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HomeMy WebLinkAbout643 PARLIAMENT CT - APPLICATIONS - 9/20/2019Planning, Development and Transportation City cif Building services Department 281 N. College Ave P.O. Box 580 For} CollinsIFort 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 ## mI1 016 For o>fIce use only Date 9,r 76 • ( a Job Site Address (required) Value of Construction (labor, materials, profit) 643 Parliament Ct., Fort Collins, CO 80525 16707.6 Property Owner Name Address City/State Zip Phone Bill Feaster Same as above 970-215-5459 Applicant Name Address City/State Zip Phone Tesla Energy Operations Inc. 15690 Parkerhouse Road Unit 4 303-474-5480 Solar Contractor License #/Co. Name Address City/State Zip Phone Tesla Energy Operations Inc. 15690 Parkerhouse Road Unit 4 303-474-5480 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑X Here ❑ Report Sales tax number isrequired byall contractors Are you paying with your trust account? ❑ Yes ©No IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? Qx Yes 0 No Is this a residential or commercial project? ❑- Residential ❑ Commercial If residential, is it: QSingle 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 12.285 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 list City Registered Electrician — Thermal MUST list City Registered Plumber) Electrician Tesla Energy opem ions 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 state laws regulating building construction. I know that a permit is not valid until it has been paid and issued. Applicant: Tim Brown % ai,�f AP 9/16/2019 Print Name: Signature Date