HomeMy WebLinkAboutSUMMITSTONE HEALTH PARTNERS - Filed MA-MINOR AMENDMENT - 2019-05-30of
F`o`rTytf
Date Submitted: 12/20/2018
Comments Due By:
Minor Amendment # MA180094
Zoning Facilitator:
Jame Nenbeen
Effective Date: 05/20/2019
THIS BOX IS FOR OFFICE USE ONLY
Minor Amendment Application Form - Zoning Department
The requested information on this application is required.
Project name: Summitstone
Project Location (Street Address): 700 Centre Avenue
General Information: List all property owners having a legal'eguitable interest in the property (Attach separate sheets if necessary).
Wner's Name s Summitstone Health Partners
Street Address: 125 Crestridge Street
Telephone: 970.494.4200
City/State/Zip: 80525
Email: cyndi.dodds@summitstonehealth.org
[Applicant's/Consultant's Nam : Cathy Mathis
Street Address: 444 Mountain Avenue
Telephone: 970.532.5891
SUBMITTAL REQUIREMENTS:
Name of firm: TBGroup
City/State/Zip: Berthoud CO 80513
Email: cathymathisl@msn.com
1) The initial submittal and additional rounds of review shall be electronic (one (1) copy on a CD or Flash drive) of
the site, landscape, elevation, etc. - whichever sheets are being altered. A Legal Description is required. Changes
on each sheet should be clouded.
Once all departments approve the proposed changes a Final Hard Copy will be required to be printed on 24"06"
Mylar sheets. Please ensure the electronic submittal can be printed to scale on 24"06" sheets.
2) Complete and sign Minor Amendment application form and Transportation Development Review Fee application
form (TDRF). The following link is to the TDRF application form:
https:ri" �%x%.fcgoN.com en ineerin,W�pdt''IDRF2012api2licationforni.pdf? 1365616099
3) Application fee of $350.
Note: an additional $250 fee is required if the Poudre Fire Authority (PFA) needs to review the application.
Typically, PFA fee is required for all changes of use, building additions and/or new buildings.
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request:
Request to add 2 additional parking spaces within the ditch easement. Removed 3-rail fence between
parking and ditch bank. Also, re -located 3 mitigation trees to the west side of the building.
CERTIFICATION
I certify the information and exhibits submitted are true and correct to the best of my knowledge and that in fling this application, I am acting with
the knowledge, consent, and authority of the owners of the property (including all owners having a legal or equitable interest in the real property, as
defined in Section 1-2 of the City Code; which is the subject of this application) without whose consent and authority the requested action should not
lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for the purpose of inspection, and if
necessary, for posting a public notice on the property.
Name (please PRINT): Cathy Mathis
Address: TBGroup, 444 Mountain Avenue, Berthoud CO 80513
970.532.5891 Cathy Mathis D.W 2 epned by Can y Mama
Telephone: Signature: Y D.le zo+e+zso,as7ze-oroo
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.
Page is too large to OCR.