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RECEIPT
CITY OF FORT COLLINS
NEIGHBORHOOD & BUILDING SERVICES
281 N. COLLEGE AVE.
Phone:970-221-6760
P. O. BOX 580
Fax:970-224-6134
Application #: B0901681
Project Name (Subdivision): FOSSIL CREEK OFFICE PARK LOT 5
Application Type: Building / Misc / General / NA
Receipt No.: 140150
Payment Method Ref Number Amount Paid Payment Date Cashier ID Comments
Check 592 593 $1,947.50 03/25/2009 10:14:37 AM KTHARP FINAL PLAN FOSSIL CRE
Owner Info.:
Work FINAL PLAN FOSSIL CREEK OFFICE PARK LOT 5 $1000.00 CK #592
Description: LAGUNITAS DIVERSIFIED PROJECTS LLC TDR FEE 947.50 CK #593
LAGUNITAS DIVERSIFIED PROJECTS LLC
T8108-D
Version 4.0
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Final Plans Checklist
City of Fort Collins
Planning and Zoning Submittal Checklist: Final Plan Review
The following information is required to be submitted with all applications, unless waived by staff. Any item
waived must be dated and initialed by a planner with the City of Fort Collins Planning & Zoning Department.
o-) Application form and filing fee. $1 D00
❑ Transportation Development Review Fee - please contact Engineering at 221-6605 for
information. dg:' 9147.so (NofmaUi. -:F1000 - 1552.50 Credit -Pot' -Ppl�aVerPayrvient9
❑ Name and address of each owner of property within the boundaries of the development plan area.
❑ List of names of all general and/or limited partners, managers and directors and/or officers and
directors of the corporation involved as either applicants or owners.
VIG Final Site Plan* (copies, 24"x 36"- folded)
��❑ Subdivision Plat* (23 copies, 24"x 36" - folded)
V ❑) Architectural Elevations* (#copies, 24"x 36"- folded)
�� S
❑ Landscape Plan* (copies, 24"x 36"- folded)
❑ Drainage and Erosion Control Report* (4 copies)
i2
❑ Final Utility and Drainage Plans* (13 copies, 24"x 36"- unfolded)
❑ Requirements for utility plans checklist (1 copy).
❑ Transportation Impact Analysis* (TIA), updated* (7 copies). (ndUde if it- hoS been vpdat2 4
❑ Soils Report* (2 copies).
❑ Deeds* (contingent on final approval)
❑ Mylars and PMT* (Mylars not needed until Final plans are approved)
❑ Other information Director may require:
❑ Subsurface Hydrologic Study* (4 copies)
❑ Certification of Notice to Mineral Owner(s)* (1 copy)
VG Easements/Agreements* (2 copies, each) - 2 of euGh cj Gorror},, as rleceSscIr3
❑ Environmental Reports*
*This document is meant to be used as a checklist only. For a more detailed list and explanation of
each of these items, please see the handout: "Submittal Requirements: Final Plan Review"
Revised December 19, 2007 Final Plans Checklist
Transportation Development Review Fee
Date Received/ Paid 31250 l� J
Total Amount Paid —(13LU
Project Name: Fossil Creek Office Park Lot 5
Project Location: 117 Cameron Drive
Type bf Submittal,.
Please indicate the type of application submitted by checking the box
preceding the appropriate request(s).
Fee structure amount due
❑ Overall Development Plan (ODP) $500 each
X0 Final Development Plan (FDP)
This fee includes 2 rounds of review $1000 each SL'uo
❑ Additional round of review
$ 500 each
❑ Annexation $20 x
_ acres = _ + $250 =
❑ Minor Amendment
$250 each
❑ Major Amendment
$2,500 each
❑ Re -zone
$200 each
❑ Modification to Land Use Code
$200 each
❑ Wireless Telecommunication Equipment (WTE) $65 each
❑ Road Projects acres (of roadway) X $250 =
❑ Vacation of Easements) "' # of vacations _ X $400 =
❑ Vacation of Right(s)-of--Way "' # of vacations _ X $800 =
❑ Dedication of Easement(s) and/or Right(s)-of-Way
# of dedications X $250 =
This fee does not include the cost of filing fees. Filing fees shall be
determined at the time of final document submittal and will be required prior
to filing. '
❑ Project Development Plan (PDP) or Basic Development Review Project
requiring Transportation Services Review and/or utility plan review. This fee
includes 3 rounds of review.
Detached Single Family $160 per unit
# of units X $160 =
Multifamily or other residential units $115 per unit
#of units X$115=
Commercial, Industrial, Retail, and/or Non residential
building square footage $0.25 per square foot
sg11X$0.25=
Size of the development (area being platted or if not being
platted size of parcel accompanying all development
improvements) $250 per acre acres X $ 250 =
Project fee $2,000 each
Total of above amounts
$2"
If this fee amount exceeds $30,000 then the fee amount shall be adjusted with
the following formula:
$30,000 + /2 (the amount over 30,000
r
The maximum fee for any residential ONLY project shall be $500 per
residential unit This check should be used to verify the fee amount (does not
apply to mixed -use developments). PDP fee shall be the lesser of this amount
or the above calculated amount
# of residential units X $500 =
Reduction for affordable housing — a copy of the City letter certifying/
authorizing the affordable housing shall be provided with this application.
Amount of reduction to be applied
Total owed for PDP $
Date: September 12, 2008
Land Use Information:
Total number of single family detached units: NIA
Total number of multifamily/other residential unitsNJ
Total number of certified affordable dwellin units (a copy
of the letter/ authorization is required): N AAN
Nonresidential building square footage:12 , 5 32 sq ft
Gross Acreage: • 80 acres
General ' Information:
Owners Name(s):Laq u n i to s. Di ve rs i f i e d
Projects, LLC
Streetaddress: 3944 JFK Parkway, tittite 2E
city/State/zip: Fort Col 1 i ns , CO 80525
Telephone:(970) 226-500&x: (970) 226-5125
Applicants/ Consultants Firm Name:
Lagunitas Company
Contact: Jon Prouty
Streetaddress: 39.44 JFK Parkway, Suite 12E
City/State/Zip: Fort Collins, CO 805
Telephone:(970) 226-50(970) 226-5125
Certification:
By signing this permit I acknowledge that 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.
Name (please pri , : W ►l r►il k % to
Signature:
Telephone:
cc: Christie White, Engineering
Development Review Engineering
Additional Information (if Applicable):
CERTIFICATION
I certify the information and exhibits submitted 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 real property, as those terms are defined in Section 1-2 of the City Code (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 the purpose of inspection, and if necessary, for posting of public notice on the
property.
Name (Please PRINT):
Address: 3944 JFK Parkway, Suite 12E. Fort Collins, CO B0525
Signature: (and title showing authority to sign,
6a
C.ily of Fort Collins
For Office Use Only
Current Planning File
Project Name:
Development Review Application
Date Submitted .
Planner
ce
Project Location (Street Address):117 CamPrnn 0ri vP
Project Descriptionone lot, consisting of 2 office
buildings with a total of 12,532 59 ft
Land Use Information:
Gross Acreage/Square Footage: 80 acrac/34,879 cn ft
Existing Zoning:
Proposed Use:
Total Number of Dwelling Units: N/A
Total Number of Affordable Dwelling Units: NTA
Percentage of Affordable Dwelling Units (out of total): N/A
Total Commercial Floor Area: 12,512 cn f t
General Information: List all property owners having a legal/equitable
interest in the property (attach separate sheets if necessary).
Owner's Name(s): Lagunitas Diversified Projects, LLC
Street Address: 3944 ,lFK Parkway, Suits 12F
City/State/Zip: Fnrt rnllin, rn An525
Telephone:(Q70) 226_5nnn Fax: (97n) 226—m25
Applicant's/Consultant's Name: Inn Prnnt.y
Nameoform: Lagunitas Company
Contact
Street Address: .1944 .lFK Parkway- Suite 12F
City/State/Zip: Fnrt Collins, CO 80525
Telephone: (970) 226-5n00 Fax: (970) 226_512S
E-mail: lagunita0frii rom
Type of Request
Please indicate the type of application submitted by checking the box preceding the appropriate request(s). Additional handouts are available explaining
the submittal requirements for each of the following review processes.
❑ Annexation Petition with Initial Zoning REQUESTED ZONE: _
Fee $1,188.00 + $50.00 sign posting fee + $.75 for each APO label
❑ Rezoning Petition REQUESTED ZONE:
Fee $977.00 + $50.00 sign posting fee + $.75 for each APO label
❑ Overall Development Plan (ODP)
Fee: $1,599.00 + $50.00 sign posting fee + $.75 for each APO label
❑ Project Development Plan (PDP) without Subdivision Plat
Fee: $3,897.00 + $50.00 sign posting fee + $.75 for each APO label
❑ Project Development Plan (PDP) with Subdivision Plat
Fee: $5,879.00 + $50.00 sign posting fee + $.75 for each APO label
91 Final Plan without Subdivision Plat
Fee: $1,000.00
❑ Final Plan with Subdivision Plat
Fee: $1,000.00
❑ Modification of Standards/Text and Map Amendment
Fee: $200.00+ $50.00 sign posting fee
❑ Basic Development Review
Fee: Varies: Check with the Zoning Department
❑ Major Amendment
Fee: $3,206.00 + $50.00 sign posting fee + $.75 for each APO label
❑ Non -Conforming Use Review
Fee: $1,389.00
❑ Vacation of ROW or Easement
Fee: $5.00 per sheet of filing document
❑ Small Project Fees
Fee: Varies -Check with the Current Planning Department
❑ Street Name Change
Fee: $5.00
❑ Extension of Final Approval
Fee:$566.00
❑ Site Plan Advisory Review
NO FEE
c✓ CERTIFICATION ONREVERSE MUST BE SIGNED. a
Uptmmn121512007
City of Port Collins