HomeMy WebLinkAbout4130 SNOW RIDGE CIR - APPLICATIONS - 9/11/2017Planning, Development and Transportation
City of Building Services Department ' r� �
} 281 N. College Ave P.O. Box 580 '/ -
�` 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):
.q Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # b l%o �5a4-1
For oh`rce use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
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Property Owner Name
Address
City/State Zip
Phone
Applicant Name
Address
City/State Zip
Phone
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Solar Contractor License #/Co.
Name
Address
City/State Zip
Phone
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here
❑ Report
Sales tax number is required by allcontractom
Are you paying with your trust account?
❑ Yes
❑ No
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? J21 Yes ❑ No
Is this a residential or commercial project? 9 Residential ❑ Commercial
If residential, is it: ld 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 K No If yes, you may need to contact Historic Preservation
Description of work*
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b -101
*Please not in description if; roof flush mounted, ro f mounted elevated, g ound 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)
Electridan �CI' 5 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: OLLW VlAbG Signatur Date