HomeMy WebLinkAbout4306 VISTA DR - APPLICATIONS - 3/24/2020 (2)Planning, Development and Transportation
City Of Building Services Department
F111•��'} 281 N. College Ave P.O. Box 580
or ` Collins � •r1C 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 #
For ofRce use only
Date 3/24/20
Job Site Address (required)
Value of Construction (labor, materials, profit)
4306 Vista Dr, Fort Collins, Colorado, 80526
15,680
Property Owner Name Address
City/State Zip
Phone
Joseph Trofka 4306 Vista Dr,
Fort Collins, Colorado 80526
(970) 206-9816
Applicant Name Address
City/State Zip
Phone
Justine Parham 4801 N University Ave
#900 Provo UT 84604
888-781-7074
Solar Contractor License #/Co. Name Address
City/State Zip
Phone
Ion Developer LLC, ECO100960 4801 N University Ave #900 Provo, UT 84604
888-781-7074
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
IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE -APPROVED BY CITY EIGHT AND POWER? ❑ Yes ❑ No
Is this a residential or commercial project? ® Residential ❑ 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 ® No Ifyes, you mayneed to contact Historic Preservation
Description of work*
Installation of solar panels on existing residential roof. 4.48kw
(14) Silfab SLA-320 Modules & (14) Enphase IQ6-60-2-US Micro -Inverters
*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 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:
Print Name: Justine Parham Signature tl etiKe Par/aao Date 3/26/20