HomeMy WebLinkAbout626 ATWOOD CT - AFFIDAVITS - 4/4/2007C.on�nlILILif 1=11nn n arrd t;n�Virann!clttILI S es
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I/we,
owner(s).of record of the property located Fort Collins, Colorado, hereby declare and attest to
at:
(please print)
the following: A,, 6 or C, !n�i�i�hw2r app/ies)
h. ] 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 home in Fort
Collins city limits within the past 24-month period.
B. 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 home. The home to be altered is on the
above property and is my/our personal residence.
❑ C. I 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 famPy dwelling unit. The
home to be altered is my personal residence. I am aware that I/we cannot do any structural,
electrical, plumbing, or mechanical wort: and must hire contrar-tors,isubcontractorz. who are
currently licensed with the City of Fort Collins.
I am/we are personally performing all of the work, or will be continuously supervising unpaid volunteers.
The work is directly related to the construction of the above referenced home, which is described more
fully on Permit Application # (obtained from Building and Zoning Office),
i/we understand that any persons or agents contracted to perform structural wood -framing, plumbing,
HVAC, electrical work, roofing or cast -in -place structural concrete 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 a court summons.
Sign in the presence of a Notar), Publ'
owner
Owner
Th foregoi g Affidavit was acknowledged before nKe on this �ay of
(month, year)by
1
Witness my hand and
my commission
'sea F�� •.y
's
�OSARr a
Notary Public
ISi North College ae
Fort Collins, CO 8D5" 0,5SU • (970) 221-L)76U • -1— X (YA) 1 14-67.34