HomeMy WebLinkAbout4380 ZIEGLER RD - APPLICATIONS - 9/8/2009PROPERTY OWNER INFO: (All owner information is required — it is not optional)
J�sf�laa�e-✓�Go N First Name
/ BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER CJ`I LJ ✓ T APPLICATION DATE
Job Site Address 4f ad zle GLeg 1210 U��n77it((��#
Phone # 2—&S 6�
Middle
Street Address 0 ACC Z p—C) City T / a S StateCcZip 60�Z
CONTRACTOR INFO: Comp
any Name Z t Ay4 Contractor /Phone # p
Lic. Holder Name City of Fort Collins' License # Supervisor Cert # �—�'lMailing Address PC 9"O14 City GA!: State Zip 2
LEGAL INFO: ``'�
AeI(7I AG
Subdivision/PUD STO/� kc- j LCy Filing # Lot # 2 Block # Lot
INFO: Total Building Sq Ft (not including basement) �, Ov0 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft ( LI10 # of Stories 2, Bldg Height # Dwelling Units
1st Floor Sq Ftl�!5 0'-_0 2cd Floor Sq Ft OOC Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
# of Full Baths % Baths '/2 Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
# of Fireplaces
CS'
�o
List appropriate option #s
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
UTILITIES INFO:
to,
I+
Water Tap Size Sewer Tap Size 2l Metered or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 5 od
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical '�--`%L/�%e Mechanical Plumbing
Framer �lz`Ij�LE l'i �G.,o(.�Fvoofing Concrete Other
Applicant: I hereby ackno ge 1 have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and C' of Fort Co ' ances and state laws regulating building construction.
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Applicant Signature Print Name"CA/J:--!Z
Phone2 ��
/ ���tj nbution: White — Office Yellow — Applicant Pink — WWW/Stormwater
`-E! THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
Commercial Construction Application Information
Revised May 10, 2000
Application Number:
Job Site Address: 4:;80 Z e:&t e— F{j Unit #
New Building Addition Remodel/TF t,-�
Name of Business: A I/^ C� ga�QJS
Proposed Use: (i.e. medical, office, bank, retail, etc)Ct=
Project square footage:
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant? / eL J
❑ If fora new tenant, is this the first tenant to occupy this
space? /4c2 — 6tt4gc%& G CV,'L--72
❑ If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known) O1C e
❑ Are there any exterior elevation changes associated with the
work? // 0
Describe:
Signature
AL&- A
Name (Please print)
.I/R/O?
D
e
7;70-,3S"03 C,/- (�
Local daytime phone #
231 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 - (970) 221-6760 , FAX (970) 224-6134