HomeMy WebLinkAbout4918 HINSDALE DR - APPLICATIONS - 2/15/2012City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
. www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER_ 4 I APPLICATION DATE 2/15/2012
Job Site Address4918 Hinsdale Drive Unit #
PROPERTY OWNER INFO: (All owner Information is required - it is not optional) Phone # 970-225-1 977
Last name Vann First Name Warren Middle
Street Address Same City Fort Collins State CO Zip 80526
CONTRACTOR INFO: Company Name SolarCity Corp Contractor Phone # 720-563-9699
Lic Holder Name Jacob Tornatzky City of Fort Collins License # Supervisor Cert #
Mailing Address 490 E. 76th Ave, Unit C City Denver State CO Zip 80229
Subdivision/PUD Filing # Lot # Block # . Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft
1st Floor Sq Ft
Comm'I Sq
2nd Floor Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3m Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths Y2 Baths # of Fireplaces
Air Conditioning: Ye: ]Non Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative❑ 6. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door
A
0
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes []No[] Temp. Pedestal Yes❑ No
El
Type of Heat: ❑ Gas Electric Electric Main Breaker Size (Residential only) 0150 Amp or Less Z 200 Amp Other
Value of Construction (including labor, material & profit) $ 10,900
Description of Work:
Installation of grid -tied rooftop,flush-mounted solar PV system - 3.12kW.
Contact Name & Phone # of JOBSITE SUPERVISOR: Jacob Tomatzky, 303-709-3445
Subcontractor Info:
Electrical SolarCity Mechanical
Framer
Solar SolarCity
Roofing
Other
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Collins ordinances and sta aws regulating building construction.
Applicant Signature_. �~` Print Name Brad Barkey Phone
720-563-9699
Distribution: White -Office Yellow -Applicant Pink -VWVW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE