HomeMy WebLinkAbout7415 Stonington Ct - Applications/Solar - 01/27/2014Planning, Development and Transportation
City of Building Services Department
281 N. College Ave P.O. Box 580
F®rt Collins Fort Collins, CO 80524
@mom Phone 970-416-2740 Fax 224-6134
SOLAR PERMIT APPLICATION FORM
application 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 # '?,AND b551
For office use only
Date 1 &7A L
Job Site Address (required)
Value of Construction (labor, materials, profit)
#aq
415 5xi-OVI'l f-on
+
Property Owner Name
Address City/State Zip Phone
PcxtrislricaS ayhe, as 0,60A Co I ns 805�? 1G�—;Q773271
Applicant Name
Address City/State Zip Phone
l o Ni�C K70E
ve#3 0 80 6yi-G10-5930
Solar Contractor License #/Co. Name
Address City/State Zip Phone
50) G1, N
Say►) e,aS aboVC.
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? )(Here Q Report
Sales tax number is required by all contractors.
Are you paying with your trust account? ❑ Yes )(No
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? )(Yes ❑ No
Is this a residential or commercial project? AResidential ❑ Commercial
If residential, is it: single 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 O No Ifyes, you may need to contactHistonc Preservation
Description of work*
='►,s+t,IloAon oP qr/A-+1a PV system, -Plush WIowl+eA to roo-�
,2 5kW
*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 Gty Registered Plumber)
Electrician 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: <� !%,6 _ t�� 2H1 -c
Print Name: 1 !7 W1 /V f �i Signature ®�irYe�� Dated