HomeMy WebLinkAbout2207 Smallwood Dr - Applications/Solar - 09/11/2018Planning, Development and Transportation
City Of Building Services Department
281 N. College Ave P.O. Box 580
FOIrrr+++} ` Collins 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):
® Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # I Date 09/11/2018
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
2207 Smallwood Drive
$11550
Property Owner Name
Address City/State Zip
Phone
Seely Tristan
2207 Smallwood Drive Fort Collins CO 80524
(425) 633- 9038
Applicant Name
Address City/State Zip
Phone
Davis Clayton
6707 Winchester Circle Boulder CO 80301
(919) 306-7955
Solar Contractor License #/Co.
Name Address City/State Zip
Phone
S-2592 Namaste Solar
6707 Winchester Circle Boulder CO 80301
(303) 447- 0300
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report?
C4 Here ❑ Report
Sales tax number is required by all contractors. Are you paying with your trust account?
❑ Yes No
48551
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ❑ Yes ❑ No
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is it: 15& 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 IX No If yes, you may need to contact Historic Preservation
Description of work*
Installation of 3.85 kW solar PV system, grid tied and flush mounted to roof of single family dwelling. 11 panels. No battery.
*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 list City Registered Electrician — Thermal MUST
list City Registered Plumber)
Electrician ME-1164 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: Davis Clayton Signature � °' Date 09/11/2018
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