HomeMy WebLinkAboutApplication FOR OFFICE USE ONLY
Case No.: (n.4<\
iif- `414"
Date Submitted: L\ —5 O7
-09)\
CITY OF COLLEGE STATION L[�C4
Planning&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:
❑ 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
I I 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)
n 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:
❑ Indemnity agreements from abutting fee owners
APPLICANT/PROJECT MANAGER'S INFORMATION (Party responsible for completion of all work associated with the project):
Name a letIG, � 1,3yen L E-Mail PA'Cooc_ C PAAA , ,Ah.F T
Street Address .2-b0 / pf4Q.v /4/1i-fc/e/1 'K1,1 y S
City C-d(9€ i':"4--/cto.n State T!< Zip Code 77/? y
Phone Number 6a 3 ---/ q ac / 2_f gr 7685 Fax Number 70-.27 4/0
PARTY RESPONSIBLE FOR MAINTENANCE (if party is a group, please provide information for contact person):
Name em e IPS�lM e ' ' E-Mail /► ✓e a dc q f5, Ca.ti(
Street Address a I o I !-(4,2Ucy Ai,fc /e (/
City C //42j e St t tra y\ State rx Zip Code 77 / ô
Phone Number 6e13` /'e-)6 Fax Number 7‘q-2 7
IDENTIFY THE FOLLOWING:
The total valuation of the work: $ I/66(21
The total valuation of the signage: $
Estimated cost of future relocation of improvements: $ /`I/4
1-Aug-02 1 of 4
The total square footage of the site:
The total linear feet of water lines crossing under paved road: /v/At
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:
I I 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: ACL _ D�lAS� cop 07* .
��
*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.
_ '1/5-/o--7
Applicant's signature Date applied
Conditions of Approval:
Authorization of City Engineer Date approved
1-Aug-02 2 of 4
3 set,
The total square footage of the site:
The total linear feet of water lines crossing under paved road: /1/4)/A
IDENTIFY THE TYPE OF WORK TO BE PERFORMED:
El Awning Structural Contractor:
❑ Benches Number of Benches
f ❑ Bike racks Number of Bike Racks:
❑ Cafe *Structural Contractor:
❑ Canopy *Structural Contractor:
❑ Demolition Structural Contractor:
i•
El 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:
!4 Other(please describe Identify party to perform this work: ACL _ OL,IAS� CoNS7*
*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.
ade
-as/Aaile7r1I law L(/.5-/O7
Apt icant's signature Date applied
Conditions of Approval:
q/11Jo7
Authorizati nof City Engineer Date approed
1-Aug-02 2 of 4
J
The total square footage of the site:
The total linear feet of water lines crossing under paved road: /‘-)
�4
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:
n Irrigation system State Licensed Irrigator:
I I Landscaping *Landscape Architect/Company:
n Masonry fence *Structural Contractor:
Sign(s) *Sign Contractor:
Waterway Alterations Design Engineer:
Wood fence *Structural Contractor:
M' Other (please describe Identify party to perform this work: A c ` _ Dh' S6 vr,ST°P
*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.
L(/5-
Applicant's signature Date applied
ar
Conditions of Approval: ` �)
•
4,1
Authorization of City Engineer Date approved
1-Aug-02 2 of 4
04/20/2007 13:36 FAX 979 764 3452 COLLEGE STATION PUB.UTL. C J002
FOR OFFICE USE ONLY
Case No.:O'gl
Date Submitted: LA����
CITY OF Co -:EGE STATION.. d
PRIVATE IMPROVEMENT IN PUBLIC ROW PERMIT (PIP)
MINIMUM SUBMITTAL REQUIREMENTS
[V $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)
❑ 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:
❑ Indemnity agreements from abutting fee owners
APPLICANT/PROJECT MANAGER'S INFORMATION (Party responsible for completion of all work associated with the project):
A
Name a`e001 bt))16ikt-f E-Mail PAYC COL e5 PArik c A►6-T-
Street Address ..2-I0 j plQ 1 v EY "I t fc y _S
City > e-0/f,7 ,..< 4.74/.6./1 State --ric Zip Code 77g y a
Phone Number 6'4 3 -l h ' /2-r g- 7685 Fax Number 70-27 y
PARTY RESPONSIBLE� FOR MAINTENANCE (if party is a group,please provide information for contact person):
^
Name )(21_ eon /.+P� 1M e� �S' E-Mail /r e do frS Co.'+'1
Street Address a/ o! !-f'Aj/FY /4(1,e4e// X 7 -�
City ( I/Q S tq 4(Eyk State Y1c — Zip Code 77 S Y
Phone Number 6i 3-/16 6 Fax Number 7 x`'"27 Y�
IDENTIFY THE FOLLOWING:
The total valuation of the work: $ /, //4-)02.9-2-
The total valuation of the signage: $_���
Estimated cost of future relocation of improvements: $ /A
1-Aug-0211/1"4-9w(17 1 of 4
1`-- 5v`/f
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