HomeMy WebLinkAbout346 E Mountain Ave - Affidavits/Owner Authorization - 04/03/2020-City of
Fort ®ltos
BUILDING OWNER AFFIDAVIT
community Development & Neighborhood Services
PO Box 580 201 N College Ave
Fort Collins. CO 80522
970.416.2740 Phone 970 224,6134 Fax
PERMIT # !l Z,0QA10 I
as owner(s) of record of the property
located at '�,'a (0 E Y+1 0^^ N Fort Collins, Colorado, hereby declare and attest to the following:
Fil-471WAAWIf. i ZZAi
❑ This is a residential remodel project, which is not my primary residence, for which the total construction
value of all work including electric, plumbing and mechanical trades does not exceed $2,000 for any one such
building project and is considered "Minor Alterations and Repairs" as noted on page 2, and does not involve
structural work or alterations to any fire -resistive assemblies.
❑ I am acting on my behalf for the purpose of obtaining a building permit for minor alterations to the building
referenced above. I am/we are personally performing all of the work as allowed by City of Fort Collins code,
other than the work required by licensed trades as referenced above, and as approved on the permit documents
with the same permit number as noted above. I understand that I will be asked to provide the City of Fort
Collins a copy of bids from a# subcontractors that will be involved In any alterations to this project
❑ I/we understand that all work related to electrical, plumbing, HVAC, gas piping and fire extinguishing
assembly alterations must be performed by a City of Fort Collins licensed subcontractor and that this
work cannot commence until the City of Fort Collins Building Services department is notified of all the licensed
subcontractors and a building permit obtained. No structural alterations or alterations to fire rated
assemblies are allowed without a licensed General Contractor.
COMMERCIAL 8UILDING OWNER
$i� This is a commercial project for which the total construction value of all work including electric, plumbing and
mechanical trades does not exceed $2,000 for any one such building project and is considered "Minor
Alterations and Repairs" per City Municipal Code Section 15-155. - Exemptions (noted on page 2) and does
not involve structural work or alterations to any fire -resistive assemblies.
LK I am acting on my behalf for the purpose of obtaining a building permit for minor alterations to the building
referenced above. I am personally supervising the licensed subcontractors and all the work as allowed by
City of Fort Collins Code and as approved on this permit and approved permit documents. I understand that I
cannot allow the tenant to do work requiring a City licensed contractor, they cannot act as the
General Contractor, or perform other work not requiring a license (except as allowed under "Minor
Alterations and Repairs") for which this permit is issued. I/we as Building Owner(s) will be personally
supervising all work involved with the permit number noted above.
;�r,I understand that I will be asked to provide the City of Fort Collins with a copy of the bids from all license
required subcontractors that will be involved in any alterations to this project.
l0�- I understand that payment of fees or 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.
sign inQhq presence ofa/Y��ary
Building/Owner
This Affidavit was acknowledged before me on this ` ZO by
Date
MATTHEW N. KALAI
Witness my hand and official seal NOTARY PUBLIC
My commission expires: STATE OF COLORADO
NOTARY ID 201340701 B5
MY COMMISSION EXPIRES NOV 21.2021
NULdry ruum.