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Home My WebLink AboutPOUDRE VALLEY PLAZA WTF (AT&T) - PDP - 6-09 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONPoudre Valley Plaza /AT&T Wireless Telecom Facility Legal Description TRACT A. POUDRE VALLEY PLAZA P_U.0_ ACCORDING TO THE PLAT THEREOF RECORDED ON APRIL 4. 1996, AT RECEPTION NO. 96023645 AND SURVEYOR'S AFFIDAVIT OF CORRECTION RECORDED XNE 7, 1996 AT RECEPTION NO. 96040610 OF THE- LARIMER COUNTY, COLORADO RECORDS. EXCEP nNO THEREFROM THAT PORTION CONVEYED BY DEED RECORDED NOVEMBER 7. 1996 AT RECEPTION NO. 96080713. COUNTY OF LARIMER, STATE OF COLORADO. 6aWireless Telecom New Facility Review Checklist itvof Fort Collins Submittal Checklist: Planning and Zoning Wireless Telecommunications Equipment (New Facility) Review The following information is required to be submitted, unless waived, with all applications. Any item waived must be dated and initialed by a planner with the City of Fort Collins Planning & Zoning Department. '// Application form, $3,887.00 filing fee (plus .75 cents for each APO label), and $50.00 sign posting fee. Transportation Development Review Fee — please contact Engineering / at 221-6605 for information. V Two (2) lists of names and address of all owners of record of real property within at least 800' of the property lines for the parcel on which the project is proposed, exclusive of public rights -of -way. One (1) list typed on mailing labels and the other list a reproducible copy of those labels. Jl Legal description of property (2 copies) on 8'/z" x 11" sheet. Planning Objectives (10 copies) Architectural Elevations (5 copies — folded) Site Plan (10 copies — folded) Utility Plans (water tap plan — how will water be provided to site?) (6 copies — unfolded) Other information the Director may require: **Note: This checklist is for a brand new facility including the pole and ground equipment. .t - t,J � �� i> fcz)z) I JU to L� A PCB G i t7.-Qz ,,:3t e l 5e-P Revised December 11, 2007 Wireless Telecom New Facility Review Checklist Accela Automation: ShowPay' tai140 - T8108-D Page 1 of 1 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 *: B0900490 Project Name (Subdivision): 6-09 Application Type: Building / Misc / General / NA Receipt No.: 138697 Payment Method Ref Number Amount Paid Payment Date Cashier ID Comments Check 1284 $65.00 01/29/2009 10:35:22 AM MSTEVENS MATZKO CONSULTING( Owner Info.: Work PAYMENT FOR THE DEVELOPMENT REVIEW APPLICATION ($4156.75 Description: CHK#6438) AND THE TRANSPORTATION DEVELOPMENT REVIEW FEE ($65 CHK#1284), PROJECT NAME: POUDRE VALLEY PLAZA / AT&T WTF (WIRELESS TELECOMMUNICATION FACILITY) TYPE 1 PDP T8108-D Version 4.0 https://dtsweb02.fcgov.comloperations/permit/index.cfm?FUSEACTION=ShowPayDetail... 1/29/2009 Accela Automation: ShowPay►'letai140 - T8108-D Page 1 of 1 RECEIPT CITY OF FORT COLLINS NEIGHBORHOOD A BUILDING SERVICES 281 N. COLLEGE AVE. Phone:970-221-6760 P. O. BOX 580 Fax:970-224-6134 Application *: B0900490 Project Name (Subdivision): 6-09 Application Type: Building / Misc / General / NA Receipt No.: 138698 Payment Method Ref Number Amount Paid Payment Date Cashier ID Comments Check 6438 $4,156.75 01/29/2009 10:37:08 AM MSTEVENS DGCR CHK#6438 Owner Info.: Work PAYMENT FOR THE DEVELOPMENT REVIEW APPLICATION ($4156.75 CHK#6438) Description: AND THE TRANSPORTATION DEVELOPMENT REVIEW FEE ($65 CHK#1284), PROJECT NAME: POUDRE VALLEY PLAZA / AT&T WTF (WIRELESS TELECOMMUNICATION FACILITY) TYPE 1 PDP T8108-D Version 4.0 https://dtsweb02.fcgov.comloperations/permit/index.cfm?FUSEACTION=ShowPayDetail... 1 /29/2009 Transportation Development Review Fee Date Received/ Paid L l`�20A Total Amount Paid $ IPdj ' Project Name: %q>4A1L\644q PidlAd Project Location: Jr Date:,;�'nII�ZX7 n Type of Submittal CAMVU Please indicate the type of application submitted by checking the box preceding the appropriate request(s). Overall Development Plan (ODP) Final Development Plan (FDP) This fee includes 2 rounds of review Additional round of review Annexation $20 x Minor Amendment Major Amendment Re -zone Modification to Land Use Code Fee structure amount due $500 each $1000 each $ 500 each acres = + $250 = S250 each $2,500 each $200 each $200 each Wireless Telecommunication Equipment (WTE) $65 each Road Projects acres (of roadway) X $250 = Vacation of Easement(s) *** # of vacations _ X S400 = Vacation of Rights) -of -Way *** # of vacations _ X $800 = Dedication of Easement(s) and/or Right(s)-of-Way **s # 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 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 If this fee amount exceeds $30,000 then the fee amount shall be adjusted with the following formula: $30,000 + Y: (the amount over 30.000 ) _ The maximutn 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 $6!;, Land Use Information: Total number of single family detached units: Total number of multifamily/other residential units: Q Total number of certified affordable dwellingunits (a copy of the letter/ authorization is required): U Non residential building square footage: sq ft Gross Acreage: lag ' General Information: . r Owners Name(s): ',AMAJ4IJtAwJ14a 000)0 i►.Mb u LAP I t 4�/ u n Street address: l oZ 7 tAi • t� Imo. City/State/Zip: Gr�aWLtrl . 0 0SZ(� Telephone: f-1V/4rV,6m: Applicants/ Consultants Firm Name: Contact: MtG'%&[.I RJOALkn Street address: 1b �&x 36ogo City/State/ Zip: Att d .A `Je�b m6r4�) Telephone:t7o. y765314ax: 974 4?efi-q'F 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, 1 hereby permit City officials to enter upon the property for purposes of inspection. Name (please print): `r Signature: Telephone: f 70 f �„sj7 Zp cc: Christie White, Engineering Development Review Engineering D1 olaDol Fort Collins Current Planning Development Review Application For Office Use Only �I�_� Date Submitted -� Current Planning File # Planner v//Yiur_bt-�- Project Name: Poudre Valley Plaza /AT&T Wireless Telecom Facility Project Location (Street Address): 1027 W. Horsetooth Rd. Land Use Information: Gross Acreage/Square Footage: 705 s.f. Existing Zoning: Pam_ NC� Proposed Use: WTF Total Number of Dwelling Units: n/a Total Number of Affordable Dwelling Units: n/a Percentage of Affordable Dwelling Units (out of total): n/a Total Commercial Floor Area: n/a Additional Information (if Applicable): Project Description: Install new equipment shelter and 55' stealth pole within new masonry enclosure finished to match nearby buildings. (Choose the type of project from the list on the back) General Information: List all property owners having a legal/equitable interest in the property (attach separate sheets if necessary). Owner's Name(s): Poudre Valley Holdings LTD, LLLP Street Address: 1027 Horsetooth Rd City/State/Zip: Fort Collins, CO 80526 Telephone: 970 266-1500 Fax: Applicant's/Consultant's Name: Michael Matzko Name of firm: TerraTecTonics, for AT&T Mobility Contact: Michael Matzko Street Address: PO Box 3600 City/State/Zip: Avon, CO 81620 Telephone: 970 471-5320 Fax: 970 949-9958 E-mail: matzko@vail.net 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 j purpose of inspection, and if necessary, for posting of public notice on the property. Name (Please PRINT): Michael Matzko Address: PO Box 3600, Avon, CO 81620 Telephone: 970 471-5320 Signature: (aJr d_title s win ut ty to sign, if applicable) WZ A b CERTIFICATION MUST BE SIGNED. G 71