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Home My WebLink AboutApplication • FOR OFFICE USE ONLY Case No.: 0-7--(4 Date Submitted: j1( 1101 (iikff° ID :445 CITY OF COLLEGE STATION Planning er Development Services PRIVATE IMPROVEMENT IN PUBLIC ROW PERMIT (PIP) .� . MINIMUM SUBMITTAL REQUIREMENTS tAi $150 PIP permit applicati 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) 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 a.►�'"' 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 Z. An electrical plan r%IP Irrigation/Plumbing plan (must be sealed) 1-11PA 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 cig) Attach one copy of the following: Indemnity agreements from abutting fee owners APPLICANT/PROJECT MANAGER' FORMATION (Party responsible for completion of all work associated with the project): Name DA LL S. 6 ' eft 1-Y E-Mail V L /055f- . epv4 Street Addres 1 0111 iAl C- `-i' C,t 4 tj 7,s-'City Uait,c. State -1-8)4*S Zip Code ? 1 B 4 Z Phone Number i 3 ---2s? Z-"11 101 x 1 Fax Number 1 ( 3 „ 7s2 Z- Z 6 PARTY RESPONSIBLE FOR MAINTENANCE (if party is a group, please provide information for contact person): Name S MA e E-Mail Street Address City State Zip Code Phone Number Fax Number IDENTIFY THE FOLLOWIN • The total valuation of • $ The total valuation of the signage: $ 16//4 Estimated cost of future relocation of improvements: $ 1 of 1-Aug-02 The total square footage of the site: b Z 0 69650, 1-c' The total linear feet of water lines crossing under paved road: IDENTIFY THE TYPE OF WORK TO BE PERFORMED: Awning Structural Contractor- � S r0 Ell, Benches Number of Benches ❑ Bike racks Number of Bike Racks: ❑ Cafe *Structural Contractor: 5 Canopy *Structural Contractor: t?04.4A6 Gr705444c_rye-iV ❑ Demolition Structural Contractor: ❑ Electrical Master Electrician: ❑ Facade Structural Contractor: 41 Irrigation system State Licensed Irrigator: PPE LANs Landscaping *Landscape Architect/Company: 3:43 ._, ❑ 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. nderstand that the City has the authority to inspect the work to be conducted within the public right-of-way at any tim I also understa : i at this permit may be revoked at any time at the discretion f the City Officials. Applicant's signature Date ap lied Conditions of Approval: Authorization of City Engineer Date approved 2of4 1-Aug-02 INDEMNIFICATION DATE: 7i f Z , 20 0 7 INDEMNITOR: r ( z L- . INDEMNITOR'S MAILING ADDRESS: P' ?-6•7° 1 4( (including county) 7 4-5, ` 1Z4 INDEMNITEE: City of College Station INDEMNITIEE'S MAILING ADDRESS: 1101 Texas Avenue (including county) Brazos County College Station, Texas 77842 LEGAL DESCRIPTION OF PROPERTY: To the fullest extent permitted by law, I/we the owners of the property described above (Indemnitor), shall indemnify, hold harmless, and defend the Indemnitee, its officers, agents, and employees from and against any and all claims, losses, damages, causes of action, suits and liability of every kind, including all expenses of litigation, court costs, and attorney's fees, for injury to, or death of, any person, for damage to any property, or for any breach of contract, arising out of or in connection with the installation, operation, and mainter nce of the facilities thorized by the Private Improvement Permit issued by Indemnitee to C)1EI ( 511P---"cf N , including, but not limited to, any premise defect or special defect arising out of or in connection with said facilities. This Indemnification shall apply regardless of whether such injuries, death, damages, or breach are caused by the NEGLIGENCE or omission of Indemnitee, the contractor installing said facilities, or any third party. 3 of 4 1-Aug-02 All provisions of this Indemnification shall be binding upon and inure to the benefit of the undersigned and the City of College Station, Texas, and their respective successors and assigns. Property Owner Property Owner Printed Name 140.04-1,E , cgtheAl L( Printed Name THE STATE OF TEXAS § § ACKNOWLEDGMENT COUNTY OF § This instrument was acknowledged before me on the day of , 20 by Notary Public in and for the State of Texas THE STATE OF TEXAS § § ACKNOWLEDGMENT COUNTY OF N'Zf S § This instrument as ac nowledged before me on the 13 day of �J,�u , 2001 , by Ell tat jW 'lt'vt1 %/ t altha Notary Public in and for the State of Texas f t .ue• GINA SOUTHERLAND '2 ,i� �: NOTARY PUBLIC i*'.•'�` f*' State of Texas +Lf pFIVComm. Exp. 08-30-2009 4 of 4 1-Aug-02 Q 0 FOR OFFICE USE ONLY Girrffillill Case No.: 01---t4 Date Submitted:_ 2 01 CITY OF COLLEGE STATION Planning d Development Services PRIVATE IMPROVEMENT IN PUBLIC ROW PERMIT (PIP) MINIMUM SUBMITTAL REQUIREMENTS $150 PIP permit applic� at+er! and review fee Attach 4 copies of a facility layout plan, which may include the following: llLocation, identification, and dimensions of ROW and pavement edge/curb) 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 (57 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: ic J Indemnity agreements from abutting fee owners APPLICANT/PROJECT �t MANAGER' FORMATION (Party responsible for completion of all work associated with the project): Name TA Lt `l. 61 G ILL-y E-Mail IVB ®C, '1�Q8(- • Cowl Street Addr/eIs t m 11.1 U �S`Y M ( EA. A ((. Z t� City tft.trz•Viy`S State `f`ty Zip Code -7 -141 4 Z Phone Number 1T3 3 --)g 2.-71 1 -1 °I x 1 Fax Number 1 ( 3 ` 7s3 7,---2.".Z 6 PARTY RESPONSIBLE FOR MAINTENANCE (if party is a group,please provide information for contact person): Name C PHA e E-Mail Street Address City State Zip Code Phone Number Fax Number IDENTIFY THE FOLLOWING: The total valuation of the work: $ The total valuation of the signage: $ 11/4- A Estimated cost of future relocation of improvements: $ —'2 --- I-Aug-02 1-Aug-02 I of 4 C Q The total square footage of the site: b Z_l ®m (-1- The total linear feet of water lines crossing under paved road: IDENTIFY THE TYPE OF WORK TO BE PERFORMED: Vis Awning Structural Contractor~ 2tects S'P1Quua !a-7./ Benches Number of Benches t ❑ Bike racks Number of Bike Racks: ❑ Cafe *Structural Contractor: Canopy *Structural Contractor: gt4A6 crizitc-rl-o ❑ Demolition Structural Contractor: ❑ Electrical Master Electrician: ❑ Facade Structural Contractor: Irrigation system State Licensed Irrigator: Ptthil.FAEktrL j VC Landscaping *Landscape Architect/Company: T,cri3 f ❑ 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. nderstand that the City has the authority to inspect the work to be conducted within the public right-of-way at any tim I also understa : � at this permit may be revoked at any time at the discretion f the City Officials. Applicant's signature Date ap lied I � Conditions f Approval: / arca •- Dir lu.-.Rsc,� ti 1,)to 3 V-. 3 / C7 Authorizatio of City Engineer Date approve 1-Aug-02 T`►79 2 of 4 INDEMNIFICATION DATE: 171 , 20o7 INDEMNITOR: G- `N-R)1S aeZ ' INDEMNITOR'S MAILING ADDRESS: p. o . B-ey 1 44( (including county) S -14-5� -71�9'� INDEMNITEE: City of College Station INDEMNITIEE'S MAILING ADDRESS: 1101 Texas Avenue (including county) Brazos County College Station, Texas 77842 LEGAL DESCRIPTION OF PROPERTY: To the fullest extent permitted by law, I/we the owners of the property described above (Indemnitor), shall indemnify, hold harmless, and defend the Indemnitee, its officers, agents, and employees from and against any and all claims, losses, damages, causes of action, suits and liability of every kind, including all expenses of litigation, court costs, and attorney's fees, for injury to, or death of, any person, for damage to any property, or for any breach of contract, arising out of or in connection with the installation, operation, and mainter ngeA of the facilities,ayythorized by the Private Improvement Permit issued by Indemnitee to el'€r tom" , including, but not limited to, any premise defect or special defect arising out of or in connection with said facilities. This Indemnification shall apply regardless of whether such injuries, death, damages, or breach are caused by the NEGLIGENCE or omission of Indemnitee, the contractor installing said facilities, or any third party. 1-Aug-02 3 of 4 All provisions of this Indemnification shall be binding upon and inure to the benefit of the undersigned and the City of College Station, Texas, and their respective successors and assigns. Property Owner Property Owner eu.,1 Printed Name viAmuk4triti cl . f GP Printed Name THE STATE OF TEXAS § § ACKNOWLEDGMENT COUNTY OF § This instrument was acknowledged before me on the day of , 20 , by Notary Public in and for the State of Texas THE STATE OF TEXAS § § ACKNOWLEDGMENT COUNTY OF t`Z..OS § This instru ntas acknowledged before me on the a 3 day of I,LGi� , 2001 by II�CI . ,1( c t 11 -11)I lir VIAME, otary Pu• is in and for the State of Texas SPAY»o•. GINA SOUTHERLAND o,. pct a, u, .o NOTARY PUBLIC %A.:$..4,-,. State of Texas Fof 'Comm. Exp. 08-30-2009 1-Aug-02 4 of 4