HomeMy WebLinkAbout4231 Starflower Dr - Applications/Solar - 08/23/2017of
Flirt 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 wwill not be accepted
Application # a ki ID 14 $ 13 Date
For office use only
Sob Site Address (required)
Value of Construction (labor, materials, profit)
2
S quo
Property Owner Name Address
City/State Zip Phone
Z
- -
Applicant 11ame I Address
City/State Zip Phone
Ecomark Constuction 4665 Paris st.
#300-C Denver/CO 80239 505-250-0088
Solar Contractor License #/Co. Name Address
City/State Zip Phone
S3606/ Ecomark Construction 4665 Paris st
#300-C Denver/CO 80239 720-432-6411
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? N(Here ❑ Report
Saes tax number is required by all contractors
Are you paying with your trust account? ❑ Yes h?'No
IF SOLAR PV SYSTEM, HAS THE PROTECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ❑ Yes Cl No
Is this a residential or commercial projects Ed Residential ❑ Commercial
If'residenbal, is it: YSingle 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 morel ❑ Yes U'No If yes, you may need to contactHistonc Preservation
Description of work*
S.' KWDC, Rooftop, Flush -Mounted, PV Solar system, Utility interconnected, q Modules
*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 Qty of Ft Collins license # (PV MUST list City Registered Electrician - Thennal MUST
list Gty Registered Plumber)
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 Chris Gibney Signature Date i`/2� / Zdl7'