HomeMy WebLinkAbout3909 Oak Shadow Way - Applications/Solar - 05/26/2020Planning, Development and Transportation
City Of Building Services Department
F111•••''•} •n 281 N. College Ave P.O. Box 580
or ` 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 #
For office use only
Date 5/26/2020
Job Site Address (required)
Value of Construction (labor, materials, profit)
3909 Oak Shadow Way, Fort Collins, Colorado, 80528 $6,960
Property Owner Name
Address City/State Zip
Phone
Keith Larsen
3909 Oak Shadow Way, Fort Collins, Colorado, 80528 (214) 493-2105
Applicant Name
Address City/State Zip
Phone
888-781-7074 x8521
Emily Mckell
4801 N University Ave, Ste 900, Provo UT 84604
permits@ionsolar.com
Solar Contractor License #/Co. Name
Address City/State Zip
Phone
888-781-7074 x8521
ION Developer LLC, EC.0100960
4801 N University Ave, Ste 900, Provo UT 84604
permits@ionsolar.com
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report?
❑ Here ❑ Report
Sales tax number is required by all contractors.
Are you paying with your trust account?
❑ Yes ❑ No
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ❑ Yes ❑ No
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is it: M 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 0 No Ifyes, you mayneed to contact Historic Preservation
Description of work*
Installation of solar panels on existing residential roof. Roof flush mounted. 4.80 kW
(15) SILFAB SOLAR SIL-32ONL MODULES AND (15) ENPHASE IQ7-60-E-US MICRO -INVERTERS
*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 — 7hermal 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: Emil Mckell rr� 5/26/2020
Print Name: Y Signature Date