HomeMy WebLinkAbout4213 SADDLE NOTCH DR - APPLICATIONS - 1/31/2020Planning, Development and Transportation
City Of Building Services Department
281 N. College Ave P.O. Box 580
F6rr��} ` Collins Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
SOLAR PERMIT APPLICATION FORM
Th's 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 #_m1 &; 2 Date
For oliice use only
?in rnq
Job Site Address (required)
Value of Construction (labor, materials, profit)
4213 Saddle Notch Dr. Fort Collins, CO 80526
$12,060
Property Owner Name Address
City/State Zip
Phone
Barbra Duffner 4213 Saddle Notch Dr.
Fort Collins, CO 80526
970-223-4295
Applicant Name Address
City/State Zip
Phone
EcoMark Sales Inc. 4665 Paris St. #300-C
Denver,' CO 80239
720-432-6411
Solar Contractor License #/Co. Name Address
City/State Zip
Phone
S-3747 EcoMark Sales Inc 4665 Paris St. #300-C Denver, CO 80239
720-432-6411
Contractor City of Ft. Collins Sales Tax # Are
you paying taxes here or by report?
❑ Here ❑ Report
sales tax number is required by allconbactors Are you paying with your trust account?
❑ Yes ❑ No
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? 4dYes ❑ No
Is this a residential or commercial project? SAesidential ❑ Commercial
If residential, is it: 4ZSingle 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 CeNo
If yes, you may need to contact Historic Preservation
Description of work*
4.02 kW Rooftop, Flush Mounted, Utility Interconnected, 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 # (PI/MUST list City Registered Electrician — 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: Taylor Cordone ���� 1/30/20
Print Name: Signature Date