HomeMy WebLinkAbout4380 ZIEGLER RD - APPLICATIONS - 10/21/2014City of COMMUNITY DEVELOPMENT 8s NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER B H 0 a?N C- APPLICATION DATE June 3, 2014
Job Site Address 4380 Ziegler Road, Fort Collins, CO 80525 Unit # Building 4 West Annex - Silane Enclosure
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 970-288-0052
Last name Avago Technologies First Name Middle
Street Address 4380 Ziegler Road City Fort Collins State CO Zip 80525
CONTRACTOR INFO: Company Name J.E. Dunn Construction Company Contractor Phone # 303-753-8988
Lic Holder Name Mike Disler
Mailing Address 2000 S. Colorado Blvd. STE 12000
LEGAL INFO:
City of Fort Collins License # 3425-A Supervisor Cert #
City Denver
Subdivision/PUD Filing# Lot#.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 700 (Silane Weather Protection)
State CO Zip 80222
Block # Lot Sq Ft
Total Garage Sq Ft N/A
Residential Sq Ft Comm'I Sq Ft goo (weather Protection) # of Stories Bldg Height # Dwelling Units 0
151 Floor Sq Ft 700
Finished Bsmt Sq Ft
2nd Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths Y4 Baths '/2 Baths # of Fireplaces
Air Conditioning: YerNou Energy info: ( Circle appropriate choice ) 1. ComCheck11 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door 11
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes rNor Temp. Pedestal Yes❑ No
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Type of Heat: ❑ Gas1-1 Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less 11 200 Amp Other
Value of Construction (including labor, material & profit) $ 200,000
Description of Work:
Design and construction of a 700 square foot weather protection structure and site walls to enclose a silane structure.
64 0 oscg C1 cis
Contact Name & Phone # of JOBSITE SUPERVISOR: Mike Disler - 970-420-7333
Subcontractor Info:
Electrical Encore Electric Mechanical US Engineering
Framer NSA
Solar N/A
Roofing N/A
Other N/A
Concrete JE Dunn
Other None
Plumbing Phillips Plumbing
Fireplace N/A
other None
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 Fo lins ordinances and state laws regulating building construction.
Applicant Sign Print Name d l A 1A Phone
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Disra ution: White -Office Yellow -Applicant Pink - WWW/Stormwater 1
City of Planning, Development and Transportation
F6rt
Collins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
Job Site Address: 4380 Ziegler Road, Fort Collins, Colorado 80525
New Building
Addition X
Building owner: Avago Technologies
Remodel/TF
Building owner address: 4380 Ziegler Road, Fort Collins, Colorado 80525
Building owner phone #: 970-288-0052
Name of Business: Avago Technologies
Proposed Use: (i.e. medical, office, bank, retail, etc) Cleanroom
Project square footage: Buildout of 700 square foot silane weather protection.
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the remodelt finishes for an (please circle answer)
existing tenan 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 r No
If yes, please describe: Weather protection build -out and site walls.
Signature of applicant
Name (please print)
Date
Local daytime phone #
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