HomeMy WebLinkAboutMIRAMONT SELF STORAGE PUD LOT 2 - Filed DCP-DEV. CONSTRUCTION PERMIT - 2008-06-09DEVELOPMENT CONSTRUCTION PERMIT
APPLicAqWkN
(2/16/99)
For City use only: Application Number: Application Date:
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 AXA. (Marketing name if different from Project Name):
&J A O !L--- 1-0
Project Location: q jD3 MA%z 1t.1 "eViz
-
Property Owner(At the time of this
Individual Name: 191c,'
Company Name:
Phone number(s):
Office: *226
Cellphone:
Fax number:
Email:
Applicanv?roject 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: -VAmr% Lam, tic 1
Company Name: 17 A-W- AW,04 CbiV STI2 ✓G7'16�i�/
Address: 1315 dtUl�v� / Dp �t� jcz,
Phone number(s):
Office: _ ?�7 -4 q57#
Cellphone: S/�1 -IoG37
7 Fa;� number:
8 Email: GPAV Cqt+l6e>n6ybrtnkp.,grtparth"-e,mrn
Permittee (Person who is to sign the Development Construction Permit):
Individual Name: pVT-*
Company Name: 54W)4?�wO4 G61S vr�n
Address: 1315 lKQtrDtsg DR1Ut� 5r
Phone number(s):
Office:
Cellphone:
Fax number: 7.2G - ID 1(
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 malting revisions to plans with City approval and for
providing as -constructed plans):
Individual Name: _T/M A
Company Name: ST4aii
Address:'? SaJrlt Mt=l�r�e�/✓� ST.
Phone number(s):
Office: 970 %eg - Sizz
Cellphone:
Fax number: q7o A/92 - CG 3 $
Email: WWW 5rAA c Go�ary
Professional License Number: Zy 3 3 G.
Architect/Planner (The person responsible for the site design of this project)
Individual Name: ® i LO, IpEx) e5�
Company Name : b 3 V061H i'FZ A, -%ID
Address:
Phone number(s):
Office: 970 - 7--Z3 -I K12
Cellphone:
Fax number:
Email:
Developer (The party or parties referenced in the Development Agreement who are responsible for the
Developer's obligations contat� in the Agreement -add additional names below):
Individual Name: 11,4g CI$L1r41.
Company Name:
Address: �0 5 /l ter _.5j-g Znn> S_
Phone number(s):
Office: ZZja lr_ t
Cellphone:
Fax number:
Email:
General Contractor (The contractor in overall charge of the public infrastructure construction):
Individual Name:
Company Name: gKJ-4KM& b�nl5 Gila
Address: 1 SIS b.4KlztOl DQt✓' �rj �p6
Phone number(s):
Office: 2/r7-69S`%
Cellphone: !SWe /D>37
Fax number: 2.SG
Email:
If you have no General Contractor, list all other contractors below.
Grading contractor:
Individual Name:
Company Name:
Address:
Phone number(s):
Office: _
Cellphone:
Fax number:
Email:
utility contractor:
Individual Name:
Company Name :
Address:
Phone number(s):
Office: _
Cellphone:
Fax number:
Email:
Concrete contractor for flat work:
Individual Name:
Company Name :
Address:
Phone number(s):
Office:
Cellphone:
Fax number:
Email:
Concrete contractor for structures:
Individual Name:
Company Name:
Address:
Phone number(s):
Office:
Cellphone:
Fax number:
Email:
People to Attend: List the peoples names and titles for those who will attend the pre -
construction meeting:
Name
Title
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: $_ 12 0is3S, !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 required}vgrk. /-)
Applicant Signature: � j/ /�
Date: Z
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