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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 6-7