HomeMy WebLinkAbout935 LAPORT AVE - Filed P-PERMITS --c_ n?,,,.,__...,
F8tt°Collins Transportation Services F1bc.::zuJdW\.e1;rnd. Cm.-..
� Engineering Department
Permit for Drive Approach / Sidewalk in
Public Right-of-Way
Permit Number: --------!
Approval Date:
Fee Paid: (Minimum of 48 HOURS required for approval)
Applicant Name: 'k& $ f" , :l:x,.o o Qd u. <;
Company: 'J:)0....3,c.J).,,�\ 4 �.,,::.,\ARss <
Phone: _C,.._1_,_,0,,,_·_-_J...,_<k"..=..clo:..--_· -''1'-':i.._,,0,,_·,-1-\---
Address: ) al-) J<,,.,AS:C,;.,, S\.
Contractor Name: fe \, s �. c, Q d,u tt,,
Property Owner's Name: c'.i\'i,<;l\� \.)2)' �"""'Si A
City, State, Zip: / �'?c.;t?Jo �� �Phone: _'3;�'."\�t-:)�--'�· ���£_-__ ::'.:\_._.__<3__,_..(')�� .... L---
Work to be performed by (circle one): Property Owner nsed ROW Contractor)
Is the Contractor licensed and bonded with the City to do work in the public right-of-way? D Yes
Project Address : _q----'-'�=-�-=----"L""-'-""-'-M-'---'"'�'---\-.,_,,e�---------------------
Existing Curb and Gutter D Hollywood
�-J.ollover / Driveover
Vertical
__ Other (Please List)
Pr�os:2-9urb and Gutter Work Pr,QE!.o�dewalk Work
l..dlnstall New Drive Approach � Repair Existing Sidewalk LJ Widen Existing Drive Approach LJ Install New SidewalkLJ Repair Existing w/out Alterations LJ Widen Existing SidewalkLJ Close Existing Drive Approach LJ Repair or Install S/W ChaseLJ Other (Please List)LJ Other�t)-��-
*TRAFFIC CONTROL PLAN SUBMITTED lJ YES 0No
Access To D Arterial Street U Collector Street
�esidential Street LJ State HighwayLJ Other (List) ___ _
(Note: If work is on College Avenue, State Hiqhwav, arterial street, or collector street, a Traffic Control Plan must be submitted and approved by the Traffic
Engineer prior to the City Engineer's approval.)
**WILL TREES, SHRUBS OR OTHER VEGETATION BE DISTURBED DYES�
(Note: If yes, a separate permit must be obtained from the City Forester at no additional charge.)
Sidewalk/ Curb and Gutter (up to 100' -$.30/ foot additional)
___ Sidewalk Chase (each)
___ Driveway up to 15' in width(s)
___ Additional footage in excess of 15' an additional charge of $0.30 per foot
@$25.00 _______ _
@$25.00 _______ _
@$25.00 _______ _
@ $0.30 _______ _
___ Vehicular access to/from a State Highway•
TOTAL FEET
@ $40.00 ______ _
AMOUNT DUE $
"Notwithstanding the foregoing, if any driveway is proposed to be constructed providing vehicular access to or from a State Highway, the permit tee for
such driveway shall be $40. 00 regardless of width or use of the driVeway.
Contractor agrees to provide the City of Fort Collins Engineering Department with an active or continuous surety bond in the amount of $10,000 issued by a surety company authorized to do business in the State of Colorado, upon application. If the property owner performs the work, a concrete license and bond is not required.
Applicant agrees to abide by the most current City of Fort Collins Standard Plans and Specifications and to such special conditions, restrictions, and regulations as may be imposed by the City Engineer. Applicant agrees to telephone the Engineering Inspection Recorder at 221-6609. 24 HOURS PRIOR to any construction in the public right-of-way, Inspections are required before and afterconcrete is placed. Fees are non-refu dable,
APPLICANT'S SIGNATURE: DATE: __,y,:.__-L._/_,_f_· ---'Z"--'--/-
CITY ENGINEER APPROVAL: ------=--------------DATE: --------EXPIRATION: 30 DAYS FROM DATE OF APPROVAL *CITY TRAFFIC ENGINEER APPROVAL:DATE:--------
'*CITY FORESTER APPROVAL: DATE:--------LAST REVISED 11/1/2010
281 North College Avenue• PO Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605 • FAX (970) 221-6378 www.fcgov.com
25.00
25.00
50.00
05/07/2021
Contact City Traffic For Permitting