HomeMy WebLinkAboutCENTRE FOR ADVANCED TECHNOLOGY PUD TWENTIETH - Filed DCP-DEV. CONSTRUCTION PERMIT - 2003-07-07�Le
Development Construction Permit, Page 1/3
DEVELOPMENT CONSTRUCTION PERMIT
Permit Number: 00-04
Project Name: C.A.T. 20" Filing
Project A.K.A.: 90 Bed rehab
Issuance Date: 'S-%%-00
Project Location: Located at the southwest corner of the Centre Avenue/Worthington Circle
intersection
Permittee: Bob Wilson, Columbine Health System
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 Permit $1,725.00
Construction Inspection Fee (paid prior to issuance of this permit) $6,024.80 f A i 'jr
Total $8,049.80
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.
$ 63c�o . oc)
Form of security deposited with the City: G►r=cu
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
11 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.
3. Construction time restrictions:
SUBMIT THE FOLLOWING ITEMS (Required for all projects):
• 81/2"'xl 1" 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):
Cl Traffic control plan(s) for the project
❑ Proposed haul routes shown on a City map
Cl 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 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 peoples names and titles for those who will attend the pre -
construction meeting:
Name Title
Ted Davis Owner's Representative
Phil Robinson Stewart & Associates - Eng.
Jeff Jensen Drahota Construction - PM
E
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."
Public infrastructure, estimated cost:
Private infrastructure, estimated cost: S�-00
I certify that the information on this permit application along with the required additional submittals are
true and correct to tr:e 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 die 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.
Applicant Signature:_W)tJ1C ��%�,GCG� Date: y — 17 — 00
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Development Construction Permit, Page 2/3
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.
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.
Development Construction Permit, Page 3/3
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/sedirrlent 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. No work (including grading) 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 stated in this
permit.
Applicant/Project Manager's Signature:
Approval for issuance:
Date: 5 L3 I Lo
City Engineer Approval: Cam' V C �-<r� Date: '03'16 D
(Permit Issuance Date)
EXHIBIT "A"
DEVELOPMENT PROJECT CONTACT PERSONS
PROJECT NAME: Centre For Advanced Technology, 20th Filing — Columbine 90 Bed
Rehabilitation
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: Wayne Lenard, City of Fort Collins, 281 N. College
Avenue, Fort Collins, CO 80522
970/222.6824
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
STREET CLOSURES: N/A
TRANSPORTATION PLANNING: Kathleen Reavis, 210 East Olive Street, City of Fort Collins,
CO 80524
970/224.6140
1
FORESTRY: Tim Buchanan, City of Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/221.6361
LIGHT AND POWER: Doug Martine, 700 Wood Street, City of Fort Collins, CO
80521
970/224.6152
DEVELOPER'S CONTACT PERSONS:
PROJECT MANAGER: Bob Wilson, Columbine Health System, 947 Worthington
Circle, Fort Collins, CO 80526
Office: 970/482.0198
fax: 970/482.9148
DEVELOPER: Bob Wilson, Columbine Health System, 947 Worthington
Circle, Fort Collins, CO 80526
Office: 970/482.0198
fax: 970/482.9148
OWNER(S): Columbine Health System, 947 Worthington Circle, Fort
Collins, CO 80526
Office: 970/482.0198
fax: 970/482.9148
ARCH ITECTlPLAN NER: n/a
PROJECT ENGINEER: Phil Robinson PE, Stewart & Associates, 103 South
Meldrum, Fort Collins, CO 80521
Office: 970/482.9331
fax: 970/482.9382
GENERAL CONTRACTOR: Drahota Construction Co., P.O. Box 272269, Fort Collins,
CO 80525
Office: 970/204.0100
Fax: 970/204.0200
GRADING CONTRACTOR: n/a
UTILITY CONTRACTOR: n/a
CONCRETE CONTRACTOR
(for flat work): n/a
CONCRETE CONTRACTOR
(For Structures): n/a
PAVING CONTRACTOR: n/a
LANDSCAPE CONTRACTOR: n/a
K
OUTSIDE CONTACT PERSONS:
U.S. WEST: Joyce Takamoto, 124 W. Magnolia, Fort Collins, CO
80521
970/224.7473
AT&T CABLE SERVICES: Dennis Greenwalt, 1201 University Avenue, Fort Collins,
CO 80521
9701226.3104
PUBLIC SERVICE COMPANY: Jim Slagle, 1901 East Horsetooth Road, Fort Collins, CO
80525
970/225.7843
POUDRE FIRE AUTHORITY: Ron Gonzales, 102 Remington Street, Fort Collins, CO
80524
970/221.6570
DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
(1/7/99)
For City use only: Application Number: A011-oo Application Date: zs/Z3/,no
Permit application fee: $ 8004:��
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 'rim Blanford
at 221.-6750.
3. Submit the Application and pay the Application } ee at the fee at the Engineering
counter at 281 No. College Avenue.
PROJECT INFORMATION:
Project Name (as approved by the City):
lumbine 90 Bed Rehabilitation
Project A.K.A. (Marketing name if different from Project Name):
A
Project Location: Corner of Worthington and Centre Avenue
Fort Collins, CO 80526
Property Owner(At the time of this permit issuance):.
Name: Columbine Health System
Address: _ 947 Worthington Circle
Phone number(s):
Office: (970) 482-0198
Cellphone:
Fax number:(970) 482-9148
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):
Name: Bob Wilson
Address : _ 947 Worthington Circle
Phone number(s):
Office: (970) 482-0198
Cellphone:
Fax number: (970) 482-9148
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):
Name: Stewart & Associates
Address: 103 South Meldrum, Fort Collins, CO
Phone number(s):
Office: (970) 482-9331
Cellphone:
Fax number: (970) 482-9382
Email:
Professional I:icense Number: 4502
Developer (The party or parties referenced in the Development Agreement who are responsible for the
Developer's obligaticns contained in the Agreement —add additional names below):
Name: Bob Wilson
Address: _ 947 Worthington Circle, Fort Collins, CO
Phone number(s):
Office: (970) 482-0198
Cellphone:
Fax number: (970) 482-9148
Email:
General Contractor (The contractor in overall charge of the public infrastructure construction):
Name Drahota Construction Co.
Address: _ P.O. Box 272269, Fort Collins, CO
Phone number(s):
Office: (970) 204-0100
Cellphone:
Fax number: (970) 204-0200
Email:
If you have no General Contractor, list all other contractors below.
Grading contractor:
Name:
Address: _
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
Utility contractor:
2
Name:
Address: _
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
Concrete contractor for flat work:
Name:
Address: _
Phone number(s):
Office:
Cellphone:
Fax number:
Email:
Concrete contractor for structures:
Name:
Address: _
Phone number(s):
Office:
Cellphone:
Fax number:
Email:
Paving contractor:
Name:
Address: _
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
Landscape contractor:
Name:
Address: _
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
Other contractors and parties involved in the project: