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/7 FOR OFFIC U O , Y ! '� _ / d CASE NO I f I / / I . V ' D ATE SUBMITTED: loliTAILP" TIME: 1 CITY or COLLEGE Terri. STATION SITE PLAN APPLICATION STAFF: Home of TexusAe4M Univerarty' r Ar GENERAL MINIMUM SUBMITTAL REQUIREMENTS: El $932 Site Plan Application Fee. El $350 Non - Residential Architectural Standards / Northgate Building Review Application Fee (if applicable). El $600 (minimum) Development Permit Application / Public Infrastructure Review and Inspection Fee. Fee is 1% of acceptable Engineer's Estimate for public infrastructure, $600 minimum (if fee is > $600, the balance is due prior to the issuance of any plans or development permit). El Application completed in full. This application form provided by the City of College Station must be used and may not be adjusted or altered. Fourteen (14) folded copies of site plan. O ne (1) folded copy of the landscape plan. ne (1) copy of the following for Non - Residential Architectural Standards building review or Northgate Building Review (if applicable). p Building elevations to scale for all buildings. © A list of building materials for all facade and screening. © Color samples for all buildings or list colors to be used from the approved color palette. p Electronic copy of Site Plan e- mailed to csuelectdesign @cstx.gov. , fTw wo (2) copies of the grading, drainage, and erosion control plans with supporting drainage report. o (2) copies of the Public infrastructure plans and supporting documents (if applicable). El Traffic Impact Analysis or calculations of projected vehicle trips showing that a TIA is not necessary for the proposed request (if applicable). l7f The attached Site Plan Non - Residential Architectural Standards Building Review and Northgate Building Review checklists (as applicable) with all items checked off or a brief explanation as to why they are not check off. Date of Optional Preapplication or Stormwater Management Conference JUNE 6, 2012 NAME OF PROJECT BLACK DENTAL OFFICE _ ADDRESS 219 ROCK PRAIRIE LEGAL DESCRIPTION (Lot, Block, Subdivision) LOT 6, BLOCK 4 EDELWEISS BUSINESS CENTER APPLICANT /PROJECT MANAGER'S INFORMATION (Primary contact for the project): Name JOE SCHULTZ, P.E. E -mail /oeschultz84 @verizon.net Street Address 2730 LONGMIRE DRIVE, SUITE A City COLLEGE STATION State TEXAS Zip Code 77845 Phone Number 979- 764 -3900 Fax Number 979- 764 -3910 PROPERTY OWNER'S INFORMATION Name BLACK FAMILY REAL ESTATE, LLC E -mail Street Address 4600 VALLEY BROOK CIRCLE City COLLEGE STATION State TEXAS _ Zip Code 77845 Phone Number 979- 695 -8000 Fax Number 979.314.9702 1/11 Page 1 of 11 ARCHITECT OR ENGINEER'S INF( MATION: Name LEON WILLIAMSON E -mail wilgrp @txcyber.com Street Address 106 EAST 26TH STREET BRYAN State TEXAS Zip Code 77803 City _ - - Phone Number 979- 775 -1778 Fax Number OTHER CONTACTS (Please specify type of contact) Name E -mail Street Address City State _ Zip Code Phone Number Fax Number Current zoning AP _ Present use of property VACANT LOT Proposed use of property DENTAL OFFICE Number of parking spaces required 34 Number of parking spaces proposed 42 Is there Special Flood Hazard Area (Zone A or Zone AE on FEMA FIRM panels) on the property? f, Yes r No This information is necessary to help staff identify the appropriate standards to review the application and will be used to help determine if the application qualifies for vesting to a previous ordinance. Notwithstanding any assertion made, vesting is limited to that which is provided in Chapter 245 of the Texas Local Government Code or other applicable law. Is this application a continuation of a project that has received prior City platting approval(s) and you are requesting the application be reviewed under previous ordinance as applicable? '; Yes r No If yes, provide information regarding the first approved application and any related subsequent applications (provide additional sheets if necessary): Project Name: City Project Number (in known): Date / Timeframe when submitted: 1/11 Page 2 of 11 MULTI - FAMILY RESIDENTIAL PARKLAND DEDICATION (Fees due prior to the issuance of a Building Permit) Total Acreage N/A # of Multi - Family Dwelling Units Floodplain Acreage N/A N/A X $1646 = $ N/A Housing Units N/A N/A # of acres in floodplain N/A # of 1 Bedroom Units N/A # of acres in detention N/A # of 2 Bedroom Units N/A # of acres in greenways N/A # of 3 Bedroom Units Date dedication approved by Parks & N/A # of 4 Bedroom Units N/A Recreation Advisory Board COMMERCIAL FOR 2 BEDROOM UNITS ONLY Total Acreage 1.0133 N/A # Bedrooms = 132 sq. ft. Building Square Feet 6608 N/A # Bedrooms < 132 sq. ft. Floodplain Acreage N/A * Projects that were vested prior to January 1, 2008, per Chapter 245 of the Texas Local Government Code may be assessed a different amount. Please contact city staff for additional information. The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true and correct. . l© -22 -r- fil Signatu an title • Date w� 1/11 Page 3 of 11 CERTIFICATIONS REQUIRED FOR ALL DEVELOPMENT Owner Certification: 1. No work of any kind may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re- issued. 4. Development shall not be used or occupied until a Certificate of Occupancy is issued. 5. The permit will expire if no significant work is progressing within 24 months of issuance. 6. Other permits may be required to fulfill local, state, and federal requirements. Owner will obtain or show compliance with all necessary State and Federal Permits prior to construction including NOI and SWPPP. 7. If required, Elevation Certificates will be provided with elevations certified during construction (forms at slab pre - pour) and post construction. 8. Owner hereby gives consent to City representatives to make reasonable inspections required to verify compliance. 9. If, stormwater mitigation is required, including detention ponds proposed as part of this project, it shall be designed and constructed first in the construction sequence of the project. 10. In accordance with Chapter 13 of the Code of Ordinances of the City of College Station, measures shall be taken to insure that all debris from construction, erosion, and sedimentation shall not be deposited in city streets, or existing drainage facilities. All development shall be in accordance with the plans and specifications submitted to and approved by the City Engineer for the above named project. All of the applicable codes and ordinances of the City of College Station shall apply. 11. The information and conclusions contained in the attached plans and supporting documents will comply with the current requirements of the City of College Station, Texas City Code, Chapter 13 and associated BCS Unified Design Guidelines Technical Specifications, and Standard Details. All development has been designed in accordance with all applicable codes and ordinances of the City of College Station and State and Federal Regulations. 12. Release of plans to _ (name or firm) is authorized for bidding purposes only. I understand that final approval and release of plans and development for construction is contingent on contractor signature on approved Development Permit. 13. I, THE OWNER, AGREE TO AND CERTIFY THAT ALL STATEMENTS HEREIN, AND IN ATTACHMENTS FOR THE DEVELOPMENT PERMIT APPLICATION, ARE, TO THE BEST OF MY KNOWLEDGE, TRUE, AND ACCURATE. r ope r s) Date Engineer Certification: 1. The project has been designed to ensure that stormwater mitigation, including detention ponds, proposed as part of the project will be constructed first in the construction sequence. 2. 1 will obtain or can show compliance with all necessary Local, State and Federal Permits prior to construction including NOl and SWPPP. Design will not preclude compliance with TPDES: i.e., projects over 10 acres may require a sedimentation basin. 3. The information and conclkjio ' in the attached plans and supporting documents comply with the current requirements okii*khy 0 4 L lion, Texas City Code, Chapter 13 and associated BCS Unified Design Guidelines. Alt d te10 • has 'b designed in accordance with all applicable codes and ordinances of the City of Calleg t tiog,nkt ate.and,Ee eral Regulations. 4. I, THE ENGINEER, GIUF1c HAT ALL STATEMENTS HEREIN, AND IN ATTACHMENTS FOR THE DEVELO Y+ PEIRMEITAMAptION, ARE, TO THE BEST OF MY KNOWLEDGE, TRUE, AND ACCURATE. c =kC; 1 .��:� . �•: 10. ZZ ria