HomeMy WebLinkAbout202201730 - 3291 Vivian Dr - Permit_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Solar PV Installation
Date: Monday, August 1, 2022 10:45:48 AM
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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 3291 Vivian Dr. Wheat Ridge CO 80033
Property Owner Name Timothy Mullen
Property Owner Phone 720-227-5331
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email timmullennow@outlook.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Top Electric
Name
Wheat Ridge 210500
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 385-308-5582
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email brandon@shieldenergy.tech
Address
Retype Contractor brandon@shieldenergy.tech
Email Address
DESCRIPTION OF WORK
Scope of Work
Install Solar of Home Roof
KW
4.74
# of Panels
12
Location of Panels
8 on Garage 4 on main house
Structural required
No
Upload engineer letter
Timothy Mullen ndf
or pages on 8 1/2" x
11" only
Solar Installation Plan
Timothy Mullen 1.odf
Set on 11 "x17" only.
Project Value (contract
17,138
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 Brandon Renshaw
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.
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