HomeMy WebLinkAbout819 ARBOR AVE - Filed P-PERMITS - (2)City of
ktColli~
Planning, Development & Transportation
Engineering Department
281 North College Avenue
P.O. Bo x 580
Fort Collins, CO 80522 .0580
970 .221 .6605
970 .221.6378 -fa x
fcgo v.comle ng/nee ring
REVOCABLE ENCROACHMENT PERMIT APPLICATION
in the Public Right-of-Way
(Minimum of 5 business days required for approval)
ENCROACHMENT SUBMITTAL INFO: All submittals MUST indude the following with this application :
1. A sketch plan that shows the proposed location(s) of the encroachment(s) and locations of the property line(s),
sidewalk(s), and street(s). A licensed surveyor may be required to accurately locate property boundary(s).
2. Applicants for an encroachment permit that will occupy any parking spaces in the downtown area must notify the City
of Fort Collins Parking Services Department, at 215 N. Mason Street, (970) 221-6617.
Applicant Name: Brian Newell Phone : _....L(9=7c..::O:.L) --'4=20-:.....:..7 4...:.0=9"'--_
Company: ___________________ Email : bsnewell@gmail.com
Address: 819 Arbor Ave _City:. _ _,_F..,ort!.Ll,C..,,o"'U""jn.,.s __ state:_GQ_Zip: 80526
Sub-Contractor: ____________ _ _ ______ Phone : ________ _
Address:. ________________ _____ C,ty : ________ State: __ Zip: ___ _
Location of Encroachment (Address): _,8"-1..,9"-A'-"-'rb~o:<.:r....,A_,_v.:..:e:::._ _____________________ _
TypeofRight-of-waylmpacted: 621 Street Sidewalk D Other: _______ _
Purpose of Encroachment: Installation of solar system with battery and application of epoxy floor coating -need to dean out
garage for mstallation/apphcalion. I am getting ankle surgery on 9/28/21 .
Dates of Encroachment: From: 09/ 0112021 To: 01 / 04/2022 or Until Revoked (permanent type items)
This pennit is non-transferable, Is personal to the Applicant and Is non-assignable. Applicant agrees that any
transfer of ownership of the business holding the pennlt will tennlnate this pennit and require a new application to be
filed by the new owner.
Applicant has read this permit and agrees to abide by the City of Fort Collins Municipal Codes, Standard Plans and
Specifications and to such special conditions, restrictions, and regulations as may be imposed by the Engineering Department.
APPLICANT SIGNATURE : .////JJ DATE: 08/02/2021
Encroachment Permit Type: D Minor D Major
Permit Fees: Application Fee: $. _____ _ Inspection Fee : $. _____ _ Total Due: $. _____ _
Conditions:. ____________________________________ _
CITY OF FORT COLLINS APPROVAL: _______________ DATE: _______ _
Revised: 10/15/2018 Penni! Number: _________ _
12/31/2021
x
10.00 10.00 20.00
Spoke with Brian, 8/17/21, he will be reapplying for permit if job exceeds date of 12/4/21. LF
8/17/2021
21-9074
Extended to 12/31/2021 - Final Extension per R. Boehle
FOUR SEASONS FIRST FILING
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