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Home My WebLink About425 N ROOSEVELT AVE - PERMITS - 3/23/2021Owner:COOK GERICKE/MATT 425 N ROOSEVELT AVE FORT COLLINS,CO 80521-1647 Phone:970-799-4412 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:PHOTON BROTHERS,INC. 7705 W 108th Ave Broomfield,CO 80021 License #:S-3640 Phone:844-727-6527 Supervisor cert #:4013-S Subcontractor(s)Phone License Number Electrical:PHOTON BROTHERS,INC.303-513-9269 ME-1741 Solar Energy:PHOTON BROTHERS,INC.844-727-6527 S-3640 Work Description:Installation of a 9.1 kW roof mounted grid tied 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 03/23/21:$138.35 Payment method:Check 6941 **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 #:B2100933 Issued Full:03/23/2021 Permit Type:Residential Alteration Site Address:425 N ROOSEVELT AVE Job Valuation:$27,000.00 Category:Residential Remodel Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Check CK #6941 02/22/2021 $138.35 Receipt issued:03/23/2021 Total Paid to Date:$138.35 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Plan Check Fee 1000.444010 $138.35 $138.35 02/22/2021 $0.00 TOTAL FEES:$138.35 $138.35 $0.00 TOTAL BALANCE DUE AS OF 03/23/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2100933 Issued Full:03/23/2021 Permit Type:Residential Alteration Site Address:425 N ROOSEVELT AVE Job Valuation:$27,000.00 Category:Residential Remodel Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 Cityof �tColli� 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): [ii Photovoltaic Solar (PV) D Thermal Solar (Hot Water System) Complete all applicable information on the application. Incomplete applications will not be accepted. Application # __________ _ For office use only Date ______________ _ lob Site Address (required) Value of Construction (labor, materials, profit) 425 N Roosevelt Ave $27,000 Property Owner Name Address City/St ate Zip Phone Gericke Cook 425 N Roosevelt Ave Fort Collins CO 80521 970-779-4412 Applicant Name Address City/State Zip Phone Photon Brothers 7705 W. 108th Ave Westminster, Co 80021 844-727 -6527 Solar Contractor License #/Co. Name Address City/State Zip Phone 7705 W. 108th Ave Westminster, Co 80021 844-727 -6527 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? D Here D Report Sales tax number is required by all contractors. Are you paying with your trust account? DYes 15a No IF SOLAR PV SYS TEM, HAS THE PROJECT BEEN PRE-APPROVED BY CITY LIGHT AND POWER? [J Yes [J No Is this a residential or commercial project? 0 Residential D Commercial If residential, is it: D Single Family Detached D Condo/townhome (single family attached) D Duplex D Multifamily (apartment) D Garage If commercial, is it: D Bank D Bar D Church D Hotel/Motel D Medical office D Office D Retail D Restaurant D Other (explain)----------------- Is this building 50 years of age or more? CJ Yes D No If ye� you may need to contact Historic Preservation Description of work* _9.1_kW Roof Mounted Grid Tied Solar PV 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 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: Chelsea Sours Signature � 9 B"t,tlul.., Date __ 1_12_0_12_0_2_1 ___ B2100933 2/5/2021