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HomeMy WebLinkAbout4380 ZIEGLER RD - APPLICATIONS - 10/23/2014City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER ✓ D� APPLICATION DATE Job Site Address Z.Tf1l4K /4'0. /997t ,,uz,,;; / &(25 Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # �AOZ1 S i Last name VAeed (F'C/4(JV4)40 -`GS 1-1'0. First Name lr ' Middle Street Address/76/ yZ-;r66V .r& City/�IrC State 0 Zip C)d SZS CONTRACTOR INFO: Company Name A0 % �Gt/f�pe-p Contractor Phone # Lic Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address City State Zip LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft 1 s' Floor Sq Ft Finished Bsmt Sq Ft Comm'I Sq 2nd Floor Sq Ft # of Stories Bldg Height # Dwelling Units 3r1 Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/z Baths # of Fireplaces Air Conditioning: Yes No Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: List appropriate option Water Tap Size Sewer Tap Size f Metered: Yes 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) $ 140 11 goo Des riptionofWork: ooci-9 A ezNCRL%� P,4p .�CyQ %Gf� /�L/4L�%%71/% ©Ic xa P. 66ir 7f-Wy Contact Name & Phone # of JOBSITE SUPERVISOR: /`1,177ffgV AlftG l Subcontractor Info: A16-7 / uiRoto Electrical Framer Solar Roofing Other Mechanical Concrete Other Plumbing Fireplace Other Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and City of Fort Collins ordinances and state laws regulating building construction. ? Applicant Signature Print Name f'%4Phone %� f�6� �S✓ Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE City of Planning, Development and Transportation _FQrt ®Ws PO Box 580 28 281 N College Ave Ft Collins, CO 80524 970-221-6760 phone 970-224-6134 fax Commercial Construction Application Information Revised 03/3012009 Application Number: Job Site Address: filer Road, Fort Collins, Colorado 80525 New Building Exterior Concrete pad -Footing and Foundation ONLY Building owner: Avago Technologies, Ltd. Building owner address: 3401 Ziegler Road, Fort Collins, Colorado 80525 Building owner phone #: 970-288-0344 Name of Business: Avago Technologies, Ltd. Concrete pad only for new exterior Argon Tank. Proposed Use: (i.e. medical, office, bank, retail, etc) Project square footage: 12' X 24' concrete slab (exterio For commercial remodels £t tenant finishes, please answer the following questions: ➢ Is the remodel/tenant finishes for an (please circle answer) existing tenant I 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? S or No If yes, please describe: 12' X 24' concrete slab (exterior) nt Name (please print) IU17— n�t Date Local daytime phone #