HomeMy WebLinkAboutHOME STATE BANK 2337 SOUTH SHIELDS STREET - Filed DCP-DEV. CONSTRUCTION PERMIT - 2005-12-23City of Fort Collins
Transportation Services
Engineering Department
DEVELOPMENT CONSTRUCTION PERMIT
Permit Number: L' ? - Z `j Issuance Date:54,3 , a
Project Name: Home State Bank
Project Location:. 2337 S.
Shields
Permittee: 'HT .AT"
CIa Qe---DT
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
Construction Inspection Fee (paid prior to issuance of this permit) $ 383.00
Total $ 683.00
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.
$ 10,370.00
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 conformance
with City requirements.
281 NorlhCoIIe,,cN.(,nuc • PO.tioxW • Fort Collln5,C080522-0580 • (970)221-6605 •FAXf970)221-6378
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People to Attend: List the peoples names and titles for those who will attend the pre -
construction meeting:
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ESTIMATED COST OF INFRASTRUCTURE IMPROVEMENTS: Provide the estimated value of
all public in6 astructurc 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."
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Public infrastructure, estimated cost: $ �0 �� 0 —
Private infrastructure, estimated cost:
1 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 authorit e req ted action could not lawfully be accomplished. Pursuant to said
authority. 1 hereby p�Kn t City officials o enter on lheproperty for purposes of inspection and, if
necessary, to cnt upon such property t pert m� wor required of the applicant if the applicant were to
fail to perform c required
Applicant St nature: __ _---•Date:
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Development Construction Permit, Page 2/5
3. Construction time restrictions: N/A
4. The applicant understands that additional permits maybe 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 tojustify 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.
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
Development Construction Permit, Page 3/5
place and inspected by the City Erosion Control Inspector before any land disturbing activity begins.
11. No work (including grading and construction access) shall be started in State Highway right-of-
way until a permit is issued by the Colorado Department of Transportation to allow such work to
begin.
12. Other conditions:
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 e ifi,this permit.
Applicant/Project Manager' s Si�nature: Date:
Approval for issuance:
City Engineer Approval: Date: 77
(Permit Iss4ance Date)
Development Construction Permit, Page 4/5
EXHIBIT "A"
DEVELOPMENT PROJECT CONTACT PERSONS
Project Name:
City Staff Contact Persons:
Development Engineer:
Construction Inspector:
Name, address and numbers
Home State Bank
Marc Virata, P.E. / City of Fort Collins Engineering
281 N. College Avenue / Fort Collins, CO 80524
970 221-6605
Lance Newlin / City of Fort Collins Engineering
281 N. College Avenue / Fort Collins, CO 80524
970 221-6605
Current Planner: Anne Aspen / City of Fort Collins Current Planning
281 N. College Avenue / Fort Collins, CO 80524
970 221-6750
Water Utilities Engineer: Roger Buffington, P.E./City of Fort Collins Utilities
700 Wood Street / Fort Collins, CO 80521
970 221-6854
Erosion Control Inspector: Bob Zakely / City of Fort Collins, 700 Wood
Street, Fort Collins, CO 80521
970 221-6063
Natural Resources: Doug Moore / City of Fort Collins, 281 North
College Avenue, Fort Collins, CO 80522
970 224-6143
Traffic Operations: Eric Bracke, P.E. / City of Fort Collins, 625 Linden
Street, Fort Collins, CO 80524
970 224-6062
Street closures: Syl Mireles / City of Fort Collins, 625 Linden
Street, Fort Collins, CO 80524
970 221-6815
Development Construction Permit, Page 5/5
Transportation Planning: Kurt Ravenschlag / City of Fort Collins, 215 N
Mason Street, Fort Collins, CO 80524
970 416-2040
Forestry: Tim Buchanan / City of Fort Collins, 281 North
College Avenue, Fort Collins, CO 80522
Light and Power: Doug Martine / City of Fort Collins, 700 Wood
Street, Fort Collins, CO 80521
970 224-6154
Developer' Contact Persons:
Project Manager/
General Contractor
Eric Omer
R.C. Heath Construction Co.
141 Racquette Drive
Fort Collins, CO 80524
970 221-4195 (w)
970 567-1153 (c)
970 221-2907 (0
eric@heathconstruction.com
Owner: Steve Fobes
MOJO Investments
303 E. Mountain Avenue
Fort Collins, CO 80524
970 203-6100 (w)
Project Engineer: Patricia Kroetch, P.E.
North Star Design
700 Automation Drive, Unit I
Windsor, CO 80550
970 686-6939 (w)
970 686-1188 (f)
tricia@northstardesignino.com
Architect/Planner: Rebecca Spears
RB+B Architects
315 East Mountain Avenue, Suite 100
Fort Collins, CO 80524
970 484-0117 (w)
970 484-0264 (f)
rspears@rbbarchitects.com
DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
For City use only: Application Number:
(2/ 16/99)
Application Date:_
permit application fee: S 300.00
INSTRUCTIONS:
I. 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 the Development Engineer, _, at 221-6605.
3. Submit the Application and pay the Application Fee at the fee at the Engineering counter at 281 N.
College Avenue.
PROJECT INFORMATION:
Project Name (as approved by the City):
qo � _ =- dam
Project A.K.A. (Marketing name if different from Project Name):
Project Location:��
Property Owner(At the ti}e�othis m t issuance),:
Individual Name: 1 Y lY
Company Name
Address:
l�- MLtJ
Phone number(s): E0524
Office: zo 60 (�Q
Cel 1phone:
Fax number: _
Gmail:
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
Company
Address:
Phone no
Email
Office:
Cellphone:
Fax number: ci'10" 2Zl �qo-.
Pern ittee (Person who is to
Individual Name:
CompanyNamc: —
Address: _
Phone number(s):
Office:
Cellphone:
Fax number:
Email:
the Development Construction
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-const
Individual
Company
Address:
Phone number(s):
Office: a`lo- cab(.Q (IZq-�,A-
Celiphone: pp�
Fax number: o - V
Email: fiY 1G�a 2s�w�IdlG. C.OVV1
Professional License Number: _l f7
Architect/Planner (The per on responsible for the site design of this project)
Individual Name:�__CL3
Company Name
Address:
Phone number(s):
Office: ' I* I0
Cellphone:
Fax number: q_I0 a , ��1C�YA
Email: a V`b W
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: ( e,-AV );2Vn0L.L-)VLe
Company Name: —
Address:
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
General Contractor (The
Individual Name:
Company Name
Address: 1 `C_
infrastructure construction):
Phone number(s): I _
Office: q70 — Z 1 "��q E)
Cellphone:
Fax number: ZZ���L
Email: jr2vl� l0� •f't
If you have no General Contractor, list all other contractors below.
Grading contractor:
Individual Name:
Company Name : —
Address:
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
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 number(s):
Office:
Cellphone:
Pax 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: _
Cellphone: _
Fax number:
Email:
Other contractors and parties involved in the project:
SUBMIT THE FOLLOWING ITEMS (Required for all projects):
• 81/2"xl I" 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 Corm 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
❑ 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
inquired to attend the meeting arc 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)