HomeMy WebLinkAbout224 CANYON AVE - Filed P-PERMITS -Kyle Chapin Digitally signed by Kyle Chapin
Date: 2021.02.01 07:57:42 -07'00'
Planning, Development & Transportation
Engineering Department
281 North College Avenue
P.O. Box 580
Fort Collins, CO 80522.0580
970.221.6605
970.221.6378 - fax
fcgov.com/engineering
REVOCABLE ENCROACHMENT PERMIT APPLICATION
in the Public Right-of-Way
(Minimum of 5 business days required for approval)
ENCROACHMENT SUBMITTAL INFO: All submittals MUST include 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: Kyle Chapin Phone: 303-842-5029
Company: Custom Restoration Inc. Email: Kyle@Customrestorationinc.com
Address: 6430 E 50th Ave. City: Commerce City State: CO Zip: 80022
Sub-Contractor: Phone:
Address: City: State: Zip:
Location of Encroachment (Address): 224 Canyon Ave.
Type of Right-of-way Impacted: Street Alley Sidewalk Other:
Purpose of Encroachment: We will be using a boom lift to access elevated work.
Dates of Encroachment: From: / / To: / / or Until Revoked (permanent type items)
12-31-20 To 2-5-21
This permit is non-transferable, is personal to the Applicant and is non-assignable. Applicant agrees that any
transfer of ownership of the business holding the permit will terminate this permit 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.
2.1.21 APPLICANT SIGNATURE: DATE:
Encroachment Permit Type: ■ Minor Major
Permit Fees: Application Fee: $ 10.00 Inspection Fee: $ 10.00 Total Due: $ 20.00
Conditions:
CITY OF FORT COLLINS APPROVAL: Leslie Feeney DATE: 2/1/2021
Revised: 10/15/2018 Permit Number: 21-9004