively exceed $10,000 for all such
buildings combined within any twelve month;,period, and is considered "Minor Alterations and Repairs" * (see definition
below).
I am acting on my.behalf for the purpose of`obbining aibuilding permit for minor alterations to the building referenced above. I
am are personally p y performing all of the work as allowed by City of Fort Collins and as approved on permit
# I know that the labor, material and profit of the permit cannot exceed $5,000. I understand ,
that all work related_ to. electrical, plumbmg,, HVAC gas p'ping and fied4xtinguishing systems must be performed by
--a City of. Fort Collinsiicensed subcontractor and that thiswork cannot commence -until -the; City` -of Fort Collins,,Neighborhood &
,.:Building.Services,department,is=notifieda.of
❑ I understand that I cannota//ow the tenant to.do the workfor which this permit is issued.
Y
❑ I understand that I maybe asked to provide the City of Fort Collins with a copy of the bids from all
subcontractors-thatwii/be b7volved4fl any :a/feradOns<to,this.project
❑ I understand that payment offees.orcompensationfor, the above work,.to any person who 'is -not in my.-
employ as described by Colorado law, constitutes a "construction contract" and violates the Contractor license
provisions of the Fort,Collins Code and will result in. revocation; of the above permit, forfeiture of fees and a court
summons.
*Definition of Minor Alterations and Repairs - constructs repair or demolish (a), detached structures such as she/ter., storage
sheds, playhouses, greenhouses and gazebos, and (b) unenciosed structures such 'as open carports, patio covers, open porches
and decks: Any such work is further limited to one-story_ building or structures notexceeding two hundred (200) square feet in
floor area�and which contain'occupandes l/mited to Mosb classified by the building code as Group R, bi�ision 3; 'Group S, Divisions
i and 2 • and Group U other than private garages
This Affidavit was acknowledged before
Witness my hand and official seal
Building'Owner
�f l by Flume s�
Date �� Name
My commission expires6-7/iel;p��
'My"'COMMISSION EXPIRES;
Julf ;48.
Notary Public