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HomeMy WebLinkAboutHARMONY SCHOOL SHOPS FOURTH LOT 8 - Filed DCP-DEV. CONSTRUCTION PERMIT - 2007-11-26Transportation Services Engineering Department DEVELOPMENT CONSTRUCTION PERMIT Permit Number,' -I�L__-Issuance Date: Project Name: ------i_iarr,tc School Shops 4''r_Fitinc Lot 8 _---_--_-- Project Location: _north side of Harmony Road east of Timberline Road Permitted: �l�ls %46,6.4'b WILL.iAM s, CbNSfk'c�� �ionr Cv�P Citv 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) $_ 400A0 pd _ Construction Inspection Fee (paid prior to issuance of this permit) $ Total $ 1,131.00 Development Bond or other approved securh),: ,\mount of security deposited with th- City to guarantee the completion of all pliblic improvements to be constructed as shown on the approved plans for the development. Form of security deposited with the City: letter of credit _ P ERFORMNNCE 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 related documents. The Permittee shall have an Engineer represent, as required the Utility Plans and 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 Penmttee 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 ,vho perform work on this project must be bonded and licensed in conformance with City requirements. 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (9M) Let-bbuo • rAA tWU) --'.-ooi o wwwkgov.com s s §II 5 ..........a ..._....... >� a � E 4 6 5 � 6 E � Ciggg i j� S O a a t ........... ........... 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W m ~ � w LU 1,$ r n N 0 W z 7- w i Y W U Z J ou °yuiLU 3 co m a�j0 z e fzp0: Q O F- F Noma cFiz W W C! a,' a o y Z IL O� x= xxxxxxx zm �O yy LLLL>- >-QQ �J Li Li Li000UUUU lniLLLLLL> > m WJ0 0 W ULLZW y O Z 2 J —0 mZ U zM y R— m y U ena az F M zw „ Lu 20 z 2 n ° CDUa >O Uo0 >�LUV zm i c° 3m p c E aa a = a CF NrnC U a ,jZ CL 3� F —m QO WC Q N u U) 4� U y V CpVl >EU LLJ N m m wV m -2p w a 2 GQm da U)w 0 niFi:ii 2>2LL3 (D(LUoa¢U _ N �p N fO F N N N N ry N N [nV tmY r� N M m f, Cl m C'1 mm CnJ m aPI P © Transportation Development Review Fee Date Received/ Paid /O O `f Total Amount Paid City of Fort Collins Project Name: �V oN ihoo %tops 7 F Project Location: Nr<(Qa�[[/ o l a/ r % i Date: A(, o} Type of Submittal Please indicate the type of application submitted by checking the box preceding the appropriate request(s). Fee structure amount due = Overall Development Plan (ODP) $500 each Final Development Plan (FDP) This fee includes 2 rounds of review $1000 each . I Additional round of review $ 500 each L. Annexation $20 x acres =+$250 XMinor Amendment $250 each _ Major Amendment $2,500 each Re -zone $200 each -, Modification to Land Use Code $200 each D Wireless Telecommunication Equipment (WTE) $65 each _ Road Projects acres (of roadway) X $250 = I Vacation of Easement(s)*** # of vacations_ X$400= Vacation of Rights) -of -Way * * * # of vacations _ X $800 = Dedication of Easement(s) and/or Right(s)-of-Way *** if of dedications X$250= *** This fee does not include the cost of filing fees. Filing fees shall be determined at the time of final document submittal and will be required prior to tiling. Project Development Plan (PDP) or Basic Development Review Project requiring Transportation Services Review and/or utility plan review. This fee includes 3 rounds of review. Detached Single Family $160 per unit # of units X $160 = Multifamily or other residential units $115 per unit # of units X $115 = Commercial, Industrial, Retail, and/or Non residential building square footage $0.25 per square foot sq it X $0.25 = Size of the development (area being platted or if not being platted size of parcel accompanying all development improvements) $250 per acre acres X $ 250 = Project fee $2.000 each Salm Total of above amounts If this fee amount exceeds $30.000 then the fee amount shall be adjusted with the following formula: $30,000 + '/, (the amount over 30,000 _ The maximum fee for any residential ONLY project shall be $500 per residential unit. This check should be used to verify the fee amount (does not apply to mixed -use developments). PDP fee shall be the lesser of this amount or the above calculated amount. # of residential units X $500 = Reduction for affordable housing - a copy of the City letter certifying/ authorizing the affordable housing shall be provided with this application. Amount of reduction to be applied m Total owed for PDP $� Land Use Information: Total number of single family detached units: .. . Total number of multifamily/other residential units: Tord number of certified affordable dwelling units (a copy" of the letter/ authorization is required):' Non residential building square footage: 000 sq ft Gross Acreage: l to 6 acres General Information: Owners Name(s): C QM Street address: 5�.&, City/State/Zip: Q"kis-�- Telephone:(_P102)93Z Fax: 4p2 93 - 2045� 2 Applicants/ Consultants Firm Name: Contact: -t 5 �l r\l ( Street address: L t ie�- 5u-� J ems, (;0 gosa5 City/State/ Zip: Telephone: �A!A 8 Fax: t411 \ - ) 9 6 Certification: 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. Name (please print): Signature: // Xi�,i✓� A✓�"hC- Telephone: itd cc: Christie White, Engineering Development Review Engineering City of Fort Collins Transportation Services Engineering Department DEVELOPMENT CONSTRUCTION PERMIT Permit Number: 0(42 - Issuance Date: J t I/G /mac Project Name: Harmony School Shops 4`h Filing Project Location: north side of Harmony Road east of Timberline Road Permittee: Scott Wieczorek, Dicon 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) $ 400.00 ad Construction Inspection Fee (paid prior to issuance of this permit) $ Total $ 7,216.00 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. $177,067.00 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 shal I 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. 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605 • FAX (970) 221-6378 www.fcgov.com Development Construction Permit, Page 2/5 3. Construction time restrictions: 4. The applicant understands that additional permits maybe required for this development project and the applicant shall secure those permits directly from the issuing departments. 5. This permit, along with a complete set of all approved plans and documents for this project (utility plans, site plan, landscape plan, development agreement, soils report, pavement design, traffic study, drainage report, plat easements and any other official documents), shall be kept on the development site available for use by City staff doing inspections. 6. Permit Expiration (in accordance with Section 29-12 of the Transitional Land Use Regulations or Section 2.6.3(K) of the Land Use Code, whichever is applicable): a. If construction has not begun within sixty (60) days from the date of issuance of this permit, this permit shall expire and the applicant will forfeit the permit fee paid for this permit, whereupon the applicant must re -apply for a new permit. b. In addition, this permit shall expire one year from the date of issuance. The applicant may apply for an extension by reapplication at least two weeks prior to the expiration date. Such application shall contain information sufficient to justify the granting of the extension. An extension may be granted for up to six months. 7. Building permits and certificates of occupancy will only be issued when all conditions contained in the Development Agreement and Sections 3.3.2(C) and (D) of the Land Use Code or Sections 29- 678 and 29-679 of the Transitional Land Use Regulations, whichever is applicable, are met. If the Development Agreement does not specify times for completion of public improvements, or if there is no Development Agreement, then the improvement requirements specified in Section 24-95 of the City Code shall apply, which provides that construction of all improvements shall be required prior to the time of issuance of the first building permit. 8. Acceptance by the City of the public improvements shall be after (1) final inspection has been conducted by the City; (2) punch list items from the final inspection are completed and accepted by the City; and (3) required certifications from the licensed professional engineer that improvements are completed to City standards, specifications and approved Utility Plans; and the "as -constructed" plans have been received and accepted by the City. 9. The warranty on street improvements is for five (5) years from the date of acceptance by the City of the completed improvements, in accordance with Sections 29-13 and 29-14 of the Transitional Land Use Regulations and/or Sections 2.2.3(C)(3)(g), 3.3.1(C)(2), and 3.3.2(C) of the Land Use Code, as applicable. 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 Development Construction Permit, Page 3/5 place and inspected by the City Erosion Control Inspector before any land disturbing activity begins. 11. No work (including grading and construction access) shall be started in State Highway right-of- way until a permit is issued by the Colorado Department of Transportation to allow such work to begin. 12. Other conditions: Permittee's acknowledgment signature: By signing this permit I acknowledges that I am acting with the knowledge, consent, and authority of the owners of the property (including all owners having legal or equitable interest in the real property, as defined in Section 1-2 of the City Code; and including common areas legally connected to or associated with the property which is the subject of this application) without whose consent and authority the requested action could not lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for purposes of inspection and, if necessary, to enter upon such property to perform work required of the applicant if the applicant were to fail to perform the required work. I also acknowledge that I have read this permit document with all its requirements and conditions, and I agree to all of the terms and conditions so stated in this permit. Applicant/Project Manager' s Signature: --�y Date: ���G a� Approval for issuance: Engineer A ro g PP — Date: I / L16 City En �D(o (Permit Issuance Date) Development Construction Permit, Page 415 EXHIBIT "A" DEVELOPMENT PROJECT CONTACT PERSONS Project Name: Harmony School Shops 4`h Filing City Staff Contact Persons: Development Engineer: Construction Inspector: Marc Virata / City of Fort Collins Engineering 281 N. College Avenue / Fort Collins, CO 80524 970 221-6605 Lance Newlin / City of Fort Collins Engineering 281 N. College Avenue / Fort Collins, CO 80524 970 416-2011 Current Planner: Ted Shepard / City of Fort Collins Current Planning 281 N. College Avenue / Fort Collins, CO 80524 970 221-6750 Sanitary Sewer Engineer: Roger Buffington /City of Fort Collins Utilities 700 Wood Street / Fort Collins, CO 80521 970 221-6854 Erosion Control Inspector: Bob Zakely / City of Fort Collins, 700 Wood Street, Fort Collins, CO 80521 970 221-6063 Natural Resources: Karen Manci / City of Fort Collins, 281 North College Avenue, Fort Collins, CO 80522 970 221-6310 Traffic Operations: Eric Bracke / City of Fort Collins, 625 Linden Street, Fort Collins, CO 80524 970 224-6062 Street closures: Syl Mireles / City of Fort Collins, 625 Linden Street, Fort Collins, CO 80524 970 221-6815 Transportation Planning: Dave Averill / City of Fort Collins, 215 N Mason Street, Fort Collins, CO 80524 970 416-2643 Development Construction Permit, Page 515 Forestry: Tim Buchanan / City of Fort Collins, 281 North College Avenue, Fort Collins, CO 80522 Light and Power: Doug Martine / City of Fort Collins, 700 Wood Street, Fort Collins, CO 80521 970 224-6152 Developer' Contact Persons: Owner/Developer: Project Engineer: Permittee/Applicant Project Manager/Contractor: John Mountjoy CFM Realty 209 S. 19`h St., Suite 500 Omaha, NE 68102 402 932-2000 402 932-2780 (fax) 402 968-7918 (cell) imountjovncfmrealty com Joe Sparone JR Engineering 2620 E. Prospect Road, Ste 190 Fort Collins, CO 80525 970 491-9888 970 491-9984 (fax) isparone@jrengineering.com Scott Wieczorek Dicon Construction 11506 Nicholas Street, Ste. 200 Omaha, NE 402 934-2900 402 493-5549 (fax) 402 216-3386 (cell) swieczorekna dcon-construction com Planner: Jason Holland Cityscape Urban Design, Inc. 3555 Stanford Road, Suite 105 Fort Collins, CO 80525 970 226-4074 970 226-4196 (fax) Jason@cityscapeud.com 09/07/20tt9 17:22 IFAX dicon@dicon-construct ion. con a Scott Wieczorek 1& 001/009 DEVELOPMENT CONSTRUCTION PERMIT APPLICATION (1116/06) For City use only. Application Number: Application Date, Permit application fee. S 400.00 INSTRUCTIONS: I. 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 221-6605. 3. Submit the Application and pay the Application Fee at the fee at the Engineering counter at 291 N. College Avenue. PROJECT INFORMATION: Project Name (am approved by the City): A44W& 4444ms,r Project AXA. (Marketing name if different from Project Name): tavY ors Project Location:_ _�j�f/E #;/�I Aso Property Owner(At the time of Individual Name: Company Name ; Address: Phone number(s): Office: () 7??- Cellphone: �S�7t l�Gti• 7M/a Fax number: 912• ]4p Email: Se--• �. �+,r+! csrytiatcyry 4*4 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): t�_1. /ii_ _ _ Individual Company Address: Phone numvv.k.r. P,09 WW Office: ( ry.2990 Cellphone: st.a A&- 8r !4 Fax number: AMW lem].•iCC41 Email: CJvXJe: Awe" & l?!«..� • A&0A■ a*W d4oal i+ r 09/Q7/2009 17:23 IFAX dicon@dicon-construction.com > Scott wieczorek 2 008/009 a� n a g 3 a W a � m y r ............. ................. ...... y w ry W a w ' y� p a UU m E i fn m m �_ o m _C Development Construction Permit, Page 2/5 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 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 09/27/2006 17:23 IFAN dicon@dicon-construct ion. com i Scott Wieczorek fa009/009 of Lq oop6p�� e� N��u4ppi. ypoo9 O Ono SO p pqp� M� N w O O vv pOQ p0p t�f aPr R N W mM.-O W w N aO �Sr� N O b Q W ww �� w wwMww w � w W. Q Y z Q w J 2 H ul =LL 0 z O pp O O 0 I�wI�mInwSyP 000 Sa0wOO�wHO 000 SS$nn z J Zz _ Ni <i dr 9Nc. .gO wdo 00Nw www w wp w Q U uj H O W x � �6m w a W z &� a 0 u SSg00 0 0 0 0 ovv Ovg g$S$� 0 0 v o 0 v 0a 0ooa$ O n _ g g g ed�d Q sww an ary dry ev, oea 0 n 44 QQpp�n Ow00 � P min Q 00 C C d w V N;: N"0 �ry�-NfN p] IC NIN Nwwiq w ww nm Jr .-w w fA 4 W M1 H�n JIY FAG. $ a U. 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Arq1 Date: Type of Submittal Please indicate the type of application submitted by checking the box preceding the appropriate request(s). Land Use Information: Total number of single family detached units: _ Fee structure amount due Overall Development Plan (ODP) $500 each Total number of multifamily/other residential units: ❑ Final Development Plan (FDP) This fee includes 2 rounds of review $1000 each Total number of certified affordable dwelling units (a copy of the letter / authorization is required): _ -1 Additional round of review $ 500 each � �,.., ft Non residential building square footage: �— sq _ P Annexation $20 x _ acres = + $250 = Gross Acreage: acres L Minor Amendment $250 each I Major Amendment $2,500 each General Information: Owners Name(s):� T— E Re -zone $200 each � �t �N I- tom/ Street address: �Oq J Modification to Land Use Code $200 each L Wireless Telecommunication Equipment (WTE) $65 each I _�� {{ S-00 ri Road Projects _ acres (of roadway) X $250 = _ �I Vacation of Easement(s)*** # of vacations_ X$400= L. Vacation of Right(s)-of Way * ** # of vacations _ X $800 = Dedication of Easement(s) and/or Right(s)-of-Way *** City/State/Zip: Ow" I Telephone: 6-rO lam- Fax: # of dedications I X $250 = 260 ***This fee does not include the cost of filing fees. Filing fees shall be determined at the time of final document submittal and will be required prior to filing. Project Development Plan (PDP) or Basic Development Review Project requiring Transportation Services Review and/or utility plan review. This fee includes 3 rounds of review. Detached Single Family $160perunit 9ofunitsX$160= _ Multifamily or other residential units $115 per unit 1; of units X$115= _ Commercial, Industrial, Retail, and/or Non residential building square footage $0.25 per square foot _sgtl X$0.25= Size of the development (area being platted or if not being platted size of parcel accompanying all development improvements) $250 per acre acres X $ 250 = Project fee $2,000 each $2 000 Total of above amounts If this fee amount exceeds $30,000 then the fee amount shall be adjusted with the following formula: $30.000 + Y (the amount over 30.000 ) _ The maximum fee for any residential ONLY project shall be S500 per residential unit. This check should be used to verify the fee amount (does not apply to mixed -use developments). PDP fee shall be the lesser of this amount or the above calculated amount. # of residential units X $500= Reduction for affordable housing — a copy of the City letter certifying/ authorizing the affordable housing shall be provided with this application. Amount of reduction to be applied Total owed for PDP $ Applicants/ Consultants Firm Name: Contact: Street address: C�(,a 'NA City/State/ Zip: j l 1 LN-s 1 60 ¢{ pS?Wr) Telephone: L1��+9�Fax.-Jf;k yqI-t9sq Certification: 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. Name (please print): 6 k6. Signature: _QJ(9 Telephone: cc: Christie White, Engineering Development Review Engineering Transportation Development Review Fee Date Received/ Paid Citvat� ri��& Project Name: Total Amount Paid Nil 5,�,�..1 p,,,,�- �� It Project Location: -AAA f&AON4 a„t,�• �,�. s Date: �/ 7 Type of Submittal Please indicate the type of application submitted by checking the box preceding the appropriate request(s). Fee structure amount due ❑ Overall Development Plan (ODP) $500 each ❑ Final Development Plan (FDP) This fee includes 2 rounds of review $1000 each _ ❑ Additional round of review $ 500 each _ Cl Annexation S20 x_acres =_+$250 = ❑ Minor Amendment S250 each _ ❑ Major Amendment $2,500 each ❑ Re -zone $200 each _ ❑ Modification to Land Use Code $200 each ❑ Wireless Telecommunication Equipment (WTE) S65 each _ ❑ Road Projects _ acres (of roadway) X $250 — _ 7 Vacation of Easement(s) * * * # of vacations _ X $400 = _ ❑ Vacation of Right(s)-of-Way *** # of vacations _ X $goo = _ Dedication of Easement(s) and/or Right(s)-of-Way *** # of dedications 1 X S250 = -25C *** This fee does not include the cost of filing fees. Filing fees shall be determined at the time of final document submittal and will be required prior to filing. ❑ Project Development Plan (PDP) or Basic Development Review Project requiring Transportation Services Review and/or utility plan review. This fee includes 3 rounds of review. Detached Single Family $160 per unit _#ofunitsX$160— _ Multifamily or other residential units $I15 per unit _#of units X$115= Commercial, Industrial, Retail, and/or Non residential building square footage $0.25 per square foot sgft X$0.25= Size of the development (area being platted or if not being platted size of parcel accompanying all development improvements) $250 per acre _ acres X $ 250 = _ Project fee $2,000 each Total of above amounts If this fee amount exceeds $30,000 then the fee amount shall be adjusted with the following formula: $30,000 + %, (the amount over 30,000 The maximum fee for any residential ONLY project shall be S500 per residential unit. This check should be used to verify the fee amount (does not apply to mixed -use developments). PDP fee shall be the lesser of this amount or the above calculated amount. # of residential units X $500 = Reduction for affordable housing — a copy of the City letter certifying/ authorizing the affordable housing shall be provided with this application. Amount of reduction to be applied Total owed for PDP $ " , M Land Use Information: Total number of single family detached units: Total number of multifamily/other residential units: _ Total number of certified affordable dwelling units (a copy of the letter/ authorization is required): Non residential building square footage: sq fit Gross Acreage: acres General Information: Owners Name(s): L�j\A,� lOyt/�] IVSaJN'1 \A Y Street address:q �� 00 City/State/Zip:DLWV ,L\c Ue1Oa Telephone: ItI11) I qa-;gyp Fax: Applicants/ Consultants Firm Name: Contact: L-;k, r;J11-1 Street address: ')to city/state/ Zip: F.A (g 1 l;'J-, trn 8 a 5 Telephone: (12-)J41- RRRS Fax: A-1 Certification: 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. Name (please print): Signature����Q,(�/ Telephone: cc: Christie White, Engineering U Development Review Engineering , •� \a1� Transportation Development Review Fee Date Received/ Paid ! till Total Amount Paid Pro'ectName: a� xi�a l ,S� /; Cityaf Fart C�l� � gym✓ r pS N F'�ha Project Location: Cav,2e, o T"irr6er/ , l lA7r..r,.. -�— Date: tS 15*6 Type of Submittal Please indicate the type of application submitted by checking the box preceding the appropriate request(s). Overall Development Plan (ODP) Final Development Plan (FDP) This tee includes 2 rounds of review Fee structure amount due S500 each Additional round of review Annexation $20 x _ acres = Minor Amendment Major Amendment Re -zone $1000 each $ 500 each +$250 = $250 each $2,500 each $200 each Modification to Land Use Code $200 each Wireless Telecommunication Equipment (WTE) $65 each Road Projects acres (of roadway) X $250 = Vacation of Easements) *** # of vacations _ X $400 = Vacation of Right(s)-of-Way *** #of vacations X$800= Dedication of Easement(s) and/or Rights) -of -Way *** # of dedications 3 X $250 = D (`-7 SO *** This fee does not include the cost of tiling fees. Filing fees shall be determined at the time of final document submittal and will be required prior to filing. Project Development Plan (PDP) or Basic Development Review Project requiring Transportation Services Review and/or utility plan review. This fee includes 3 rounds of review. Detached Single Family $160 per unit # of units X $160 = Multifamily or other residential units $115 per unit _4ofunitsX$115= Commercial, Industrial, Retail, and/or Non residential building square footage $0.25 per square foot sq ft X$0.25= Size of the development (area being platted or if not being platted size of parcel accompanying all development improvements) $250 per acre acres X $ 250 = Project fee $2.000 each Total of above amounts '`%S-D If this fee amount exceeds $30,000 then the fee amount shall he adjusted with the following formula: $30.000 + y, (the amount over 30.000 The maximum fee for any residential ONLY project shall be $500 per residential unit. This check should be used to verify the fee amount (does not apply to mixed -use developments). PDP fee shall be the lesser of this amount or the above calculated amount. # of residential units X $500 = Reduction for at%rdable housing — a copy of the City letter certifying/ authorizing the affordable housing shall be provided with this application. Amount of reduction to he applied Total owed for PDP $ 40 Land Use Information: "Total number of single family detached units: U t r. Total number of multifami ly/other residential units: C2 Total number of certified affordable dwelling units (a copy of the letter/ authorization is required): d Non residential building square footage: 0 sq ft u Gross Acreage: t 9. / / acres General Informa mn!: Owners Name(s):yczj"%7�dy'/Y/s✓1)/ �� o p G Street address: _� 01 oa 0 City/State/Zip: (/y ohm lV e w/g/o2 Telephone (�G Fax; keiw? --2780 Applicants/ Consultants Firm Name: Contact: G 51W r1yY?C L f Street address: 16)-% C J re- to--, City/State/Zip: Cdt/zllA5 60 gc i - Telephone: 70 NQ! -9%fyb Fax: 2,1 `i9C- MF'l Certification: 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. Name (please print)- �6.�OLr GrthB Signature: _ "-/*f ��— Telephone: 1 L/c% / - 1009i cc: Christie White, Engineering Development Review Engineering Development Construction Permit, Page 3/5 place and inspected by the City Erosion Control Inspector before any land disturbing activity begins. 11. No work (including grading and construction access) shall be started in State Highway right-of- way until a permit is issued by the Colorado Department of Transportation to allow such work to begin. 12. Other conditions: Permittee's acknowledgment signature: By signing this permit I acknowledges that I am acting with the knowledge, consent, and authority of the owners of the property (including all owners having legal or equitable interest in the real property, as defined in Section 1-2 of the City Code; and including common areas legally connected to or associated with the property which is the subject of this application) without whose consent and authority the requested action could not lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for purposes of inspection and, if necessary, to enter upon such property to perform work required of the applicant if the applicant were to fail to perform the required work. I also acknowledge that I have read this permit document with all its requirements and conditions, and I agree to all of the terms and conditions so stated in this permit. Applicant/Project Manager' s Signature: G c Q Date: l% Approvalforissuance: City Engineer Approval: 4 Date: �° /� 7 (Permit Issuance Date) Development Construction Permit, Page 4/5 EXHIBIT "A" DEVELOPMENT PROJECT CONTACT PERSONS Project Name: City Staff Contact Persons: Development Engineer: Construction Inspector: Harmony School Shops 41h Filing Marc Virata / City of Fort Collins Engineering 281 N. College Avenue / Fort Collins, CO 80524 970 221-6605 Dan Peterson / City of Fort Collins Engineering 281 N. College Avenue / Fort Collins, CO 80524 970 221-6605 Current Planner: Ted Shepard / City of Fort Collins Current Planning 281 N. College Avenue / Fort Collins, CO 80524 970 221-6750 Sanitary Sewer Engineer: Roger Buffington /City of Fort Collins Utilities 700 Wood Street / Fort Collins, CO 80521 970 221-6854 Erosion Control Inspector: D.A. Black / City of Fort Collins, 700 Wood Street, Fort Collins, CO 80521 970 221-6700 Natural Resources: Dana Leavitt / City of Fort Collins, 281 North College Avenue, Fort Collins, CO 80522 970 224-6143 Traffic Operations: Eric Bracke / City of Fort Collins, 625 Linden Street, Fort Collins, CO 80524 970 224-6062 Street closures: Syl Mireles / City of Fort Collins, 625 Linden Street, Fort Collins, CO 80524 970 221-6815 Transportation Planning: Dave Averill / City of Fort Collins, 215 N Mason Street, Fort Collins, CO 80524 970 416-2643 Development Construction Permit, Page 5/5 Forestry: Tim Buchanan / City of Fort Collins, 281 North College Avenue, Fort Collins, CO 80522 Light and Power: Alan Rutz / City of Fort Collins, 700 Wood Street, Fort Collins, CO 80521 970 224-6153 Developer' Contact Persons: Owner/Developer: Project Engineer: Permittee/Applicant Project Manager/Contractor: Planner: John Mountjoy CFM Realty 209 S. 19" St., Suite 500 Omaha, NE 68102 402 932-2000 402 932-2780 (fax) 402 968-7918 (cell) JmounlJoy@cftnrealtv.com Joe Sparone JR Engineering 2620 E. Prospect Road, Ste 190 Fort Collins, CO 80525 970 491-9888 970 491-9984 (fax) jsparone@jrengineering.com Wendall Williams / Chris Haggard Willams Construction Company 965 S. Kipling Parkway Lakewood, CO 80226 303 989-9009 303 989-0909 (fax) 720 320-5750 (Wendall) (cell) 720 320-5755 (Chris) (cell) wendall(a)wmsconst.com chris@wmsconst.com Jason Holland Cityscape Urban Design, Inc. 3555 Stanford Road, Suite 105 Fort Collins, CO 80525 970 226-4074 970 226-4196 (fax) Jason@cityscapeud.com DEVELOPMENT CONSTRUCTION PERMIT 1 _ APPLICATION (1/16/06) For City use only: Application Number. Application Date: Permit application fee: S 400.00 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 221-6605. 3. Submit the Application and pay the Application Fee at the fee at the Engineering counter at 281 N. College Avenue. PROJECT INFORMATION: Project Name (as approved by the City): Harmony School Shops 4" Filing, Lot Project A.K.A. (Marketing name if different from Project Name): Harmony School Project Location: _Intersection of Harmony and Timberline Road — Ft. Collins, CO Property Owner(At the time of this permit issuance): I� Individual Name: John_Moun(joy Company Name : A1lr, ua" y t� M Address: 1823 Harney Street, Suite 100 Omaha, NE 68102 "O Phone number(s): Office: 402-932-2000 p Cellphone: 402-968-7918 j Fax number: 402-932-2780 Email: jmountjoygcfmrealty.com 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): Individual Name: Scott Wieczorek Company Name : Dicon Corporation Address: 11506 Nicholas Street Suite 200 Omaha, Ne 68154 Phone number(s): Email Office: _402-934-2900 Cel 1phone: 402-216-3386 Fax number: 402-493-5549 swieczorek@dicon-construction.com Permittee (Person who is to sign the Development Construction Permit): ATEMENT OF AUTHORITY 1. This Statement of Authority relates to an entity named: AVG HARMONY, LLC, a Delaware Limited Liability Company. 2. The type of entity is a limited liability company. 3. The entity is formed under the laws of Delaware. 4. The mailing address for the entity is 9595 Wilshire Boulevard, Suite 710, Beverly Hills, California 90212. 5. The name and position of the person authorized to execute instruments conveying, encumbering or otherwise affecting title to real property on behalf of the entity is as follows: John Mountjoy, Agent for Owner 6. The foregoing shall not be construed as precluding the exercise by any other party of due authority to execute instruments conveying, encumbering or otherwise affecting title to real property on behalf of the entity. 7. Except as specified in paragraph 5, above, the authority of the foregoing persons to bind the entity is not limited. 8. This Statement of Authority is executed on behalf of the entity pursuant to the provisions of Section 38-30-172, C.R.S. EXECUTED this 15 day of July, 2006. AVG HARMONY, LLC, a Delaware LimJed Liability Company CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA ) )SS. COUNTY OF LOS ANGELES ) On August 2, 2006, before me, STACY R. KINCAID, Notary Public — California, personally appeared ARNOLD SCHLESINGER personally known to me to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. �. STACY R. KINCAID Notary Publio•Callfomta Loa Angeles County CommlWon # 15W37 MY Comm. EXPO"$ Jan.8,2009 WITNESS my harA and official STACY R.PNCAID Notary Pubic #1542737 In and for State of California MY COMMISSION EXPIRES: JAN 8, 2009 � I I I I I I I 1 II II II I I 11 II I I i I I II �I I I I I I II I 1 1 I I I (I II I I I I � III I I 9 � �a � I n � I•I 1 . in I � ��� 9e �� � �C wd .�