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HomeMy WebLinkAbout2718 Beaver Ct - Applications/Solar - 05/05/2014Planning, Development and Transportation City,of Building Services Department ��F6} 281 N. College Ave P.O. Box 580 r ` Collinsi Fort Collins, CO 80524 �.- Phone 970-416-2740 Fax 224-6134 SOLAR PERMIT APPLICATION FORM r This application is to be used to apply for the following permits only (check the appropriate box): Photovoltaic Solar (PV) �H T ❑ Thermal Solar (Hot Water System) �1 i7i SG 4� Complete all applicable information on the application. Incomplete applications will not be accepted. Application #E214-02-(8Z) Date For office use only Job Site Address (required) Value of Construction (labor, materials, profit) j')�po 6 LE ID R C-6144AI S v l(o Property Owner Name Address City/ tate Zip Phone 2tCf-F 5�M Applicant Name Address City/State .t . • q�7 ��6Z" urzNHfi�i G S 3 �2 R 7; CAC_Qd 8osaY Solar Contractor License #/Co. Name ,Address City/Sta a Zip Phone 2 37 G-2e6-0/Z`/ it4, f:b e-T' N-vLc.rn/S tOSa A 1.12NP-Prt-A .:. — (0 2 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? PA Here ❑ Report Sales ra``z���, nuum�ber& equircdbyall cvn&acb9m 3c Are you paying with your trust account? ❑ Yes ❑ No IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER7, Yes ❑ No Is this a residential or commercial project? 'Residential ❑ 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 KNo If yes, you may need to contact Historic Preservation Description of work* C,-2►D-rl rg-n 5oLA-2 4,59� I<W 17 pV M0DQ Lr';:� 17 M IC2o 1, N✓ C--2 TZ f? c 2 ©co r t6 o c n1 2 R o n r' L n csi—n o tit S *Please note in description if; roof Flush mounted, roof mounted & elevated, ground array, kw amount, how many solar panels. Subcontractors: List Me company name or Uy of Ft Collins license # (PV MUST list City Registered Electrician - Thermal MUST list CityR gistenar/P/umber) T-p I dam Plumber Roofer (For solar PV shingles) y 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: Signature Date