HomeMy WebLinkAboutApplication(*t/
CITY OF COLLEGE STATION
Home of Texas A&A University'
FOR OFFIC USA ONLY
CASE NO.:
DATE SUBMITTED:
TIME:
STAFF:
MINIMUM SUBMITTAL REQUIREMENTS:
+$350 PIP Application Fee.'
Application completed in full. This application form provided by the City of College Station must be used
and may not be adjusted or altered. Please attach pages if additional information is provided.
❑ Notarized indemnity agreements from abutting property owners.
Attach four (4) copies of a facility layout plan, which shall 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.
❑ A signage plan - include dimensions of sign(s), location from back of curb, materials, elevation
drawing (if applicable).
Drainage and /or erosion control plan (if applicable).
❑ Proposed waterway alterations with supporting drainage report (if applicable).
❑ Landscape plan showing the location and type of plantings - existing and proposed, both common
names and scientific (if applicable).
❑ The cost estimate for relocating any public facilities associated with the work (if applicable).
❑ An electrical plan (if applicable).
❑ Sealed irrigation / plumbing plan (if applicable).
❑ Sealed structural plan showing details with anchoring, attachment, and material description (if
applicable).
❑ Private utility plan- dimensioned from right -of -way or back of curb, material, size (if applicable).
LOCATION OF IMPROVEMENTS:
APPLICANT /PROJECT MANAGER'S INFORMATION (Primary contact for the project):
E - mail
Name t : l s � i-' a " > � �� a'
Street Address
City CO L~ T I AT `t OL I State i X Zip Code 1 6 Phone Number B ) — � Fax Number 1 ,- i
PARTY RESPONSIBLE FOR MAINTENANCE (If party is a group, please provide information for contact person):
Name tO, L A tJ R 4, F, E P, T S E -mail
Street Address R03 t'" A DO,
City State A 1 Zip Code i.
Phone Number
Fax Number
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IDENTIFY THE FOLLOWING:
The total valuation of the work: $
The total valuation of the signage: $
Estimated cost of future relocation /remodel of improvements:
The total footage of the site:
The total linear feet of water lines crossing under paved road:
IDENTIFY THE TYPE OF WORK TO BE PERFORMED:
❑ Awnings 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: A V L POS L p h, 1
*The starred items may not require that structural contractors, sign contractors, or landscapers perform the work -
contact applicable City Departments for determination
1 hereby verify that the information contained in this application is true and complete, to the best of my knowledge. 1
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.
Signature and title Date
Conditions of Approval:
Authorization of City Engineer
Date approved
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