NL 635 (5)-PT110829 T H E C I T Y OF
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CONSTRUCTION DEVELOPMENT PERMIT APPLICATION
Name of Applicant: /4 C �J :(!,1) XI- in Date Submitted:
Address of Applicant: 1 )C• 5 D - off 7frp S <4-re L-f cm &p
Phone Number: 3-!' j — 57;0 5 4e FAX NUMBER:
Location of Construction (address, if available): 1 3 y L ,' iz'5 M2' 2»z
Subdivision Section # Block # Lot #
OR
Survey /Abstract # Acreage
Location description (attach vicinity map): p) , 4•1.S c .43 A
1. Type of proposed construction or development:
( ) Residential ( ) Alteration of a natural waterway drainage course
(. Non- residential ( ) Other (describe & attach drawing or sketch)
( ) Placement of Fill (in right -of -way or on private property)
2. Description of Construction Permit requested:
( ) Paving () Median or Landscaping () Box Culvert
( ) Sidewalk ( ) Water Main ( ) Rip Rap
( ) Drive Approach ( ) R.C.P. ( ) Fill Area
( ) Excavation ( ) Sanitary Sewer Main ( ) Drainage Channel Excavation
( ) Fire Lane ( ) Flume ( ) Slope Protection/Retaining Wall
( ) Bridge () Inlet (r)1arking Lot
Provide an attachment containing the name and 24 -hr. contact phone number
of supervisor(s) for every contractor working under this general permit.
3. All construction shall be in compliance with, but not limited to, the City of Coppell
Subdivision Ordinance, Standard Construction Details, Streetscape Plan and approved plans.
The contractors shall adhere to the City's Erosion Control & Sedimentation Ordinance.
4. Applicant shall provide a copy of approved plans, specifications and related cost estimate or
contract for the purpose of permit fee calculation verification.
CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Page2
5. A Construction Inspection Permit Fee shall be paid prior to beginning work, in accordance
with the City of Coppol Fee Ordinance. See Page 3 for calculation formula.
Amount Due $ ( ( Date Paid: . (2. 4 i ( t I
NOTE: A separate excavation permit is required anytime pavement is cut or when there is work in the
right -of -way not approved by the City Engineer.
Any work requiring dosure of a lane of traffic, street, or alley must be approved
in advance by the Engineering Dept., with notification to the following prior to
closure:
Police Department @ 972-304-3600 Street Department @ 972 - 462 -5150
Fire Department @ 972-304-3500 Engineering Dept. @ 972 - 304-3679
)«- Attach barricade plan / trench safety plan of a lane or street dosure. (Required)
: = I t is a requirement of this permit that As -Built Drawings be turned in at the end of
this project. As-Builts consist of 1 set full size paper copy, 1 set full size mylar and
CD with Autocad.dwg files
NOTE: Street closures are allovved from 9 :00 a.m. until 3:00 p.m ONLY unless otherwise approved
by City Engineer.
S
A pre -const « ion meeting is required prior to beginning work related to this permit.
on d A • � « or assigned schedule to your project to s the 'fleeting.
I fi J it 14 e / 1 fl-1 c2141- C? - Ds
ur
Sgnat: of . policant r nted Name Contact Number
(. ilta4 PANA1 4 O 51(o 11 /
City Inspector Contact Number(s)
FOR CITY USE ONLY
I s the fill area located in an identified flood hazard area? ( ) YES (4N0
If YES, a Floodplain Development Permit is required before any construction can begin.
I s additional information required? ( ) YES ( ) NO
Ar her federal, state, or local permits required? () YES () NO
RMIT APPLICATION APPROVED () PERMIT APPLICATION DENIED
r��\ Approval v' ?`l i ti
ppr Date
Applicant shall indemnify and forever hold hornless against the City of Coppell each and every daim, demand
or cause ct action that may be made or come against it by reason of or if any way arising out of the dosure,
blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City, if such
permit is granted
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CEMENT CO
NTRACTORS
P.O. BOX 35148, 4699 PRODUCTION NCI RCA WBE Certification # WFWB42166N08I0
DALLAS, TEXAS 75235 -0148 HUB Certification # 1750684022600
PHONE 214 637 -3270
FAX 214 637 -3273
8/17/2011
Re: Lakeside — Coppell, Tx
Gentlemen,
We propose to provide "Turnkey" concrete work on the above project as outlined below.
Proposal: $ 335,000.00
5" concrete paving, 3600psi, #3 @18 "ocew @ 125,000sf.
Integral rolled curb @ 3035'
9 light pole bases, 8' below grade, 2' above grade
Transformer & electrical pad
Items of labor and materials included:
Take site from existing conditions and make ready for concrete paving according
to grades provided on plans.
Silt fence
Construction entrance
Cut and fill and spread spoils for our work on the adjacent property.
Sawcut and remove existing concrete to tie into new paving
Layout/engineering.
Furnish and install reinforcing steel.
Furnish, place, and finish concrete.
Furnish concrete pump where necessary to complete our work.
Saw cut control joints @ 15'ocew
Expansion joints @ 90'ocew.
Joint sealing.
Pavement Striping.
Concrete testing and subgrade compaction testing to 95% density.
Place misc. metals furnished by others.
Backfill with material furnished by others.
Permit for new approach.
Exclusions:
Backfiil material. Miscellaneous metals. Utilities. Electrical. Irrigation. Landscaping. P &P bond.
David Rupley, Jr.
EG CONSTRUCTION SERVICES INC
1010
EXCEL GROUP 1!
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120 SOUTH DENTON TAP
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SUITE 450 88-8777/3119 44 0
COPPELL, TX 75019 I
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