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POUDRE VALLEY HEALTH SYSTEM HARMONY CAMPUS MEDICAL CENTER FOURTH FILING LOT 1 - Filed DCP-DEV. CONSTRUCTION PERMIT - 2020-10-19
City of Fort Collins, Colorado DEVELOPMENT CONSTRUCTION PERMIT Permit Number: 20-07 Issuance Date: 6/23/2020 Project Name: UCH LINAC Expansion Project AKA: portions of Lot 1, Poudre Valley Health System Harmony Campus Medical Center First Filing, Lot 1 Poudre Valley Health System Harmony Campus Medical Center Fourth Filing, and Tract A Poudre Valley Health System Harmony Campus Medical Center Second Filing (MA190087) Project Location: south of Harmony Road, east of Timberline Road Permittee: Matthew Bowker, UC Health 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 4/22/2020 BMISC200169) $ 400.00 Construction Inspection Fee check#1450684 $ 321.30 Pavement Impact Fee – excavation permit check#1450684 $ 30.00 Total amount due (paid) $ 751.30 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. $ 16,135.00 Form of security deposited with the City: Check #1450684 – $22,178.80 ($16,135.00 public improvement security + $351.30 construction inspection and excavation permit fee + $5,692.50 = $22,178.80) 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: N/A 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 2.6.3(K) of the Land Use Code, whichever is applicable): a. If construction has not begun within sixty (60) days from issuance, 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 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 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 construction activities on this project. All required perimeter silt fencing and other erosion/sediment control best management practices (BMPs) 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. The applicant also understands that at no time pollutants, especially dirt, are allowed to leave the construction site (either by drainage, wind, or track out) and that the applicant shall immediately address and correct the issue regardless of being formally directed by the City. 11. City of Fort Collins Traffic Operations must be notified prior to the installation of permanent traffic signing, symbols and striping. The developer shall place temporary tabs or tape, and/or set up a field meeting for review and approval prior to installation. 12. The Permittee agrees to comply with Forestry requirements specified in the development agreement and the approved final plans. 13. 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. 14. Other conditions: N/A Permittee’s acknowledgment signature: By signing this permit, I acknowledge that I am acting with the knowledge, consent, and authority of the owners of the property (including all owners having legal or equitable interest in the real property, as defined in Section 1-2 of the City Code; and including common areas legally connected to or associated with the property which is the subject of this application) without whose consent and authority the requested action could not lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for purposes of inspection and, if necessary, to enter upon such property to perform work required of the applicant if the applicant were to fail to perform the required work. I also acknowledge that I have read this permit document with all its requirements and conditions, and I agree to all of the terms and conditions so stated in this permit. Applicant/Project Manager’s Signature: Date: 6-22-2020 Approval for issuance: City Engineer Approval: Date: (Permit Issuance Date) EXHIBIT ‘A’ DEVELOPMENT PROJECT CONTACT PERSONS Project Name: UCH LINAC Expansion Name, address and numbers City Staff Contact Persons: Development Engineer: Marc Virata 281 N. College Avenue Fort Collins, CO 80524 (970) 221-6567 mvirata@fcgov.com Construction Inspector: Jason Martin 281 N. College Avenue Fort Collins, CO 80524 (970) 416-2779 jmartin@fcgov.com Stormwater Engineering: Shane Boyle 700 Wood Street Fort Collins, CO 80521 (970) 221-6339 sboyle@fcgov.com Erosion Control Inspector: Martha Cruse 700 Wood Street Fort Collins, CO 80521 (970) 632-8366 mcruse@fcgov.com Environmental Planning: Kelly Smith 281 N. College Avenue Fort Collins, CO 80524 (970) 224-6189 ksmith@fcgov.com Traffic Operations: Martina Wilkinson 626 Linden Street Fort Collins, CO 80524 (970) 221-6887 mwilkinson@fcgov.com Street closures: Tom Utech 626 Linden Street Fort Collins, CO 80524 (970) 221-6815 tutech@fcgov.com Forestry: Molly Roche 413 S. Bryan Avenue Fort Collins, CO 80521 (224) 616-1992 mroche@fcgov.om Light and Power: Austin Kreager 700 Wood Street Fort Collins, CO 80521 (970) 416-6152 akreager@fcgov.com Developer’s Contact Persons: Project Manager/Owner: Matt Bowker University of Colorado Health 1217 E. Elizabeth Street, #8 Fort Collins, CO 80524 (970) 495-7458 office Matthew.bowker@uchealth.org General Contractor: Preston Fisbeck McCarthy Building Company 2401 15 th Street, Ste. 350 Denver, CO 80202 (303) 518-8146 pfisbeck@mccarthy.com Project Engineer: John Gooch Aspen Engineering 19 Old Town Square, Ste. 238, Fort Collins, CO 80524 (970) 419-4344 johng@aspen-engineer.com Planner: John Nap Path 21 Architecture 2245 Curtis Street, Ste. 100, Denver, CO 80205 (720) 878-4900 jnap@path21arch.com "PROJECT QUANTITIES AND COST ESTIMATE SHEET" 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 TO BE SUBMITTED WITH PAYMENT at 281 North College Ave. prior to Permit Issuance. Name __________________________________________________________________ Company ______________________________________________________________ Address ________________________________________________________________ City/State/Zip _________________________ Phone Number __________________________________________________________ Project Information Project Name / Subdivision / Blk / Lot ________________________________________________________________________________ Project Physical Address __________________________________________________________________________________________ Permit and/or Development Review # ________________________________________ The following escrows are collected prior to Permit Issuance. Erosion Amount $ _______________________ An erosion control security deposit is required to guarantee proper installation and maintenance of erosion control measures as shown on the approved plan. This escrow is retained until the site is considered stabilized from erosion and potential pollutant discharges. Natural Habitat Buffer Zone (NHBZ) Amount $ _______________________ A Natural Habitat Buffer Zone (NHBZ) security deposit is required of projects that are designed to protect wildlife corridors near sensitive areas as part of the development. This escrow is retained until the areas in this buffer area meet the approved landscaping requirements. Public Infrastructure Amount $ _______________________ A security deposit is required to guarantee verification of proper installation and maintenance of public infrastructure improvements as shown on the approved plans. This escrow is retained until meeting the maintenance and repair guarantees after acceptance. Grand Total Please circle appropriate method of escrow: CHECK /BOND/LOC # _________________________________ $___________________ Upon escrow release, Bond/LOC to be returned to: ___________________________________________________________________ Any inquires on escrows should be directed to DRCoord@fcgov.com Building permit status may be accessed through Citizen Portal fcgov.com/citizenaccess City Staff Internal Process Erosion Please scan everything that was supplied then deposit any checks or cash in ACCT # 504.211610 and any LOC or Bonds be given to engineering. Please send scanned copies of the supplied escrows to both erosion@fcgov.com and utilityfees@fcgov.com NHBZ Please scan everything that was supplied then deposit any checks or cash in ACCT # 100.211610 and any LOC or Bonds be given to engineering. Please send scanned copies of the supplied escrows to enviroplanning@fcgov.com Engineering Please scan everything that was supplied then deposit any checks or cash in ACCT # 292.211610 and any LOC or Bonds be given to engineering. Please send scanned copies of the supplied escrows to gbrooks@fcgov.com NOTE: There will be a 1 business day processing period before sign off. Date Received _______________ From _______________________ ESCROW SUBMITTAL PERMIT SHEET Auxiliary aids and services are available for persons with disabilities. V/TDD 711. E E E E E E E E EXISTING SIDE WALK REALIGN CROSSWALK CURB & GUTTER, RE: CIVIL RELOCATED SIGN & SIGN BASE, SEE SHEET L-200 FOR ADDITIONAL INFORMATION EXISTING BUILDING OVERHANG EXISTING BUILDING COLUMNS, TYP. RELOCATED PEDESTRIAN CROSSING 2 QU MA 1 QU MA 1 QU MA 3 TI CO EXISTING PLANTING AREA AFFECTED BY CONSTRUCTION SHALL BE REPAIRED AND REPLACED EXISTING TREE TO REMAIN AND BE PROTECTED 1 GL SH 3 JU BU 7 SP LM 6' 6' 6' 6' 6' 6' EXISTING PARKING EXISTING PARKING RAMP, TYP; RE: CIVIL LINAC CANCER CENTER ADDITION EXISTING LOOP ROAD REPAIR AND REPLACE PLANTING AREA AFFECTED BY CONSTRUCTION USING SAME MATERIALS 1 RH TR 1 RH TR 3 CO IS (2) FLOWER POTS, ANNUALS BY OWNER RELOCATE TRASH RECEPTACLE UGE UGE UGE UGE UGE UGE UGE UGE UGE UGE UGE UGE UGE D EXISTING PARKING EXISTING PARKING EXISTING SOD NEW PARKING 2 JU BU 2 TI CO 10 SP LM 3 QU MA NEW CURB & GUTTER, RE: CIVIL REPAIR NATIVE SEED AS NECESSARY SOD PERF PIPE SUBDRAIN, RE: CIVIL POND HARMONY ROAD EXISTING SOD EXISTING LOOP ROAD (1) TRANSPLANTED T5 BUR OAK 3 CA SP EXISTING WALK TO REMAIN SUBGRADE EROSION CONTROL MATERIAL, RE: CIVIL Project Number Sheet Number Sheet Title 2245 Curtis Street, Suite 100 Denver, CO 80205 Tel: 303.630.9261 Email: info@path21arch.com www.path21arch.com No. Description Date Checked by Drawn by Date Issue COPYRIGHT © 2019 path21 architecture Consultant Team LANDSCAPE ARCHITECT 19-034 UCH Linac Expansion 2121 HARMONY CAMPUS ROAD FORT COLLINS, CO 80525 CONSTRUCTION DRAWINGS DECEMBER 13, 2019 PATH 21 D.E., A.M. 19-034 BHA Design Incorporated 1603 Oakridge Drive Fort Collins, Colorado 80525 voice: 970.223.7577 www.bhadesign.com L-101 SITE & LANDSCAPE PLAN 0 10' 20' 40' NORTH LEGEND EXISTING DECIDUOUS TREE DECIDUOUS TREE DECIDUOUS SHRUB MULCH BLUEGRASS TURF CONTEXT MAP EAST HARMONY ROAD SOUTH TIMBERLINE ROAD SNOW MESA DRIVE SHEET L-100 THIS SHEET NON-IRRIGATED NATIVE SEED EVERGREEN SHRUB (2) RELOCATED BENCHES RELOCATED STREET LIGHT, RE: ELEC. STEEL EDGER Project Number Sheet Number Sheet Title 2245 Curtis Street, Suite 100 Denver, CO 80205 Tel: 303.630.9261 Email: info@path21arch.com www.path21arch.com No. Description Date Checked by Drawn by Date Issue COPYRIGHT © 2019 path21 architecture Consultant Team LANDSCAPE ARCHITECT 19-034 UCH Linac Expansion 2121 HARMONY CAMPUS ROAD FORT COLLINS, CO 80525 CONSTRUCTION DRAWINGS DECEMBER 13, 2019 PATH 21 D.E., A.M. 19-034 BHA Design Incorporated 1603 Oakridge Drive Fort Collins, Colorado 80525 voice: 970.223.7577 www.bhadesign.com 8/30/19 12:25:57 PM L-100 SITE & LANDSCAPE PLAN 0 5' 10' 20' NORTH LEGEND EXISTING TREES TO REMAIN DECIDUOUS TREE DECIDUOUS SHRUB EVERGREEN SHRUB MULCH TO MATCH EXISTING CONTEXT MAP EAST HARMONY ROAD SOUTH TIMBERLINE ROAD SNOW MESA DRIVE THIS SHEET SHEET L-101 NEW CONCRETE WALK BLUEGRASS TURF 60 61 62 63 64 65 A B C D E F G H I J K UC Health Harmony LINAC 4/20/2020 DESCRIPTION UNITS OF ESTIMATED INFRASTRUCTURE TOTAL INSPECTION TOTAL (LIST ALL PUBLIC AND APPLICABLE MEASURE QUANTITY CONSTRUCTION ESTIMATED FEE PER UNIT INSPECTION *PRIVATE IMPROVEMENTS) (PROVIDED BY THE COST PER UNIT INFRASTRUCTURE (PROVIDED FEE PROJECT ENGINEER) OF MEASURE COST BY THE CITY) (COST ESTMATE APPROVED BY THE CITY) Sanitary Sewer System Sanitary Sewer Main L.F. 0 $0.00 $0.00 $0.70 $0.00 Manhole EACH 0 $0.00 $0.00 $103.00 $0.00 Sewer Service Line Stub EACH 0 $0.00 $0.00 $70.00 $0.00 Sewer Connection/Disconnect EACH 0 $0.00 $0.00 $35.00 $0.00 Sanitary Sewer Inspection Fees $0.00 Water System Water Main L.F. 159 $65.00 $10,335.00 $0.70 $111.30 Water Service Line Stub EACH 0 $0.00 $0.00 $70.00 $0.00 Fire Hydrant EACH 0 $0.00 $0.00 $70.00 $0.00 Valves EACH 0 $0.00 $0.00 $70.00 $0.00 Meter Pit (3/4" ) EACH 0 $0.00 $0.00 $35.00 $0.00 Meter Pit (1 1/2") EACH 0 $0.00 $0.00 $35.00 $0.00 Meter Pit (3" ) EACH 0 $0.00 $0.00 $35.00 $0.00 Water Main (Fire Line)* L.F. 0 $0.00 $0.00 $0.70 $0.00 Water Fitting ( Bend, Tee, Cross ) EACH 4 $350.00 $1,400.00 $35.00 $140.00 Fireline Fitting ( Bend, Tee, Cross ) EACH 0 $0.00 $0.00 $35.00 $0.00 Water Connection/Disconnect EACH 2 $2,200.00 $4,400.00 $35.00 $70.00 Water Inspection Fees $321.30 Public Storm Sewer System Reinforced Concrete Pipe L.F. 0 $0.00 $0.00 $0.70 $0.00 Underdrain L.F. 0 $0.00 $0.00 $0.70 $0.00 Concrete Headwall L.F. 0 $0.00 $0.00 $3.50 $0.00 Water Quality Outlet Structure C.Y. 0 $0.00 $0.00 $3.50 $0.00 All Inlet Types/Chase EACH 0 $0.00 $0.00 $103.00 $0.00 Manhole EACH 0 $0.00 $0.00 $103.00 $0.00 Storm Connection/Disconnect EACH $0.00 $0.00 $35.00 $0.00 Public Storm Inspection Fees $0.00 Street System/ Trench Grading L.S. 0 $0.00 Asphalt Pavement SY 0 $0.00 $0.00 $0.45 $0.00 Concrete Pavement SY 0 $0.00 $0.00 $0.45 $0.00 Colored Concrete Pavement SY 0 $0.00 $0.00 $0.45 $0.00 Curb & Gutter L.F. 0 $0.00 $0.00 $1.00 $0.00 Sidewalk *** L.F. 0 $0.00 $0.00 $1.00 $0.00 Pedestrian Ramps L.F. 0 $0.00 $0.00 $1.00 $0.00 Fire Access Grass Crete S.Y. 0 $0.00 $0.00 $0.45 $0.00 Gutter Pan S.Y. 0 $0.00 $0.00 $0.45 $0.00 Drive Approach S.Y. 0 $0.00 $0.00 $0.45 $0.00 Storm Trench L.F. 0 $0.00 $0.00 $0.70 $0.00 Sewer Trench L.F. 0 $0.00 $0.00 $0.70 $0.00 Water Trench L.F. 0 $0.00 $0.00 $0.70 $0.00 Street System Inspection Fees $0.00 Excavation Permit Application L.S. 0 $30.00 Pavement S.Y. 0 $0.00 $0.00 $0.45 $0.00 Potholing E.A. 0 $0.00 $0.00 $10.00 $0.00 Pavement Impact Fees 6+ S.F. 0 $0.00 Pavement age Excavation Permit Fees $30.00 TOTAL INSPECTION FEES $351.30 TOTAL PUBLIC INFRASTRUCTURE COST $16,135.00 * PRIVATE IMPROVEMENTS REQUIRING CITY INSPECTIONS WILL NEED TO BE INCLUDED. HOWEVER PRIVATE IMPROVEMENTS WILL NOT BE INCLUDED IN THE TOTAL INFRASTRUCTURE COST FOR BONDING. ** INCLUDES TRENCH PRICE *** SIDEWALK LENGTH IS INCREASED DUE TO OVERSIZE WIDTH. STANDARD SIDEWALK INSPECTION FEE WIDTH IS 4.5'