Laserfiche WebLink
477 <br /> PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 1/31/2017 <br /> Permit#: B1701-045 <br /> PROJECT ADDRESS: 625 RIVERSIDE RD BLDG A <br /> DESCRIPTION OF WORK: CROSS-DOCK DIST FACILITY WAREHOUSE/OFFICE <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: KW EVT, LLC NAME: MACINNES ROB <br /> ADDRESS: PO BOX 979 ADDRESS: <br /> TELLURIDE, CO, , , <br /> PHONE: 6024323767 PHONE: 6144886252 <br /> EMAIL: EMAIL: rmacinnes@fordarchitects.com <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SPAM-02g <br /> PW Permit Required?'YES 0 NO W.O.#: <br /> Notes: Gael <br /> 1 W P1am +stom'Droaerced4Associated Bldg./PW Permit#: PWmf/ <br /> 1 010/ AWOL <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES-Type t 1/ (If yes, add to TRAKiT Reviewer <br /> Comments on Bldg Permit and Stamp Drawings) <br /> Explanation:ation: i Flit/ J V a fp WFit At-theft f/U�"I ik/4dit1eq'Sr f drIVEA. VkteMp((/► ril). <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? 411O(i4',q ee <br /> #MESTIC SERVICE: I I �frrg ' q9 <br /> �p 2"11 ARE SERVICE: /' � �t 1706-03a <br /> *YE -Amount$ 17V. ® n i' pr,,L11 YES-Amount$ '1r 0U r `I <br /> 'Meter Only, 0 Complete Service, Sized • ""' I Z(3/4" Detect Meter Only, 'Fire Service Size C <br /> ❑ NO (�i 1106'0,1 ❑ NO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> _- • • - • -. !Dann 1-0 s cSV7r &MA (a paiteA U pom# - '4q' ) <br /> WER FEE? (8"DT*ce ern /11a. N) <br /> ,YES-Amount$ .51).°' ''New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> OA-TEM DEVELOPMENT FEE? --rt&+0 ,S0I-o145 4/C3 <br /> tICYES-Amount$ 11)991.841 ,.See Attached Spreadsheet <br /> ❑ NO-No Change of se/Other <br /> Explanation: <br /> (N Public Works Reviewer to Add Traffic Mitigation,to PW Permit(if applicable)) <br /> 3�TRAFFICu MITIGATION FEE? T �U BI I-D'1S' <br /> [YES-Amount$ 143,1490 ❑ See Attached Sareadsreet <br /> ❑ NO Pte' pia cS�/y--`,�Ck <br /> ADDRESS LETTER REQUIRaED�?, (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> YES-TYPE �� � El/See Attached Letter ®® � ,,����� �e <br /> ❑ N O 65: 6�:8/ .G <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />