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HomeMy WebLinkAboutApplication FOR OFFICE USE ONLY O r Case No.: <> i Date Submitted: U 4-3 CITY OF COLLEGE STATION Planning car Dewkpment Srrvice 'OS PRIVATE IMPROVEMENT IN PUBLIC ROW PERMIT (PIP) MINIMUM SUBMITTAL REQUIREMENTS kZ$150 PIP permit application and review fee Attach 4 copies of a facility layout plan, which may include the following: Location, identification, and dimensions of ROW and pavement edge/curb) V ocation of all proposed improvements Location of all public utilities (existing) - dimensioned from right-of-way or back of curb, material, size If applicable, the facility layout plan must include the following (these may be drawn on separate sheets): n A signage plan - include dimensions of sign(s), location from back of curb, materials, elevation drawing H Drainage and/or erosion control plan Proposed waterway alterations with supporting drainage report LJ Landscape plan showing the location and type of plantings (existing and proposed, both common names and scientific) n The cost estimate for relocating any public facilities associated with the work _ An electrical plan LJ Irrigation/Plumbing plan (must be sealed) ❑ A Structural plan showing details with anchoring, attachment, and material description (must be sealed) n Private utility, plan-dimensioned from right-of-way or back of curb, material, size �� Attach one copy of the following: 4," Indemnity agreements from abutting fee owners APPLICANT/PROJECT MANAGER'S INFORMATION (Party responsible for completion of all work associated with the project): Name X4 Vle! &A ciA /JEFF E-Mail XGkac`iPc t STUDePTHO 051/•-1• CON1 Street Address &S I-As Q i S Pectl.In1CkJ 51/4)1 re- Li0v j`'' �' Srvo�✓7.,���c'- c City fksT?PI State 17( Zip Code i C 7-H., Phone Number 52- 132- 1000 Fax Number 512- 13- Zi-150 �}?`1 44995- Z3 PARTY RESPONSIBLE FOR MAINTENANCE (if party is a group, please provide information for contact person): Name E-Mail Street Address City State Zip Code Phone Number Fax Number IDENTIFY THE FOLLOWING: The total valuation of the work: $ 15; L`L0 The total valuation of the signage: $ Estimated cost of future relocation of improvements: $ I ; Te0 °� The total square footage of the site: ice-) .se ¢ �1 � b Slp 1-Aug-02 1 of 4 The total linear feet of water lines crossing under paved road: IDENTIFY THE TYPE OF WORK TO BE PERFORMED: ❑ Awning Structural Contractor: ❑ Benches Number of Benches ❑ Bike racks Number of Bike Racks: ❑ Cafe *Structural Contractor: Canopy *Structural Contractor: ❑ Demolition Structural Contractor: ❑ Electrical Master Electrician: ❑ Facade Structural Contractor: ❑ Irrigation system State Licensed Irrigator: ❑ Landscaping *Landscape Architect/Company: ❑ Masonry fence *Structural Contractor: ❑ Sign(s) *Sign Contractor: ❑ Waterway Alterations Design Engineer: ❑ Wood fence *Structural Contractor: ❑ Other (please describe): Identify party to perform this work: *The starred items may not require that structural contractors, sign contractors, or landscapers perform the work- contact applicable City Departments for determination I hereby verify that the information contained in this application is true and complete, to the best of my knowledge. I understand that the City has the authority to inspect the work to be conducted within the public right-of-way at any time. I also understand that this permit may be revoked at any time at the discretion of the City Officials. ,a/9/ A.. can s signa Date applied Conditions of Approval: AAA 8" .7/).1 7 Athorization p City Engineer Date approved 1-Aug-02 2 of 4 0 FOR OFFICE USE ONLY Case No.: I i ifa 4ff" Date Submitted: / .O i) CITY OF COLLEGE STATION Q� PGrnning dr Development Services , PRIVATE IMPROVEMENT IN PUBLIC ROW PERMIT (PIP) MINIMUM SUBMITTAL REQUIREMENTS ►[/$150 PIP permit application and review fee Attach 4 copies of a facility layout plan, which may include the following: CY-Location, identification, and dimensions of ROW and pavement edge/curb) tej>. Location of all proposed improvements Location of all public utilities (existing) - dimensioned from right-of-way or back of curb, material, size If applicable,the facility layout plan must include the following (these may be drawn on separate sheets): ❑ A signage plan - include dimensions of sign(s), location from back of curb, materials, elevation drawing ❑ Drainage and/or erosion control plan ❑ Proposed waterway alterations with supporting drainage report ❑ Landscape plan showing the location and type of plantings (existing and proposed, both common names and scientific) ❑ The cost estimate for relocating any public facilities associated with the work ❑ An electrical plan ❑ Irrigation/Plumbing plan (must be sealed) ❑ A Structural plan showing details with anchoring, attachment, and material description (must be sealed) Private utility, plan-dimensioned from right-of-way or back of curb, material, size Attach one copy of the following: 4? Indemnity agreements from abutting fee owners APPLICANT/PROJECT MANAGER'S INFORMATION (Party responsible for completion of all work associated with the project): Name X4 Vit- (fAe-Gik //EGF 4-4e-A-I E-Mail AG-tiaCiSTUD>=rJTHo\)5frA (OM 444/7-7S1voEl✓7f/Grifi�: Street Address 4 O 1-11-5C►fntIS TWICv�K,-, sal re" 9t)0 City A-,/S77 r- State IX Zip Code 1(611-i& Phone Number 5i2. 132 1000 Fax Number 311 13 2 2,1453 y 79 495- 23oa PARTY RESPONSIBLE FOR MAINTENANCE (if party is a group, please provide information for contact person): Name E-Mail Street Address City State Zip Code Phone Number Fax Number IDENTIFY THE FOLLOWING: The total valuation of the work: $ 15, 000 The total valuation of the signage: $ Estimated cost of future relocation of improvements: $ The total square footage of the site: LOO se Ft pe- bUs 5tp 1-Aug-02 1 of 4 0 The total linear feet of water lines crossing under paved road: IDENTIFY THE TYPE OF WORK TO BE PERFORMED: ❑ Awning Structural Contractor: ❑ Benches Number of Benches ❑ Bike racks Number of Bike Racks: ❑ Cafe *Structural Contractor: Canopy *Structural Contractor: ❑ Demolition Structural Contractor: ❑ Electrical Master Electrician: ❑ Facade Structural Contractor: ❑ Irrigation system State Licensed Irrigator: ❑ Landscaping *Landscape Architect/Company: ❑ Masonry fence *Structural Contractor: ❑ Sign(s) *Sign Contractor: ❑ Waterway Alterations Design Engineer: ❑ Wood fence *Structural Contractor: ❑ Other(please describe): Identify party to perform this work: *The starred items may not require that structural contractors, sign contractors, or landscapers perform the work-contact applicable City Departments for determination I hereby verify that the information contained in this application is true and complete, to the best of my knowledge. I understand that the City has the authority to inspect the work to be conducted within the public right-of-way at any time. I also understand that this permit may be revoked at any time at the discretion of the City Officials. %/*, ..v c n s signa . - Date applied Conditions of Approval: {JGA'f•'OGtt/14r/F� C 6-5 , rt'7'/exi !iu> e LiNa /M 4-12E14. ANL— `( /6 2oo k Authorization . City Engineer Date ppro ed 1-Aug-02 2 of 4