HomeMy WebLinkAbout620 W HORSETOOTH RD - Filed P-PERMITS -Fgt't°Collins Transportation Services
� Engineering Department
Permit for Drive Approach / Sidewalk in
Public Right-of-Way
{Minimum of 48 HOURS required for approval)
Pennit Number:
Approval Date:
Fee Paid:
Applicant Name: Dave Agee Phone: ?70 � :Z.. J 8-0 {p 3 I
Company: Overland Church
Address: 620 West Horsetooth Road City, State, Zip: Fort Collins, CO 80526
Contractor Name: Overland Church Phone: ------------------Property Owner's Name: Overland Church 7�� ' Work to be performed by (circle one): Property Owner [ Licensed ROW Contractor_)
Is the Contractor licensed and bonded with the City to do work in the public right-of-way? fEJ Yes
Project Address: 620 West Horsetooth Road
Existing Curb and Gutter D Hollywood U Rollover / Driveover --izr Vertical LJ Other {Please List)
Pr,QE,OSed Curb and Gutter Work Pr,Q.1?,OSed Sidewalk WorkLJ Install New Drive Approach l{J Repair Existing Sidewalk U Widen Existing Drive Approach U Install New Sidewalk LJ Repair Existing w/out Alterations U Widen Existing Sidewalk LJ Close Existing Drive Approach LJ Repair or Install S/W ChaseIZJ Other (Please List) """"'"""'-LJ Other �t) -��-
□No
Access To 0 Arterial StreetLJ Collector Street LJ Residential Street LJ State Highway LJ Other {List) ___ _
-TRAFFIC CONTROL PLAN SUBMITTED LJ YES □No
(Note: If work is on College Avenue. State Highway, arterial street. or collector street, a Traffic Control Plan must be submitted and approved by the Traffic
Engineer prior to the City Engineer's approval.)
-will TREES, SHRUBS OR OTHER VEGETATION BE DISTURBED □ YES [Z]No
(Note: If yes, a separate permit must be obtained from the City Forester at no additional charge.)
205 Sidewalk / Curb and Gutter (up to 100' -$.30/ foot additional)___ Sidewalk Chase (each)15 Driveway up to 15' in width(s)50 Additional footage in excess of 15' an additional charge of $0.30 per foot___ Vehicular access to/from a State Highway*
@ $25.00 56.50 -------@$25.00 -=-------@$25.00 25
@ $0.30-=1-=5------
@$40.00 ______ _270·� TOTAL FEET AMOUNT DUE $ _9_6 _.5_0 ______ _
"Notwithstanding the foregoing, if any driveway is proposed to be constructed providing vehicular access to or from a State Highway, the permit fee for
such driveway shall be $40.00 regardless of width or use of the driveway.
Contractor agrees to provide the City of Fort Collins Engineering Department with an active or continuous surety bond in the amount of$10,000 issued by a surety company authorized to do business in the State of Colorado, upon application. If the property owner performs the work, a concrete license and bond is not required.
Applicant agrees to abide by the most current City of Fort Collins Standard Plans and Specifications and to such special conditions,restrictions, and regulations as m imposed by the · Engineer. Applicant agrees to telephone the Engineering InspectionRecorder_ at 221-6609 24 HOU. PR O �h��f'1Y co tru ion in the public right-of-way. Inspections are required before and afterconcrete 1s placed. Fees are no -d�APPLICANT'S SIGNATURE/ ti,i . DATE: Jei.Lg__l2._o2 2_
CITY ENGINEER APPROVAL: -,-,-=---=-=----=--=---:---------------DATE:
EXPIRATION: 30 DAYS FROM DATE OF APPROVAL ---------
*CITY TRAFFIC ENGINEER APPROVAL: _________________ DATE: ________ _
**CITY FORESTER APPROVAL: ___________________ DATE: ________ _
LAST REVISED 11/1/2010
281 North College Avenue • PO Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605 • FAX (970) 221-6378www.fcgov.com
....
Ken Zetye
Digitally signed by Ken Zetye
DN: CN=Ken Zetye, OU=Users and Groups, OU=Engineering, OU=PDT,
DC=cs, DC=city, DC=fcgov, DC=com
Date: 2022.06.21 10:45:15-06'00'
22-6016
L&M Enterprises
6/21/2022
Contact City Traffic