HomeMy WebLinkAbout2632 Kit Fox Ct - Applications/Addition or Alteration - 03/11/2019Planning, Development and Transportation
City/ Of Building Services Department
} 281 N. College Ave P.O. Box 580
�,,,olrr•l 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):
OX Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # V 'Z61
For office use only
Date 3/11/2019
Job Site Address (required)
Value of Construction (labor, materials,
2632 Kit Fox Ct.
$21,600
Property Owner Name
Address City/State Zip Phone
Scott Bush
Same as above (970)215-8118
Applicant Name
Address City/State Zip Phone
Tesla Energy Operations Inc.
470 E 76th Ave #3A Denver, CO 80229 (303)474-5480
Solar Contractor License #/Co. Name
Address City/State Zip Phone
Tesla Energy Operations Inc.
470 E 76th Ave #3A Denver, CO 80229 (303)474-5480
Contractor City of Ft. Collins Sales Tax
# Are you paying taxes here or by report? QX Here ❑ Report
Sales tax number is required byall contactors .
Are you paying with your trust account? ❑ Yes ❑X No
IF SOLAR PV SYSTEM, HAS 1 HE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? Qx Yes ❑ No
Is this a residential or commercial project? QX Residential ❑ Commercial
If residential, is it: QSingle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
N 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 ❑ No Ifyes, you may need to contact Historic Preservation
Description of work*
Install a 40.5kWh powerwall backup energy storage 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 MUST list City Registered Electrician — Thermal MUST
list City Registered Plumber)
Electrician Testa Energy operabons Inc. 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: Tim Brown Signature 2a),' 541& HP Date 3/11 /2019