HomeMy WebLinkAbout1338 Saint John Pl - Applications/Solar - 09/23/2019City Of
F,`rt 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):
8 Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # & � A) 02
For ofce use only
Date 9-10-19
Job Site Address (required)
Value of Construction (labor, materials, profit)
1338 St. John PI
$6,840
Property Owner Name Address
City/State Zip Phone
Doug & Laurie Cecere 1338 St. John PI
Fort Collins CO 80525 970-310-8951
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? ® Here ❑ Report
Sales tax number is required by all contractors
Are you paying with your trust account? ❑ Yes ❑ No
00134821
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? O Yes 0 No
Is this a residential or commercial project? 0 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 ® No If yes, you may need to contact Historic Preservation
Description of work*
Installation of 4.16 kW roof mounted, flush mount PV system- grid tied. 17 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-1556 (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: Mattsoherer Signature Date 9-10-19