HomeMy WebLinkAbout1003 W Mountain Ave - Applications/Solar - 11/25/2019Planning, Development and Transpo e
Cityof Building Services Depadment
} 281 N. College Ave P.O. Box 580
�OI���++` Collins Fort Collins, CO 80524 0 2 2019
Phone 970-416-2740 Fax 224-6134
SOLAR PERMIT APPLICATION FO
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 apDlible information on the application.
Application #
use only
Incomplete applications will not be accepted.
Date
Job Site Address (required)
Value of Construction (labor, materials, profit)
100 NIou K/dw ANC
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Property Owner Name Address
City/State Zip
Phone
vor t o I to vic.a wN Ski CLO awkt/
41; • i
Applicant Name Address
t & fK sov$--- In 18114A
City/State Zip
raMD" "15
Phone
*W • ' 1OMl) ?
Solar Contractor License #/Co. Name Address
City/State Zip
Phone
S - Vol sonel a0W6/j
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? ere ❑ geport
Sales tax numbeisrequiredb allmnbadors
00 I9i 59�
Are you paying with your trust account?
❑Yes No
IF SOLAR PV SYSTEM, HAS THE PR03ECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ❑ Yes ❑ No
Is this a residential or commercial project? ❑ Residential ❑ Commercial -
If residential, is it: A Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex \4 �,J
❑ Multifamily (apartment) ❑ Garage s�lbrwlW
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ;-1 sqim
❑ Restaurant ❑ Othgr (explain)
Is this building 50 years of age or more? Yes ❑ No Ifyes, you mayneed to contact Historic Preservation
Description of vvo k*
'T.(ow W'w f ESN- MDVMT- RyoFTDP SOLD Fy
l NJ om)
*Please note in description if; roof flush mounted, roof mounted & elevated, ground array, kw amount, how many solar panels.
Subcontractors: List the companyname or City of Ft Collins license # (PVMUST/ist City Registered Electrician — Thermal MUST
list City Registered
_� r�Jl G„ *_ IL1
Electrician er 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' J
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