HomeMy WebLinkAbout2738 Denver Dr - Affidavits/Homeowner - 06/13/2019Cray Of Building Services
F®A t CoRi s 1 Nf C58ege A e
= Fort Collins; CO 80524
970-416-2740 phone 470-224-6134 fax
HOMEOWMER AFFIDAVIT
I/we, 5 to_ Pi ice- , as owner(s) of record of the property located
At: 9-738 /%,viver Fort Collins, Colorado, hereby declare and attest
to the following: (please check only the one that applies):
OPTION Y:
❑ 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 primajy 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.
QDIPTI®N 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 Perrriit Application #
(obtained from the Building Services office).
1/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
Owner
Co-owner
G
The foregoing Affidavit was acknowledged before me on this � � day of
(month, year) by
Witness my hand and official seal
My commission expires: --,
ER1'ZOGbliclorado4008848es 02-27-2021
� avlo �lri� e
otary P
P,evised 611012014
Services
281 N. College Ave.
P.O. Box Soo
Fort Collins, CO 80524
Voice:970.416.2740 FAX:970.224.6134
HOO P•1F(��"'PJr-(" �� FF Cr��`T
City of
Fort CoWns
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 aarn unpaid volunteers or paid mrorkers employed by said ow-rrer irho perform only minor aheralions
and repairs to such hhilcling, Provided that all welt irork is under the coaNnuous Personal sagaen•isiorr of said owner, and
furrther prori&a` that no building owner, or unpaid rohmteer or paid worker eny;169'ed bt• said oirner, may engage in the
fnllmringgnes ojirork u*haul ohtail&W the aPPrerpriate corhracYor Neense..,
Furthermore, the woric nmust be limited to minor alterations and repairs, which, DO NOT include:
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. li. of roofing.
PAID WORKERS
Regardless of ownership status. Raid non -owner worker(s) or contractors performing overall project supervision MUST Eir. A CITY
LiCENSEID GENERAL CONTRACTOR. Any paid specialized trades that perform any one of the following-: structural wood framing,
roofing, electrical. plumbing'. or HVAC, MUST BE SUB -CONTRACTORS licensed by the City.
AITLIC:ATIONS S PENALTIES
A homeowner acting as their ommm general contractor' for work on their own primary residence, must submit a notarized C'ih
Homeowner Affidavit lbrm to Building Services before a building permit can he issued. Failure to comply with the above conditions
can result in a "Stop Work" order on the project, permit revocation, lbrfeilure of fees, and a court summons.
EXEMPTIONS
(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 tunes 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 electrical; plumbing or mechanical systems, (except for electrical/plumbing
fixture replacement in the same location as original).
(d) Rep lacement/installation of more than a total of one (1) square (100 square feet) of roofing.