HomeMy WebLinkAbout4380 ZIEGLER RD - APPLICATIONS - 1/6/2016Q'ity OT COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER L� O O O l /" APPLICATION DATE \ ALI -O(O' 261(o
Job Site Address 4380 21tiGLEIZ Rn Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 9 76 —2-8 8 — 0 3t+
Last name AVACno TFC ht%O LO GG I E S First Name
Middle
Street Address 4 S8O Z I EG, i£IL K. City FORT c_aLW N S State G 0 zip80 52.5
CONTRACTOR INFO: Company Name HEATH CON O U CTIO N Contractor Phone # 9'70 -- ?_2.1- 419 5
Lic Holder Name 5nu B O R EGC 1410 City of Fort Collins License # R— 46 2.. Supervisor Cert # 29 I — R
Mailing Address 141 COLUXTTE 'DR_ CityfbRT COLLINS State GO zip 30 524t
LEGAL INFO:
Subdivision/PUD 'PRE STbN 1�P_ LL.`f 2 Filing # Lot # Z Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft
151 Floor Sq Ft
Finished Bsmt Sq Ft
Comm'I Sq Ft
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3'd Floor Sq Ft
# of Bedrooms # of Full Baths % Baths
Unfiished Bsmt Sq Ft _
'/2 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 #s
Water Tap Size Sewer Tap Size 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) $ 2 j 34 5.037 6 _
Description of Work: I N S't hl-1- 'T 101V or- O W wy IZ P2o\i1'p 1: n 1210 ariC E RR>�1v k 'T1�1: kMil L c x101 Z E��
ON DRILLED ®IF2f ANh Cu ILA bF R"ME . ' 14E SCOPL rNcLUOFS W-Elm 'P'11=04i,N 6
huc.'Twop-K ANb r=mc_7 e_AL 4%aoK aPS 'roP, 114E New RIO .
Contact Name & Phone # of JOBSITE SUPERVISOR: TORN G Lb S S 970 — 567 —1 1 42
Subcontractor Info:
Electrical E N CO P.F— tL9r CTRI C Mechanical U -S - F_NGt lhRFC7a Ih1Gl Plumbing
Framer
Solar
Roofing
Other
Concrete
Other
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 Collins anc_ and statestate lf�ulating building construction. � l
Applicant Si natureZZ4_�� /Ll�' Print Name STEVF -K- 0RK-CH10 Phone 970—`416 -80 10
1
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City ®f Planning, Development and Transportation
Flirt Collins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Commercial Construction Application Information
Revjsed 03/30l.�2009
J
Application Number:
Job Site Address: 4380 ZMGL>=R Lo F62T caLLin,s co -8o5Z5
New Building Addition ✓ Remodel/TF
Building owner: AVACnO Tg cAmoLoCn i k S
Building owner address: 433o z1f(,LF-2 Re poRT coLI-i s co 8oS2-5
Building owner phone #: 970 - 2$8 - a 34 9-
Name of Business:." AYA&o 1
Proposed Use: (i.e. medical, office, bank, retail, etc) irlNW QtAMNIN C. I1>;au1P►4g&JT
Project square footage: 2.120 0
For commercial remodels Et 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
➢ 1f 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:
Signature of applicant
�c�y.L L.�FSc�in
Name (please print)
l�
Date
92y - S67-- It 419
Local daytime phone #