HomeMy WebLinkAbout2709 Treasure Cv - Applications/Solar - 06/07/2017Fort Collins
Planning, Development and Transportation
Building Services Department
281 N. College Ave P.O. Box 580
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 # Date 06/07/2017
For ofte use only
lob Site Address (required)
Value of Construction (labor, materials, profit) $7,280
Marc Buffington 2709 Treasure Cove Ft Collins/CO 80524
970-481-5510
Property Owner Name Address
Gty/State Zip
Phone
Marc Buffington 2709 Treasure Cove Ft Collins/CO 80524
970-481-5510
Applicant Name Address
City/State Zip
Phone
EcoMark Construction 4665 Paris St. Ste C-300, Denver, CO 80239
Solar Contractor License #/Co. Name Address
Gty/State Zip
Phone
S3606/EcoMark Construction 4665 Pans St
Ste C-300, Denver, CO 80239
720-982-0831
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here ❑ Report
Sales tax number Isrequ/nrdbyall mntract=
Are you paying with your trust account?
❑ Yes qNo
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ErYes O No
Is this a residential or commercial project? 19 Residential ❑ Commercial
If residential, is rt: Qf 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? O Yes O No If yes, you may need to contact Historic Preservation
Description of work*
*Please note in description If, roof Flush mounted, roof mounted & elevated, ground array, kw amount, how many solar panels
Subcontractors: Ust the company name or Gty of Ft Colons license # (PV MUST l/st Oty Registered Eleetyldan — 7hermal MUST
list City Registered Plumber)
Electrician ME-1480
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: h �� 5 Ci •y
Print Name., Signature
Date
06/07/2017