HomeMy WebLinkAboutCOLUMBINE EAST LONG TERM CARE 4824 SOUTH LEMAY - Filed DCP-DEV. CONSTRUCTION PERMIT - 2007-01-31DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
(1/16/06)
For City use only: Application Number: '.lc -'" 7Application Date:
Permit application fee: $ 400.00
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 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): n ' �W ��/
Project A.K.A. (Marketing name if different from Project Name): NA
Project Location: 4824 S. Lemay Ave., Fort Collins, CO 80525
Property Owner (At the time of this permit issuance):
Individual Name: Bob Wilson
Company Name: Oakville Real Estate, LLC.
Address: 947 Worthington Circle, Fort Collins, CO 80526
Phone number(s):
Office: (970) 482-0198
Cellphone:
Fax number: (970) 482-9148
Email: bob.wilson@columbinehealth.com
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: Bob Wilson
Company Name: Oakville Real Estate, LLC.
Address: 947 Worthington Circle, Fort Collins, CO 80526
Phone number(s):
Office: (970) 482-0198
Cellphone:
Fax number: (970) 482-9148
Email: bob.wilson@columbinehealth.com
Transportation Services
Engineering Department
DEVELOPMENT CONSTRUCTION PERMIT
Permit Number:
A007-06
Issuance Date:
Project Name:
Columbine East Lone
Term Care
Project A.K.A.:
Project Location: 4824 S. Lemay Ave Fort Collins CO 80525
Permittee: Bob Wilson
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) $ PAID
Construction Inspection Fee (paid prior to issuance of this permit) $ 2.127.50
Total $ 2.127.50
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.
$ 58,331.88
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 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605 • PAX (9/0) 2,Zt-b5m
www.fcgov.com
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