HomeMy WebLinkAboutApplication . ° FOR OFFIC USE ONLY
h Case No.: '7' — 5-1
Date Submitted: ig - � -(0/4
COLLEGE STATION bmitted. �
PUBLIC IMPROVEMENT PERMIT (PIP) APPLICATION
MINIMUM SUBMITTAL REQUIREMENTS
U $150 PIP Permit Application Fee
Attach 4 copies of a facility layout plan, which may include the following:
Location, identification, and dimensions of ROW and pavement edge /curb)
if Location of all proposed improvements
L� 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):
i1/' A signage plan - include dimensions of sign(s), location from back of curb, materials, elevation drawing
J Drainage and /or erosion control plan
ri% Proposed waterway alterations with supporting drainage report
I Landscape plan showing the location and type of plantings (existing and proposed, both common names
and scientific)
NA The cost estimate for relocating any public facilities associated with the work
i /,' An electrical plan
✓/ Irrigation /Plumbing plan (must be sealed)
►7A 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:
rg Indemnity agreements from abutting fee owners (NA / O e v- C1ty Pi" 00 - Nv fsal)
APPLICANT /PROJECT MANAGER'S INFORMATION (Party responsible for completion of all work associated with the project):
Name Sfon ebrids e 1 Assn. E -Mail iv she fr_a,.
Street Address R 0, Box 9 950
City Ce p S -L a f . e'o h State 7)( Zip Code 7784-2- 7 9 50
Phone Number 9 7 9 - 69 5- 9702 Fax Number
PARTY RESPONSIBLE FOR MAINTENANCE (if party is a group, please provide information for contact person):
Name 5iovie bridge! Horneowriers Assn. E -Mail Sew a a ove
Street Address s ee .vbo ve.
City s e c a b o ✓e State see above Zip Code se e .04,170 ve
Phone Number s e e. abo ve Fax Number
IDENTIFY THE FOLLOWING:
The total valuation of the work: $ 3 00 (0 t i h c 1rd.wit P e vw,: L 4w /. c
The total valuation of the signage: $ N/A
Estimated cost of future relocation of improvements: $
The total square footage of the site: ti 70 O rt
The total linear feet of water lines crossing under paved road: No n e
1- Aug 1 of 2
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:
El 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.
$T u Is L� R vo fee J- 1'0 1"1 ew l) is / 1goc -r. h hP
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Applici is signature Date applied
Ce u ditions of Approval:
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Authorization of City Engineer Date approved
1 -Aug -02 2 of 2