HomeMy WebLinkAbout1324 Iva Ct - Applications/Solar - 09/23/2019Planning, Development and Transportation
City of Building Services Department
281 N. College Ave P.O. Box 580
61w} ` 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):
8 Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # 10a.1 "f toc�_)Q`3
For olfice use only
Date 9-7-19
Job Site Address (required)
Value of Construction (labor, materials, profit)
1324 Iva Ct
$3,652
Property Owner Name Address
City/State Zip Phone
Wendy Nakao 1324 Iva Ct Fort
Collins CO 80525 303-988-7757
Applicant Name Address
City/State Zip Phone
Matt Scherer- REenergizeCO 418 South Howes STE 102 Fort Collins CO 80521 970-988-5682
Solar Contractor License #/Co. Name Address
City/State Zip Phone
S-3657 / REenergizeCO 1791 East 58th Ave. Unit B, Denver, CO 80 970-988-5682
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? R Here ❑ Report
sales tax number is required by all contractors.
Are you paying with your trust account? ❑Yes I]No
00134821
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? 8 Yes ❑ No
Is this a residential or commercial project? 8 Residential ❑ Commercial
If residential, is it: 8 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 9 No If yes, you may need to contact Historic Preservation
Description of work*
Installation of 3.02 kW roof mounted, flush mount PV system- grid tied. 9 panels total, no batteries.
*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 -lees (First Response) 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: Matt Scherer Signature Date 9-7-19