HomeMy WebLinkAbout3183 Twin Heron Ct - Applications/Solar - 06/18/2015Planning, Development and Transportation
City Of Building Services Department
281 N. College Ave , P.O. Box 580
F orrf } ` Collins Fort Collins, CO 80524
/ Phone 970-416-2740 Fax 224-6134
SOLAR PERMIT APPLICATION FORM
This application is to be used to apply for the following permits only (check the appropriate box):
FX Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # DIED 44:76 . Date
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
3183 Twin Heron Ct, Fort Collins
CO 80528 14025
Property Owner Name
Address City/State Zip Phone
Safford, Kevin
Same as above 970-231-9060
Applicant Name
Address City/State Zip Phone
Solar City
470 E 76th Ave #3A Denver, CO 80229 817-994-9743
Solar Contractor License #/Co. Name
Address City/State Zip Phone
Solar City
470 E 76th Ave #3A Denver, CO 80229 817-994-9743
Contractor City of Ft. Collins Sales Tax
# Are you paying taxes here or by report? ❑X Here ❑ Report
Sales tax number is required by all contractors
Are you paying with your trust account? ❑ Yes QX No
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? 0 Yes
Is this a residential or commercial project? QX Residential ❑ Commercial
If residential, is it: QSingle 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 ❑ No If yes, you mayneed to contact Historic Preservation
❑ No
Description of work*
Install a 7.5 kW roof -mounted grid -tied solar PV system
*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 Solar City 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: Ben Ehrle 6/18/15
Print Name: Signature Date