HomeMy WebLinkAbout2132 Saison St - Applications/Solar - 07/14/2017Planning, Development and Transportation
City of Building Services Departrrrent
281 N. College Ave P.O. Box 580
F OIrrr��•} l Co I I IS 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):
❑X Photovoltaic Solar (PV)
0 Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # 6n �R �7 9_, Date
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
2132 Saison St, Fort Collins, CO 80524 6528
Property Owner Name
Address City/State Zip Phone
Travis Bredehoft
Same as above (303) 875-9186
Applicant Name
Address City/State Zip Phone
Solar City
470 E 76th Ave #3A Denver, CO 80229 253-720-4461
Solar Contractor License #/Co. Name
Address City/State Zip Phone
Solar City a
470 E 76th Ave #3A Denver, CO 80229 253-720-4461
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑X Here ❑ Report
Sales tax number isrequired byall contractors.
Are you paying with your trust account? ❑ Yes ❑X No .
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? Ex Yes 0 No.
Is this a residential or commercial project? ❑X 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 may need to contact Historic Preservation
Description of work*
Install a 4.8 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 /1st 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: qg a b %9netl M BeRemn
Benjamin Smythe Benjamin Smythe 7/13/2017
Print Name: Signature oOm;zo,7.o,.,3,=M:^7� Date