HomeMy WebLinkAbout3348 Santa Fe Ct - Applications/Solar - 02/19/2016Planning, Development and Transportation
City/ of Building Services Department
281 N. College Ave P.O. Box 580
F61r} 6 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):
Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #
For offce use only
Date 'q' ZI 9 /11,
Job Site Address (required)
Value of Construction (labor, materials, profit)
�; 3 �f-5 J� iGe i*
Property Owner Name Address
City/State Zip
Phone �;V_
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Applicant Name Address
City/State Zip
Phone 30> —
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C(� y650e
-776-52,-7f
Solar Contractor License #/Co. Name Address
City/State Zip
Phone 52!:�3 -
-Z /i7-'(-7✓ �71OS
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here ❑ 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? J4.11esidential ❑ Commercial
If residential, is it: $3 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 ONo If yes, you may need to contact Historic Preservation
Description of work* G b-
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*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)
jf �f/C.
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:
Print Name: ���vr Signature Date IqA