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Home My WebLink About12-00500277- 00077748 1 FOR OFFICE' 0 Y CASE N ��A 1 OA , DATE SUBM T r/� TED: �� I TIME: , 3 tO CITY OF Cc.)LLI;G STATION Home of A&M University' STAFF: PRIVATE IMPROVEMENT IN PUBLIC ROW PERMIT (PIP) APPLICATION MINIMUM SUBMITTAL REQUIREMENTS: 1350 PIP Application Fee. a Application completed in full. This application form provided by the City of College Station must be used y and may not be adjusted or altered. Please attach pages if additional information is provided. tarized 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: Northwest Corner of Texas Avenue & University Drive (old Plaza hotel site) APPLICANT /PROJECT MANAGER'S INFORMATION (Primary contact for the project): Name Mitchell & Morgan, LLP C/O Veronica Morgan, PE E -mail v @mitchellandmorgan.com Street Address 511 University Drive East, Suite 204 City College Station State Texas Zip Code 77840 Phone Number 979- 260 -6963 Fax Number 979-260 -3564 PARTY RESPONSIBLE FOR MAINTENANCE (If party is a group, please provide information for contact person): Name Capstone Collegiate Communities c/o Amanda Wallis E -mail Awallis @capstonemail.com Street Address 431 Office Park Drive City Birmingham State Alabama Zip Code 35223 Phone Number (205) 949 -3849 Fax Number (205) 949 -2070 10/10 Page 1 of 4 IDENTIFY THE FOLLOWING: The total valuation of the work: $ Cebf OOD The total valuation of the signage: $ /A Estimated cost of future relocation /remodel of improvements: $ same as valuation above The total footage of the site: (1 SF The total linear feet of water lines crossing under paved road:N/A IDENTIFY THE TYPE OF WORK TO BE PERFORMED: [ Awnings Structural Contractor: © Benches Number of Benches: 12 (Seating Cubes) Bike racks Number of Bike Racks: 14 ❑ Cafe *Structural Contractor: ❑ Canopy *Structural Contractor: ❑ Demolition Structural Contractor: ❑ Electrical Master Electrician: ❑ Facade Structural Contractor: © Irrigation System State Licensed Irrigator: not selected yet © Landscaping *Landscape Architect/Company: Dan Erlandson ,HPLA ❑ 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: Bus Shelter *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 ation contained in this application is true and complete, to the best of my knowledge. I understand that th- - r y has he authority to inspect the work to be conducted within the public right -of -way at any time. I also understan• at this p rant may be revoked at any time at the discretion of the City Officials. Woodridge C. ege Sta on 1, LLC a Delaware imited abili ompany 12/20/2012 Signature and e Michael Rosenfeld Date Authorized Signatory Conditions of Approval: Authorization of City Engineer Date approved 10/10 Page 2 of 4 INDEMNIFICATION Date: Indemnitor: Woodridge College Station 1, LLC lndemnitor's Address: 1999 Ave of the Stars, Ste 2850 (including county) Los Angeles, California 90067 Los Angeles County Indemnitee: CITY OF COLLEGE STATION indemnitee's Address: 1101 Texas Avenue (including county) Brazos County College Station, Texas 77840 LEGAL DESCRIPTION OF PROPERTY: 4.65 acre Tract JE Scott League A -50, Lot 5 North Park Section 11 & Lots 1 -9 Meadowland Addition To the fullest extent permitted by law, I /we the owners of the property described above (Indemnitor), shall indemnify, hold harmless, and defend the Indemnitee, its officers, agents, and employees from and against any and all claims, losses, damages, causes of action, suits and liability of every kind, including all expenses of litigation, court costs, and attorney's fees, for injury to, or death of, any person, for damage to any property, or for any breach of contract, arising out of or in connection with the installation, operation, and maintenance of the facilities authorized by the Private Improvement Permit issued by lndemnitee to Woodridge College Station 1 , including, but not limited to, any premise defect or special defect arising out of or in connection with said facilities. This Indemnification shall apply regardless of whether such injuries, death, damages, or breach are caused by the NEGLIGENCE or omission of Indemnitee, the contractor installing said facilities, or any third party. All provisions c is Indem' !cation shall be binding upon and inure to the benefit of the undersigned and the City of College Stati. , Texas, a, • their respective successors and assigns. Woodridge ' Cllege St ion I, LLC a Del awar• limited iabili ompany Mf ic-1 e,1 RoSlen Property 0 er Mi chael Rosenfel d Printed Name Cook i Jan SAuthorized Signatory STATE OF T-CXAE- § Lp.5 § ACKNOWLEDGEMENT COUTY OFeI 96 § Subscribed and sworn to before me, a Notary Public, this day of 02...C.9-CrIbeC , 28841 by H Commission SHARON CO 195EN 0490 Notary Public in and for i Notary Public - California the State of Tests x Los Angeles County Gal tin 1 c ` M Comm. Ex ices Se 1, 2015 10/10 F�::�: ♦��,�_�__ :_ Page3of4 Property Owner Printed Name STATE OF TEXAS § § ACKNOWLEDGEMENT COUTY OF BRAZOS § Subscribed and sworn to before me, a Notary Public, this day of , 2009 by Notary Public in and for the State of Texas 10/10 ( Print Form J Page 4 of 4