HomeMy WebLinkAbout1726 Falcon Ridge Dr - Affidavits/Homeowner - 12/23/2010B/n,j793/
Cityof.�
Planning, D6ve(opment.and Transoortaticn
Pa=Box 580-- _ .
284 .N CaUege•ave
Ft Coldns; Co 80524
470-221 5760 phere g7Q=ZZd 5134 fax
as cwr,er(s) of recard'cf ,he preFerj located
jr A -�ic�_�/'t�
c,.corac;. hereby dec'are and attest
tc: it,e following: (p/eese c:7ecc only the ore .'fiat applies)
!� f arr.1 we are ac�+ng cn my/ cur behalf for the purpose of c.ttainirg a building; :'ermit and persenall
Y
ccrstrictirg my/cur home. The- acme to be ccrstructed is cn* tf d abcvo propene and ' 11 b4 rriv/cur
primary residence. (�,Ne have not.personally constructed nay ot,`ier new homes it the Fart Ccilins
crt<} lir*.iis "Yitftin the past 24-martft period:
�rrv',jve_ are acting on my/cur behalf fQr'the crrese cf ebtafniri abt ildin`
P r g g pertttit and perscnail/
constructing an alteration or addition tc my/cur (louse. 716 house t0 be altered is on the above
prcperLyard,,is my/cur personal resider ce.
I aiT ,,Ae are actirg. on my/cur benaif far tM.pyrpcse of obtaining a building, peirnit and personally
cdnstr,ar,g a ncn-structural alteration to rn j/cur attached single_famiiy, dwelling `unit: The hcusE
to 'be altered is my/cur personal residence.. 1. am..aware. that VN6 carii;ot do any str�ctitral,
electrical, plumbing ere me�arnical week and moist hireC'cntracforc�,�subccnti actors who are
currently licensed and irsures wife the City of Fcrt Ccirrs.
f arnMe ara personally perfcriing all of the week, or will be continuously supervising unpaid.vctunteer.
The wce< is directly related to the ccnstr,:c+.icn of the above referenced home, which is described more fully
on Permit Ap�(tcaticn 1# (ottaired from Building and Zoning office). lhve
understarid that any perscr.(s) or agent(s) contracted to perform structural weed=framing, plumbing, HVAC,
e(ec+.rcal rvcr' roofing croast-ire-placa.structural concrete work, MUSTEc licensed Coe -tractors ifr
accordance with the regufa-fcn of the City of Fort Collins.
we under3tand that failure tc corn ply with any of the abcv*e ccrdi;icns may result ir, revocation, cf any
permits associated with the ve Fer, • Appiicaticn number, fcr`eiture of any fees that have been
ccilected, a: Sicp Work Or j nand a urt surrmens:
Ssn .h Lhe presence of NO F"t6c
wren Cc-cwrer
—tie feregoinS Aridavit a_s acknowledged befcra me cn this day of
4I Am A
III' ess my hared and official sea
N4j co m issicn ex iris
1�w"�0`0� pa A. l� q�i
�i0
Cn
ciltc)- �
Notary Pubiic