HomeMy WebLinkAbout6857 KASLAM CT - APPLICATIONS - 2/14/2018Planning, Development and Transportation
City Of Building Services Department
t Collins
� I I • 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):
❑ Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #
For office use only
Date nZ / M ( 27018
Job Site Address (required)
Value of Construction (labor, materials, profit)
SS C
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Property Owner Name Address
City/State Zip
Phone
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c�+ om W
> 0- yZo - ys
Applicant Name Address
City/State Zip
Phone
Ecomark Constuction 4665 Paris St. #300-C Denver/CO 80239
505-250-0088
Solar Contractor License #/Co. Name Address
City/State Zip
Phone
S3606/ Ecomark Construction 4665 Paris st.
#300-C Denver/CO 80239
720432-6411
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
G�Here ❑ Report
sales tax number is required by all contractors:
Are you paying with your trust account?
❑ Yes N(No
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? Ja Yes ❑ No
Is this a residential or commercial project? 9 Residential ❑ Commercial
If residential, is it: ESSingle 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 IKNo Ifyes, you mayneed to contact Historic Preservation
Description of work*
9,9 KWDC, Rooftop, Flush -Mounted, PV Solar system, Utility interconnected,Modules
*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 Eleco-ician — Thermal 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: Chris Gibney Signature
Date (?7/Iz1 tZol!?