Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutEVERGREEN PARK REPLAT BLOCK 4 LOTS 1 & 2 - Filed DCP-DEV. CONSTRUCTION PERMIT - 2003-07-31City of Fort Collins, Colorado
DEVELOPMENT CONSTRUCTION PERMIT
Permit Number: 99-24 Issuance Date: 2> 0
Project Name: Evergreen Park, Block 4, Lots 1 & 2
A.K.A. Toyshed
Project Location: Evergreen Park, Block 4, Lots 1 and 2, A tract of land located in part of
Section 1 & 12, Township 7 North, Range 69 West of the 6"' Principal Meridian, City of Fort Collins,
County of l,arimer, State of Colorado.
Permittee:.lerald Russell, an individual
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) Waived
Construction Inspection Fee (paid prior to issuance of this permit) 5431.00
Total $451.00
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.
$47_50.00
Form of security deposited with the City: Letter of Credit
PERFORMANCE REQUIREMENTS OF THIS PERMIT:
1. The Pcrmittce 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
Pcrmittce 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.
Notary Public
My Commission Expires:
City of Fort Collins, Colorado
DEVELOPMENT CONSTRUCTION PERMIT
Permit Number: 99-24 Issuance Date: '51-:q
Project Narne: Evergreen Park, Block 4, Lots 1 & 2
A.K.A. Toyshed
Project Location: Evergreen Park, Block 4, Lots 1 and 2, A tract of land located in part of
Section 1 & 12, Township 7 North, Range 69 West of the 61h Principal Meridian, City of Fort Collins,
County of Larimer, State of Colorado.
Permittee: Jerald Russell, an individual
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) Waived
Construction Inspection Fee (paid prior to issuance of this permit) 5451. 0
Total $451.00
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.
$4750.00
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.
3. Construction time restrictions: Normal Business Day.
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 occupancies 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.
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 Signatur A A Date:
4el*eus`selt�
Approval for issuance:
Approval:—O
Date
Cam McNair
City Engineer
83 /� I
(PermA Is uance Date)
EXHIBIT "A"
DEVELOPMENT PROJECT CONTACT PERSONS
Project Name: Evergreen Park, Block 4, Lots 1 & 2, Toyshed
City Staff Contact Persons:
Development Engineer: Mark McCallum, City of Fort Collins, 281 N. College
Avenue, Fort Collins, CO 80522
970/221.660)5, , �ext. 7656
Construction Inspector: Lance ity o Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/217.8901
Current Planner: Ron Fuchs, City of Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/221.6750 ext. 2138
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
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: Jerald Russell, 1314 Red Cedar Circle, Fort Collins, CO
Office: 970/482.6624
Developer, Jerald Russell, 1314 Red Cedar Circle, Fort Collins, CO
Office: 970/482.6624
Owner(s): Jerald Russell, 1314 Red Cedar Circle, Fort Collins, CO
Office: 970/482.6624
Project Engineer: Jack Blacke, Stewart and Associates, 108 Meldrum Street,
Fort Collins, CO 80522
Office: 970/482.9331
fax: 970/482.9382
General Contractor: Jerald Russell, 1314 Red Cedar Circle, Fort Collins, CO
Office: 970/482.6624
Outside Contact Persons:
U.S. West Tim Weaver, 124 W. Magnolia, Fort Collins, CO 80521
970/224.7516
TCI of Fort Collins Dennis Greenwalt, 1201 University Avenue, Fort Collins,
CO 80521
970/226.3104
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
2
City of Fort Collins
300 LaPorte Avenue:
Fort Collins, Colorado 80521
Dear Sirs:
We hereby establish, at the request and for the accou t of �2t`ct l� 14 • J�0SsOJ(
�b�. �o s �
in your favor as beneficiary, our Irrevocable Letter of Credit NoLbOg3, in the amount of
Fort �o O(,,J F; 5f, Dollars ($ 7Sv n (as more fully
described below), effective immediately and expiring at the close of banking business on
y ly 3 , ZOO c) , at our office at -7/3 5,t, o ftl
�-
This Letter of Credit is intended for the / le, l o ff. 54et development
project for the assurance of the completion of the construction and the maintenance and repair of the
public infrastructure in connection with the aforesaid development project and its' associated
development agreement and development construction permit. Funds under this Letter of Credit are
available to you for one or more drawings prior to the close of business on J J ly 3 Zcn o
aga St sight drafts in an aggregate cumulative amount not - to exceed
dated the date of presentment, drawn on our office referred to above,
referring thereon to the number of this Letter of Credit and accompanied by your written certificate
signed by you and acknowledged as therein provided in the form of Exhibit 1 hereto.
Presentation of such draft and certificate shall be made at our office referred to above.
o©
Upon the earlier of (i) our honoring your draft(s) totaling $ % SO in the aggregate
presented on or before this Letter of Credit expires pursuant to the terms herein or (ii) the surrender
to us by you of this Letter of Credit for cancellation, this Letter of Credit shall automatically
terminate.
This letter of credit shall be subject to the Uniform Commercial Code as in effect in the State of
Colorado, and, to the extent not inconsistent with the terms of this Letter of Credit and the Uniform
Commercial Code, the Uniform Customs and Practice for Documentary Credits, 1993 revision, ICC
publication number 500.
This Letter of Credit will be automatically extended without amendments for one year from the
present, and each future, expiration date thereof, unless Issuer delivers written notice within sixty (60)
days prior to any such expiration date to the City of Fort Collins of its intent not to renew this Letter
of Credit. Any such notice shall be in writing and shall be delivered with an acknowledged receipt,
either in hand or by certified mail. Any amendments to this Letter of Credit shall be made in the form
of Exhibit 2 hereto.
This Letter of Credit is not transferrable.
This Letter of Credit sets forth in full our undertaking, and such undertaking shall not in any way be
modified, amended;, amplified or limited by reference to any document, instrument or agreement
referred to herein, except only the certificate and draft(s) referred to herein; and any such reference
shall not be -deemed to incorporate herein by reference any document, instrument or agreement except
for such certificate and draft(s).
Sincerely,
S., kz� C3�L
alp
? / 3 -510-) V' I•e-r``a r
[Name] Fo rF Co (l \-s , Go
[Title] , Issuer
I6 )k�Oah,
STATE OF COLORADO
) ss.
COUNTY OF LA UNIER )
Subscribed and sworn to before me this ,,2� day of by
t Qom— as authorized officer of the City f Fort Collins, Colorado.
Witness my hand and official seal.
otary Public
My Commission Expires: ( - 3 - o 3
11:
CERTIFICATE
The City of'Fort Collins hereby certifies as follows with respect to the certain Irrevocable
Letter of Credit No. dated , established in favor of the City
of Fort Collins, Colorado (the "Letter of Credit"):
(a) He (She) is authorized to execute this Certificate of behalf of the City of Fort Collins;
(b) The applicant/developer is in default under the terms of the development agreement
andlor the development construction permit.
(c) The sum of $ , which is the amount of the draft presented with this
Certificate, is the amount currently due to the City of Fort Collins from
(d) The: amount of the accompanying draft together with all previous draws under the
Letter of Credit do not exceed in the aggregate $ ; and
(e) The Letter of Credit has not expired.
IN WITNESS WHEREOF, the undersigned has executed this Certificate of behalf of the City
of Fort Collins this day of
THE CITY OF FORT COLLINS, COLORADO
A Municipal Corporation
LIM
STATE OF COLORADO }
ss.
COUNTY OF LAR MER )
[Title]
Subscribed and sworn to before me this day of by
. as authorized officer of the City of Fort Collins, Colorado.
Witness my hand and official seal.
Notary Public
My Commission :Expires:
IWIVOP116-Him
Amendment to Letter of Credit #
The City of Fort Collins certifies that the person signing below is authorized to execute this
amendment on behalf of the City of Fort Collins, and further certifies with respect to the provisions
contained in the Development Construction Permit dated ,
and/or the Development Agreement dated , between the City of Fort
Collins (Beneficiary) and (Developer), the
following:
[Check applicable boxes.]
❑ The Letter of Credit is to be reduced to $
❑ The maturity date is revised to be
❑ The 60-day automatic one year renewal provision on longer applies.
In witness whereof, the undersigned has executed this certificate on behalf of the City of Fort Collins
this day of ,
CITY OF FORT COLLINS, COLORADO
a Colorado municipal corporation
(Name and Title)
Attest:
City Clerk
STATE OF COLORADO )
ss.
COUNTY OF LAR.]MER )
Subscribed and sworn to before me this day of , by
, as authorized officer of the City of Fort Collins, Colorado.
Witness my hand and official seal.
3. Construction time restrictions: Normal Business Day.
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. 1 f 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 occupancies 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,
arc met. I f 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 arc 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 oi'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 band 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.
Notary Public
My Commission Expires:
DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
(1/7/99)
For City use only: Application Number: Application Date: 2 -2/
Permit application fee:
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):
Project Location: 1 �e� ( �/ l.fr•
Property Owner(At the time of this permit issuance) --
Name: -JP v'a Jd /J.
Address:
Phone number(s):
Office: 4,9
Cellphone:
Fax number:
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: 1� r cT J
Address : _
Phone numbe:r(s):
Office:
Cellphone:
Fax number:
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: -J—A c /- A l a e
Address:' D yYl a
Phone number(s):
Office: 49 z ' 9 3 3!
Cellphone:
Fax number:
Email:
Professional License Number:
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: (-J 124d SS-P/ l
Address:
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
General Contractor (The contractor in overall charge of the public infrastructure construction):
Name:
Address: _
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
If you have no General Contractor, list all other contractors below.
Grading contractor:
Name: /Y O V-�
Address:
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
Utility contractor: IqnNe-
K
Name:
Address: _
Phone number(s):
Office:
Cellphone: _
Fax number:
Email:
Concrete contractor fQr flat work::)J
Name: ���(. /�Gi C.Or7 r .
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: 6�/Vc
Name:
Address: _
Phone number(s):
Office:
Cellphone:
Fax number:
Email:
/VoN e
Landscape contractor: nn
Name: IT ---,(A /d 4.
Address: _
Phone number(s):
Office:
Cellphone:
Fax number: '
Email:
Other contractors and parties involved in the project:
SUBMIT THE FOLLOWING ITEMS (Required for all projects):
• 81/2"'xl 1" copy of the Site Plan
• Proposed Project Schedule (,J'A106-7>)
• 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
❑ Proposed haul routes shown on a City map
❑ Shop drawings
❑ Other
CONSTRUCTION- C010RDINATION 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
rd
ESTIMATED COST OF INFRASTRUCTURE IMPROVEMENTS: Provide the estimated
value of all public infiastructure 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: $ 4— �� D
Private infrastructure, estimated cost:
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 rec�red work. _
Applicant Signature: Dater'
73
Laoi 'L33�a -�
SHOJ.7A2= W SH3=!)X3 %n7aSHoC) nnNM3n col
Slivioossv leidVM3-Ls
I[ iy-
sL
Icy
.7-7
7--
ti
-IC?JID 2M(130 (138
4
t
-4.-A Z
PROJECT ESTIMATE
THE TOY SHED DATED 7/20/99
Items
Qunatities
Cost
Inspection
cone. headwall
2 @ 20"x4-
$340
2@ $3=$6 j >�iuhJV
4601£ sidewalk
$5.25/lf
$2415
$368
101f. ped. ramp
lump sum
$250
$8
landscape
trees/rock
$1745
0
X�
TOTALS $4750 S y 1r c,C
City of Fort Collins, Colorado
DEVELOPMENT CONSTRUCTION PERMIT
Permit Number: 99-14 Issuance Date: V ) lqf
I
Project Name: Evergreen Park, Block 5, Lots 1 & 2
Project A.K.A.: (na)
Project Location: Evergreen Park, Block 5, Lots 1 & 2, A tract of land located in part of
Section 1 & 12, Township 7 North, Range 69 West of the 61h Principal
Meridian, City of Fort Collins, County of Larimer, State of Colorado.
Permittee: Arcon, Inc., d.b.a. Premier Custom Builders
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) ($150 — Paid)
Erosion Control Security Deposit (Receipt of Payment) ($2245.50-Paid)
Excavation permit $1025.00
Construction Inspection Fee (paid prior to issuance of this permit) $2115.00
Total $3140.00
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.
$19,077.50
Form of security deposited with the City:
Expiration date: May 27, 2000
Letter of Credit
PERFORMANCE REQUIREMENTS OF THIS PERMIT:
1. The Project Engineer shall be responsible to certify, or have certified, materials testing and other
tests as required; shall, as required by the City in the Development Agreement, certify that the
improvements are constructed in accordance with the approved Utility Plans and the standards and
specifications of the City; shall revise and secure City approval of all revisions to the utility plans and
related documents; and shall prepare and submit to the City "as -constructed" plans prior to the City's
acceptance of "the constructed" public improvements.
2. All contractors who perform work on this project must be bonded and licensed in conformance
with City requirements.
3. Construction time restrictions: Normal business hours
1
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 occupancies 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.
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
2
1 1. 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.
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 Signatur Date:
e ald Russe 1
Approval for issuance:
1 5�.
a
City Engineer Approval: _ t-,ate:
Cam McNair (Perma issuance Date)
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 applicants 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 Manx ter's Signature: &:
Date: /
ave Phillips, Project M nager
Approval for issuance:
City Engineer Approval: �� I -ate: C2 !
Cam McNair (Permit Is uance Date)
EXHIBIT "A"
DEVELOPMENT PROJECT CONTACT PERSONS
Project Name: �, Poudre Valley Health Systems — Harmony Campus Medical Center
City Staff Contact Persons: ---
Development Engineer: Mark McCallum, City of Fort Collins, 281 N. College
Avenue, Fort Collins, CO 80522
970/221.6605 ext. 7128
Construction Inspector: Lance Newlin, City of Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/217.8901
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
9701221.6063
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
Forestry: Tim Buchanan, City of Fort Collins, 281 N. College Avenue,
1
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: Dave Phillips, 401(a) South Link Lane, Fort Collins, CO
Office: 970/490.6060
Mobile: 970/222.8989
fax: 970/490.6045
Developer: Premier Custom Builders, 401(a) South Link Lane, Fort
Collins, CO
Office: 970/490.6060
Mobile: 970/222.8989
fax: 970/490.6045
Owner(s): Arcon Inc.
DBA Premier Custom Builders, 401(a) South
Link Lane,
Fort Collins, CO
Office:
970/490.6060
Mobile:
970/222.8989
fax:
970/490.6045
Project Engineer: Shear Engineering, 4836 S. College Avenue, Suite 12, Fort
Collins, CO 80525
Office: 970/226.5334
Mobile: 970/226.4451
Fax: 970/282.0311
General Contractor: Premier Custom Builders, 401(a) South Link Lane, Fort
Collins, CO
Office: 970/490.6060
Mobile: 970/222.8989
fax: 970/490.6045
Outside Contact Persons:
U.S. West Susan Peterson, 124 W. Magnolia, Fort Collins, CO 80521
970/224.7473
TCI of Fort Collins Dennis Greenwalt, 1201 University Avenue, Fort Collins,
CO 80521
970/226.3104
2
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
EXHIBIT "A"
DEVELOPMENT PROJECT CONTACT PERSONS
Project Name: Evergreen Park, Block 5, Lots 1 & 2
City Staff Contact Persons:
Development Engineer: Mark McCallum, City of Fort Collins, 281 N. College
Avenue, Fort Collins, CO 80522
970/221.6605 ext. 7128
Construction Inspector: Lance Newlin, City of Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/217.8901
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
9701221.6820
Street closures: N/A
Transportation Planning: Kathleen Reavis, 210 East Olive Street, City of Fort Collins,
CO 80524
970/224.6140
Forestry: Tim Buchanan, City of Fort Collins, 281 N. College Avenue,
1
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: Dave Phillips, 401(a) South Link Lane, Fort Collins, CO
Office: 970/490.6060
Mobile: 970/222.8989
fax: 970/490.6045
Developer: Premier Custom Builders, 401(a) South Link Lane, Fort
Collins, CO
Office: 970/490.6060
Mobile: 970/222.8989
fax: 970/490.6045
Owner(s): Arcon Inc. DBA Premier Custom Builders, 401(a) South
Link Lane, Fort Collins, CO
Office: 970/490.6060
Mobile: 970/222.8989
fax: 970/490.6045
Project Engineer: Shear Engineering, 4836 S. College Avenue, Suite 12, Fort
Collins, CO 80525
Office: 970/226.5334
Mobile: 970/226.4451
Fax: 970/282.0311
General Contractor: Premier Custom Builders, 401(a) South Link Lane, Fort
Collins, CO
Office: 970/490.6060
Mobile: 970/222.8989
fax: 970/490.6045
Outside Contact Persons:
U.S. West Susan Peterson, 124 W. Magnolia, Fort Collins, CO 80521
970/224.7473
TCI of Fort Collins Dennis Greenwalt, 1201 University Avenue, Fort Collins,
CO 80521
970/226.3104
2
Public Service Company Jim Slagle, 1901 East Horsetooth Road, Fort Collins, CO
80525
970/225.7843
Poudre Fire, Authority Ron Gonzales,
80524
970/221.6570
3
102 Remington Street, Fort Collins, CO
ATM-
N iA
City of Fort Collins
Engineering Department
281 North College Avenue
Fort Collins, CO 80524
Phone: (970) 221-6605
Fax: (970) 221-6378
Applicant Name:
Company:
Address:
City/State/Zip:
.'ermit #:
Application Date:
EXCAVATION ON PUBLIC PROPERTY (Right -of -Way)
(Minimum of 5 Days Required for City Engineer's Approval)
EXPIRATION: 30 DAYS FOR DATE OF APPROVAL
Applicant Use
Phone:
Does contractor possess license & proper endorsement to work in the
Public Right -of -Way? Yes No
Sub -Contractor: Phone:
Does the sub -contractor possess licenses & proper endorsement to work in
the Public Right -of -Way? Yes No
Is this a City project? Yes No
If so, what is the Project Manager's Name:
Field Contact Name & Phone #:
Scheduled Start Date:
Back Fill:
Temp. Patch Date: Final:
Excavation Address:
Excavation Type: Open Cut:
Boring:
Excavation Size:
Width Length Sq. Ft.* Depth
-Total Sq. Ft. Pavement Removed:
Existing Surface Type: Asphalt Concrete Gravel
Purpose of Excavation:
Water Sewer
Gas Other
Departments to be notified:
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)
City Use
Non -Refundable App. Fee: $25.00 Pd. Yes No
"Inspection Fee: $45.00/Per 1000 Sq. Ft.
of Excavation
-Pavement Impact Fee
(Fee — See Below)
Pavement Age:
Sa.Ft. of Excavation
1to100
101 to 500
501 to 3,000
Over 3,000
Sq. Ft. X
Pavement Impact Fee
Cost per Sg. Ft.
$3.50
$2.50
$2.00
$1.50
Fee Tripled if Pavement is less than S Years
Total Fees:
Non -Refundable
Inspection Fee
Pavement Impact Fee
(Tripled if less than 5 years)
Other Fees:
$ 25.00
Sub -Total $
Less the Non -Refundable Fee
Paid @ Time of Application -$ 25.00
Total Fee Due At Issuance $
Field verification of excavation size
Cash Check # Account #
Engineering Approval:
Date:
Conditions:
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 $20,000 and also a $10,000 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.
Applicant's Signature:
Date:
White — Engineering Green —Applicant Yellow — Inspection Gold — Revenue
®First
National
Bank
IRREVOCABLE LETTER OF CREDIT
No. 3087
Date: December 22, 1999
City of Fort Collins
300 LaPorte Avenue
Fort Collins CO 80521
RE: Development of Evergreen Park, Block 5, Lots 1 & 2
Dear Sirs:
Boardwalk Office
WE Department
P.O. Box z715nO
Fort Collins. CO 8oj2--zjoo
9 o.ik.yGSo
We hereby establish, at the request and for the account of Arcon,
Inc. dba Premier Custom Homes, in your favor as beneficiary, our
Irrevocable Letter of Credit #3087 in the amount of Four thousand
seven hundred sixty-nine and 38/100ths Dollars ($4,769.38) (as
more fully described below), effective immediately and expiring at
the close of banking business on December 22, 2001 ("Expiration
Date"), at our office at First National Bank, 155 East Boardwalk
Drive, Fort Collins, Colorado 80525.
This Letter of Credit is intended for the Evergreen Park
development project for the assurance of the completion of the
construction and the maintenance and repair of the public
infrastructure in connection with the aforesaid development
project and its associated development agreement and development
construction permit. Funds under this Letter of Credit are
available to you for one or more drawings prior to the close of
business on December 22, 2001, against sight drafts in an
aggregate cumulative amount not to exceed $4,769.38 dated the date
of presentment, drawn on our office referred to above, referring
,_hereon to the number of the Letter of Credit and accompanied by
your written certificate signed by you and acknowledged as therein
provided in the form of Exhibit 1 hereto.
Presentation of such draft and certificate shall be made at our
office referred to above.
Upon the earlier of (i) our honoring your draft(s) totaling
`>4,769.38 in the aggregate presented on or before this Letter of
Cr<_di_ erspires pursuant to the terms herein, or (ii) the surrender
to us by you of this Letter of Credit for cancellation, the Letter
of Credit sha=_1 automatically terminate.
City of Fort 3087
for Arcon, Inc. dba Premier Custom Homes
Page 2
This Letter of Credit will be automatically extended without
amendments for one year from the present, and each future,
expiration date thereof, unless Issuer delivers written notice
within sixty (60) days prior to any such expiration date to the
City of Fort Collins of its intent not to renew this Letter of
Credit. Any such notice shall be in writing and shall be
delivered wits. an acknowledged receipt, either in hand or by
certified mail. Any amendments to this Letter of Credit shall be
made in the form of Exhibit 2 hereto.
This Letter of Credit is not transferable.
This Letter of Credit sets forth in full our undertaking, and such
undertaking shall not in any way be modified, amended, amplified
or limited by reference to any document, instrument or agreement
referred to herein, except only the certificate and draft(s)
referred to herein; and any such reference shall not be deemed to
incorporate herein; and any such reference shall not be deemed to
incorporate herein by reference any document, instrument or
agreement except for such certificate and draft(s).
This Letter of Credit shall be subject to the Uniform Commercial
Code as in effect in the State of Colorado, and, to the extent not
inconsistent with the terms of this Letter of Credit and the
Uniform Commercial Code, the Uniform Customs and Practice for
Documentary Credits, 1993 revision, ICC publication number 500.
Very truly yours,
FIRST NATIONAL BANK
Susan L. Rase
Construction Loan Officer
Real Estate Department
Arcon, I c. dba Premier Custom Homes
Title:
EXHIBIT "A"
DEVELOPMENT PROJECT CONTACT PERSONS
Project Name: Evergreen Park, Block 4, Lots 1 & 2, Toyshed
City Staff Contact Persons:
Development Engineer: Mark McCallum, City of Fort Collins, 281 N. College
Avenue, Fort Collins, CO 80522
970/221.66005� �ext. 7656
Construction Inspector: Lance w ity of Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/217.8901
Current Planner: Ron Fuchs, City of Fort Collins, 281 N. College Avenue,
Fort Collins, CO 80522
970/221.6750 ext. 2138
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
9701224.6140
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
City of Fort Collins
Letter of Credit #3087
For Arcon, Inc. dba Premier Custom Homes
Page 3
EXHIBIT 1
CERTIFICATE
The undersigned hereby certifies as follows with respect to the
certain Irrevocable Letter of Credit No. 3087 dated December 22,
1999 established in favor of City of Fort Collins, Colorado the
"Letter of Credit"):
(a) He (She) is authorized to execute this Certificate on behalf
of the
and
(b) The sum of $
of the draft presente
currently due. to
and
, which is the amount
with this Certificate, is the amount
(c) The Letter of Credit has not expired.
IN WITNESS WHEREOF, the undersigned has executed this Certificate
on behalf of this day
of ,
Authorized Officer
STATE OF COLORADO )
ss.
COUNTY OF )
The foregoing instrument was acknowledged before me the
day of f , by
WITNESS my hand and official seal.
Notary Public
My Commission Expires:
City of Fort Collins
Letter of Credit #3087
for Arcon, Inc. dba Premier Custom Homes
Page 4
DRAFT FOR PAYMENT DRAWN UNDER
Arcon, Inc. dba Premier Custom Homes
Irrevocable Letter of Credit No. 3087
Date:
Pay to: The account of City of Fort Collins, Colorado account #
THE SUM OF DOLLARS
(S
City of Fort Co7_lins
Letter of Cred-D- 113087
for Arcon, Inc. dba Premier Custom llomes
Page 5
EXHIBIT 2
Arnrnduicnt to Letter of Credit #
The City of Fort Collins cu-rtifies that the person signing below is authorized to execute this
am,!ridntent on behalf of the City of Fort Collins, and further certifies with respect to the provisions
contained in the Devtaofiment Construction Permit dated _
and/or Uie Developaient Agreement. dated _ , between the City of Tort
Collins (Beneficiary) and _ ___..._ (L�e� elc>lter), the
following:
(Check applicable boxes.]
The L ettor of Credit is to be reduced to S
C7 The maturity date is revised to be
L1 The bp --day automatic one year renewal provision on longer Applies.
In witness whereof~ the undersigned has executed this certificate on behalf of the City of Fort Collins
tb.is —.___—_ day of --
CITY OF FORT COLLINS, COLORADO
a Colorado tuuaicipal corporation
By
(Name and Title)
Attest,
City Clcck
S'TA T- OF CO.LORADO )
) 99.
CO WI-Y OF LA.RIrvTE {Z )
Subscribed_gtul sworn'to before me this _ _ day of _ , _ _ by
as authorized officer of the City of Fart Collins, Colorado.
Witness my hared and official seal.
Notary Public
My Commission Expires:
DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
(1/7/99)
For City use only: Application Number. @cCe-'?g Application Date:
iPermit application fee: $ / 50
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):
Project Location: _ / y /y I- /'/�v 6/c<.e S pR c�ce
Property Owner(At the time of this permit issuance):.
Name: IYiZcoUzKIC. Q� fV
Address: _ Flo i Q Soffit k-- a f< I- A a L
Phone number(s):
Office: y 9 0 c. a G o
Cellphone: ;a C, a 5 S
Fax number: v'$B o ys
Email: PC N n1s /a AoL
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: tLL,PS
Address : _ �10 /� s o �- t-; L-, K ►t L q ,u L
Phone numbex(s):
Office: y96 6.
Cellphone: -�, a 69 30
Fax number: t/ 9 u c, o v S
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: S A A 2 c- N G► ►a E r- L t M t,-
Address:_ 9 63 5 c_ O t t c9 t(, 3 s 0 s S
Phone number(s):
Office: 2 5�►
Cellphone: 4 4 s
Fax number: a o 3 > I
Email:
Professional License Number: P
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: i2 f fn, 9 t2 C,, sTo,-,A �k Ie4? k S
Address: _ Vo / 5 L_, N tC L A a L
Phone number(s):
Office: q9 o
Cellphone: a= Z) s l B s
Fax number:
Email:
General Contractor (The contractor in overall charge of the public infrastructure construction):
Name: TR F-- rn; t Z C dx sVV-\. r s
Address: _ Flo i,- s 4� ,„ I- L rV N
Phone number(s):
Office:Qc�
Cellphone: ¢1i
Fax number: Y4o G,�g G
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:
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):
❑ Traffic control plan(s) for the project
❑ Proposed haul routes shown on a City map
❑ 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
L7 Ay l7t,\ , i l , Q `� - fr2n¢naQ, �wt ��P� f �ro-u� M•�, , �jo✓i ru ,r
a f-a r
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: $ 67 3 -tD
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:_ 0-� Date:
W
�tnZ
-774
.14tf�1' • I _• ' I \I ``ay,J'I � l{ �)! � ` uaoaa
N
o
cr
} 7'
cr - 0 C
10,
O.
m c�
�'r' I I � k, 1. �"i:, - � @ ', •' �
t�.. I' � I I tit�t.� X I�.I� t
a I G F. �l o m< -
w .r ,��-.---_—J� hZ i.
Z
zu
r� pa f I m
t. viCL
�•�Q.'�' I � � II I~ oI 1 � � � � �
vi Y
i;tr I ` III I•I "' f II llll�Q OL
\ z ff
rl
0 \
Via ' J << �45
i 2
co
CMD
\� 1LO�
Y, X
N.
i0 d 4' a 398901�5 L bZr �'
� !� � ` +7., t ' � ,. �j .. � -•yam �5•
Xk
j 49
AN
or
b
N
•' 'A � �� O � Q Y'! i!i Cl O .
eoo m
LN
TO -d
=ice
�l
jl 1
11,
I
I•
S
1 �
401
W399 KW+ _ 'ON XUA
:�Tl s'bi"
i s2oc-line woisno zIAIWMJJ
20:ZT 866T-BT-AHw
970/224.6152
Developer's Contact Persons:
Project Manager: Jerald Russell, 1314 Red Cedar Circle, Fort Collins, CO
Office: 970/482.6624
Developer: Jerald Russell, 1314 Red Cedar Circle, Fort Collins, CO
Office: 970/482.6624
Owner(s): Jerald Russell, 1314 Red Cedar Circle, Fort Collins, CO
Office: 970/482.6624
Project Engineer: Jack Blacke, Stewart and Associates, 108 Meldrum Street,
Fort Collins, CO 80522
Office: 970/482.9331
fax: 970/482.9382
General Contractor: Jerald Russell, 1314 Red Cedar Circle, Fort Collins, CO
Office: 970/482.6624
Outside Contact Persons:
U.S. West Tim Weaver, 124 W. Magnolia, Fort Collins, CO 80521
970/224.7516
TCI of Fort Collins Dennis Greenwalt, 1201 University Avenue, Fort Collins,
CO 80521
970/226.3104
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
2
US
20'd sN1 iciIne woisno a3IWdNd VO:�.T 866Z-OZ-JIdW
£0'd 11j101
�•a
q I ! gi p' r_ r �� + ' E by ! I ID
Is
Al CAI
I i
I J
i r
I�e
lu
fk
jai
42
� w i
I
�40�
it
Xi
t�
,�_ - bd"4kI�I:0i•f66I•£Z 'g�� r9 �}.: 'Ort�Xki.�
SN3C-1 i ns WO1Sf10 N3 I WMld
011 sjoj3ruj5tm] Son
:Y3
SO -LT 866Z-OZ-AdW
City of Fort Collins `
Engineering Department
281 Nortb College Avenue, .
Fort Collins, CO 80524
Pbone: (970) 221-6605
Far. (970) 221-6378
rmit #: cf .3 OU
Application Date: (✓ ' od 99
EXCAVATION ON PUBLIC PROPERTY (Right -of -Way)
(Minimum of 5 Days Required for City Engineer's Approval)
EXPIRATION: 30 DAYS FOR DATE OF APPROVAL
Applicant Use
Applicant Name: A Y ,%; P.j
Company �r--.�� ! Y s '`'� #<hone:_.
Address:
City/State/Zip:
Does contractor possess license & proper endorsement to work in the
Public Right -of -Way? Yes No
Sub -Contractor. Phone:
Does the sub -contractor possess licenses & proper endorsement to work in
the Public Right -of -Way? Yes No
Is this a City project? Yes No
If so, what is the Project Manager's Name:
Field Contact Name & Phone #:
Scheduled Start Date: Back Fill:
Temp. Patch Date: Final:
Excavation Address: 6Ac,Lr; .z e n f'� - /5_/6,r,�
Excavation Type: Open C�— Boring:
Excavation Size: r r
Width /0 Length ? > Sq. FL* Depth
-Total Sq. Ft. Pavement Removed:
Existing Surface Type: Asphalt Concrete Gravel
Purpose of Excavation:
_Water Sewer _Telephone Electric
Gas Other Cornmunications
City Use
Non -Refundable App. Fee: S25.00 Pd. Yes No
"Inspection Fee: S45.00/Per 1000 Sq. Ft.
of Excavation
-Pavement Impact Fee: Sq. Ft / 6 X z ' 5SC
(Fee — See Below)
Pavement Age:
Pavement Impact Fee
SSQ.Ft. of Excavation Cost per Sq. Ft.
l to 100 $3.50
101 to 500 $2.50 `
501 to 3,000 $2.00
Over 3,000 $1.50
Fee Tripled if Pavement is less than S Years
Total Fees: ~ `4
Non -Refundable $ 25.00
Inspection Fee $ Al
Pavement Impact Fee $ j,
(Tripled if less than 5 years)
Other Fees: $ ---
Sub -Total S r �'
Less the Non -Refundable Fee
Paid @ Time of Application =325:W
Total Fee Due At Issuance $/ (�57.e Q
Field verification of excavation size
City of Fort Collins
300 LaPorte Avenue
Fort Collins, Colorado 80521
Dear Sirs:
We hereby establish, at the request and for the accou t of ��rc�l� 14•
�b� �,,� �o -SU
in your f vor as beneficiary, our Irrevocable Letter of Credit No goo3, in the amount of
-Fo O10 Je �i,;,,�, �,Q F; 5fv Dollars (S 7Sv (as more fully
described below), effective immediately and expiring at the close of banking business on
Jy ly 3 Zoo 6 , at our office at 7/3 v
go's L'
This Letter of Credit is intended for the / Ise, lob. stet development
project for the assurance of the completion of the construction and the maintenance and repair of the
public infrastructure in connection with the aforesaid development project and its' associated
development agreement and development construction permit. Funds under this Letter of Credit are
available to you for one or more drawings prior to the close of business on J u 3 Zeb o
aga st sight drafts in an aggregate cumulative amount not to exceed
S� 50 �� dated the date of presentment, drawn on our office referred to above,
referring thereon to the number of this Letter of Credit and accompanied by your written certificate
signed by you and a6mowledged as therein provided in the form of Exhdbit 1 hereto.
Presentation of such draft and certificate shall be made at our office referred to above.
00
Upon the earlier of (i) our honoring your draft(s) totaling in the aggregate
presented on or before: this Letter of Credit expires pursuant to the terms herein or (ii) the surrender
to us by you of this Letter of Credit for cancellation, this Letter of Credit shall automatically
terminate.
This letter of credit shall be subject to the Uniform Commercial Code as in effect in the State of
Colorado, and, to the extent not inconsistent with the terms of this Letter of Credit and the Uniform
Commercial Code, the Uniform Customs and Practice for Documentary Credits, 1993 revision, ICC
publication number 500.
This Letter of Credit will be automatically extended without amendments for one year from the
present, and each future, expiration date thereof, unless Issuer delivers written notice within sixty (60)
days prior to any such expiration date to the City of Fort Collins of its intent not to renew this Letter
of Credit. Any such notice shall be in writing and shall be delivered with an acknowledged receipt,
either in hand or by certified mail. Any amendments to this Letter of Credit shall be made in the form
of Exhibit 2 hereto.
This Letter of Credit is not transferrable.
This Letter of Credit sets forth in full our undertaking, and such undertaking shall not in any way be
modified, amended, amplified or limited by reference to any document, instrument or agreement
referred to herein, except only the certificate and draft(s) referred to herein; and any such reference
shall not be deemed to incorporate herein by reference any document, instrument or agreement except
for such certificate and draft(s).
Sincerely,
213
[Name] Fo r4 co
[Title] , Issuer
V I YI`e STATE OF COLORADO ) c e
ss.
COUNTY OF LARI1i IFER )
Su scribed and sworn to before me this Aal day of /99'9 by
�=�✓ _ dr— _, as authorized officer of the City f Fort Collins, Colorado.
Witness my hand and official seal.
My Commission Expires: f - 3 - 0-3
� tl:
CERTIFICATE
The City of Fort Collins hereby certifies as follows with respect to the certain Irrevocable
Letter of Credit No. dated , established in favor of the City
of Fort Collins, Colorado (the "Letter of Credit"):
(a) He (She) is authorized to execute this Certificate of behalf of the City of Fort Collins;
(b) The applicant/developer is in default under the terms of the development agreement
and/or the development construction permit.
(c) The sum of $ , which is the amount of the draft presented with this
Certificate, is the amount currently due to the City of Fort Collins from
(d) The amount of the accompanying draft together with all previous draws under the
Letter. of Credit do not exceed in the agaregate S ;and
(e) The Letter of Credit has not expired.
IN WITNESS WHEREOF, the undersigned has executed this Certificate of behalf of the City
of Fort Collins this day of
THE CITY OF FORT COLLINS, COLORADO
A Municipal Corporation
[Title]
STATE OF COLORADO }
ss.
COUNTY OF LAREVMR )
Subscribed and sworn to before me this day of 3 , by
, as authorized officer of the City of Fort Collins, Colorado.
Witness my hand and official seal.
Notary Public
My Commission Expires:
11:
Amendment to Letter of Credit #
The City of Fort Collins certifies that the person signing below is authorized to execute this
amendment on behalf of the City of Fort Collins, and further certifies with respect to the provisions
contained in the Development Construction Permit dated ,
and/or the Development Agreement dated , between the City of Fort
Collins (Beneficiary) and (Developer), the
following:
[Check applicable boxes.]
C1 The Letter of Credit is to be reduced to $
❑ The maturity date is revised to be
❑ The 60-day automatic one year renewal provision on longer applies.
In witness whereof, the undersigned has executed this certificate on behalf of the City of Fort Collins
this day of y ,
IM
Attest:
City Clerk
STATE OF COLORADO )
ss.
COUNTY OF LARIN ER )
CITY OF FORT COLLINS, COLORADO
a Colorado municipal corporation
(Name and Title)
Subscribed and sworn to before me this day of I , by
, as authorized officer of the City of Fort Collins, Colorado.
Witness my hand and official seal.