HomeMy WebLinkAbout2260 W Elizabeth St - Affidavits/Owner Agent - 10/04/2011City,Oft ,.communityDevelopment$ Neighborhood Services:
Fort Collins . Po BoX 281.N College Ave
Fort Coffins, CO 80522
970.M'..6760%Phone 970224'.6134'Fu
BUILDING OWNER AFFIDAVIT
I/we rhClA�e l �! 06rKI . as owner(s) of"record of the property
located at '&--Z-Lo0 LV&5-k i Za bq. Fort Collins, Colorado, hereby declare and attest to the following:
RESIDENTIAL.BUILODVG OWNER '
This is a residential project, which. is not my primary residence, fonwhich the total construction value of.°all work
.,iiiduding,electric„plumbing: and; mechanical trades does nof,exceed $5,000 fonany onesuch, building or collectively
exceed $10,000 for all such buildings combined within any twelve month period and his considered"Minor Alterations
and Repairs" *(see definition below). "
I am acting on my behalf foYthe purpose,of obtaining a' building perrnit'for minoralteratioiis to the b6ildind referencedabove. I
aM/liming we are personally perforall of.the work 'as allowed, by City of Fort Collins code'and'as approved on permit -
# fit1h8�3 I IIA11 o23 4 . I understand that all work related to electrical, plumbing,,ljVAC;.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 City of Fort CollinsvNeighborhood & Building Services department is notified of the. subcontractor.:,
I. understand that I may be asked to provide the City of Fort Collins with a copy of the bids, from al/
subcontractors that will tie involved in any'a/terations to this project
COMMERCIAL BUILDING OWNER
❑ This is a commercial project for which the total construction yalue,of allmork 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 obtaining "a building permit for minor alterations to the building referenced above. I
am are personally performing all of the work as allowed by City of Fort Collins code and as approved on permit
# I know that the labor, materiale. and profit of, e_permit cannot exceed $5,000. I understand
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a i o ins_rcense su. con ra. or an at is wor cannot commence until the City of Folt Collins Neighborhood &
Building.Services=department •is -notified of,the•subcontractor. -. • ;,- W.. .. -. ,tt• ": �.
C I understand that I cannot allow the tenant to do the work for which this permit is issued.
II
understand that I maybe asked to provide the City of Fort Collins with a copy of the bids from all
sLibconbactors that will be Involved in any alterations to,thisproject
,eF I understand that payment offees of compensation for 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 - consbvc4 repair or demolish (a) detached structures such as shelters, storage
sheds, playhouses, greenhouses and gazebos; and (b) unenclosed structures such as open carports, patio covers, open porches
and decks. Any such work is further limited to one-story building or structures not exceeding two hundred (200) square feet in
floor area and which contain occupancies limited to those c/ossified by Me building code as Group R, Division 3; Group S, Divisions
1 and 7; and Group U other than pr"te garages
sign in me presencegofa Notary Pubic
Building Owner
�PFtY ..
This Affidavit was acknowled IYefore m.. is
MICHELLE L
Witness my, hand and officia MEiS
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..... •••CEO
My commission expires OFCO�
MY COMMISSION EXPIRES:
April 15, 2012
L 'Building Owner
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