HomeMy WebLinkAbout6215 TREESTEAD CT - APPLICATIONS - 9/25/2018Planning, Development and Transportation
City of Building Services Department
281 N. College Ave P.O. Box 580
F6r } ` 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 oA%e use only
Date
Job Site Address (required)
Value of Construction (labor, materials, profit)
6215 Treestead ct, Fort Collins, Colorado 80528 $25,200
Property Owner Name
Address City/State Zip
Phone
Christopher Lake
6215 Treestead ct, Fort Collins, Colorado 80528
(970) 215-5096
Applicant Name
Address City/State Zip
Phone
888-781-7074 x1117
Emma Austin
4801 N University Ave, Ste 900, Provo UT 84604
permits@ionsolar.com
Solar Contractor License #/Co. Name
Address City/State Zip
Phone
888-781-7074 x1117
Ion Developer LLC, EC.0100960
4801 N University Ave, Ste 900, Provo UT 84604
ermits@ionsolar.com
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report?
❑ Here ❑ Report
Sales tax number is required by all contactors.
Are you paying with your trust account?
❑ Yes ❑ No
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: IM 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 ®No If yes, you may need to contact Historic Preservation
Description of work*
Installation of solar panels on existing residential roof. Roof flush mounted 7.20kW
(24) SILFAB SLA-300M MODULES AND (24) ENPHASE IQ7-60-2-INT MICRO -INVERTERS
*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 Gty Registered Electddan — 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: Emma Austin Signature �_ iL�=� Date 9/25/2018