HomeMy WebLinkAbout6112 Southridge Greens Blvd - Affidavits/Homeowner - 07/07/2010Cityof Planning Development and Transportation
F} Collins
-- PO Box 580 - - —
` vollins 281 N Cotlege Ave
^ 1 O 0 4 �% 57970
7 Ft Collins CO 80524
n / IL+o J{ L 970 221 6760 phone 970 224 6134 fax
I/we � fl°�U 4111✓A as owner(s) of record of the property located
At �2 o h VldO e 1 Fort Collins Colorado hereby declare and attest
to the following (please check only the one that applies)
❑ 1 am/ we are acting on my/ our behalf for the purpose of obtaining a building permit and personally
constructing my/our home The home to be constructed is on the above property and will be my/our
primary residence I/we have not personally constructed nay other new homes in the Fort Collins
city limits within the past 24-month period
�I. I am/we are acting on my/our behalf for the purpose of obtaining a building permit and personally
constructing an alteration or addition to my/our house The house to be altered is on the above
property and is my/our personal residence
❑ 1 am/we are acting on my/our behalf for the purpose of obtaining a budding permit and personally
constructing a non structural alteration to my/our attached single family dwelling unit The house
to be altered is my/our personal residence I am aware that I/we cannot do any structural
electrical plumbing ore mechanical work and must hire contractors/subcontractors who are
currently licensed and insures with the City of Fort Collins
I am/we are personally g of r o ill be continuously supervising unpaid volunteers
The work is directly rel d t�i o t11 fin Uhqjabove referenced home which is described more fully
on Permit Applications-++ (obtained from Budding and Zoning office) I/we
understand that any person(s) or agent(s) contracted to perform structural wood framing plumbing HVAC
electrical work roofing or cast -in place structural concrete work MUST BE licensed contractors in
accordance with the regulation of the City of Fort Collins
/we understand that failure to comply with any of the above conditions may result in revocation of any
permits associated with the above Permit Application number forfeiture of any fees that have been
collected a Stop Word Order and a court summons
Sign in the presence of Notary Public
Owner
Co owner
The foregoing Affidavit was acknowledged before me on this ' / V-1-1 day of
(month year) byq
Witness my hand and official
My commission expires I• �P"
My COMMISStOMEXP00
J* 23 2011
Notary Pubic
Planning, Development & Transportation Services
City of
Fort Collins
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 81004257
Homeowner Issued Building Permits
Responsibilities of the Homeowner
City of Fort Collins Municipal Code Section 15-155(2)
A property owner may obtain building permits for any work without obtaining a general
contractor license In the eyes of the City, the owner becomes the contractor of record for the
project and assumes construction responsibilities same as if that owner was a licensed general
contractor The City has the expectation that the homeowner complies with and can fulfill the
following responsibilities
1 The property is a detached single family dwelling and the owner s principal residence
2 Application and permit process
a The owner shall personally submit the application and appropriate plans
b The owner shall be the sole contact person addressing all questions and staff
interaction during the plan review
c Upon approval of the application, the owner shall be present to sign the permit
3 Construction
a The owner shall perform all work associated with the permit or,
b Shall provide continuous supervision of all unpaid volunteers
4 Inspections
a The owner shall schedule all inspections and be available on -site during each
inspection
b Inspections will be performed between the hours of 9 00 AM and 3 00 PM
c For scheduled inspections where the owner is not present, the inspection will not
be performed
d A re inspection fee of $50 00 could be assessed for any scheduled inspection
where the owner is not present
5 The owner takes full responsibility for complying with all Codes and Standards
6 By sigmng the building permit, the owner agrees to the above responsibilities
Michael W Gebo CBO�
June 21, 2010