HomeMy WebLinkAbout438 HOUGHTON CT - APPLICATIONS - 7/15/2017Fort Collins
Planning, Development and Transportation
Building Services Department
281 N. College Ave P.O. Box 580
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 # J l Date 7/15/17
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
438 Houghton Ct. Fort Collins,
CO 80524 $17,274
Property Owner Name
Address City/State Zip
Phone
Julie Welte
438 Houghton Ct. Fort Collins, CO 80524
(719) 251-0450
Applicant Name
Address City/State Zip
Phone
Solar Contractor License #/Co. Name
Address City/State Zip
Phone
CAM Solar. EC 101011
3443 S Galena Si, Suite 170 Denver, CO 80231 720-729-8777
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here 91 Report
sales tax number is required by all contractors.
Are you paying with your trust account?
❑ Yes ® No
00135451
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 IN No If yes, you may need to contact Historic Preservation
Description of work*
Installation of flush -mounted Solar PV with 16 panels, 5.42kW, Solaredge Inverter & optimizers.
*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)
Electriciail'AM Solar 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 to laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicant: Jeff Bunge g
Print Name: Signatu °i ` S� Date 7/15/17