HomeMy WebLinkAbout623 Monte Vista Ave - Applications/Solar - 07/27/2017Fort 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
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This application is to be used to apply for the following permits only (check the appropriate box):
O.Photovoltaic Solar (PV)
I O Thermal Solar (Hot Water System)
1 Complete all applicable Information on the application. Incomplete applications will not be accepted.
Application # t:>1q041 v
For off% use only
Date —� Z-7 A-7
Job Site Address (required)
Value of Construction (labor, materials, profit)
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Property,Ownner Name` Address
Cit�y//St`ate Zip
Phone
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�PpliLnt Name Address
City/State Zip
Phone
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Solar Contractor License #/Co. Name Address
ity/State Zip
Phone
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? ❑ Here LO Report
salestaxnumber lsrequlredbyall contractors.
Are you paying with your trust account? ❑ Yes
❑ No
IF"SOLAR PV SYSTEM, HAS THE PROJECT BEE�J.PRE-APPROVED BY CITY LIGHT AND POWER? CPYes 0 No
Isth 'ayresidenGal or com�riercial project? esidenbal ❑ Commercial
If residential, is it: i9'Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
ffoQmeraal, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain
_rs tTi!s building 50 years of age or more? ❑ Yes ®No If yes, you may need to contact Historic Preservation
'* Plkase note in description if; roof flush mounted, roof mounted & elevated, ground array, kw amount, how many solar panels.
Subc
contractors: Ust the company name or oty of Fr Collins license # (PV MUST list Oty Regrstered Electnaan — Th&Mal MUST
/tsi• 3Ot�i Reylstered Plumber)
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Eiectrrc!an` Plumber Roofer (For solar PV shingles)
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I hereby acknowledge that I have read this application and stape that the above information is complete and correct. I agree to
comply with all requirements contained herein and city ordinarj§es 7d-stateiws arig ating building construction. I know that a
permit is not valid until it has been paid and issued. / I
Applicant: r�
Print Name• Q SOY\ t 1 S
Date —1 1 O 1