HomeMy WebLinkAbout2909 CRUSADER ST - PERMITS - 11/5/2020Owner:KERNS JAYDON LANE
2909 CRUSADER ST
FORT COLLINS,CO 80524-7513 Phone:970-590-7327
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:LMN -LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:2 Block #:31
Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:
#of stories:Occ Group:Const Type:V-B
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:EMPIRE SOLAR GROUP,LLC
9 Exchange Pl.,Ste.400
Salt Lake City,UT 84111
License #:S-3758
Phone:180-046-74562
Supervisor cert #:4918-S
Subcontractor(s)Phone License Number
Electrical:EMPIRE SOLAR GROUP LLC 800-467-4562 ME-1602
Solar Energy:EMPIRE SOLAR GROUP,LLC 180-046-7456 S-3758
Work Description:Installation of 5.61 kW solar panels on existing residential roof.Roof flush mounted.
SCHEDULE INSPECTIONS:**via Text Message:888-406-6394 **By Phone:970-221-6769
**Online Portal:fcgov.com/CitizenAccess **Online Portal via Mobile Device:fcgov.com/CitizenAccess/mobile
Possible Inspections Required:206 200 202 204 100 101 102 203 205 201 207 303 301 300 302
TOTAL FEES PAID AS OF 11/05/20:$438.11 Payment method:Credit Card 2091
**Fee Detail Displayed on Next Page
As a condition for the issuance of a permit,I hereby declare that I am the owner or owner's agent,authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein,and City ordinances,and State laws associated with such work.I understand that such permit may be
revoked in the event that issuance was based on incorrect information.This permit shall become null and void if the work authorized by such permit is not commenced,
suspended,abandoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2011708
Issued Full:11/05/2020
Permit Type:Residential Alteration
Site Address:2909 CRUSADER ST
Job Valuation:$7,854.00 Category:Residential Remodel
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #2091 10/16/2020 $438.11
Receipt issued:11/05/2020 Total Paid to Date:$438.11
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010 $172.46 $172.46 10/16/2020 $0.00
City Sales/Use Tax 251.122030 $151.19 $151.19 10/16/2020 $0.00
County Sales/Use Tax 100.217030 $31.42 $31.42 10/16/2020 $0.00
Plan Check Fee 1000.444010 $83.04 $83.04 10/16/2020 $0.00
TOTAL FEES:$438.11 $438.11 $0.00
TOTAL BALANCE DUE AS OF 11/05/2020:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2011708
Issued Full:11/05/2020
Permit Type:Residential Alteration
Site Address:2909 CRUSADER ST
Job Valuation:$7,854.00 Category:Residential Remodel
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
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 #__________________________
For office use only
Date _______________________________
Property Owner Name Address City/State Zip Phone
Applicant Name Address City/State Zip Phone
Job Site Address (required) Value of Construction (labor, materials, profit)
Solar Contractor License #/Co. Name Address City/State Zip Phone
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 LIGHT 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 If yes, you may need to contact Historic Preservation
Description of work*
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
*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:____________________________ Signature ________________________________ Date ____________________
2909 Crusader Street, Fort Collins, Colorado 80524 $7,854
Jaydon Kerns (970) 590-73272909 Crusader Street, Fort Collins, Colorado 80524
ASHLEY COOEPR 7003 E 47th Ave DR Unit A-400 Denver, CO 80216 720-513-8017
Empire Solar Group 7003 E 47th Ave DR Unit A-400 Denver, CO 80216
(800) 467-4562
TO INSTALL A 5.61KW PV ARRAY ROOF MOUNTED SYSTEM
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Ashley Cooper 10/16/2020
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B2011708 10/16/2020