Neighborhood CU-PT130111
CONSTRUCTION DEVELOPMENT PERMIT APPLICATION
Name of Applicant
Neighborhood Credit Union Date Submitted
1/9/2013
Address of Applicant
13649 Monfort Drive, Dallas, TX 75240
Phone Number
214 748 9393
Fax Number
214-651-9374
Location of Construction (address, if available):
360 S. Denton Tap Road, Coppell, TX 75019
Subdivision
Texas Bank Addition Section #Block #Lot #
A 1R1
OR
Survey/Abstract #Acreage
#7571.25
Location description (attach vicinity map):
1.Type of proposed construction or development:
ResidentialAlteration of a natural waterway drainage course
Other (describe & attach drawing or sketch)
Non-Residential
Placement of Fill (in right-of-way or on private property)
2.Description of Construction Permit requested:
Paving Median or Landscape Box Culvert
Sidewalk Water Main Rip Rap
Drive Approach R.C.P. Fill Area
Excavation Sanitary Sewer Main Drainage Channel Excavation
Fire Lane FlumeSlope Protection/Retaining Wall
Bridge Inlet Parking Lot
Provide an attachment containing the name and 24-hr. contact phone number
of supervisor(s) for every contractor working under this general
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 the related cost estimate or
contract for the purpose of permit fee calculation verification.
CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Page 2
5.A Construction Inspection Permit Fee shall be paid prior to beginning work, in accordance with
the City of Coppell Fee Ordinance. See Page 3 for calculation formula.
Amount Due: $1,7 3 8.2 4 Date Paid:
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 closure 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 @ 972-304-3512 Engineering Dept. @ 972-304-3679
>Attach barricade plan / trench safety plan of a lane or street closure. (Required)
>It 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 a
CD with Autocad.dwg files.
NOTE:Street closures are allowed from 9:00 a.m.until 3:30 p.m.ONLY
unless otherwise approved by City Engineer.
>A pre-construction meeting is required prior to beginning work related to this permit.
Contact the inspector assigned to your project to schedule the meeting.
Printing your name indicates your acceptance of the terms and conditions of this form:
S3ature of A 6 licant Contact Number
I\Le O'L 2 e/ (1 4: 7.- 5-7 6 - 7 7 6 1gu €Inspector Contact Number
FOR CITY USE ONLY
Is the fill area located in an identified flood hazard area? C Yes No
If YES, a Floodplain Development Permit is required before any construction can begin.
Is additional information required? C Yes No
Are other federal, state, or local permits required? Yes C No
PERMIT APPLICATION APPROVED C PERMIT APPLICATION DENIED
--� 1/ic/,j
City Approval Date
Applicant shall indemnify and forever hold harmless against the City of Coppell each and every claim, demand
or cause of action that may be made or come against it by reason of or if any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City, if such
permit is granted.
T I 1 - C I T Y O F Page 3
COFFELL
y F11.
INSPECTION FEE CALCULATION SHEET
Project Name NCU-Coppell Date 1/9/2013
As per the City of Coppell Subdivision Regulations,the Developer shall pay 4%of the cost of the items to be permitted and inspected by
the Engineering Department and dedicated to the.City. The Developer shall pay 2% of the items to be inspected by the Engineering
Department,but not dedicated to the City such as parking lots,private utilities,private drainage systems and so forth. Inspection fees are
due on or before the date of the Pre-construction Meeting.
In order to verify the inspection fee due, please provide a copy of the development contract(s) and this spreadsheet with
completed calculations to the Engineering Dept. The contract(s) should indicate the cost to construct the following
improvements:
PUBLIC IMPROVEMENTS 4°�0= PRIVATE IMPROVEMENTS ° =
CONTRACT AMOUNT CONTRACT AMOUNT X 2/°
Paving 5,700 228
Water 7,128 142.56
Sanitary Sewer 26,341 526.82
Storm Sewer 33,568 671.36
Alleys
Sidewalks 8,475 169.5
Other
Total
Grand Total (total of 1,73824
both colored fields)
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