Loading...
HomeMy WebLinkAbout609 Peterson St - Applications/Solar - 01/29/2019Planning, Development and Transportation City of Building Services Department r281 N. College Ave P.O. Box 580 `} 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 # s ��`" Qaj Date For office use only I-aq-lK Site Address (required) Job S/ Value of Construction (labor, materials, profit) leaf 6"A?r1bD c9ro �C'_ rSO17 ✓i�cEf Ff C,94 S � L , `l ?,5 Owner Name Address City/State Zip Phone ��P11roperty (! AetrleJ Ccf(Icac) 6�� rel2JSon� Tf Co�livt$ CCU 0©5��� lc/t% Applicant Name Address City/State Zip Phone vrif Lyr.lemc-.<5 Wf. F17 "PagS Solar Contractor License #/Co. Name Address City/State Zip Phone At k1K,/Pr 4Sr;Q! L t l7o _a /Wv&q Co 0(o 7ao-,53 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? 4 I Here ❑ Report Sales tax number is required by all contractors. Are you paying with your trust account? ❑ Yes 0 No IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ❑ Yes Is this a residential or commercial project? IfResidential ❑ Commercial If residential, is it: MSingle Family Detached ❑ Condo/townhoine (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 K No If yes, you may need to contact Historic Preservation ❑ No Description of work* / *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 MUST list City Registered Electrician — Thermal MUST list City Registered Plumber) Electrician 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: ,,�� Print Name: 61 �44 C PtOJ Signature Date eoior'(AP rvv', 5 R9 Ccc�rtre60(4�-.c0rV1