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HomeMy WebLinkAbout2426 Marshfield Ln - Affidavits/Homeowner - 03/27/2019City of Building Services �F6rt C®Wns 28 Box580 1 N College Ave Fort Collins, CO 80524 470-416-2740 phone 470-224-6134 fax HOMEOMER AFFIDAVIT I/we,(tQPv'�y� as owner(s) of record of the property located At: 2 / 7A a 1 Fort Collins, Colorado, hereby declare and attest to the following: (please check only the one that applies): INC ❑ 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 any other new homes in the Fort Collins city limits within the past 24-month period. OPTIONi 2: AI 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, acting as our own general contractor. The house to be altered is on the above property and is my/our personal primary residence. ❑ 1 am/we are acting on my/our behalf for the purpose of obtaining a building 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 primary residence. I am aware that I/we cannot do any structural, electrical, plumbing or mechanical work and must hire contractors/subcontractors who are currently licensed and insured with the City of Fort Collins. I am/we are personally performing all of the work or hiring City of Fort Collins licensed trades people, or will be continuously supervising unpaid volunteers (see Option 3 for attached dwellings). The work is directly related to the co struction oftheabove referenced home, which is described more fully on Permit Application # I Q ./A "I (obtained from the Building Services office). tky ii Uwe understand that any person(s) or agent(s) contracted to perform structural wood -framing, plumbing, HVAC, electrical or roofing work, MUST BE licensed contractors in accordance with the regulation of the City of Fort Collins. I/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 Work Order and potentially a court summons. Sign in the presence of Notary Public - /I,W,(� b ivner Co-owner The foregoing Affidavit was acknowledged before me on this Z7fh day of Maah- (month, year) by MIeh.;-.e� T Witness my hand and official seal My commission expires: CORINA HA J70G NoXyPub��� Notary Public State of Colorado Notary ID N aoo yes 02 Revised 611012014 Building Services 281 N. College Ave. P.O. Box 580 Fort Collins, CO 80524 Voice:970.416.2740 FAX:970.224.6134 City of fort Couins ,.,; I HOMIEDW Ep, &IFFR©AVrT Revised 7/7/2014 Homeowners of a DEATCHED single-family home may personally perform and /or act as their own general contractor for any work on their PRiNIARY residence. Permit requirements are applicable. if said homeowner hires and pays anyone for work that requires a City licensed contractor, the City licensed contractor needs to be listed on the building permit application, and will need to be current on City license and insurance requirements before the building permit can be issued. Homeowners of an ATTACHED single-family home (townhouse, condominium or duplex), may perform LIMITED "MINOR RLTERATIONS AND REPAIRS" by City Code as follows: "A building owner crud anti unpaid vohnueers or paid trorkers enildo-yed by said orner• ❑•ho perform only minor alterutions and repairs to such building, provided than till such work is render the conti»rrorrs personad super vision of said owner, and frn7her provided than no building corner, or unpahl rohrnrecr ur paid n•orker emplgred hr said owner, unry engage in the fidlou•ing byres of trork without obnrinhn q the tgi1wopriare contractor license. " Furthermore, the work must be limited to minor alterations and repairs, which, DO NOT include: 1. Any alterations/installations involving, fire -resistive assemblies, alterations to primary and secondary framework; electrical, plumbing, or mechanical systems. and replacement of more than 100 sq. 1i. of roofing. PAID NYORKMS Regardless of ownership slalus, rL non -owner worker(s) or contractors performing overall project supervision MUST HE A CITY LICENSED GENER.•LL CONTRACTOR. Any paid specialized trades that perform any one of the following: structural wood framing, roofing, electrical, plumbing. or HVAC, mug1' BE SUB -CONTRACTORS licensed by the Citv. APPLICATIONS & PENALTIE'S , t e-• s A homeowner acting as their own "general contractor" for work on their own primary residence, m�z,st �uhmnit a olari'tozed C'ily Homeowner Affidavit form to Building Services before a building permit can be issued. Pei lure to comply with the abode coriditi6ns can result in a "Stop Work" order on the project, permit revocation, lbrfeiture of fees. and a court summons. EXENIPTIONS (1) Any homeowner of an attached dwelling and any unpaid volunteers or paid workers employed by said owner who perform only minor alterations and repairs to such building, provided that all such work is under the continuous personal supervision of said owner, and further provided that NO homeowner of an attached dwelling, or unpaid Volunteer or paid worker employed by said owner, may engage in the following tVPcS of work without obtaining an appropriately licensed City contractor: (a) Alterations to the primary or secondary structural frame work (except for the repair and replacement of existing, window and doors, provided that such repair or replacement does not create larger openings or greater spans for such headers); (b) Alterations to fire -resistive assemblies as defined;in the building code, (c) Alterations to or the installation of.el'ectrical, plumbing or ,mechanical systems, (except for electrical/plumbing. fixture replacement in the same location as.oiiginal). (d) Replacement/installation of more than a total of one (1) square (100 square feet) of roofing.