N Gateway 7-PT140108 r H [ • C 1 T T ' O P
COFFELL
1 Q
CONSTRUCTION DEVELOPMENT PERMIT APPLICATION
Name of Applicant Corey Moon Date Submitted 11/9/2014
Address of Applicant 124 Waterway Suite 225 The Woodlands,Texas 77380
Phone Number 970 9871315 Fax Number
Location of Construction (address, if available): 775 North Denton Tap Road Coppell, Tx.75019
Subdivision I wog Ay Section# Block# Lot ti 1 7
OR Survey/Abstract# ( Acreage
Location description (attach vicinity map): I
1. Type of proposed construction or development:
C Residential C Alteration of a natural waterway drainage course
6 Non-Residential C Other(describe& attach drawing or sketch)
C Placement of Fill (in right-of-way or on private property)
2. Description of Construction Permit requested:
Q 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
p Fire Lane ❑ Flume ❑ Slope 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 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 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: $ el) 7/g /g Date Paid: I/04 17
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 0 972-462-5150
Fire Department @ 972-304-3512 Engineering Dept. C@ 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.
YA 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:
970 987 131 S
Signatd of Applicant Contact Number
aDELL 6q-51f -7709
Signature of Inspector Contact Number
FOR CITY USE ONLY
Is the fill area located in an identified flood hazard area? C Yes Ve
If YES, a Floodplain Development Permit is required before any construction can begin.
Is additional information required? C Yes o
Are other federal, state, or local permits required? C Yes
APPLICATION APPROVED C PERMIT APPLICAT N DENIED
.101
Ci � (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 w E . �C I T v • o r Page 3
COI:TELL
't .1 1 6
INSPECTION FEE CALCULATION SHEET
Project Name 'Black Walnut Cafe Date 11/9/2014
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 PRIVATE IMPROVEMENTS
�10 = X 2%=
CONTRACT AMOUNT X Y�0 CONTRACT AMOUNT
Paving 168,362 3,367.24
Water 39,400 788
Sanitary Sewer 14,318 286.36
Storm Sewer 0
Alleys 0
Sidewalks 13,860 277.2
Other
Total 235,940 4,718.18
Grand Total (total of
both colored fields) 4'718.18
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