HomeMy WebLinkAbout4380 ZIEGLER RD - APPLICATIONS - 2/27/2015City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
wvvw.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER �I �� 2 �7 1 APPLICATION DATE r�F� % —I _QI S
Job Site Address g5j6V OO(V&6 2 Q2 Unit #.
PROPERTY OWNER INFO: (All owner information is required — it is not optional) �P/hone #
Last name �/A�uA�l First Name i ZfS16 C 1 Middle
Street Address fJ o& 40 � �p City �� State�L_Zip �^
CONTRACTOR INFO: Company Name / bl.? Contractor Phone #
Lic Holder Name
Mailing
LEGAL INFO:
City of Fort Collins License #
City.
Supervisor Cart #
State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft /
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) %�� Total Garage Sq Ft /V A
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 st Floor Sq Ft
2nd Floor Sq Ft
31 Floor Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths
Air Conditioning: Yes No Energy info: ( Circle appropriate choice )
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan #
% Baths
1. ComCheck
List appropriate option #s
Unfiished Bsmt Sq Ft _
'/2 Baths # of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/ Blower Door
UTILITIES INFO: . r _ / /�
Water Tap Size aM Sewer Tap Size ll6/A Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: XGas ❑ Electric Electrriic777Main nBreaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 2dr�, Olb
%/ Description of Work: 16 O%L. 0/ 0�wo Ae\10 e,04& , (/"Mr— - L, (48r`
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
lE Gam/ G�u10
970- .5�8 -Z�//
Plumbing
Fireplace
Other
Applicant: I hereby acknowledge that I have real this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of F Coll' rdi and state laws regulating building construction. �/, [�
Applicant Signature Print Name �1� �`a� Phone 71�j 0 '5l%U
Distribution: White —Office Yellow —Applicant Pink—WWW/Stormwater
THIS APPLICATION EXPORES 180 DAYS FROM APPLICATION DATE
City of lanning, Development and Transportation
®1 Collinsi�PO Box 580
281 N College Ave
Ft Collins, CO 60524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
5 Rev(is�e�dl03 30/2009
D
Application Number:
Job Site Address:
New Building
Building owner:
4300 z/L7L&-v, 40c)
Addition
WA&v 7aC(-1it6 0&ca
Building owner address:
S/Syg /-�S l3oUE
Building owner phone #: 970 ^2�95.034
Name of Business: "eWR(70
Remodel/TF ��
1�uz-
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: EW ?eyM
For commercial remodels Ft tenant finishes) please answer the following questions:
➢ Is the r o eUtenant i 'shes for an (please circle answer)
existing tenant or new tenant?
➢ If for a ne enant, 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 build' g changes associated with he work? es No
If yes�.-, please describe: G!—�C� / A(L `
Name (please print)
s
7,1z-7/'
Date
gTa.s�S ziiZ�-
Local daytime phone #