HomeMy WebLinkAbout2055 Tunis Cir - Applications/Solar - 04/03/2017Planning, Development and Transportation
City of Building Services Department
281 N. College Ave P.O. Box 580
For} ` Collins Fort Collins, CO80524
`. 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 # /"5 1 + O I
For affim use only
Date 4L Ml-:�
lob Site Address (required)
Value of Construction (labor, materials, profit)
205 — CI VKIP
ne
Property Owner Name
Address City/State Zip
Phone
Cr'N kA O \A
SS m;5
Applicant Name
Address Gty/State Zip
Phone
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Solar Contractor License #/Co.Name
Address Zip]
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Contractor C14 of Ft Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here ❑ Report
Saks &wmanberisrequ&edayayavaactas
Are you paying with your trust account?
❑ Yes ;No
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER?;W Yes ONO
Is this a residential or commercial project? 0 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 ,ff No Ifyies, you may need to cwibd HisMdc Preservabvn
*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 pry of R Lb/W /license 0 (PV MUST list O&y Registered Blecbs<dan — Thermal MUST .
/is& O&y Reg&ere+d Plumber)
Electrician. M9 - N80 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:, _— g n Date r) � I 1 U 3) 701-�
Print Name: V Yr I S ('y, Vve Signature ti,._
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