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HomeMy WebLinkAbout1032 Sailors Reef - Affidavits/Homeowner - 03/11/2019City of Building Services PO Box 580 281 N Colleee Ave Fort Collins, CO 80524 470-416-2740 phone 470-224-6134 fax HOMEOWFEES AFFIDAVIT I/we, jw _& C //_ , as owner(s) of record of the property located At: P / s�:i'�X.U} `J a 1, _ , Fort Collins, Colorado, hereby declare and attest to the following: (please check only the one that applies): OPTION 1: ❑ 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 properly 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. OPTION 2: 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, acting as our own general contractor. The house to be altered is on the above property and is my/our personal primary residence. OPTIO19 3: 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 construction of the above referenced home, which is described more fully on Permit Application # (obtained from the Building Services office). I/we 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 0 n ` w ! Owner Co-owner The for oing Affidavit was acknowledged before me on this !/ I day of Apr& 1am (month, year) by Witness my hand and official seal My commission expires: Notary CORINA HARTZOG Notary Public State of Colorado Revised 611012014 Notary I D 02,0174008848 y Commission Expires 02-27-2021 Lm1 Building Services 281 N. College Ave. P.O. Box 580 Fort Collins, CO 80524 Voice:970.416.2740 FAX:970.224.6134 City of HOMEOWNER AlFIFII©AWT 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 PRiMARY 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 ALTERATIONS AND REPAIRS" by City Code as follows: "A building owner and any unpaid voltrniaers or paid workers employed b), said oirner u•ho perform only minor aherotions and repairs to .each building, In-ovided duo all stich irork is under the continuous persona/ sigw rision of said owner, and farther provided flan no hrtihling owner, or unpaid vnlrnifeer or paid worker emplaced ht• said owner, may engage in the fidloiring (t/res afirork u•ithow ohiainhig the appropriate contractor license. " Furthermore, the work nnist be limited to minor alterations and repairs, which, DO NOT include: I. 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. Ii. of roofing. PAID 11'ORKERS Regardless of ownership status. Raid non -owner worker(s) or contractors perfomring overall project supervision MUST Ur A CITY LICENSED GENITLU, CONTRACTOR. Any paid specialized trades that perform any one of the following: structural wood framing, roofing, electrical. plumbing, or I-IVAC, R7lIS B BE SUIT -CONTRACTORS licensed by (he Chy. AI'1'LICATIONS S 1'IiN,11;111iS A homeowner acting as their own "general contractor" for work on their own priman• residence, must submit a notarized Cih Homeowner Affidavit form to Building Services before a building permit can he issued. Failure to comply with the ahove conditions can result in a "Stop Work" order on the project, permit revocalion,'firrfei(ure of fees. and a court summons. EXENIPTIONS (1) Any honmowner 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 hypes of work without obtaining an appropriately licensed City contractor: (a) Alterations to (he 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 electrical, plumbing or mechanical systems, (except for electrical/plumbing fixture replacement in the same location as original). (d) Replacement/installation of more than a total of one (1) square (100 square feet) of roofing.