HomeMy WebLinkAbout4112 SUNSTONE DR - APPLICATIONS - 4/12/2018Fort of
/0`
Planning, Development and Transportation
Building Services Department
281 N. College Ave P.O. Box 580
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 # 151� 2 Iq.D Date y t2 2bIg
For olRce use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
4112 Sunstone Dr., Fort Collins, CO 80525
$16,182
Property Owner Name Address
City/State Zip
Phone
Benjamin Dixon 4112 Sunstone Dr.
Fort Collins, CO 80525
970-310-5749
Applicant Name Address
City/State Zip
Phone
Skyline Solar 663 W. State Street, Unit 3
Pleasant Grove, UT 84062
855-475-9765
Solar Contractor License #/Co. Name Address
City/State Zip
Phone
S _ 31 301 Trent Heiden 663 W. State Street Pleasant Grove, UT 84062 855-475-9765
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here ❑ Report
Sales tax number is required by all contractors.
Are you paying with your trust account?
❑ Yes ❑ No
00135998
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? ❑ Yes K No
Is this a residential or commercial project? R Residential ❑ Commercial
If residential, is it: 14 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 P(No If yes, you may need to contact Historic Preservation
Description of work*
Roof flush mounted PV solar panels. 3.48 kW. 12 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 Electrician - Thermal MUST
list City Registered Plumber)
Electrician
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: Lauren Thorneloe Signature
Z LdUtz.y, / Z&4.ot4. 0_
Date
4/12/2018