HomeMy WebLinkAboutCOLLINDALE BUSINESS PARK SECOND MINOR SUB LOT 3 REPLAT - Filed DCP-DEV. CONSTRUCTION PERMIT - 2003-07-31DEVELOPMENT CONSTRUCTION
PERMIT
City of Fort Collins
Permit Number: 00-18 Issuance Date: 8/1 /C�n
Project Name: Collindale Business Park, 2"d Filing, Lot 3 — Hawthorne Maintenance
Supply, Inc.
PROJECT A.K.A.: Hawthorne Maintenance Supply
Project Location: Northeast corner of Automation Way and Lowe Street
Permittee: Bill Hazlett, Dohn Construction
City and developer contacts: See attached Exhibit "A" for names and phone numbers
of all contact persons for this project.
Fees: Permit Application Fee (paid at the time of application) $300.00 paid
Excavation On Public Property Permit $3,405.00
Construction Inspection Fee (paid prior to issuance of this permit) $1,124.00
Total $4,829.00
Development Bond or other approved security:
Amount of security deposited with the City to guarantee the completion of all public
improvements to be constructed as shown on the approved plans for the development.
Amount: $14,132.75
Form of security deposited with the City: Letter of Credit
PERFORMANCE REQUIREMENTS OF THIS PERMIT:
1. The Permittee shall be responsible to require their Project Engineer to incorporate into
all design drawings and specifications the certification of all materials testing by an
Engineer. The Permittee shall have an Engineer prepare revised design drawings and
secure City approval for all revisions to the Utility Plans and related documents. The
Permittee shall have an Engineer represent, as required by the City in the Development
Agreement, that the improvements are constructed in conformance with the approved
Utility Plans and the standards and specifications of the City. The Permittee shall provide
"as -constructed" plans prepared by an Engineer prior to the City's acceptance of the
constructed public improvements. (All references above to the terms "Project Engineer"
and "Engineer" shall mean a Professional Engineer licensed in Colorado.)
2. All contractors who perform work on this project must be bonded and licensed in
Concrete contractor for flat work:
Individual Name:
Company Name:
Address: _
Phone number(s):
Office:
Cell:
Fax:
Email:
Concrete contractor for structures:
Individual Name:
Company Name:
Address: _
Phone number(s):
Office:
Cell:
Fax:
Email:
Paving contractor:
Individual Name:
Company Name: _
Address: _
Phone number(s).-
Office:
Cell:
Fax:
Email:
Landscape contractor
Individual Name:
Company Name-
Address -
Phone number(s):
Office:
Cell:
Fax:
Email:
Other contractors and parties involved in the project:
SUBMIT THE FOLLOWING ITEMS (Required for all projects):
■ 81/2"x11" copy of the Site Plan
■ Proposed Project Schedule
■ Project quantities and cost estimate for all of the public improvements to be
constructed. In addition, include all private improvements that are required to be
inspected by the City Construction 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):
l Traffic control plan(s) for the project
n Proposed haul routes shown on a City map
C Shop drawings
u 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 Planner and General Contractor (if no General
Contractor, representatives for each of the contractors expected to work on this project)
People to Attend: List the people's names and their respective title for those who
will attend the pre -construction meeting:
Name Title
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-� NAZLt'ZT oKN CcxiSTQ�C�O� P2c�lCtT�`tp.-Al�t�
�ZbAJ SHINt.>A L��Il1 LoUsr2uu�u�, S��x�.�tiaa�v
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."
Q�AC_Kr-_VD
Public infrastructure estimated cost: $
Private infrastructure estimated cost: $
I certify that the information on this permit application along with the required additional
submittals are 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 if
the applicant were to f i"o p norm the required work.
Applicant Signature. Date. 7/ a�za110
HAWTHORNE SUPPLY PERMIT FEES
Item
(Total
Item Total
_
Quantity Cost Cost
- -- - -
Permit
-
t $
150.00 $
150.00
- ----
Sewer Service Line
-
50' $
0.60 $
30.00
Sewer Manhole's --- --
_ - 01 $
90.00 $
-
Sewer Service Line Stubs
1 $
60.00 $
60.00
Water Service Line
701-$
0.60$
42.00
Water Valve & Box's
1 $
60.00 ! $
60.00
Fire Hydrants
_
01 $
60.00 I $
-
Water Services
1 $
60.00 $
60.00
Water Line Fittings
4 $
30.00 $
120.00
Sand & Oil Interceptor
0! $
90.00 $
-
Storm Drain Man Hole's
0! $
90.00 $
-
Storm Drain Inlets
0! $
90.00 $
-
Asphalt Paving
V $
90.00 $
90.00
Side Walks
11 $
60.00 $
60.00
Additional Side Walks
400 $
0.80 $
320.00
Curb & Gutter -- -
- 01 $ --
-$
-
Additional Curb & Gutter
0'� $
0.80 $
-
Trenches
70'1 $
0.60 $
42.00
Drive Approach Concrete
1$
90.00 $
90.00
Meter Pit
1 $
60.00 $
60.00
Inlet
1 $
90.00 $
90.00
Total
^$
1,274.00
HAWTHORNE Sl., . -LY PROJECT QUANTITIES AND COST t6TIMATE SHEET
Item
Total
Unit Of
Unit
Total
Quantity
Measure
Cost
Cost
4" PVC Sewer Service Line
50
linft
$ 10.79
$ 539.50
4" PVC Fittings
1
Is
$ 112.00
$ 112.00
6" DIP
70
linft
$ 26.50
$ 1,855.00
6" DI Fittings
1
Is
$ 98.00
$ 98.00
6" Gate Valve & Box
1
each
$ 758.00
$ 758.00
Pressure Test
1
each
$ 300.00
$ 300.00
Thrust Block
2
each
$ 100.00
$ 200.00
3/4" Service
70
linft
$ 6.77
$ 473.90
3/4 Curb Stop & Box
1
each
$ 75.00
$ 75.00
3/4 Meter Pit
1
each
$ 250.00
$ 250.00
3/4 Fittings
1
Is
$ 50.00
$ 50.00
Asphalt Patch
21
sqyds
$ 30.35
$ 637.35
5' Side Walks
357
linft
$ 11.25
$ 4,016.25
Handicapped Rams
5
each
$ 500.00
$ 2,500.00
Drive Approach
112
sqyds
$ 20.25
$ 2,268.00
TOTAL
I$
14,133.00
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STEWART81 ASSOCIATES
CONSULT7NG ENGWEEFtS AKL SuRvEyORS
REVISIONS
'OP _DNSTRi-�nON
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First lieu ;-�
National COPY
torr Collin_,. CO Soc,-��i-S
Bank
July 27, 2000
City of Fort Collins
300 LaPorte Avenue
Fort Collins, CO 80521
Dear Sirs:
We hereby establish, at the request and for the account of Merrill Collindale Property, LLC in
your favor as beneficiary, our Irrevocable Letter of Credit No. 3067 , in the amount of Fourteen
Thousand One Hundred Thirty Two Dollars and 75/100 ($14,132.75) (as more fully described
below), effective immediately and expiring at the close of banking business on December 31,
2005, at our office at 205 West Oak Street, Fort Collins, CO 80521.
This Letter of Credit is intended for the funding required for the Hawthorne Maintenance Supply
Development Project ("development project") for the assurance of the completion of the
construction and the maintenance and repair of the public infrastructure in connection with the
aforesaid development project and its associated development agreement and development
construction permit. Funds under this Letter of Credit are available to you for one or more
drawings prior to the close of business on December 31, 2005 against sight drafts in an aggregate
cumulative amount not to exceed S 14,132.75, dated the date of presentment, drawn on our office
referred to above, referring thereon to the number of this Letter of Credit accompanied by your
written certificate signed by you and acknowledged as therein provided in the form of Exhibit 1
hereto.
Presentation of such draft and certificate shall be made at our office referred to above.
Upon the earlier of (i) our honoring your draft(s) totaling $14,132.75 in the aggregate presented
on or before this Letter of Credit expires pursuant to the terms herein or (ii) the surrender to us
by you of this Letter of Credit for cancellation, this Letter of Credit shall automatically
terminate.
This letter of credit shall be subject to the Uniform Commercial Code as in effect in the State of
Colorado, and, to the extent not inconsistent with the terms of this Letter of Credit and the
Uniform Commercial code, the Uniform Customs and Practice for Documentary Credits, 1993
revision, [CC publication number 500.
It is understood that the amount of this Letter of Credit may be reduced as public improvements
are constructed and accepted by the City. As components of the infrastructure are satisfactorily
completed in accordance with approved utility plans, the value of the completed components
may be established from the Development Construction Permit worksheet for determining costs
of infrastructure constriction and inspection fees, whereupon the amount of this letter of credit
may be reduced by the value of the completed component(s), upon execution of a "Request for
Amendment to Letter of Credit" in the fore attached hereto as Exhibit 2.
p
This Letter of Credit will be automatically extended without amendments for one year from the
present, and each future, expiration date thereof, unless issuer delivers written notice at least
sixty (60) days prior to any such expiration date to the City of Fort Collins of its intent not to
renew this Letter of Credit. Any such notice shall be in writing and shall be delivered with an
acknowledged receipt, either in hand or by certified mail. Any amendments of this Letter of
Credit shall be made; in the form of Exhibit 2 hereto.
The City may at any time request that the Bank amend this Letter of Credit by submitting to the
Bank a fully executed certificate in the form of Exhibit 2. The Bank shall thereafter promptly
issue an amendment to the Letter of Credit corresponding to the change or changes requested in
such certificate.
This Letter of Credit is not transferable.
This Letter of Credit sets forth in frill our undertaking, and such undertaking shall not in any way
be modified, amended, amplified or limited by reference to any document, instrument or
agreement referred to herein, except only the certificate and draft(s) referred to herein; and any
such reference shall not be deemed to incorporate herein by reference any document, instrument
or agreement except for such certificate or draft(s).
Sincerely,
1'e,
4,4�—
Shane M. Houska
Assistant Vice President
First National Bank
205 West Oak Street
Fort Collins, CO 80521
(970) 482-4861
EXHIBIT I
CERTIFICATE
The City of Fort Collins hereby certifies as follows with respect to the certain Irrevocable
Letter of Credit No. dated established in favor
of the City of Fort Collins, Colorado (the "Letter of Credit"):
(f) He(She) is authorized to execute this Certificate on behalf of the City of Fort
Collins;
(g) The applicant/developer is in default under the terms of the development
Agreement and/or the development construction permit.
(h) The sum of S , which is the amount of the draft presented with this
Certificate, is the amount currently due to the City of Fort Collins from
(1) The amount of the accompanying draft together with all previous draws Under the
Letter of Credit do not exceed in the aggregate $ ; and
(j) The Letter of Credit has not expired.
IN WITNESS THEREOF, the undersigned has executed this Certificate on behalf of the
City of Fort Collins this day of ,
THE CITY OF FORT COLLINS, COLORADO
A Municipal Corporation
Title:
conformance with City requirements.
3. Construction time restrictions: n/a
4. The applicant understands that additional permits may be required for this development
project and the applicant shall secure those permits directly from the issuing departments.
5. This permit, along with a complete set of all approved plans and documents for this
project (utility plans, site plan, landscape plan, development agreement, soils report,
pavement design, traffic study, drainage report, plat easements and any other official
documents), shall be kept on the development site available for use by City staff doing
inspections.
6. Permit Expiration (in accordance with Section 29-12 of the Transitional Land Use
Regulations or Section 2.6.3(K) of the Land Use Code, whichever is applicable):
a. If construction has not begun within sixty (60) days from the date of
issuance of this permit, this permit shall expire and the applicant will forfeit
the permit fee paid for this permit, whereupon the applicant must re -apply
for a new permit.
b. In addition, this permit shall expire one year from the date of issuance. The
applicant may apply for an extension by reapplication at least two weeks
prior to the expiration date. Such application shall contain information
sufficient to justify the granting of the extension. An extension may be
granted for up to six months.
7. Building permits and certificates of occupancy will only be issued when all conditions
contained in the Development Agreement and Sections 3.3.2(C) and (D) of the Land Use
Code or Sections 29-678 and 29-679 of the Transitional Land Use Regulations,
whichever is applicable, are met. If the Development Agreement does not specify times
for completion of public improvements, or if there is no Development Agreement, then the
improvement requirements specified in Section 24-95 of the City Code shall apply, which
provides that construction of all improvements shall be required prior to the time of
issuance of the first building permit.
8. Acceptance by the City of the public improvements shall be after (1) final inspection has
been conducted by the City; (2) punch list items from the final inspection are completed
and accepted by the City; and (3) required certifications from the licensed professional
engineer that improvements are completed to City standards, specifications and approved
Utility Plans; and the "as -constructed" plans have been received and accepted by the
City.
EXHIBIT 2
Request for Amendment to Letter of Credit #3067
The City of Fort Collins certifies that the person signing below is authorized to execute
this Request for Amendment to Letter of Credit on behalf of the City of Fort Collins, and further
certifies with respect to the provisions contained in the Development Construction Permit dated
and/or the Development Agreement dated
between the City of Fort Collins (Beneficiary) and
(Developer), the following:
❑ The Letter of Credit is to be reduced to $
11 The expiration date of the Letter of Credit is revised to be
I-1 The 60-day automatic one year renewal provision contained in the Letter of Credit
is no longer in effect.
IN WITNESS THEREOF, the undersigned has executed this Certificate on behalf of the
City of Fort Collins this day of ,
THE CITY OF FORT COLLINS, COLORADO
A Municipal Corporation
Title:
CONSTRUCTION COORDINATION MEETING
AGENDA
7.26.00
PROJECT: Collindale Business Park, 2"d Filing, Lot 3 — Hawthorne Maintenance
Supply, Inc.
PURPOSE: The purpose for the meeting is coordination. It is a time to meet the parties
involved in the project, review the developer's plans and schedule, alert everyone
about important issues and set up lines of communication.
AGENDA:
1. INTRODUCTIONS (10 minutes)
2. REVIEW PROJECT PLANS (25 - 40 minutes)
Main goal
Describe what is to be built
Review Project Schedule
Phasing
Traffic control
Construction drag -out
Haul routes
Disturbance limits/protected areas
3. CRITICAL ISSUES (15 - 40 minutes)
Development Engineer
City Planner
Building and Zoning
Traffic Operations
Transportation Planning
Natural Resources
Parks/Forestry
Stormwater
Water utility
Wastewater utility
Light and Power
Public Service Co.
US West
TCI
Other Utilities
Poudre Fire Authority
Others
4. SUMMARIZE MEETING (5 minutes)
All conditions added to the permit
Permit Issuance Process
5. QUESTIONS (5 minutes)
U+1-u7 T7� fSiY12.� 8� � /oa
Hawthorne Maintenance Supply
DCP MEETING ,ATTENDANCE SHEET
**please PRINT clearly-
26 July, 2000
Contact person
/ , �,,, = r -,_
Contact person
Company Name
Company Name
Address ,
_ -
Address
Phone Number:
Phone Number: ( )
Contact person
Contact person
Company Name-�
- — -
Company Name
Address
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-
Address
Phone Number.
( ) "!.i,. - Z-
Phone Number: ( )
Contact person
31L.` RAZE t -LT
Contact person
-- - - -
Company Name
L-1 - - - - - -- -
Company Name-
Address Z(94Z
1l`1�13 Po «'r
Address
Phone Number:
40
Phone Number: ( )
Contact person
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Contact person -
Company Name_
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Company Name
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Address �'
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Address
Phone Number:
( ) Z
Phone Number: ( )
Contact person ��-+E� -
Contact person
Company Name
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Company Name
- - -- -- - --
Address 7„�j
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Address
Phone Number:
( ) Zl . f 3l
Phone Number: ( )
Contact person
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Contact person
Company Name
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Company Name
Address PO �5OX_ -Z i_ Fo _Cod 80522
Address
Phone Number:
( 70) 9-62- ?331
Phone Number: ( )
Contact person
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Contact person
Company Name
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ompany Name
Address Cj(/1•{j
Address
Phone Number.
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Phone Number: ( )
9. The warranty on street improvements is for five (5) years from the date of acceptance by
the City of the completed improvements, in accordance with Sections 29-13 and 29-14
of the Transitional Land Use Regulations and/or Sections 2.2.3(C)(3)(g), 3.3.1(C)(2), and
3.3.2(C) of the Land Use Code, as applicable.
10. The City Erosion Control Inspector must be notified at least twenty-four (24) hours prior
to any planned construction on this project. All required perimeter silt fencing and other
erosion/sediment control best management practices (BMP's) that can be installed prior
to construction must be in place and inspected by the City Erosion Control Inspector
before any land disturbing activity begins.
11. Other Conditions: none
Permittee's acknowledgment signature:
By signing this permit I acknowledges that 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 if the applicant were to fail to perform
the required work. I also acknowledge that I have read this permit document with all its
requirements and conditions, and I agree to all of the terms and conditions so stated in this
permit.
Applicant/Project Manager's Signature: Date: 7/?
Approval for issuance:
l %60
City Engineer Approval:026fiAIOA�_Date: /
(Permit Issuance Date)
PROJECT NAME:
EXHIBIT "A"
DEVELOPMENT PROJECT CONTACT PERSONS
Collindale Business Park, 2"d Filing, Lot 3 — Hawthorne Maintenance
Supply, Inc.
CITY STAFF CONTACT PERSONS:
DEVELOPMENT ENGINEER: Tim Blandford, City of Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/221.6605 ext. 7128
CONSTRUCTION INSPECTOR: Dan Peterson, City of Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/222.8780
CURRENT PLANNER: Steve Olt, City of Fort Collins, 281 N. College Avenue, Fort
Collins, CO 80522
970/221.6750 ext. 6341
WATER UTILITIES ENGINEER: Roger Buffington, 700 Wood Street, Fort Collins, CO
80521
970/221.6854
STORMWATER ENGINEER: Jay Barber, 700 Wood Street, City of Fort Collins, CO
80521
970/221.6063
EROSION CONTROL INSPECTOR: Bob Zakely, 700 Wood Street, City of Fort Collins, CO
80521
970/221.6063
NATURAL RESOURCES: Kim Kreimeyer, City of Fort Collins, 281 N. College
Avenue, Fort Collins, CO 80522
970/221.6750 ext. 6641
TRAFFIC OPERATIONS: Ward Stanford, 700 Wood Street, City of Fort Collins, CO
80521
970/221.6820
TRANSPORTATION PLANNING: Kathleen Reavis, 210 East Olive Street, City of Fort Collins,
CO 80524
970/224.6140
FORESTRY: Tim Buchanan, City of Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/221.6361
1
LIGHT AND POWER:
DEVELOPER'S CONTACT PERSONS:
Doug Martine, 700 Wood Street, City of Fort Collins, CO
80521
970/224.6152
PROJECT MANAGER: Bill Hazlett, Dohn Construction
2642 Midpoint Drive
Fort Collins, CO 80525
Office: 970/490.1855
Mobile: 970/566.7357
fax: 970/490.6093
DEVELOPER: Rick Merrill, Merrill Collindale Property, LLC
2400 Eastwood Drive
Fort Collins, CO. 80525
Office: 970/482.6603
Mobile: 970/224.8228
fax: 970/493.1846
OWNER(S): Rick Merrill, Merrill Collindale Property, LLC
2400 Eastwood Drive
Fort Collins, CO. 80525
Office: 970/482.6603
Mobile: 970/224.8228
fax: 970/493.1846
ARCHITECT/PLANNER:
PROJECT ENGINEER:
GENERAL CONTRACTOR
GRADING CONTRACTOR
UTILITY CONTRACTOR:
CONCRETE CONTRACTOR
(for flat work):
n/a
Dick Rutherford, Stewart & Associates
103 South Meldrum Street
Fort Collins, CO 80521
Office: 970/482.9331
Bill Hazlett, Dohn Construction
2642 Midpoint Drive
Fort Collins, CO 80525
Office: 970/490.1855
Mobile: 970/566.7357
fax: 970/490.6093
n/a
n/a
n/a
2
CONCRETE CONTRACTOR
(FOR STRUCTURES):
PAVING CONTRACTOR:
LANDSCAPE CONTRACTOR:
OUTSIDE CONTACT PERSONS:
U.S. WEST:
AT&T CABLE SERVICES:
PUBLIC SERVICE COMPANY:
POUDRE FIRE AUTHORITY:
n/a
n/a
n/a
Janine Harris, 3351
80525
970/377.6409
Dennis Greenwalt,
CO 80521
970/226.3104
Eastbrook, 15t Floor, Fort Collins, CO
1201 University Avenue, Fort Collins,
Jim Slagle, 1901 East Horsetooth Road, Fort Collins, CO
80525
970/225.7843
Ron Gonzales, 102 Remington Street, Fort Collins, CO
80524
970/221.6570
3
DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
MEN
,-, 1-! . 1y use only: Application Number: A025-00 Application Date: 6.23.00
_-
Permit application fee: $300.00
LICTIONS:
1. Complete this form (some questions 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 Tim Blandford, Development Review
r' Engineer at 970/221.6750.
3. Submit the Application and pay the Application Fee at the fee at the
Engineering _
. , Counter at 281 North College Avenue.
PROJECT INFORMATION:
Project Name (as approved by the City):
Hawthorne Maintenance Supply, Inc., Lot 3, Collindale Business Park, 2Id Filing
Project A.K.A. (Marketing name if different from Project Name):
Hawthorne Maintenance Supply
Project Location: Northeast corner of Automation Way and Lowe Street
Property Owner, (At the time of this permit issuance):
Individual Name: 13.cvc I-IEQrz,c.,.
Company Name: ilia ge- COLLlM o.�Lc- 1�1vPcer�� , �-�-L
Address: Z400 Eas- i..1a,., l�.Z�uE; FT coLL,Ns , ev 6O'S 7-
Phone number(s):
Office: 97O -1 102- 66o3
Cell: zzy - SLZA
Fax: y93 - I ey(o
Email:
Applicant/Project Manager (The primary contact person for all matters regarding this
project, and the person responsible for all matters referencing "the Developer" in the
Development Agreement for this project):
Individual Name: /3.L, 14ALLE-1 i
Company Name: DoHw LdN4TOiJLT/oN
Address: -L&47- r'�,y�o�nrr c����E �'T oLLIr�eS SaSZS
Phone number(s):
Office: y 90- i 5 5S
Cell: .54,6 - -73 s 7
Fax: 60 9 3
Email:
DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
For City use only: Application Number: A025-00 Application Date: 6.23.00
Permit application fee: $300.00
INSTRUCTIONS:
1. Complete this form (some questions 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 Tim Blandford, Development Review
Engineer at 970/221.6750.
3. Submit the Application and pay the Application Fee at the fee at the
Engineering
Counter at 281 North College Avenue.
PROJECT INFORMATION:
Project Name (as approved by the City):
Hawthorne Maintenance Supply, Inc., Lot 3, Collindale Business Park, 2"d Filing
Project A.K.A. (Marketing name if different from Project Name):
Hawthorne Maintenance Supply
Project Location: Northeast corner of Automation Way and Lowe Street
Property Owner (At the time of this permit issuance):
Individual Name: NE Qrz, _,_
Company Name: 1'1a2e,e.� Loa Lime 0.A--c- t�2c T_ -L
Address: _ Z400 E 5} —, ►..1a,,, t�,Z�uc= FT co�.tis , cc tv5 7-
Phone number(s):
Office: 970 / ySZ- 6603
Cell: Zzq - SzzR
Fax: y93 - i ey(o
Email:
Applicant/Project Manager (The primary contact person for all matters regarding this
project, and the person responsible for all matters referencing "the Developer" in the
Development Agreement for this project):
Individual Name: f3.L�,_ 14A7-1.E: —ii
Company Name: DoHw CoU:&7-v1Jc_r1a�l
Address: _ Z647 1111yPcrnrr Q2iLiE a 6.v 8a5ZS
Phone number(s):
Office: y90- 1 S 5S
Cell: .566 - 79 s 7
Fax: y9c - 60 9 3
Email:
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- D,c,-' /z�,-He-ZFCALC
Company Name: S-rE w A 4e-_r et 41S S oc, Q,--_�;,
Address: f o3 s �"/tom v,Zc),`�/ S Fr LOI, , S Q 8b5 Z
Phone number(s):
Office: y aZ- 9 3 31
Cell:
Fax::
Email:
Developer (The party 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: 12��►c /"1�,ziZi�L
Compan
Address: Name-
Zylo 2�s � LnJ o.� J��ALc
Phone number(s):
Office: y8Z- o
Cell: zz9 - 8 z z �—
Fax. 3 - J 8 y
Email:
General Contractor (The contractor in overall charge of the public infrastructure
construction): '(
Individual Name: 1�,� t A,?LL iT _
Company Name: DoHAJ L-3STPL, T10OJ
Address: _ Z�v z r-rir)o-bl&rT L)�21 r
Phone number(s):
Office: y tp- / R SS
Cell: 5(, (- 73S 7
Fax: y 5 0— 6 09 3
Email.
If you have no General Contractor, list all other contractors below.
Grading contractor:
Individual Name:
Company Name-
Address:
Phone number(s):
Office:
Cell:
Fax:
Email:
Utility contractor:
Individual Name:
Company Name:.
Address:
Phone number(s):
Office:
Cell:
Fax:
Email: