HomeMy WebLinkAboutWESTFIELD POOL - Filed DCP-DEV. CONSTRUCTION PERMIT - 2004-09-07DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
(2/16/99)
For City use only:.4pplication Number: A006-00 Application Date: 2/22/00
Permit application fee: $ 300.000
INSTRUCTIONS:
I _ Complete this form (some gttcstions may not apply to you) and attach all necessary
documents and submit to the Development Engineering Section of the City.
2. If you have any questions contact the Development Engineer Sheri V✓.amhoff at
221-6750.
3. Submit the Application and pay the Application Fee at the fee at the Engineering
counter at 281 No. College Avenue.
PROJECT INFORMATION:
Project Name (as approved by the City): wlES%:�-,Lzo FZIa L
Project A.K.A. (Marketing name if different from Project Name):
Project Location:
Property Owner(At the time of this
Individual Name: -TV9
Company Namc : uob a
Address: VZ12E SENEC
Phone number(s):
Office: M t - L f) c )
Cellphone:
Fax number:
Email:
issuance):
person for all
arding this
he plerson t spornsibleafor alt mattelrts r rJU}fercncintgctthe DcvelopcC' intthe Development Agroeemcnt d
for this project):
Individual Name:
Company Narne /Ny
Address : / o (a2 %��9 Go[u�S�__
phone numbcr(s):
Office:
Cellphone: -
Fax numbec:
Email:
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Project Engineer (A Colorado licensed professional engineer who is the civil engineer the person
responsible for the design of this project, responsible for certification that improvements are
constructed in accordance with approved plans, responsible for making revisions to plans with City
approval and for providing as -constructed plans):
Individual Name: M L�
Company Name : SFaR 12OW
Address:�,'J� Sd )74 "r o�,n siCou✓NSi !� USaf
Phone numbe:r(s): - s9
Office:
Cellphone:
Fax number.7�3 k
Email;
Professional License Number:
Developer (The parlay or parties referenced in the Development Agreement who are responsible for
the Developer's obligations contained in the Agreement —add additional names below):
Individual Name: F06 C. Z? IV rA
Company Name:
Address: _
Phone number(s):
Office:
Cellphone:
Fax number:
Email: _
General Contractor (The contractor in overall charge of the public infrastructure construction):
individual Name: f� U)oD6✓� N� `
Company Name :
Address: _
Phone number(s):
Office:
Cellphone:
Fax number:
Email:
If you have no General Contractor, list all other contractors below.
Grading contractor:
Individual Name: _
Company Name
Address:
Phone nurnber(s):
Office:
Cellphone: _
Fax number:
Email:
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Utility contractor:
Individual Name: —
Company Name
Address: __
Phone number(s):
Office:
Cellphone: _
Fax number:
Email
Concrete contractor for flat work:
Individual Name:
Company Name:
Address:
Phone number(s):
Office:
Cellphone:
Fax number:
Email
Concrete contractor' for structures:
Individual Name:
Company Name:
Address: —
Phone numbrr(s):
Office:
Cellphone:
Fax number:
Email:
Paving contractor:
Individual Name:
Company Name
Address: _
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
Landscape contractor:
Individual Name:
Company Name
Address:
Phone number(s):
Office: —
Ccl 1phone:
Fax number:
E-mail:
3
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Other contractors and parties involved in the project:
SUBMIT THE FOLLOWING ITEMS Sit
e Plan
P quired for all projects):
8I/2"x'l I" copy
• Proposed Project Schedule
• mate for all of the public improvements to be constructed.
Project quantities and cost esti
In addition, include all private improvements that are required to be inspected by the City
Constriction Inspectors. This information must be submitted in the format shown on the
attached form titled "Project Quantities and Cost Estimate Sheet."
ADDITIONAL SUBMITTALS (Required if checked):
❑ Traffic, control plan(s) for the project
❑ Proposed haul routes shown on a City map
❑ Shop drawings
o Other
CONSTRUCTION COORDINATION MEETING: A construction coordination meeting to
discuss plans and special requirements for your project, is required for all development projects.
The people required 'to attend the meeting are the Project Manager, Project Engineer, Developer,
Architect/Land Pianncr and General Contractor (if no General Contractor, representatives for each
of the contractors expected to work on this project)
People to Attend: List the peoples names and titles for those who will attend the pre -
construction meeting: ,Title
Name
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ESTIMATED COST OF INFRASTRUCTURE IMPROVEMENTS: Provide the estimated
value of all public infrastructure improvements that will be constructed and accepted by the City to
own and maintain. In addition provide the value of all private infrastructure improvements that the
City will inspect and require certification for. The estimate shall be in the same format as the
attached sheet titled ,Project Quantities and Cost Estimate Sheet." �3
Public infrastructure, estimated cost: S S, yr
Private infrastructure, estimated cost: S Ai609 -
I certify that the information on this permit application along with the required additional submittals
at'e true and correct to the best of my knowledge, and that in filing this application I am acting with the
knowledge, consent, and authority of the owners of the property (including all owners having legal or
equitable interest in the real property, as defined in Section 1-2 of the City Code; and including
common areas legally, connected to or associated with the property which is the subject of this
application) without whose consent and authority the requested action could not lawfully be
accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for
purposes of inspection and, if necessary, to enter upon such property to perform work required of the
applicant i f the applicant were to fail to perform the required work.
Date: a
Applicant Signature:_
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