HomeMy WebLinkAbout538 Muskegon Ct - Applications/Solar - 12/09/2019�5qi lU
Planning, Development and Transportation 4/11L
City of Building Services Department �V
281 N. College Ave P.O. Box 580
F61rrr''•} ` 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):
M Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
n /n�,^, 11/15/19
Application # `� �� VIV Date
For office, use on y
Job Site Address (iequirea)
Value of Construction (labor, materials, profit)
538 Muskegon Ct, Fort Collins
$7000
Property Owner Name
Address City/State Zip
Phone
Alex Alvarez
538 Muskegon Ct, Fort Collins, CO 80524
Applicant Name
Address City/State Zip
Phone
Sandbox Solar
430 N. College Ave Fort Collins, CO 80524
970-673-7733
Solar Contractor License #/Co. Name
Address City/State Zip
Phone
S-3665
430 N. College Ave Fort Collins, CO 80524
970-673-7733
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
[A Here ❑ Report
Sates tax number isrequkedtyail contractors.
Are you paying with your trust account?
❑ Yes I$ No
27948818-0000
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ❑ Yes ❑ No
Is this a residential or commercial project? IR 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 DQ No Ifyes, you may need to contact H/stoi/c Preservation
Description of work"
5.2kW -DC Roof Flush Mounted Grid Tie PV System.
"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 Clry of Ft Collins license # (PV MUST list Ctry Registered Electrician — 7hermal MUST
list Ch:y Registered Flumbet)
ElectrlclanAlt -Electric 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. 1 know that a
permit Is not valid until it has been paid and Issued. Applicant: Ian Skor wawl 11/14/19
Print Name: Slgnature Date