HomeMy WebLinkAbout202201378 -4511 Saulsbury St - Application_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Solar PV Installation
Date: Wednesday, June 22, 2022 10:26:42 AM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Solar PV Installation
This application is exclusively for Solar PV Installations
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
Solar PV Installation?
PROPERTY INFORMATION
Property Address 4511 SAULSBURY ST WHEAT RIDGE, CO 80033
Property Owner Name DAVID DIETRICH
Property Owner Phone 231-388-1848
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email dr_deiter@yahoo.com
Address
Attach City of Wheat WHEAT RIDGE Electronic -Payment -Form Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business HUNTER ELECTRIC
Name
Wheat Ridge 1210172
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-898-4532
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email amanda@southardsolar.com
Address
Retype Contractor amanda@southardsolar.com
Email Address
DESCRIPTION OF WORK
Scope of Work
Roof Flush Mount installation of 15 Silfab 370W AC Modules
KW
5.55
# of Panels
15
Location of Panels
house roof
Structural required
Yes
Upload engineer letter
dietrickwheat ridge flashloc engineer letter 052422 ndf
or pages on 8 1/2" x
11" only
Solar Installation Plan
DIETRICK+PLAN 11 x17.Ddf
Set on 11 "x17" only.
Project Value (contract
16986
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Amanda Borchardt
Pe rm it
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Email not displaying correctly? View it in your browser.