HomeMy WebLinkAbout4380 ZIEGLER RD - APPLICATIONS - 6/16/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. a Fort Collins, CO 80524 ! Phone- 970-416-2740
wvn fcgov com/building
BUILDING PERMIT'APPLICATION.
APPUCATION NUMBER JE f 1 1 U jZ V4 -J 1. APPUCATION
Job Site Address4380 Ziegler Rd. Unit#
PROPE970-288-0344
RTY OYVNER INFO: (All owner Information Is required - It is not optional) Phone #
Last name AVagO Technologies First Name _ _. __ Middle
Street Address 4380 Ziegler Rd. City Fort, Collins state Co Zip 80525
CON TRACTOR. INFO: Company Name Heath Construction _._ Contractor Phone # 970-490-8049
Lic Holder Name Bob Heath Pity of Fort Collins License # Supervisor Cert# B`291
Mailing Address PO Drawer H _ . city Fort Collins State CO 7 80525
LEGAL INFO:
Subdivision/PUD PreStOI1 Kelly Filing # 2 Lot #-2 Block.* Lot Sq Ft 70.101 Acres
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 300,278 Total Garage Sq Ft -
Residential Sq Ft _ _ . _ Comm'I Sq Ft_- .___ __ _ _ _ # of Stories 4 Bldg Height 63"6 Pa-aW # Dwelling Units
1 s' Floor Sq Ft _137,480_ 2nd Floor Sq Ft 97,769 Ti Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms... # of Full Baths . __ _. % Baths - Yz Baths - .. # of Fireplaces
Air Conditioning: Ye flNo EnergyInfo: ( Circle appropriate choice) 1. ComCheck El 2. ResCheck w/Air Sealing _
3. ResCheck wBlowerpoor 4. Simulated Performance Alternative[] 5. Prescriptive w/Air Sealing S. Prescriptive w/ Blower Doofl
City of Fort Collins Stock Plan # _ List appropriate option #s
UTILITIES INFO:
Water Tap Size 8 Sewer Tap Size 21" Metered: Yes �Noo Temp. Pedestal Yes❑ 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 8 profit) $ - 6,000,00E
Description of
Construct 9
spaces
Contact Narne & Phone # of JOBSITE SUPERVISOR: Gary Swobode 970-420-4250
Subcontractor Info:
Electrical . _ _ _____ _.__ _ Mechanical Legacy Mechanical Plumbing
Framer Roofing, Concrete Fireplace
Solar Other Other - Other
Applicant:. I hereby ; cknowCget I have isapplication and state that the above information is correct and agree to comply with all requirements
contained herein and City gins antes and state laws regulating building construction.
Applicant Signature_ __ = Print Name Paul Tanguay Phone 288.0344
White — Office Yellow —Applicant Pink— WWW/Stomrwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION (DATE
City of Planning, Development and Transportation
Fort Collins'' PO Box 580
��. 281 'N College Ave
Ft Collins, CO 80524
970-221=6760 phone 970-224-6134 fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
Job Site Address: Lf330 _Z?ez-�Lgaz. 4D
New Building Addition Remodel/TF f
Building owner: AvAft *"Feo4Es o ons _ --
Building owner address: L(_360 z/W"rt. FZP
Building owner phone
Name .of Business: AVZZIo -_ 7CG414"Of LES
Proposed Use: (i.e. medical, office, bank, retail,. etc) &DOS IAL._
Project square footage: 4�6 �v
For commercial remodels ft tenant finishes, please answer the following questions:
Is the remodel/tenant finishes for an (please circle answer)
existing tenant or new .tenant?
If for a new tenant, is this. the first tenant to occupy this space? Yes or No
➢ If not the initial tenant for this unit, what was the previous use of this'tenant
Space?
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
Sfgnature 6rapplicant
Name (please print)
Date
77 2.98 03'If y
Local daytime phone #