HomeMy WebLinkAboutA011 - Resolution approving encroachment permit for US Cellular building-mounted cellular antenna at 200 Stanton AvenueITEM #:13
DATE:07-22-25
DEPT:ADMIN
SUBJECT:ENCROACHMENT PERMIT FOR ANTENNA ON BUILDING AT
200 STANTON AVENUE
COUNCIL ACTION FORM
BACKGROUND:
The tenant in the building at 200 Stanton Avenue is seeking approval for US Cellular to install
a building-mounted cellular antenna. An Encroachment Permit is necessary to allow this
antenna to be installed over the right-of-way.
Chapter 22.3(3) of the Ames Municipal Code requires approval of the Encroachment Permit
Agreement by the City Council before the permit can be issued. By signing the Agreement, the
applicant and owner agree to hold harmless the City against any loss or liability as a result of
the encroachment, to submit a certificate of liability insurance that protects the City in case of
an accident, and to pay the fee for the Encroachment Permit. The applicant and owner also
understand that this approval may be revoked at any time by the City Council. The fee for this
permit was calculated at $25, and the full amount has been received by the City Clerk’s Office
along with the certificate of liability insurance.
ALTERNATIVES:
1. Approve the request for an encroachment permit.
2. Deny the request for an encroachment permit.
CITY MANAGER'S RECOMMENDED ACTION:
The application meets the criteria for the approval of an Encroachment Permit, and the
required fee and insurance have been received by the City Clerk's Office. Therefore, it is
the recommendation of the City Manager that the City Council adopt Alternative No. 1, as
described above.
ATTACHMENT(S):
Certificate of Inspection and Diagram.pdf
760574 Cyclone Plaza Encroachment Permit.pdf
1
2
3
ENCROACHMENT PERMIT APPLICATION
An Encroachment Permit approved by the Ames City Council is required for anything
of a "fixed character" which is "upon, over or under" the surface of any "street, alley,
or sidewalk."
Applicant is: Property Owner Tenant Contractor
Applicant Name
Address of Encroachment
City State Zip Code
Type of Encroachment:
(If the encroachment is a sign, please apply for a sign permit through the
Inspections Division.)
Total Square Feet of the Area to Encroach:
(See attached submittal guidelines.)
Property Owner Name
Mailing Address
City State Zip Code
Daytime Phone Cell Phone
E-mail:
These items must be submitted with your application prior to approval of the permit:
An Encroachment Permit Agreement approved as to form by the City Attorney
and signed by the owner of the building where the encroachment will occur
(obtained from the City Clerk’s Office).
A sketch of the encroaching item (i.e., sign, canopy, awning, etc.) drawn to
scale.
A sketch showing the placement of the encroaching item on the property.
An insurance certificate with comprehensive general liability coverage in an
amount of not less than $500,000 combined single limit naming the City of
Ames as an additional insured on the policy. Said certificate must be
accompanied with a copy of Endorsement CG 2013.
A fee to be determined by the City's Building Official. The fee is $1.00 per
square foot of the encroachment or a minimum of $25.00.
Date
Date
For Office Use Only
Documents Received
Date:_____________________
___ Completed Application
___Certificate of Inspections
sent to PW, P&H, Building
Official on _________________
___ Review by DRC needed?
Fees
Fee Amount _______________
Date Fee Paid ______________
Insurance
___ Received ______________
___ Approved _____________
Agreement
___Two originals prepared
___ Signed agreements returned
CC Meeting Date ___________
___ Added to agenda
___CAF prepared on T Drive
Follow Up
___ Application approved
___Agreement signed by Mayor
___Letter prepared and sent to
applicant
___Clerk’s copy of Agreement
sent to Recorder ____________
___ Add to FMS with insurance
expiration date
Notes
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Applicant’s Signature
Property Owner’s Signature
Submit your completed permit application to:
grace.bandstra@cityofames.org
City of Ames
City Clerk's Office
PO Box 811
Ames, IA 50010
USCOC of Greater Iowa, LLC
200 Station Avenue
Ames IA 50014
Building mounted cellular antennas
15
Campus Investors IS LLC
200 Station Ave
Ames IA 50014
321-246-0772 321-246-0772
gmiddleton@americancampus.com
Docusign Envelope ID: DF9812BE-9AD8-4219-A49F-47D97D8A8A06
1/30/2025
45
ENCROACHMENT PERMIT APPLICATION
An Encroachment Permit approved by the Ames City Council is required for anything
of a "fixed character" which is "upon, over or under" the surface of any "street, alley,
or sidewalk."
Applicant is: Property Owner Tenant Contractor
Applicant Name
Address of Encroachment
City State Zip Code
Type of Encroachment:
(If the encroachment is a sign, please apply for a sign permit through the
Inspections Division.)
Total Square Feet of the Area to Encroach:
(See attached submittal guidelines.)
Property Owner Name
Mailing Address
City State Zip Code
Daytime Phone Cell Phone
E-mail:
These items must be submitted with your application prior to approval of the permit:
An Encroachment Permit Agreement approved as to form by the City Attorney
and signed by the owner of the building where the encroachment will occur
(obtained from the City Clerk’s Office).
A sketch of the encroaching item (i.e., sign, canopy, awning, etc.) drawn to
scale.
A sketch showing the placement of the encroaching item on the property.
An insurance certificate with comprehensive general liability coverage in an
amount of not less than $500,000 combined single limit naming the City of
Ames as an additional insured on the policy. Said certificate must be
accompanied with a copy of Endorsement CG 2013.
A fee to be determined by the City's Building Official. The fee is $1.00 per
square foot of the encroachment or a minimum of $25.00.
Date
Date
For Office Use Only
Documents Received
Date:_____________________
___ Completed Application
___Certificate of Inspections
sent to PW, P&H, Building
Official on _________________
___ Review by DRC needed?
Fees
Fee Amount _______________
Date Fee Paid ______________
Insurance
___ Received ______________
___ Approved _____________
Agreement
___Two originals prepared
___ Signed agreements returned
CC Meeting Date ___________
___ Added to agenda
___CAF prepared on T Drive
Follow Up
___ Application approved
___Agreement signed by Mayor
___Letter prepared and sent to
applicant
___Clerk’s copy of Agreement
sent to Recorder ____________
___ Add to FMS with insurance
expiration date
Notes
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Applicant’s Signature
Property Owner’s Signature
Submit your completed permit application to:
grace.bandstra@cityofames.org
City of Ames
City Clerk's Office
PO Box 811
Ames, IA 50010
USCOC of Greater Iowa, LLC
200 Station Avenue
Ames IA 50014
Building mounted cellular antennas
15
Campus Investors IS LLC
200 Station Ave
Ames IA 50014
321-246-0772 321-246-0772
gmiddleton@americancampus.com
Docusign Envelope ID: DF9812BE-9AD8-4219-A49F-47D97D8A8A06
1/30/2025
45