HomeMy WebLinkAboutCENTRE AVENUE EXTENSION - Filed DCP-DEV. CONSTRUCTION PERMIT - 2008-04-17l
DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
(1/7/99)
For City use only: Application Number:. 014- 9 94pplicatl00 Dale: � _
permit applkatlon jeer S . --
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. Ifyou 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 IIYFORMATION:
Project Name (as approved by the City):
Project AXA. (Marketing name if different from Project Name):
Project Location: —North of Drake Road and South of Frnana^t Anarl_..
West of College Avenue �--
Property Owner(At the time of this permit issuance).
Name:
Colorado State -university
Address: P.O. Box 483 Fort Coll> n� rn Rn522
Phone number(s):
office: 4R9_7.9.J F
JwrAik
Fax number: 4 R 4- n 3 5 4
Etttail;TAi rr1aa11 r�a RFSTR. Pr)TJ
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 Agree ndent for
this project):
Name: nvavno w llr r Fm�i ra fanartama * T
Address: P.n. Anx 7447 T nvPl a (In an"I
Phone number(s):
Once: 484-91 99
Panar 6. q6Z,-1139 E'-
faxnumber: Fi67-3198
Email:
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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: Stan Me er - -
Address: 209 South Meldrum Fort Collins CC) A-s
Phone
Office: 482-59 2 -
Cellphone:
Fax number: 482-6368
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:
Address:
Phone number(s):
Office: _
Cel(phone: _
Fax number:
Email:
General Contractor (The contractor in overall charge of the public infrastructure construction):
Name:
N/A SPR Project M."gar-
Address:
Phone number(s):
Office:
Cellphone:
Fax number:
Email:
If you have no General Contractor, list all other contractors below.
Grading contractor:
Name:
Address: 4305 East Harmony Fnrr r
9525
Phone number(s):
Office: 223 3151
Cellphone:
Fax number: 2 2 3 - 3191
Email:
Utility contractor:
err
M
Name: Connell Resourrea Tnr
Address: 4305 East Harmony Fort Collins rn Ans')F
Phone number(s):
Office: 223-3151
Cellphone: _
Fax number: 2 2 3- 3 1 9 1
Email:
Concrete contractor for flat work
Name: Lawson Co gtruni-Jan Company
Address: P.O. Box 1318 Longmont Co an5n2
Phone number(s):
Office: 303-776-3456
Cellphone: 303-419-3181 (Ron Johnson)
Fax number: 303-938-9955
Email:
Concrete contractor for structures:
Name: Concrete
Address: 4325 Hilltnp nad Lonomont r7 an9DA
Phone number(s):
Office: Q7n =g_ nonq
Cellphone: 970-591-0372 ( Wayne Schell)
Fax number: 9 7 0- 5 3 5 -418 2
Email:
paving contractor:
Name: c
4305 East Harmony Fort Collin c'0 a0525
Address:
Phone number(s):
Office: 223-3151
Cellphone:
Fax number: 223-31 21
Email:
Landscape contractor:
Name: Nnno
Address:
Phone number(s):
Office:
Cellphone:
Fax number:
Email:
Other contractors and parties involved in the project:
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SUBMIT THE FOLLOWING ITEMS (Required for all projects):
81/20Oxl 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 tided "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,
people
Architect/Land quire 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
v
�W *ad
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: S 2 , 146,630
Private infrastructure, estimated cost: S 0
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 includuig 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 su h property to perform work required of the applicant if the applicant were to
fail to perform the requir work. cy
Applicant Signature:
CENTRE AVE Nm�
UNITS OF TOTAL
ESTIMATED INSPECTION INSPECTION
MEASURE QUANTITY FEE FEE
— — --
inforced Concrete Pipe L.F. 1,358 _ $0.60
$814.80
—_�
L F.� 1 358 $0.60 $814.80
ncrete Headwall r;.y, _0 — - $3 00� _
iter QualityOutlet Structur C.Y. p — ---
- $0.00
—
Inlet Types EACH 4 — $3.00 $0.00
— — $90.00 — $360.00
nhole TEACH — — —
bto , — 4 -- $90.00 $360.00
—— 1.
ter &Sewer — --
iitary Sewer Mam L.F. 1 795
— —I ter Main— - $0.60 $1077.00
L.F. — 4 139 --
— — $0.60 $2 483.40
nch L.F. 5,934 — — -
-- $0.60 $3 560.40
ler/Sewer Service Line Sty Fnr`N �-- � —1— -—
nyuiani
- — --
EACH--
5
sole
-- —
's
— ---
r—
g ( Bend, Tee, Cross
EACH
21
——
—
EACH
22
r Mam Connection
—
_
EACH �
—
4
— ---
!tSystem
—
----
ng & Erosion Control
L.S. _
p
ment
,
S.Y.
19,500
-
& Gutter _
L F.
3 815
—
,had Sidewalk_
L F.
3,815
—
strian Ramps
—
L F,
20
— --
-
— —
Pan
S.F.
480
—
00, $0.00
$1
$0.30
$5,850.06
- $0.80
_ _ $3,072.00
$0.801
n7v5nn-
- -- 216 $0.10
$76.60
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