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HomeMy WebLinkAbout3408 Buntwing Ln - Applications/Solar - 01/08/2013Ciof Fort Collins Planning, Development and Transportation Building Services Department 281 N. College Ave P.O. Box 580 Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 SOLAR PERMIT APPLICATION FORM Thii pi lication is to be used to apply for the following permits only (check the appropriate box): Photovoltaic Solar (PV) ❑ Thermal Solar (Hot Water System) Complete all applicable information on the application. Incomplete applications will not be accepted. Application # � J Go i L50 Date For office use only Job Site Address (required) Value of onstruction (labor, materials, profit) 3 40 uN (A1(IJ G L-A) , a- 1500, 0 Property Owner Name Address City/State Zip Phone oNDE&(- L J 3 401 INA11J 6, LN. ET 66 L(05 Co 909S ,4 4-0?- Applicant Name Address City/State Zip Phone I (-&- ti l -50%iv— Y6w ©4 N aMoniaoE ,�� Lr%elANV Co 05 -51 46 i— 4 6 2 Solar Contractor License #/Co. Name Address City/State Zi Phone l� N I SoLA2 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? Here ❑ deport Sales tax number is required byall contractors. 14 906 Are you paying with your trust account? ❑ Yes No IF SOLAR PV SYSTEM, HAS THE PROJECT OWN PRE -APPROVED BY CITY LIGHT AND POWER? llifYes Is this a residential or copr6ercial project? Residential ❑ Commercial If residential, is it: ftrSingle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain Is this building 50 years of age or more? ❑ Yes tKo If yes, you may need to contact Historic Preservation ❑ No Description of work* Z N 5-0`t— 7.05 I t J P U S YS 7"6M 3Q -co-CA L QAJEL5 To be wL us I4 r,AooArrco oN P-oo *Please note in description if, roof flush mounted, roof mounted & elevated, ground array, kw amount, how many solar panels. Subcontractors: List the company name or City of Ft Collins license # (PV MUST list City Registered Electrician — Thermal MUST list City Registered Plumber) Electrician R(CK5 452.6C-9C Plumber Roofer (For solar PV shingles) I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until it has been paid and issued. Applicant: Print Name: r t KC` Yew PA I--I-Signature r fl