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RECEIPT
CITY OF FORT COLLINS
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. COLLEGE AVE
970.221.6760
PO BOX 580
970.224.6134 - fax
Application: FDP120006
Application Type: Planning/Final Plan/NA/NA
Address: 600 S SHIELDS ST , FORT COLLINS, CO 80521
Receipt No. 182134
Payment Method Ref Number Amount Paid Payment Date Cashier ID Received Comments
PAID BY
AMERICAN
Check 23115 $1,000.00 07/05/2012 ALOMMEL BAVnST
CHURCH
CH#23115
Owner Info.: AMERICAN BAPTIST CHURCH
600 S SHIELDS ST
FORT COLLINS, CO 80521
Project Applicant proposes a change of use at 1008 Mantz Place from single family
Description: residential to office for Elderhaus. There will be no changes to the existing
structure nor will any Elderhaus clients use this office. The site is zoned
Neighborhood Conservation, Low Density (NCL) and an office use is not
permiited in the NCL zone district (LUC 4.7(C)). Addition of permitted use is
requested, as well.
https:Halm-v360. fcgov. comlportl ets/feelreceiptView. do?mode=view&autoPrint=false&rece... 7/5/2012
City of Transportation Development Review Fee Date Received/ Paid /-5/!2
F6it Collins Total Amount Paid
aoT Project Name: b(S I( r
Project Location: J.no& m �lti Q,�' Date: _7- —1 2
Type of 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
Final Development Plan (FDP)
This fee includes 2 rounds of review
$I000 each ,pOp
❑ Additional round of review
S 500 each
J Annexation $20 X
acres = + $250 =
C Minor Amendment
S250 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 =
71 Vacation of Easement(s) *** # of vacations _ X $400 =
I7 Vacation of Right(s)-of-Way *** # of vacations _ X $800 =
❑ Dedication ofEasement(s) and/or Right(s)-of-Way ***
# of dedications X $250 =
l 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
sq ft X $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
Km
If this fee amount exceeds $30,000 then the fee amount shall be adjusted with
the following formula:
$30,000 + /, (the amount over 30,000
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
cc: Christie White, Engineering
Development Review Engineering
Foot Notes
When a development project involves a change of use for a
building, the charge per square foot shall apply to the portion of
the overall building size for which the change of use is proposed,
provided that the new use generates more traffic than the existing
use, as determined by the current Institute of Transportation
Engineers Trip Generation. If the new use does not generate more
traffic than the existing use then the charge per square foot for
shall apply only to the net additional building size (if any).
These fees do not include the cost of filing fees for the recording of
the Development Agreement. When a Development Agreement or
Amendment Agreement is entered into the Developer shall be
responsible for the cost of recording the document. Said filing fees
shall be calculated and provided when the signed document is
returned to the City for signatures and filing.
*** 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.
General Information:
Owners Name(s):
Street address:
City/State/Zip:
Telephone: Fax:
Applicants/ Consultants Firm Name:
Contact:
Street address:
City/State/ Zip:
Telephone: Fax:
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 print):
Signature:
Telephone:
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
❑ Overall Development Plan (ODP)
Fee: $1,599.00 + $50.00 sign posting fee + $.75 for each APO label
d• Project Development Plan (PDP) without Subdivision Plat (also Wireless Tele-communication Facilities)
Fer $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
Plan without Subdivision Plat
$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 + $.75 for each APO label for Modification of Standards only)
❑ Basic Development Review
Fee: $200.00
❑ 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
.90, 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
�.. Addition of Permitted Use „
Fee: $500.00 +-$
Revised February 18, 2010 2 PDP Submittal Requirements
F6rtCollins
DEVELOPMENT REVIEW:
APPLICATION FORM
For Office Use Only
Date Submitted y� - �2 Current Planning File # fdQIZO0Lp Planner 1n
Project Information ten,
Project Name: I l X� 1' �(i 42—C t V
Pr oje t escript�i��o,,QQ��(Choose type o/regyyest /rom the list on the back):
Gtt y:e +D- yt2 C42— lab,
Location Description/Project Address: l 1
Major Cross Streets:
Zone District: NCL
Parcel Number:
Building/Unit Information
Residential: Square Feet
Commercial: Square Feet
Industrial: Square Feet
Building Floor Area
Platted Area:
Number of Units. -
Single Family Attached: Single Family Detached:
Two Family: Multi -Family:
Dates:
Conceptual Review Meeting Date ZOt
Neighborhood Meeting Date 2
Hearing Type
Site/Area Information
Residential Area:g3O Sq. Ft. Acres
Commercial Area:
Sq. Ft.
Acres
Industrial Area:
Sq. Ft.
Acres
Mixed Use Area:
Sq. Ft.
Acres
Right of Way Area:
Sq. Ft.
Acres
Parking and Drive Area:
Sq. Ft.
Acres
Stormwater Detention Area:
Sq. Ft.
Acres
Landscape Area:
Sq. Ft.
Acres
Open/Other Areas:
Sq. Ft.
Acres
Gross Area:
Sq. Ft.
Acres
Floor Area Ratio:
Gross Density:
Net Density
Owner Information
Name: ike\QS�CnA &J C
Name: 161
Organization Name: e ' n,% Moq's1-, Chu��q_
Contact:
Address: S e 5 Sb
City t=c. State: Zip: 2-1
Phone: e[]Email: fatrc o
Preferred Method of Contact:
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):
Telephone:_
Signature: (and
to sign,
A CERTIFICATIONM IST BE SIGNED. a
Community Development & Neighborhood Services — 281 N College Ave — Fort Collins, CO 80522-0580