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Home My WebLink AboutApplicationFOR OFFICE USE ONLY h , " i # Case No.: 0 ' 1 5 q Date Submittedl ' I ' 04 COLLEGE STATION PUBLIC IMPROVEMENT PERMIT (PIP) APPLICATION MINIMUM SUBMITTAL REQUIREMENTS $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) 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 [f 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 Mon -� EJ An electrical plan-T t-l0 � 1, L+ . c cp ff 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): jz " . � Tt► v"m e•4 we -A &"k Lam( &'— Name 0i T►w, n vrrH � - r-Z- CQA" C1 LI (�d -, LE-Mail Street Address 1''10 0 �� a_K_<- City 9/ State 7 Zi Zip Code ? 7PO -- Phone Number lyeq S Fax Number PARTY RESPONSIBLE FOR MAINTENANCE (if party is a group, please provide information for contact person): >�., Q � � sSuCE -Mail G1it ,SS1c�.InG�JTxcY(3Er'1..Cot�. Name -rrm ei fY1 �cd�� e � Street Address ) City 3r-rf State Zip Code '7 <P0 Z Phone Number 7M Pq 6 R�� Fax Number 7�j � /0 IDENTIFY THE FOLLOWING: The total valuation of the work: $ 1000 ( I N vw The total valuation of the signage: $ KI Iry ¢-0 w Estimated cost of future relocation of improvements: $ 2 11) 00 r2r1.10 y r��b The total square footage of the site: W &LAB TO Low wiuty A F i � l VO i i tj L)&I LTit The total linear feet of water lines crossing under paved road: k? e sL g vf, 1- Aug-02 1 of 2 IDENTIFY THE TYPE_ OF'VNORK 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: Q' Electrical Master Electrician: ❑ Facade Structural Contractor: Irrigation system State Licensed Irrigator: Landscaping *Landscape Architect/Company: VJ" N ✓rsz- ❑ 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 gray be revoked at any time at the discretion of the City Officials. ,too Applicant's signature Date applied .3 Conditions of Approval: � of City Engineer - 78a4- Date approved 1- Aug -02 2of2 1 FOR OFFIC USE ONLY Case No.: 04 — 15 0 1 Date Submitted: PUBLIC IMPROVEMENT PERMIT (PIP) APPLICATION MINIMUM SUBMITTAL REQUIREMENTS $150 PIP Permit Application Fee Attach 4 copies of a facility layout plan, which may include the following: Location, identification, and dimensions of ROW and pavement edge /curb) Location of all proposed improvements 7 Location of all public utilities (existing) - dimensioned from right -of -way or back of curb, material, size If applicable, the facility layout plan must include the following (these may be drawn on separate sheets): ❑ A signage plan - include dimensions of sign(s), location from back of curb, materials, elevation drawing ❑ Drainage and /or erosion control plan ❑ Proposed waterway alterations with supporting drainage report [" Landscape plan showing the location and type of plantings (existing and proposed, both common names and scientific) ❑ The cost estimate for relocating any public facilities associated with the work IVOh { [✓� An electrical plan3 t'i 1,.- ks Irrigation /Plumbing plan (must be sealed) ❑ A Structural plan showing details with anchoring, attachment, and material description (must be sealed) ❑ Private utility, plan- dimensioned from right -of -way or back of curb, material, size Attach one copy of the following: ❑ Indemnity agreements from abutting fee owners APPLICANT /PROJECT MANAGER'S INFORMATION (Party responsible for completion of all work associated with the project): f"t'd -►z� i�tv�.na"�tt'1 ,�'�Cec��.;..�l.� +lls Name rn T�, � v� -r z 04rClc JWL"-, -Mail C17G1- U 10 7( l Street Address I'7 C City L5! =i c- �'-X°"JL State Zip Code Phone Number I l 7 q S�q L § kq S' Fax Number PARTY RESPONSIBLE FOR MAINTENANCE (if party is a group, please provide information for contact person): CICiSSic��►�G T?�CYvE►2.C Name -$r ri e 1Y A ;, 0 10, ttti:-r � 4 ", k --, LE -Mail Street Address ) 70 0 City M24 z""y State =4JGn Zip Code 7, V Z Phone Number q'I q P L PV Fax Number 6f 7Q PY�- /V'7 q IDENTIFY THE FOLLOWING: The total valuation of the work: $ 1000 ( i ej The total valuation of the signage: $ I t c -V i tj �Z_a Lu Estimated cost of future relocation of improvements: $ V 4t- sLJA The total square footage of the site: j rV EW ST , The total linear feet of water lines crossing under paved road: L5 _Vf 1- Aug -02 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:,�sc,ti� ❑ Facade Structural Contractor: Q 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: *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. 0Z Applicant's signature Date applied Conditions of Approval: Authorization of City Engineer Date approved 1- Aug -02 2 of 2