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HomeMy WebLinkAbout4130 SUNSTONE DR - APPLICATIONS - 4/2/2020Planning, Development and Transportation City, of Building Services Department F6r} Collins281 N. College Ave P.O. Box 580 ` �. sFort 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): A Photovoltaic Solar (PV) ❑ Thermal Solar (Hot Water System) Complete all applicable information on the application. Incomplete applications will not be accepted. Application # Date ' �0 For office use only Job Site Address (requuedl Valueofof Construction (labor, materials. profit) r ( Vdl 1 O��T ' 1�5 o �7i S -�-7 -7 b , eD d Property Owner Name Address City/State Zip Phone ka o 141n RV'V G: (i1- CD ` o'5a s 9 70 _:V6- 85?3 Applicant Name Address City/State Zip Phone Pco,mc,rk q65 , : S�. `peAt ,CO oa3� 7aa-t, 3a-6Nvr Solar Contractor License #/Co. Name Address City/State Zip Phone g- 5 rA �� a� 6 65 04 s s•), ?aa 3 cr 7,2 o --ass - s r f 5 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? El- Here ❑ Report Sa/es texnumberfs ui byall contractws. Are you paying with your trust account? ❑Yes ❑ No IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY LIGHT AND POWER? aYes ❑ No Is this a residential or commercial project? UResidential ❑ Commercial If residential, is it: ® 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 ONo /fyes, you may need to contact Historic Preservation Description of work* -55 (� rt ,AI J`rx�� , `�15� w�c>vvt� L)�\i1r I>`6Ccv.v14a C{-chi( v S, - c� 14 r9p-fS rA: !S *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 Eiectridan - Thermal MUST list City Registered Plumber) Electrician S- 3 7 L4 -7 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. 1 know that a permit is not valid until It has been paid.and issued. Print Name: 4e1-kk kMA, CW f -A <Asignature. Date - O O