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