LCDHE Restaurant Plan Review

Restaurant Plan Review

(Form posted to: https://www.larimer.gov/health/safety-sanitation-programs/food-safety-program/license-plan-review-information/restaurant)
Name of person submitting form*

First NameLast Name
Email of person submitting form*
example@example.com
Date Construction is to start*

MonthDayYear
Date
Date of planned opening*

MonthDayYear
Date
Indicate number of seats in indoor area
Indicate number of seats in outdoor area
Choose type of construction*

Newly ConstructedExtensively Remodeled (Currently licensed)Conversion of an existing structure
Establishment Information
Name of Establishment*
Phone Number of Establishment*

Area CodePhone Number
Address of Establishment*

Street Address

Street Address Line 2

City

Zip Code
Email for Establishment*
example@example.com
Business / Ownership Information

(proprietary rights per C.R.S. 25-1605)
Individual or Corporate Name*
Business / Owner Phone Number*

Area CodePhone Number
Business / Owner Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business / Owner Email*
example@example.com
Send license renewals to:*

Business Owner Mailing AddressEstablishment AddressEmail OwnerEmail Establishment
A brief written description of the scope of work and what changes/construction will occur.*
Days and Hours of Operation - Insert hours in the following format: 8am to 8pm *
Type of Retail Food Establishment (Check all that apply)*

Full Service Restaurant BarFast Food Coffee ShopMarket (Grocery) School Food ProgramDeli Catering OperationFish Market ConcessionMeat Market Manufacturer with Retail SalesConvenience Store Other:
Is this a seasonal operation:*

YesNo
Projected maximum number of meals to be served. Number of meals per week:
Have plans for this establishment been submitted to the local building department?*

YesNo
Proposed menu & food handling procedures - Breakfast/Lunch/Dinner (including seasonal, offsite catering, and banquet menus).*

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Drawings/schedules (please note that not all may be required based on scope of work):
Site plan: showing location of business in building, location of building on site (including alleys and streets), and location of any outside equipment (dumpsters, grease interceptor, well, septic system, etc.).*

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Floor plan: show location of equipment, plumbing, and location of *hood and make-up air returns and ducts, *if applicable. (Minimum 1/4 inch scale for architectural renderings). Please identify any garage doors and outer openings.*

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Plumbing plan: show location of floor sinks and floor drains, restrooms, toilets, urinals, and all hand washing sinks, grease trap, grease/solids interceptor (if required by the local building, water, or sanitation authority) hose bibs and hose reels, laundry facilities etc.*

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Electrical Plan: show locations and specifications of lights.*

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Equipment Specifications: Sheets must include make and model numbers and all equipment must be designed and constructed to be durable and to retain their characteristic qualities under normal use conditions. Please note: If a specification sheet lists more than one piece of equipment, identify the specific equipment to be used.*

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Food Protection Manager Certification: Provide manager certification documentation (if applicable).

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Vomiting & Diarrheal Event Clean-Up Procedures. Submit plan describing how vomiting and diarrheal events will be cleaned within the establishment.

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Completed Plan Review Packet is required. You can find that file here.
Completed Plan Review Packet *

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Additional Files

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Problems with this form? Email LCHealth@larimer.org.
Should be Empty:

Restaurant Plan Review

Establishment Information

Business / Ownership Information

Drawings/schedules (please note that not all may be required based on scope of work):