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Home My WebLink About3000 MILNER CT - PERMITS - 3/31/2021 City ®f Community Development&Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 F 'cirt �cLLI flS 970.22/.6760 970.224.6i34 -fax Building Permit#: B2101105 Issued Full: 03/31/2021 Permit Type: Residential Alteration Site Address: 3000 MILNER CT Job Valuation: $18,847.50 Category: Residential Remodel Owner: GEISELMAN TERRY 3000 MILNER CT FORT COLLINS, CO 80525-6632 Phone. 970-224-5289 Zoning: Front setback: Rear setback. Right setback Left setback Minor Amend#. Plat File#. ZBA Case#. Zoning district: RL-LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD Filing#. Lot#. Block#. 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: FREEDOM FOREVER COLORADO, LLC License#. S-4019 Supervisor cert it 4928-S 43445 Business Park Drive, Ste 110 Temecula, CA 92590 Phone. 951-326-0277 Subcontractor(s) Phone License Number Electrical FREEDOM SOLAR, LLC 908-872-0798 ME-1756 Solar Energy. FREEDOM FOREVER COLORADO, 951-326-0277 S-4019 Work Description. Installation of a 7 1kW grid-tied, roof/flush-mounted solar PV system 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 03/31/21: $919.21 Payment method: Credit Card 6635 **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. Signature: Print Name: Date: Form Revised Oct 2010 City of Community Development&Neighborhood Services Frt 281 N. College Ave Fort Collins, CO 80522 . „,ort Collins970.224.6134 -fax Building Permit#: B2101105 Issued Full: 03/31/2021 Permit Type: Residential Alteration Site Address: 3000 MILNER CT Job Valuation: $18,847.50 Category: Residential Remodel Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK#6635 03/31/2021 $762.88 Credit Card CK#6635 02/12/2021 $156 33 Receipt issued: 03/31/2021 Total Paid to Date: $919.21 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee w/Subs 1000 422010 $324 68 $324 68 03/31/2021 $0 00 City Sales/Use Tax 251 122030 $362.81 $362.81 03/31/2021 $0 00 County Sales/Use Tax 100.217030 $75.39 $75 39 03/31/2021 $0 00 Plan Check Fee 1000 444010 $156.33 $156.33 02/12/2021 $0 00 TOTAL FEES: $919.21 $919.21 $0.00 TOTAL BALANCE DUE AS OF 03/31/2021: $0.00 Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 Planning, Development and Transportation City/of Building Services Department FortCollins81 N. College Ave P.O. Box 580 1 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 # B2101105 Date 2/10/21 For office use only Job Site Address (required) Value of Construction (labor, materials, profit) 3000 Milner Ct, Fort Collins, CO 80525 $ 18,847.50 Property Owner Name Address City/State Zip Phone Geiselman, Terry 3000 Milner Ct Fort Collins, Co 80525 (970) 224-5289 Applicant Name Address City/State Zip Phone Jeremy Burks 43445 Business Park Dr. Ste. 110 Temecula, CA 92590 (720)384-7512 Solar Contractor License #/Co. Name Address City/State Zip Phone S-4019/Freedom Forever Colorado, LLC. 43445 Business Park Dr Ste. 110 Temecula CA 92590 (720)384-7512 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? 0 Here 0 Report Sales tax number is required by all contractors. Are you paying with your trust account? 0 Yes ❑ No 00140115 IF SOLAR PV SYSTEM, HAS THE PROJECT BEEN PRE-APPROVED BY CITY LIGHT AND POWER? 0 Yes 0 No Is this a residential or commercial project? ✓❑Residential 0 Commercial If residential, is it: ❑✓ Single Family Detached _Condo/townhome(single family attached) ❑Duplex ❑Multifamily(apartment) _Garage If commercial, is it: 0 Bank 0 Bar 0 Church 0 Hotel/Motel 0 Medical office 0 Office 0 Retail ❑ Restaurant ❑ ¢titer(ex Fain) Is this building 50 years of age or more? Lf Yes b✓ No If yes,you may need to contact Historic Preservation Description of work* Install a 7.100 kw grid tied, roof flush mounted solar photovoltaic 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#(PV MUST list City Registered Electrician-Thermal MUST list City Registered Plumber) Electrician ME-1764 _ 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: Digitally a,keC by Date 2 2t.0 2/10/21 Print Name:Jeremy Burks Signature 091 52207'00' Date 09.t9:52-01'00'