HomeMy WebLinkAboutELDERHAUS ADULT DAYCARE MAJOR AMENDMENT - FDP - FDP150042 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONELDERHAUS
CONSTRUCTION ACCOUNT
6813 SO. COLLEGE
FORT COLLINS, CO 80525
82.47Vn070 962
DATE /2,/1&/1
PAY TO THE (,� 1 L� G I. r"�' l -irN . $ �G1 (7O
ORDER OF � f
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Home State Construction Loan Check
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P 0. Ban 329 —�
Loveland, CO 80539
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ELDERHAUS --- - —
CONSTRUCTION ACCOUNT
6813 So. COLLEGE
FORT COLLINS, CO 80525
82 arn/11070 961
DATE -{ /
nome State — DOLLARS
Construction Loan Check
P O B. 329
Loveland,
203, 1 60539 r
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Show Receipt Detail
Page 1 of 1
RECEIPT
CITY OF FORT COLLINS
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. COLLEGE AVE
970.221,6760
PO BOX 580
970.224.6134 -fax
Application: FDP150042
Application Type: Planning/Final Plan/NA/NA
Address:6813 S COLLEGE AVE, FORT COLLINS, CO 80525
Receipt No. 250464
Payment Method Ref Number Amount Paid Payment Date Cashier ID Received Comments
Check 961/962 $1,200.00 12/15/2015 LOLSON
Owner Info.: ELDERHAUS ADULT DAY PROGRAM INC
605 S SHIELDS ST
FORT COLLINS, CO 80521
Transportation
Development
Review Fee
$1000 ck
#962 &
Development
Review Fee
$200 ck#961
paid by
Elderhouse
Construction
Account
12/10/2015
Project This is a request for a Major Amendment for a change in use to utilize an
Description: existing building for an adult day/respite care; Elderhaus. A plat is required
because the property has never been platted before. The project is located at
6813 S College Ave and it is in the M-M-N (Medium Density Mixed -Use
Neighborhood District) zone district.
https://alm-v360.fcgov.comlportletslfeelreceiptView.do?mode=view&autoPrint=false&re... 12/ 15/2015
clty�f_� 'Transportation Development Review Fee Date Received/Paid
F®iT C-ollins Total Amount Paid
POT Project Name: E Ide AAu 11A21 Pre4ram IMa a r AmerJ mewi h1 t ,,moo y
Project Location: 5. Co like A92 Ave e rt j�ol I hnT_ Date: 12 - t Q - l S
Type of Submittal
Please indicate the type of application submitted by checking the box
preceding the appropriate requests).
Fee structure amount due
❑ Overall Development Plan (ODP) $500 each
i� Final Development Plan (FDP)
This fee includes 2 rounds of review $1000 each /D:/J0, 400
❑ Additional round of review
$ 500 each
❑ Annexation $20 X
acres = _ + $250 =
The maximum fee for each armexation document/ filing shall be $2,000
❑ Minor Amendment
$158 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 $3,500 =
❑ Vacation of Easement(s) *** # of vacations — X $400 =
❑ Vacation of Right(s)-of-Way *** 4ofvacations _X$800=
❑ Dedication of Easement(s) and/or Right(s)-of-Way ***
# of dedications X $250 =
❑ 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 $1 l5 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
FWD
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 ) =
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 =
If this fee amount equals or exceeds $65,000 then the City Manager shall have the ability
to reduce the fee amount.
General Information:
Owners Name(s):l�xaq�j5AA,41 }�_
Pt —
Street address: (on S S- Shiplt�c S� .
City/State/Zip: Vor{ Li(ih5
Telephone: C1 7( 221-0406 Fax:
Applicants/ Consultants Firm Name:
1 _
Contact: —o• do ^ i!>
Streetaddress: (o0S 5.51,;.Ids St
City/State/ Zip: Po rj Co kiAj BpS� I
Telephone: 9JD 3Df 4g)-QJJJFae:
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): Ali �dx is Uk/- 7Dwy &r
Signature: _A., _ iN . �.
Telephone: ( n p )may y 3 -0g3W
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
retuned to the City for signatures and filing.
Reduction for affordable housing - a copy of the City letter certifying/ authorizing the *** This fee does not include the cost of filing fees. Filing
affordable housing shall be provided with this application. Amount of reduction to be fees shall be determined at the time of final document
applied submittal and will be required prior to filing.
Total Owed for PDP � cc: Christie White, Engineering
2012 form Development Review Engineering
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
❑ Project Development Plan (PDP) without Subdivision Plat (also Wireless Tele-communication Facilities)
Fee: $3, 887.00 + $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
❑ Final Plan without Subdivision Plat
Fee: $1,000.00
0 Final Plan with Subdivision Plat
❑ 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
❑ Small Project Fees
Fee: Vanes -Check with the Current Planning Department
❑ Street Name Change
Fee: $5.00
❑ Extension of Final Approval
Fee:$566.00
Ll Site Plan Advisory Review
NO FEE
❑ Addition of Permitted Use
Fee. $500.00 + $50.00 sign posting fee + $.75 for each APO label
Revised November 18, 2014 2 PDP Submittal Requirements
City of
F6rt Collins
CCOvwrAtA r-5 owrl
DEVELOPMENT REVIEW: I"�( 3 0)) 5
APPLICATION FORM
For Office Use Only
Date Submitted 11*t�Le Current Planning File # f7WI60CA-2- Planner'�P,CGBt
Project information I Site/Area Information
Project Name: EI e kaw dau(4 Tlu Qc rGw%
Project Description (Choose type of request fto6 th list on the back):
C�A��r.G mS U Se- C f4 %'Le A
P\„rfT
Location Description/Project Address:
1 leae 4ye . F+ &Iii� (O
Major Cross Streets: Se u'r k r II Ie�,Ttrt TV -
Zone District: M rh
Parcel Number: 36 Lq 1 - 00 - 9
Building/Unit Information
Residential: Square Feet
Commercial: �3 4 9� o Square Feet
Industrial: Square Feet
Building Floor Area Ratio: n . 0 q ti
Platted Area: , - `t to FE c ee s
Number of Units:
Single Family Attached: Single Family Detached:
Two Family: Mufti -Family:
Total Number of Bedrooms Rented Separately:
Dates:
Conceptual Review Meeting Date 3 - t 0 - /y
Neighborhood Meeting Date
Hearing Type
Residential Area: _Sq. Ft. Acres
Commercial Area: 8ggz_ Sq. Ft. .i`i Acres
Industrial Area:
Sq. Ft. Acres
Mixed Use Area:
Sq. Ft. Acres
Right of Way Area:
Sq. Ft. Acres
Parking and Drive Area: y?4-73 Sq. Ft. /1,cL Acres
Stormwater Detention Area:
Sq. Ft. Acres
Landscape Area: i 2 3 icj
Sq. Ft.
Open/Other Areas:
__L7E_Acres
Sq. Ft. Acres
Gross Area: '45-21<Z
Sq. Ft. / .9 Acres
Floor Area Ratio: r . o r q
Gross Density: Net Density
Owner Information
Name: E (de; (na,u5 AcLu 1t ba4 L n c_
Address: bos 5. Sh;rfr}s 5+
City: -
Phone
ADDlicant Information
Name: ' a W . /-
Organization Name: I)a., n;< Ge ..l
Contact: %ntAr+v. 1A).Tha,,w,r
Address: L0S 5 5 h.,- 1,4 s Si
City cote+ G I l; vn z State: (n Zip: V �"2 i
Phone: 170 - ci U-011 39 Email: l,A.,r�r 4 i m%�COMrast. ne
Preferred Method of Contact: e r"A,' I
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): lit
Address: (oOS 5, 5h;e(d5 S+reet Fgrf 9051aI
Telephone: q -70 — ,19 3- 0 q 3S,
Signatur�j.(and title showing authority to sign, if applicable)
YJ�' �C�—O✓ �r rs•c� �fi. K (deg� c�or;
':;� CERTIFICA TIONMUSTBE SIGNED. 4�7
Community Development & Neighborhood Services - 281 N College Ave - Fort Collins, CO 80522-0580 A