HomeMy WebLinkAbout7445 Stonington Ct - Applications/Solar - 11/22/2017Planning, Development and Transportation
City of Building Services Department
rr•} 281 N. College Ave P.O. Box 580
Cof ` �! Collins 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)
❑ Thermal,Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.Li�
Application #` p�at)�% Date �\11.1�
r office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
7445 Stonington Ct, Fort Collins,
CO 80525 1 7344
Property Owner Name
Address City/State Zip Phone
Sharon Bloyer
Same as above (936) 689-0031
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
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? QHere ❑ Report
sales fax number is requved by all contractors
Are you paying with your trust account? ❑ Yes QX No
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? x0 Yes ONO
Is this a residenbal or commercial project? ❑X Residential ❑Commercial
If residential, is it: QSmgle 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 Ifyes, you may need to contact Historic Preservation
Description of work*
Install a 5.4 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 Cityof Ft Collins license # (PV MUST list CityRegistered Electncian — Thermal MUST
fist 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 construcbon. I know that a
permit is not valid until it has been paid and issued.
Applicant, Dare l o1p11tlbyo .y uft
Print Name: Jeremy Burks Signature Jeremy Burks-0ron Date
11 /22/2017