HomeMy WebLinkAbout6315 WESTCHASE RD - APPLICATIONS - 1/14/2020Planning, 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):
QX Photovoltaic Solar (PV)
❑ Thermal Solar (Hot Water System)
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # N q � 5039
For office use only
Date
Job Site Address (required)
Value of Construction (labor, materials, profit)
6315 Westchase Rd, Fort Collins, CO 80528 10281.6
Property Owner Name
Address City/State Zip Phone
Paul Thayer
Same as above 970-217-5331
Applicant Name
Address City/State Zip Phone
Tesla Energy Operations Inc.
15690 Parkerhouse Road Unit 4 Parker, CO 80134 303-474-5480
Solar Contractor License #/Co. Name
Address City/State Zip Phone
Testa Energy Operations Inc.
15690 Parkerhouse Road Unit 4 Parker, CO 80134 303-474-5480
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? OHere ❑ Report
Sales tax number is required by all contractors.
Are you paying with your trust account? ❑ Yes QX No
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? 0 Yes ❑ No
Is this a residential or commercial project? OResidential ❑ 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 7.56 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 Lrty Registered Electrician — Thermal MUST
list City Registered Plumber)
Electrician Tessa Energy operatbns 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 % UwuHp 10/25/2019
Print Name: Signature Date