HomeMy WebLinkAbout1333 Town Center Dr - Applications/Solar - 09/09/2020Planning, Development and Transportation
City of Building Services Department
281 N. Coege Ave
Fort Collins
IS Fort Co I ns, CO 80524 P.O. Box 580
/ 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 #
B2010238
For office use only
Date
09.09.2020
Job Site Address (required)
Value of Construction (labor, materials, profit)
1333 Town Center Dr. Fort Collins CO 80524 $20,238
Property Owner Name Address
City/State Zip
Phone
Mike Brown 1333 Town Center Dr. Fort Collins, CO 80524
(832) 647-6276
Applicant Name Address
City/State Zip
Phone
Sarah Gledhill 6707 Winchester Cir
Boulder, CO 80301
303-447-0300
Solar Contractor License #/Co. Name Address
City/State Zip
Phone
S-2592 6707 Winchester Cir
Boulder, CO 80301
(303)447-0300 ext 237
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
0 Here ❑ Report
Sales tax number is required by all contractors
Are you paying with your trust account?
❑ Yes 0 No
48551
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: ® 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 a grid -tied, roof -mount 6.300 kW Solar PV Sytem.
*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: � �
Print Name: Sarah Gledhill Signature IG4 Date 9/8/2020