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HomeMy WebLinkAboutEVERGREEN PARK SECOND FILING THIRD REPLAT - Filed DCP-DEV. CONSTRUCTION PERMIT - 2003-07-31City of Fort Collins, Colorado DEVELOPMENT CONSTRUCTION PERMIT Permit Number: 99-44 Issuance Date: 7) C Project Name: Third Replat of Evergreen Park, Second Filing, being a replat of Lots Eighteen (18) through Twenty -Four (24) inclusive, Block six (6) and Lots One (1) through Eight (8) inclusive, Block Seven (7), replat of Evergreen Park, Second Filing. Project A.K.A.: Evergreen Park 2' filing Project Location: West of Lemay Avenue and North of Conifer Street, being the completion of Sitka Street and Yew court. ,a, -d-36 Permittee: Double .Eagle Construction Services — 6ig-Seebohm 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) PD $300.00 Excavation Permit, inspection and pavement impact fee $1035.00 ✓' Construction Inspection Fee (paid prior to issuance of this permit) S4558.90 PO Total $5593.90 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. $164,685.25 Form of security deposited with the City: L_ �< 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. DEVELOPMENT CONSTRUCTION PERMIT APPLICATION (1/7/99) For City use only. Application Number:% )Application Date: tZ e Lq el - Permit application fee: I .ftf .. 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 221-6750. 3. Submit the Application and pay the Application Fee at the fee at the Engineering counter at 281 No. College Avenue. PROJECT INFORMATION: Project Name (as approved by the City): Project A.K.A. (Marketing name if different from Project Name): A1/q Project Location: Property Owner(At the time of this permit issuance):. Name: uiyi- Aei& Xhii I � Address:�,t,�a_i�.i+./ -c:, ���, - �r�.::,,Gt"�,er Phone number(s): Office: �,i/el---264- -'r 15c3 Cellphone: A%14 Fax number. ) ,;3 - 54l6, Email: A,I 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): , Address ! C N� 1)_,C 11'[ Jlr r`�c1, = � LI �i�l / fit , CZ' 5 Phone number(s): Office: 6!Zle 1 Cellphone: Fax number: Email:2CG�I 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): r Name:A1/,' ii r_ 13 ti.%}Li./z7"J/11v� Address:__,qJc .11 7JY-uto , :� i 6. �k'j . /4 Phone number(s): Office: (i7c) ---Qi - Hi5c, Cellphone: N'%A Fax number (91r)i - N 15y Email: erlfA Professional License Number: AW 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): Name: Jul U. 61444 A-L.U"r- Address: r',/r, A,' h- kta `'b � _ 341r, Z JTY_�, I", i=I- z . 6-`C n. j Phone number(s): Office: /9 7c>) LAC -- Cellphone: /1 /4 Fax number 197c) --;La _-5 - :� 1 Email: 1I2 i� j fc L tita►ur .� t-, (The contractor in overall Name: 6_li Address: Phone number(s): Office:/1L�1 Cellphone: Fax Fax number. Email: of the public infrastructure construction): If you have no General Contractor, list all other contractors below. Grading contractor: Name: J�,4c& 6 itUI Uj ,tl Address: r'C i3r x ,97,235 Phone number(s): Office: Cellphone: %J14- Fax number. 3 Email: //Z4 Utility contractor: Name: Addres Phone immur.<<a). Office: Al A71 J. 23 3i Cellphone: Fax number: (' 7e)-) �3 - -3Xt Email: nA Concrete contractor for flat work: Name: Addres Phone 11uiuuvn k,). Office:1%/D) 3 - -er573 Cellphone: �!2 Fax number. Email: 0.141- Concrete contractor for structures: Name: Address: V.��5 Phone number(s): Office: �97D1535 �y�o=Z. Cellphone: i)&L Fax number: (!&) 535 - -V-3ffI;z Email: t Paving contractor: Name: Addres Phone 11ua11UGll3l. Office: (e,114 ?3 3 t 1 Cellphone: Fax number: ,),;)a3 - 314i I Email: n.A Landscape Name: Addres Phone numoer(s): Office: <I7G) i -,;LA--) 6 Cellphone: y l� Fax number: Email: Other contractors and parties involved in the project: SUBMIT THE FOLLOWING ITEMS (Required for all projects): • �)�G 81/2"xl l" copy of the Site Plan •r « >� 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): Traffic control plan(s) for the project El v , Proposed haul routes shown on a City map ❑ Shop drawings ❑ „ a- 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 4 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 I 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 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:�� Date: /�it) %q 5 O O O O O O O O O O O O O O O O O O O O O O O c O O O O O O N O N O O O O O O O O O O O Co N f- O O O O O O CY) Co Ln 0 C) 0 0 0 0 0 O-t 4 0 0 !l- M CD CD EA EA � GI)O LO (D N (D � P) Eft CD Eta L Ef) 00 co Ef? It co ti - Q EA Eta EA N CA EA UfJ Eta CD O Eti 61) Eft in W Eta Eta Eta T uj- Ef3 ss 0 6a O U J U W W f- a� w m oZLL � z O O O O O O O O O O O O O O O O O O O O O J CD O O O O O CD CD CD O O O O O O M N 00 N— .- J h' O O co Cl) 0 0 O O O O O O O O O O O O O O O Z Z Ef? Vf (Al 61) Cr) O K? 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W ff? ft3 O 0 of Cf) (L U v �zvLU i2 WLL z ?UUO D m Cl) Cl) O O— O N O N N r— •-- O LO .-- r- O O O N N ti V O 00 00 00 N Cl) ONO 00(DN ~ N W W N Z o LL H z W Z Q Z ~ Q O� 0 H w CY O W O i w a Z Zm �� LLLL.�>-UU LL.LL.LL:000UUUU (n LL.LL:LL.LL.LL. ZW JJUUW W JJJW -�(nJJJ(n(n W W W W W W F-O 2 U LI)U. z N p U m D W W Q' F- 3 U U u U) - Z Of a) uI W F' J o g a� U .5 W O f° D O c a 3 E Z a Q Z 0 U 0 a cz J a C as a�i �.@ " �� H L LL 0) ��?y� O N d O m.c� a `i G U' O cu � �p Q L U U (V C L L (/� .� �_I= m L (U CU Q -0 W (n C C _ C N C (6 _ R)� C C (Q N (B C> .- 0-0 N O N M>- L0 O W 0 cn Of <2i IOJ N M O 2 �� (��I-�li�>�LL (D 4s m O .- N C7 ry N N N N N 0- C7dU0 W QU DJ N N M M (h M M M M M M aZ M N M V Il cp 4. The applicant understands that additional permits may be required for this development project and the appliicant 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. 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 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: Notify the City Engineering construction Department a minimum of 48 hours prior to beginning construction at 221-6609. 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 Signatut�� Date: ��Y-cc ,L Approval for issuance: City Engineer Approval: � ►�_. C ,t �' Date: Z�- �0ED t (Permit ssu ce Date) J 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: MIIhi_t B, t414 inh new, A1,q),UY P M _4"v"'eAn I n y ote;A Phone number(s): Office: (q o) —Ul - 4i58 Cellphone: AtIA Fax number. (97o) .0 - k 159 Email: 4cni Professional License Number: AW 30 3a5; 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): Name: ,{),ito.A4L-;lbo Addre: Phone Office: 4970 ) aaG - 075 9 Cellphone: n/a, Fax number. _ �970) - s y t 1,, Email: / /a (The contractor in overall charge of the public infrastructure construction): Name: F Address: Phone number (s): Office: Cellphone: Fax number. Email: If you have no General Contractor, list all other contractors below. Grading contractor: Name: Eue& Address: Pa &ox ,p Phone number f s): Office: Cellphone: 42. Fax number. (qTp) as -4133 Go Email: /Yf Q Utility contractor: Name: Addres Phone iILLLI.U%-.1ka). Office: Cellphone: Fax number: 0 7a)c;P3 - -3 Email:& Concrete contractor for flat work Name: Addres Phone liuuiuc.►k,). Office: N10 353 - 9575 Cellphone: Ala Fax number. (970)35� - 931i9 Email:i' 2 Concrete contractor for structures: Name: f ^Mb- 5&AM-I� . —2&,- Address: --Y,;325 ,d1i , LLv r , Phone number s): Office: (ft)535 Cellphone: nkL Fax number. �ft) 535.438a Email: Paving contractor - Name: Addres Phone liu IIUUJ kap Office: --)-13 Cellphone: cc, Fax number. M76 )� 73 - 3191 Email: n a - Landscape cor+**ar*n*- Name: Addres Phone numoer(s): Office: (R7a) c;D6 -9 6 Cellphone: il /A- Faxnumber: (97D) ag Email: L Other contractors and parties involved in the project: 3 W W 2 W Q U) W H N U C Z N W H 1— Z U W w a f f 000000 O O C'` O O O 0000000000 N (DN O O O O O O O OOOOOOO O O O O c.0 N Il- o C) 66 ) 0 0 (D (D . i O 69 O 6 6 0 6666 O O O m 0 N O O (0 EH U') 69 » l' 0 0 I� (M Hi O (D 69 "t co h � Q � 69 C14 a) 69 69 69 � 69 (A),69 LO W 69 69 z J x Z U m �aW P.zLL 0 z O O O O O O (DcD0000 0 0 0 0 0 0 0 0 0 (D000OOOOO O O O O O O M000000•-- J J H ZZ CD CD Cl) co CD666666666 69A0)0) 69fAEfl0(DCf)co O O O O O O 69(i69696969 b4�diblk � z �w aLU s W W W i Z W U. w -W Z W 000000 CO 0 0 0 O O OOOOOOOOOO V 0 0 0 0 0 0 0 0 0 m000v00 N N 0 0 CO CDtO O C)a Q) D F- .-00000 N 69 69 69 (fO 69 CD00000000Lo 00 (M 69 69 00 (D � 69 69 N O Lri60001- 0) — 00 69 O 69 I- V W O U O N rl LO (M tO LfO (.D (V 69 O It 00 V Il- N a. CD W LL W Q' V 6fi 69 .:i Ld .-- 1- N E9 69 69 69 69 h O I- MEl3 69 EtT 69 �. Q Z �p > e- Q 0ciLL0 ~ w F-WZU W W O O O O O O CD O CD O CD (D O O O O O O O O O O N Lq O O O O O O O O ml�t O O N O O N M o O M O to O �Z F- F- O NT 00000 00 69 69 69 UO 69 U)OOOOOC)0C) V) N N 69 69- CO (D 'IT 69 69 N O m0)000f` 0 — E9 69 � 69 69 2 Z W 69 N 69 69 (n UO (D N O 69 69 = V = = H w 6�9 69 69619. O0O 0 LU O 9 U) I- w U U z Z U)2 W ? U U O CO CO c"O 0 0 �- O 00 00 N O N N O l!O M O O O N N (Drl_ ~ N N 0co 0 N N W W N Z p W J LL J_ Z_ J Z Z Q OW VZ — aZ LLW 0 LL LC6r����LI: NO m LLLL JJUU JJJ J(nJJJ(n(n �0 Z W W W W W W W W W W p , U W C7 f' z U) O _ U 00 W Ix IX N U c U)Z H i -. C rii IX ~ WM _Q a (n J O` O CO Q a� _ c U '� > LL (j 7 3 O C a) c Co tl a c 0 O to m �- 0) �% O ^�U lu)�F-�LE2>2LZ 3 E �� n J �Q F- a a� _ a = is - c a) c 3 cu a) c a cn c W O (D a� 3� m m� w-m a ...� cO-0 co c O) O : cc 10IL()0aQU H� Q O L 0) O C C U O) C L L ce >' O to w. U 0 2 L N L .D U c (n W 2 W 'Fu � CO (D __ N 0 0 (0 0 (0 (0 0) w (0 O O - (13 > L7 � ~ 0 of-U�Q2 CB N Q) `O aZ O� O N V N t2 1- m m O 7 N C- ? � r N N N N N N N N m O- O � N M - �D N N Cl (Yi C7 t7 M � I� m m O N .. .-. ...__._,�....... ..-. �.�t ��•,-.ce-.�"'.'°c.:^^�..e*s^.Q,�',�r4.+S"z.�RvTM'�+�'�=.ly'F"�"�-.w+^^^F i —„ DRI PERMIT NUMBER: 00 f_190.S` ; ngineering Department Application Date: a - da -00 CITY 1 North College Ave. EXPIRATION: 30 DAYS FROM DATE OF APPROVAL. FORT rt Collins, CO 80524 Non -Refundable Fee: 5 •bU Cash/C ec )Q I COLLINS Acct #101-000000-322901 6605 Fax: (970) 221-6378 ENGINEERING EIEFARTIEN ERMIT F'OR DRIVE APPROACH IN PUBLIC RIGHT-OF-WAY 201 NORTH COLLEGE Minimumof48 HOURS required for City Engineer's approval) E9701 221-66015 1� u 0-3-00 #1 ME: 1 PHONE LIA322?01 0.60 SUE,TL 51.60 #4769 TOR NAME:- PHONE TOTAL 5.460 CHECK `.60 CHANGE 0.00 CLERK#.ti 02,96 09:37 irk Performed by: Property Owner Licensed Concrete Contractor j licensed and bonded with the City to do work in the public rig ht-o - ES NO 1 Name: 6� r d✓yr' Existing Curb and Gutter Proposed Curb and Gutter Work Access To Hollywood .k Install New Drive Approach Arterial Street XRollover/Driveover Widen Existing Drive Approach L Residential Street Vertical Repair an Existing Driveway or Collector Street Commercial Drive Approach Without Alterations State Highway Residential Install New Driveway Other"" Close Existing Driveway `TRAFFIC CONTROL PLAN.SUBMITTED: YES (NOTE.- If curb cut is on College Avenue, State Highway, arterial street, or collector street, a Traffic Control Plan must be submitted and approved by the Traffic Engineer prior to the City Engineer's approval). -WILL TREES, SHRUBS OR OTHER VEGETATION BE DISTURBED: YES CNO (NOTE: if yes, a separate permit must be obtained from the City Forester at no additional charge). (aX Driveway up to 15' in width(s) @ $ 5.00 3— '"Additional footage in excess of 15' an additional charge of $.30 per foot @ $ .30y Vehicular access to/fiom a State Highway* @ $25.00 TOTAL FEET AMOUNT DUE $�^ *Notwithstanding the foregoing, f any driveway is proposed to be constructed providing vehicular access to or from a State Highway, the permit fee for such driveway shall be $25.00 regardless of width or use of the driveway. Applicant agrees to provide the Department of Engineering with an active or continuous surety bond in the amount of $10,000, issued by a surety company authorized to do business in the State of Colorado, upon application. If the property owner performs the work, a concrete license and bond is not required (see the back side of this form for certain provisions of the City Code that are or may be applicable to this permit). Applicant has read the front and back of this permit and agrees to abide by the City of Fort Collins Standard Plans and Specifications and to such special conditions, restrictions, and regulations as may by imposed by the Director of Engineering. Applicant agrees to telephone the Engineering Inspection Recorder at 221-6609, 24 HOURS PRIOR to any construction in the public right-of-way. Inspections are required, before and after concrete is poured. r® - APPLICANT'S SIGNATURE: DATE: r' `9 CITY ENGINEER APPROVAL - DATE: � 281 N. Co lege nue, 221-6605 *CITY TRAFFIC ENGINEER APPROVAL: DATE: 235 Mathews St. 221-6608 **CITY FORESTER APPROVAL: DATE: 413 S. Bryan/281 N. College, 221-6640 White - Engineering Pink - Customer Yellow - Inspection Gold - Revenue VO to City of 1ho.. Engineering Department 281 North College Avenue Fort Collins, CO 80524 Phone: (970) 221-6605 Fax: (970)221-6379 O 4,o c. P `t #: — a Appacation Date: t f.-, •..J �� 7-i Mr O O - O . AC PROPERTY (Right -of -Way) - Bred for City Engineer's Approval) AYS FOR DATE OF APPROVAL Applicant Use Applicant Name: k//A/ :LA Aga-,M l i Are q-1_f L96 Company: y'E,gt_p /,c1VE57NfEA1T, 44e_ Phone: 7A4-o749 Address: 3400 7AME5 oe— City/State/zip: Fag i 1ec L ihJ'S , Cv t� � Does contractor possess license & ;proper endorsement to work in the NIA Public Right -of -Way? Yes No (97b1 Sub-Contractor:J-B. EXGAVAT't616 , ?tiIC. Phone: 04-6593 Does the sub -contractor possess licenses & proper endorsement to work in the Public Right -of -Way? Ye No Is this a City project? Yes No A Oa EA6rl' CGSX. SEQy If so, what is the Project Manager's Name: 61 E.-55650,q A-f Field Contact Name & Phone #:�,?3 Scheduled Start Date: Back Fill: Temp. Patch Date: Final: Excavation Address: Excavation Type: Open Cut: Excavation Size: Width Length -Total Sq. Ft. Pavement Removed: Existing Surface Type: Asphalt Purpose of Excavation: Water Sewer Gas Other Boring: Sq. Ft.* Depth Concrete Gravel Telephone Electric Communications Utilities Yes No 700 Wood St, 221-6700 (Coordination of new utilities with existing utilities) Traffic Yes No 625 Ninth St., 221-6630 (Traffic control plan submitted, also coordination of underground traffic) Parks (if applicable) Yes No 413 S. Bryan, 221-6660 Maintenance (Any work in the park system) Parking Yes No 210 E. Olive, 221-6617 (in Down Town or C.S.U. area) Forestry Yes No 413 S. Bryan, 221-6660 (for trees, shrubs or other vegetation) W City Use Non -Refundable App. Fee: , S25.00 Pd. Yes No *Inspection Fee: $45.00/Per.1000 Sq. Ft. of Excavation -Pavement Impact Fee: Sq. Ft t�'X `� . 5 0 (Fee — See Below) 4 V Pavement Age: 5Ye S Pavement Impact Fee Sy.Ft. of Excavation Cost per Sq. Ft. 1 to 100 $3.50 101 to 500 It $2.50 501 to 3,000 $2.00 Over 3,000 $1.50 Fee Tripled if Pavement is less than S Yeats Total Fees: Non -Refundable $ 25.00 Inspection Fee $ :9 y o , 00 Pavement Impact Fee $ .7 J'go o 0 (Tripled if less than 5 years) OtherFees:�. $ l� S �a $ Sub -Total Less the Non -Refundable Fee Paid @ Time of Application. 445WO&WWOWO 1 035.00 Total Fee Due At Issuance $ 1ej,-t^-0T Field verification of excavation size Cash Check # Account # Engineering Approval:�� Date: �U Conditions: J°i I d 5�� P �/. n Lam, ,00 �� •fie f n." U /,.� P//,,ae 1.2 0 o 1>o = ,2 VO, a" Emergency Excavations, a permit may be obtained next business day. Upon application, applicant agrees to provide the Department of engineering with an original active or continuous surety bond in the amount of S20,000 and also a S10,000 endorsement bond, issued by a surety company authorized to do business in the State of Colorado (see reverse for certain provisions of the City Code that are or may be applicable to this license). Insurance is,also re- quired for licensing for the Engineering Dept. of the City of Fort Collins. Applicant has read this permit and agrees to abide by the City of Fort Collins Standard Plans and Specifications and to such spe- cial conditions, restrictions, and regulations as may be imposed by the Director of Engineering. Applicant agrees to telephone the Engineering Inspection Recorder at 221-6609 48 hours prior to any construction in the public right-of-way. 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