HomeMy WebLinkAbout444 HOUGHTON CT - APPLICATIONS - 3/17/2015Planning, Development and Transportation
City of Building Services Department
281 N. College Ave P.O. Box 580
FOr } ` 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):
❑X Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # B 1 S b I tr 33
For olhce use only
Date 5/1-1 116
Job Site Address (required)
Value of Construction (labor, materials, profit)
444 Houghton Ct, Fort Collins CO 80524 9350
Property Owner Name
Address City/State Zip Phone
Silvers, Mark E.
Same as above (970) 980-1023
Applicant Name
Address City/State Zip Phone
Solar City
470 E 76th Ave #3A Denver, CO 80229 303-902-3957
Solar Contractor License #/Co. Name
Address City/State Zip Phone
Solar City
470 E 76th Ave #3A Denver, CO 80229 303-902-3957
Contractor City of Ft. Collins Sales Tax
# Are you paying taxes here or by report? ❑X Here ❑ Report
sales tax number is required by allmnbactors.
Are you paying with your trust account? ❑ Yes MNo
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? Qx Yes ❑ No
Is this a residential or commercial project? QResidential ❑ Commercial
If residential, is it: OSingle 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 []No If yes, you may need to contact Historic Preservation
Description of work*
Install a 5.0 kW roof -mounted grid -tied solar PV 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 iist City Registered Electrician - Thermal MUST
list City Registered Plumber)
Electrician Solar City 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.
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APP icant: .:Dalon Newton Dalon Newton,r„--. 3/11/15Print Name: Signature Date