HomeMy WebLinkAbout4380 ZIEGLER RD - APPLICATIONS - 12/13/2019City of
Frt C®lllns
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/buliding
BUILDING PERMIT APPLICATION
�i ' p FOR OFFICE USE
4PPLICATION NUMBER: ` "t 0 `T APPLICATION DATE: 12, 3 I
Job Site Address 4380 Ziegler Rd. Fort Collins, CO 80525 Unit#
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name Tanguay First Name Paul
Middle
Street Address 4380 Ziegler Rd. City Fort Collins State CO Zip 80524
Phone # 970-288-0344 Email paul.tanguay(cDBroadcom.com
Name of Business (COMMERCIAL USE ONLY) IRroadcom Ltd.
CONTRACTOR INFO: Company Name Saunders Heath
License Holder Name Steve Orecchio
LIC # CERT #
LEGAL INFO:
Subdivision/PUD Filing # Lot #
Block # Lot Sq Ft
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement)
Total Garage Sq. Ft.
Residential Sq Ft Commercial Sq Ft 120 # of Stories
Bldg Ht 8'-6" # of Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft
Unfinished Basement Sq Ft
Finished Basement Sq Ft # of Bedrooms
# of Full Baths
Baths :4 Baths # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
ComCheck ❑ UA (ResCheck) ❑ SPA (Simulated Performance ❑
prescriptive❑ ERI(Energy Rating Index) ❑
Alternative)
Air Conditioning? YES ® NO ❑ Integrated in Manufactured Shed unit. No local work.
City of Fort Collins Approved Stock Plan # SPO List Option #s
UTILITIES INFO: Gas' ❑ Electric ❑x Electric Temp. Pedestal Yes ❑ No ❑x
Electric Main Breaker Size (Residential Only): 150 amp or less ❑x 200 Amp ❑ Other ❑
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.) Existing semi -conductor fab.
For Commercial remodels and tenant finishes. please answer the following auestions:
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
Existing Tenant® New Tenant❑
If for a new tenant, is this the first tenant to occupy this space?
Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space?
N/A
Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No IN
If yes, please describe:
Value of Construction (materials and Iaborl: $ 135,000
or wi inc u e new power Md Trom Building 4 through existing underground canduns to a
Description of -Work: new safety storage bunker north of Building 4. Power will feed the INTEGRATED heating and
cooling systems in the manufactured storage shed and includes interlinked Chemical Fire
manufactured
JOBSITE SUPERVISOR CONTACT INFO: Name Matt Aragon I The CPI Group Phone 970-566-1953
SUBCONTRACTOR INFO: Electrical Encore Electric Mechanical
Plumbing Framing Roofing
Fireplace Solar Other
ASBESTOS STATEMENT DISCLOSURE: in accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
remodel permit, shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (RCM's).
❑ I do not know if an asbestos inspection has been conducted on this property.
® An asbestos inspection has been conducted on this property on or about (enter date) 2017
❑ An asbestos inspection has not been conducted on this property.
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-cgntained herein and City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature �j Type or Print Name Paul Tanguay
Phone # 970-268-0344 Email Paul.Tanguay@Broadcom.com
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE