Fresenius-PT130807T H 9 - c r T Y - O F
COFFELL
E pro,
A b i
CONSTRUCTION DEVELOPMENT PERMIT APPLICATION
Name of Applicant: Lvej&, Cr�eeK Cel,S*fttC iid Date Submitted: 7` / 3
Address of Applicant: quo, co -etst LL j"cc�• v ,? �� c� F���. z� _ f 3 6 ,r6
Phone Number: f f- yk 7- ,�-%c/a FAX NUMBER: f �'� &
Location of Construction (address, if available): 371
Subdivision
HE
Section #
Block #
Survey /Abstract # Acreage �0
Location description (attach vicinity map). C6-rN
1. Type of proposed construction or development:
{) Residential O Alteration of a natural waterway drainage course
O Non - residential O Other (describe & attach drawing or sketch)
O 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
Lot #
( } Excavation O Sanitary Sewer Main ( ) Drainage Channel Excavation
O Fire Lane O Flume ( ) Slope Protection /Retaining Wall
( ) Bridge O 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 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
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: $ �► ` %U . Date Paid: �l
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 -3500 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
CD with Autocad.dwg files.
NOTE: Street closures are allowed from 9:00 a.m. until 4.00 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.
S,'bna -e of Applicant Printed Name Contact Number
Ci Inspector Contact Number(s)
FOR CITY USE ONLY
Is the fill area Iocated in an identified flood hazard area? O YES ( NO
If YES, a Floodplain Development Permit is required before any construction can begin
Is additional information required? O YE (�NO�
Are other federal state or local permits required? ( YES O NO —
s � p q
( ) PERMIT 2 ICAT ED O PERMIT APPLICATION DENIED
City Approval Date
Applicant shall indemnify anti forever hold hartnless 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 H E C I T Y • O F
COPPELL
INSPECTION FEE CALCULATION SHEET
PROJECT NAME Fac 9/1-t DATE
F- 7- ) 3
As per the City of Coppell Subdivision Regulations, the Developer shall pay 4% of the cost of the items to be pennitted 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:
Construction Development Permit GRAND TOTAL $ 3 ` Page 3
PUBLIC IMPROVEMENTS
CONTRACT AMOUNT
X4%=
PRIVATE IMPROVEMENTS
CONTRACT AMOUNT
X2%=
PAVING
WATER
75- �'J/C�. ZZ
/
�
r
�� l�.
SANITARY SEWER
�
, 3
STORM SEWER
ALLEYS
SIDEWALKS
OTHER
TOTAL
Construction Development Permit GRAND TOTAL $ 3 ` Page 3
Confidential
MAVERICK
UTILITY CONSTRUCTION, INC.
P.O. Box 728 Phone: 817 - 684 -0858
Euless, TX 76039 Fax: 817 - 684 -0360
Coppell Public Schedule of Values
Date Proposal #
8/7/2013 MUC-
Client Proiect
aecuon w - waxer uisinouzion
TruBlu Logistics
8" Bore With 16" Steel Casing
Coppell (DFW Airport)
Please Direct All Questions to Bryan Yule
3
byule@mavutility.com
4
Item IDescription lQuantity
Unit I Unit Price Total
aecuon w - waxer uisinouzion
1
8" Bore With 16" Steel Casing
2
8" DR -14 PVC Water
3
16'x 8" Tapping Saddle & Valve
4
2" Water Service (No Meter)
5
8" DDCV w/ Vault
70
I.f.
$
255.33
$
17,873.10
156
11
$
25.52
$
3,981.12
2
ea.
$
6,824.00
$
13,648.00
4
ea.
$
2,948.00
$
11,792.00
2
ea.
$
14,062.00
$
28,124.00
Total Water
$
75,418.22
11tem IDescription I Quantity nit I Unit Price I Total
Section B - Sewer Distribution
1 8" SDR -26 PVC Sewer 73 ►.f. $ 29.21 $ 2,132.33
2 5' Diameter Manhole 1 ea. $ 5,467.00 $ 5,467.00
3 Connect To Existing Manhole 1 ea. $ 1,734.00 $ 1,734.00
Total Sewer $ 9,333.33
Total Schedule $ 84,752.00
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