Fillable City of Rosenberg INFRASTRUCTURE PERMIT APPLICATION CONTRACTOR (City of Rosenberg)

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City of Rosenberg INFRASTRUCTURE PERMIT APPLICATION CONTRACTOR (City of Rosenberg)

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BROWSE CITY OF ROSENBERG (TX) FORMS

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City of Rosenberg
INFRASTRUCTURE
PERMIT APPLICATION CONTRACTOR
2220 4
th
Street, Rosenberg, Texas 77471
Telephone: 832-595-3500 Fax: 832-595-3501
Rev. 101216-JL
Date Received:
Received By:
Permit Number:
Project Address: Project Valuation: $
Project Title:
Contact Person:
Contact Phone: Contact Email:
Company Name: Business Phone: Business Fax:
Describe Proposed Construction (Water, Sewer, Paving, Storm-sewer, etc.)
________________________________________________________________________________________
________________________________________________________________________________________
THE APPLICANT SHALL BE REQUIRED TO OBTAIN AN INFRASTRUCTURE PERMIT BEFORE ANY
CONSTRUCTION IS COMMENCED.
Please Note: All required documents must be submitted prior to any permit issuance
I hereby certify I have read and examined this document and know the same to be true and correct. All provisions of law
and ordinances governing this type of work will be complied with whether specified herein or not. I further understand that
plans submitted for approval will be subjected to a comprehensive check against municipal ordinance and building code.
Any set of plans that must be returned for modifications or corrections in order to come into compliance with ordinance or
code will be subject to rechecking in order of submittal. Under no circumstances will paid fees be refunded or transferred.
Applications and plans will be held for 90 days. After 90 days this application and plans will be disposed of unless a valid
INFRASTRUCTURE permit is issued.
Signature of Contractor or Authorized Agent Date
**********THERE WILL BE NO REFUND OR TRANSFER OF FEES**********
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City of Rosenberg
INFRASTRUCTURE PERMIT
Rev. 101216-JL
Infrastructure Project Checklist
□ Must have a completed Contractor Registration
form on file with the City
□ A current Certificate of Liability Insurance with
the City of Rosenberg listed as the Certificate
Holder
□ Any/All licenses for the company (Including
state/local)
□ A completed Infrastructure Application must be
filled out and submitted (Initial to be submitted by
Engineer with plan review fee paid; Contractor
will submit Application that is specifically labeled
for Contractors)
□ Permit fee will need to be paid at the time of
issuance, unless otherwise accounted for
*All required documents (listed on Engineer’s Initial
Application) must be submitted prior to any permit
issuance
City of Rosenberg
INFRASTRUCTURE PERMIT
SUBMITTAL FEE SCHEDULE
2220 4
th
Street, Rosenberg, Texas 77471
Telephone: 832-595-3500 Fax: 832-595-3501
Rev. 090816-JL
I hereby certify I have read and examined this document and know the same to be true and correct. All provisions of law
and ordinances governing this type of work will be complied with whether specified herein or not. I further understand that
plans submitted for approval will be subjected to a comprehensive check against municipal ordinance and building code.
Any set of plans that must be returned for modifications or corrections in order to come into compliance with ordinance or
code will be subject to rechecking in order of submittal. Under no circumstances will paid fees be refunded or transferred.
Applications and plans will be held for 90 days. After 90 days this application and plans will be disposed of unless a valid
INFRASTRUCTURE building permit is issued.
Signature of Contractor or Authorized Agent Date
FEE SCHEDULE
PLAN REVIEW FEE __________________________________________________________
Plan Review Fee shall be as follows:
a. One percent (1%) of the actual construction cost for projects fifty thousand dollars ($50,000.00) or less, or
b. Five hundred dollars for the first $50,000.00 plus one-half percent (0.5%) of the actual construction cost over
$50,000.00
Fee
One percent (1%) of the actual construction cost of the project.
$500 for the first $50,000.00 plus one-half percent (0.5%) of the actual
construction cost over $50,000.00.
INSPECTION FEE ___________________________________________________________
Inspection fee for water, sanitary sewer, drainage, and street improvements. Applicant shall provide estimated costs, and
supporting information for determination of the cost of the project. These fees shall be payable on the earlier of the time of
platting or upon request for an infrastructure permit. The fee shall be one percent (1%) of the actual construction cost
of the project.
EXAMPLE
VALUATION…………………….. $100,000.00
PLAN REVIEW FEE
1
st
$50,000 ………………………………………………... + $500.00
Balance: $50,000 x 0.005 ...……..….………………..…+ $250.00
TOTAL: …………………………………………………………………………..= $750.00
INSPECTION FEE
$100,000 x .01 …….………………………………………………………………………= $1,000.00
TOTAL FEES: …………………………………………………….………= $1,750.00
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City of Rosenberg INFRASTRUCTURE PERMIT APPLICATION CONTRACTOR (City of Rosenberg)

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Completed 10 February 2021

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