HomeMy WebLinkAbout1913 Meadowview Ct - Applications/Solar - 02/05/2018Planning, Development and Transportation
City, Of Building Services Department
281 N. College Ave P.O. Box 580
&: C®ltins 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):
® Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # QAbWb Date
For oAite use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
1913 Meadowview Ct. Fort Collins, CO 80526 $19,000
Property Owner Name
Address City/State Zip
Phone
Kevin Bowman
1913 Meadowview Ct. Fort Collins, CO 80526
970-488-0219
Applicant Name
Address City/State Zip
Phone
Sandbox Solar
430 N. College Ave Fort Collins, CO 80524
970-673-7733
Solar Contractor License #/Co. Name
Address City/State Zip
Phone
S-3665
430 N. College Ave Fort Collins, CO 80524
970-673-7733
Contractor City of R. Collins Sales Tax #
Are you paying taxes here or by report?
I,$ Here ❑ Report
sales tax number is required by all contractors
Are you paying with your trust account?
❑ Yes la No
27948818-0000
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ❑ Yes O No
Is this a residential or commercial project? IR Residential ❑ Commercial
If residential, is it: 121 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 SO years of age or more? ❑ Yes D(No If yes, you may need to contact Historic Preservation
Description of work*
7.440 kW Rooftop Gridtie Flushmount solar electric 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 City of Ft Collins license # (PV MIST list City Registered Electrician — Thermal MUST
list City Registered Plumber)
Electrician Triple g 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. I know that a
permit is not valid until it has been paid and issued.
Applicant: Ian S ko r da-111t, � `""' �' 2/5/2018
Print Name. Signature Date