HomeMy WebLinkAbout2631 Shadow Ct - Applications/Solar - 06/23/2016Planning, Development and Transportation
City Of Building Services Department
I 281 N. College Ave P.O. Box 580
/.6rt Collins Fort Collins, CO 80524
P
�- hone 970 41G 2740 Fax 224 G134
SOLAR PERMIT APPLICATION FORM
This application is to be used to apply for the following permits only (check the appropriate box):
X Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # F I co 0 l -
For office use only
Date l(J 1 2'3
Sob Site Address
� (required)
&-
�31 6•r/
Value of Construction (labor, materials, profit)
f
Z q50 . 0 a
a/Koto r
'$ 1.
Property Owner Name
Address
City/State Zip
Phone
ko'CAArd AWIAWAe. 24 31 S-A& -010 C+-
F+C-P11: -%s 4 $o52-5
70-7,7.3- /Z
Applicant Name
Address
City/State Zip
Phone
E"IMAr k-- Cc"ir'44-'Hap .
q&0 Pariedf;
beAver Co Sot
7Zo_y3 -( 11
Solar Contractor License #/Co. Name
Address
City/State Zip
Phone
6 4o a
d 803ol
no-If32Ag I
Contractor 04 of R. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here ❑ Report
Sales tax number is required by allconb;actorx
Are you paying with your trust account?
❑ Yes ,StNo
IF SOLAR PV SYSTEM, HAS THE PRO3ECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? A Yes ❑ No
Is this a residential or commercial project? $ Residential ❑ Commercial
If residential, is it: JN 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 ,lam No If yes, you mayneed to contact Historic Preservation
*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 # (PVMUST list CityRegistered Electrician — Thermal MUST
list City Reg/strered Plumber)
Electrician G r (7 o 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: � ) � 11 _ nor
Print Name. ��r'�-- W KG�C
Date