HomeMy WebLinkAbout123 N Shields St - Applications/Solar - 08/07/2018City of
F6rt 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):
ffPhotovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # PJ VUU')U'i q1 Date 01? - O-1 • 0.0kq
For offlne use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
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Pr perry Owner Name
Address City/State Zip
Phone
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Applicant Name
Address City/State Zip
Phone
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Solar Contractor License #/Co. Name
Address City/State Zip
Phone
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363-9 7-
Contractor City of Ft. Collins Sales Tax.#
Are you paying taxes here or by report? /Here
❑ Report
sales tax number is required by all contractors; 1
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�C Are you paying with your trust account? ❑ Yes
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IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ❑ Yes ❑ No
Is this a residential or commercial project? N Residential ❑ Commercial
If residential, is it: ® 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? ❑ Yes 0 No Ifyes, you mayneed to contact Historic Preservation
Description of work*
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*Please note in d cription if; roof hush 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 list City Registered Electrician — 777ermal MUST
list City Registered Plumber)
Electrician (900 t 0-1 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: Signature Date O oG
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