HomeMy WebLinkAbout318 Peterson St - Applications/Solar - 07/03/2018Planning, Development and Transportation
City Of Building Services Department
�•}} 281 N. College Ave P.O. Box 580
®1 ` 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):
® Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #
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For ofte use only
Date 7/3/2018
Job Site Address (required)
,Value of Construction (labor, materials, profit)
e Peterson St, Fort Collins, CO 80524
$5000
Property Owner Name 31 Address
City/State Zip
Phone
Casey Levinger —3r19 Peterson St, Fort Collins, CO 80524
970-689-8507
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?
[A Here ❑ Report
saiestaxnumber isrequiredbyall con&actors. Are you paying with your trust account?
❑ Yes IR 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? lR 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 Pill No
If yes, you may need to contact Historic Preservation
Description of work*
5.76 kW Rooftop Grid Tie PV System on Garage
Replace existing meter house with a meter/main combo, refeed existing main house panel,
install a 60A 240V feeder to detached garage using existing overhead line, set exterior panel at garage
*Please note in description if; roof flush mounted, roof mounted & elevated, ground array, kw amount, how many solar panels.
Subcontractors: List the ��c)�ompany name or City of Ft Collins'license # (PV NVST"st City Registered Electrician — Thermal MUST
list city 6teoplel"Ptl@Ctl1c
Electrician) rl 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 Skor 7/3/2018
Print Name: Signature Date
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