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HomeMy WebLinkAboutBANNER HEALTH MEDICAL CAMPUS - FDP - FDP130020 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONC!ty of Communit3 velopment & Neighborhood Services Fort Collins 281 N. College Ave Fort Collins, CO 80522 97o.22z 676o 970.224.6134 -fax Permit/Project #: EAS130018 Applied: 05/31/2013 Type: Easement Vacation Site Address: Job Valuation: $0.00 Category: Transactions Check CK # 13480 06/13/2013 $800.00 Vacation of Right -of Way for the Banner Health Medical Campus project ($800) Paid by BHA Design, Inc. ck#13480 Receipt issued: 06/14/2013 Total Paid to Date: $800.00 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Transportation Dev Review 902010.444030 $800.00 $800.00 06/13/2013 $0.00 TOTAL FEES: $800.00 $800.00 $0.00 TOTAL BALANCE DUE AS OF 06114/2013: 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised May 2011 City of Communitt uelopment & Neighborhood Services Fort Collins 281 N. College Ave Fort Collins, CO 8o522 97o.221.676o 970.224.6184 -fax Permit/Project#: FDP130020 Routed for Review: 05/24/2013 Type: Final Plan Site Address: Job Valuation: $0.00 Category: Transactions Method Check Number Date Paid Amount Paid Comments Check CK# 13480 06/13/2013 $2,000.00 Final Planning Fee ($1,000) and Final Transportation Development Review Fee ($1,000) paid by BHA Design, Inc. ck#13480 Receipt issued: 06/14/2013 Total Paid to Date: $2,000.00 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Development Review Fee 1000.444040 $1.000.00 $1,000.00 06/13/2013 $0.00 Transportation Dev Review 902010.444030 $1,000.00 $1,000.00 06/13/2013 $0.00 TOTAL FEES: $2,000.00 $2,000.00 $0.00 TOTAL BALANCE DUE AS OF 06/1412013: 1q.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised May 2011 Show Receipt Detail Page 1 of 1 RECEIPT CITY OF FORT COLLINS COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. COLLEGE AVE 970.221.6760 PO BOX 580 970.224.6134 - fax Application: EAS130018 Application Type: Planning/Easement Vacation/NA/NA Address:4617 LADY MOON DR, FORT COLLINS, CO 80528 Receipt No. 192886 Payment Method Ref Number Amount Paid Payment Date Cashier ID Received Check 13480 $800.00 06/13/2013 SLINDELL Owner Info.: IMAGO ENTERPRISES INC 140 PALMER DR FORT COLLINS, CO 80525 Comments Vacation of Right - of Way for the Banner Health Medical Campus project ($800) Paid by BHA Design, Inc. ck#13480 Project This is an Easement Vacation for the Banner Health Medical Campus Description: development project ($800). The easement will vacate a portion of the Lady Moon Drive Right -of -Way located in the Northeast Quarter of Section 4, Township 6 North, Range 68 West of the 6th P.M. Paid by BHA Design, Inc. ck#13480 https:Halm-v360.fcgov.conVportlets/fee/receiptView.do?mode=view&receiptnbr=192886... 6/14/2013 Show Receipt Detail Page 1 of 1 RECEIPT CITY OF FORT COLLINS COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. COLLEGE AVE 970.221.6760 PO BOX 580 970.224.6134 -fax Application: FDP130020 Application Type: Planning/Final Plan/NA/NA Address:4617 LADY MOON DR, FORT COLLINS, CO 80528 Receipt No. 192877 Payment Method Ref Number Amount Paid Payment Date Cashier ID Received Comments Final Planning Fee ($1,000) and Final Transportation Check 13480 $2,000.00 06/13/2013 SLINDELL Development Review Fee ($1,000) paid by BHA Design, Inc. ck#13480 Owner Info.: IMAGO ENTERPRISES INC 140 PALMER DR FORT COLLINS, CO 80525 Project This is a request for approval of a Project Development Plan (P.D.P.) for the Description: Banner Health Medical Campus. The project is located at the southeast corner of E. Harmony Road and Lady Moon Drive on 27.867 total acres. The medical campus will provide inpatient and outpatient services to the community. The project proposes at least two phases, with the first phase to include a 163,300 square foot hospital, medical office health center and central utility plant. The complete build -out proposed with future phases Includes an additional 157,900 square foot hospital area, a 22,800 square foot medical office health center and a two-story, 40,000 square foot medical office building at the southwest corner of the site for a total campus build -out of 384,000 square feet. Building areas on the campus are served by three parking areas including one parking structure located west of the proposed bed towers. The hospital building will contain a clinic, inpatient beds, diagnostics and treatment, as well as an emergency department. The hospital varies in height from the one-story clinic on the west to the 3-story bed tower on the east side. A proposed heli-stop pad will be located to the north of the hospital building. https:Halm-v360.fcgov.com/portiets/feelreceiptV iew. do'?mode=view&receiptnbr= l 92877... 6/ 14/2013 Show Receipt Detail Page 1 of 1 RECEIPT CITY OF FORT COLLINS COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. COLLEGE AVE 970.221.6760 PO BOX 580 970.224.6134 - fax Application: PDP130003 Application Type: P anniing P oject Development Plan/NA/NA Address:4617 LADY MOON DR , FORT COLLINS, CO 80528 Receipt No. 192444 Payment Method Ref Number Amount Paid Payment Date Cashier ID Received Comments Initial Transportation Development Review Fee ($34,000) - Check 2916514 $34,000.00 05/31/2013 SLINDELL per City Manager, Darin Atteberry. Paid by Banner Health ck#2916514 Owner Info.: IMAGO ENTERPRISES INC 140 PALMER DR FORT COLLINS, CO 80525 Project This is a request for approval of a Project Development Plan (P.D.P.) for the Description: Banner Health Medical Campus. The project is located at the southeast corner of E. Harmony Road and Lady Moon Drive on 27.867 total acres. The medical campus will provide inpatient and outpatient services to the community. The project proposes at least two phases, with the first phase to include a 163,300 square foot hospital, medical office health center and central utility plant. The complete build -out proposed with future phases includes an additional 157,900 square foot hospital area, a 22,800 square foot medical office health center and a two-story, 40,000 square foot medical office building at the southwest corner of the site for a total campus build -out of 384,000 square feet. Building areas on the campus are served by three parking areas including one parking structure located west of the proposed bed towers. The hospital building will contain a clinic, inpatient beds, diagnostics and treatment, as well as an emergency department. The hospital varies in height from the one-story clinic on the west to the 3-story bed tower on the east side. A proposed heli-stop pad will be located to the north of the hospital building. https://alm-v360. fcgov.com/portlets/fee/receiptView.do?mode=view&receiptnbr=192444&... 6/7/2013 FOrt COIIInS Transportation Development Review Fee Dat es Paid �j�5 Total Am unl Pai Project Nalue. 1�66"ugLArAUT# C,14bGJ�Wli j Project Location: Dale: Type of Submittal Please indicate the type of application submitted by checking the box Foot Notes: preceding the appropriate request(s). When a development protect involves a change of use for a Fee structure amount due building. the charge per square foot shall apply to the portion of Overall Development Plan (ODP) $500 each the overall building size for which the change of use is proposed provided that the new use generates more traffic that the costing Y Final Development Platt (FDP) use. as determined by the current Institute of Transportation This fee includes 2 rounds of review $1000 each /coop Engineers Trip Generation If the new use does not generate more trafrc than the existing use then the charge per square foot for Additional round of review $ 500 each shall apply only to the net addinonal building sae (if any) Annexation S20 X _ acres = - $250 = These fees do not include the cost of filing fees for the recording of Motor Amendment $250 each the Development Agreement %'hen a Development Agreement or Amendment Agreement is entered into the Developer shall be Major Amendment $2,500 each responsible for the cost of recording the document Said filing fees shall be calculated and provided when the signed document is Re -zone $200 each returned to the City for signanues and filing. Modification to Land Use Code $200 each •" This fee does not include the cost of filing fees. Filing Wireless Telecommunication Equipment (WTE) $65 each fees shall be detained at the time of final document Road Projects acres (of roadway) X $250 = submittal and will be required prior to filing. Vacation of Easement(s) *** x of vacations _ X $400 = Vacation of Right(s)-of--Way ** * tt of vacations X $800 = _ Dedication of Easement(s) an&or Rights) -of --Way *** M of dedications X $250 = Project Development Plan (PDP) or Basic Development Review Project requiring Transportation Services Review andor utility plan review. This fee includes 3 rounds of review. Detached Single Fancily $160 per unit it of units X S 160 = Multifamily or other residential units $115 per unit * of units X $1 l5 = Commercial. Industrial. Retail. and`or Non residential building square footage S0.25 per square foot sgftX$0.25= Size of the development (area being platted or if not being platted size of parcel accompanying all development improvements) $250 per acre acres X $ 250 = Project fee. $2.000 eac 4g $2 000 IX,Ou/QQ ran ' Total of above amounts If this fee amount exceeds $30.000 then the fee amount shall be adjusted with the following formula: $30.000 + Y (the amount over 30.000 ) _ The maximum fee for any residential ONLY project shall be $500 per residential unit. This check should be used to verify die fee amount (does not apply to mixed -use developments). PDP fee shall be the lesser of this amount or the above calculated amount. Of residential units X $500 = Reduction for affordable housing — a copy of the City letter certifying authorizing the affordable housing shall be provided with this application. Amount of reduction to be applied Total owed for PDP cc: Christie White. Engineering Development Review Engineering General Information: Owners Name(s): 1 M 14615 t14 . Street address: 140 P*LA" r - 02 City/State/Zip: Goe.-t• C LdAkK Cam. tom&—i"'b ' Telephone: 9112! -6&M Fax: 'M-Zet •q?Xsb Applicants/ Consultants Firm Name: F—** ri"b14 II-� Contact: _ 1 141r210.4 tq 0%,44A6 Street address: City/State/ Zip: F of dayd 2a, 40 &62sv Telephone: Q70•?23 Ty"rTFax: Certification: By signing this permit I acknowledge 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 connnon 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. Name (please print): :t Signatwe: Sr. Telephone: Type of Request Please indicate the type of application submitted by checking the box preceding the appropriate request(s). Additional handouts are available explaining the submittal requirements for each of the following review processes. U Annexation Petition with Initial Zoning REQUESTED ZONE. Fee S 1,188. 00 + 550.00 sign posting fee + S. 75 for each APO label ❑ Rezoning Petition REQUESTED ZONE. Fee 5977.00 + 550.00 sign posting fee ❑ Overall Development Plan (ODP) Fee. $1, 599-00 + $50.00 sign posting fee + 5.75 for each APO label L.) Project Development Plan (PDP) without Subdivision Plat (also Wireless Tele-communication Facilities) Fee: $3, 887.00 + 550.00 sign posting fee + $ 75 for each APO label ❑ Project Development Plan (PDP) with Subdivision Plat Fee: S5, 879.00 + S50 00 sign posting fee + S 75 for each APO label U Final Plan without Subdivision Plat Fee. 51. 000.00 y1Q Final Plan with Subdivision Plat Fee: $1.000.00 LJ Modification of Standards/Text and Map Amendment Fee: $200.00+ (550.00 sign posting fee + S. 75 for each APO label for Modification of Standards only) ❑ Basic Development Review Fee,S200 00 ❑ Major Amendment Fee: $3.206.00 + 550.00 sign posting fee + 5.75 for each APO label ❑ Non -Conforming Use Review Fee, $1,389.00 ❑ Vacation of ROW or Easement Fee. 55.00 per sheet of filing document ❑ Small Project Fees Fee: Varies -Check with the Current Planning Department ❑ Street Name Change Fee. 55.00 ❑ Extension of Final Approval Fee. $566.00 ❑ Site Plan Advisory Review NO FEE ❑ Addition of Permitted Use Fee. 5500 00 + 550.00 sign posting fee + S 75 for each APO label Revised February 18. 2010 2 PDP Submittal Requirements City of Fort Collins a pEVM"ENT REVIEW: APPLICATION FORM For Office Use Only Date Submitted Current Planning File # FA S/-�/YL Ramer 1� Project Information SfibafAMa Infer m Um Project Nara: Res - -al Area: S4 R Acres Project Description (Choose type of request hrm the list on ft bwo. Corrrrertr Area: Zas, lr &1 _ S4 Ft. Acres ftr•-ic i._. 1� 9 � -r Industrial Area: S4 Ft Acres Nbced use Area: S4 Ft. Acres Right of Alay Area: <fF54 ` S4 Ft Acres Pariung and Drive Area: All 047 Sq Ft acres Location DescriptimProjed Address: Sornw ater Deterilion Area: S4 Ft. Acres S&d u 661w coax Az2 of 14 aao ar� QJz) 4 Lame Area: 4TO r?5db S4 FL Acres OperiCitherAreas: S4 FL Acres Gross Area: S4 Ft Acres L ,teW 'Qs Major Cross Streets: 40 Rr mj!. OaMA L44tQ nMn.l d2 Zone N)-} Wtl Nrry.N I Q 412^a/2_ DrS-rNe-T CNc) Parcel l Numbeumbr: Floor Area Ratio: .'SS Gross Density: � Density Owner Infomtabon BdidingtUrtit InkinTHdon Residential: Square Feet Name: I MAbo tut-r ww-PRISES rn1L. Address: 14e pw ""- biz Conneraal: 5.l 55 44C . Square Feet Industrial: Square Feel � FaaT c•r.r.�.+s State: to 2ipd Sdrz� Building Rood Area Ratio: n9 33 Phone: Email: Ratted Area: 26. • $246 rye . Atmtberof Chits Apgftatt IrtonTHdon Single Family Attached Sin le Farnly Detached: Name: Two Farily. Mild-Farnly. won Name: fW* Dpwinfl t wl[_ Cortact•.IF�srett� -1&tbnA Address: I bcs� orrrtrztorer. t AL. Dates: Cityffmr Casty rya State: c_,o Zrp$�'t� ConcephralReviewMeetrngDate OCT. Zoot-- Phone: 1Ror22.3'1+:•t7 Email:J►Nu!St�vrts�$tiADGartrf. Neighborhood Mtebrxg Date Lk)L Zfi. Z Preferred Nlethod of Co tacb Uri*4u- HearingType Plf2 CERTIFICATION I oertfy the infomartihon and exhibits submitted are true ad tarred tote best of dry knonledge aril that in filing this applicallion, I an acting with the V onledge, consent, and alh arty of the on Hers of the real property, as those terns are defined in Section 1-2 of the City Code (inducing anion areas legally oorcrected to or assodated with the property vdtidt is the subject of this application) w h t whose orient ad a ltmiity the requested action mold not lawfully be aoconplished Pursuant to said aurlhonty, I hereby permit City offidals to erter upon the properly for the purpose d inspection, and if necessary, for posting of public notice on the property. Name (Please PRINT): JA�x.-( �• I�E�SrARaS Address: L(aa% Co 861;Zy Telephone: Signature: (and title showing authority to sign, if applicable) r:;� CERTIFICATION MUST BE SIGNED. a Community Development & Neighborhood Services - 281 N College Ave - Fort Collins. CO 80522-0580