Townhomes Ph 2-PT140328
A copy of the approved permit must be on the job site at all tim
CC: ApplicantPage 1 of 4
Public Works
Rev. 06/2012
Permit File
Orig. to Project File
RIGHT-OF-WAY USE PERMIT APPLICATION
Permit valid for 90 calendar days from date of approval
Submit permit application to the Engineering Dept., Town Center,
03/28/143PFA0YJ
Date of Submittal: Applicants Job # / Work Order #
PERMIT FEE:$100.00
(No charge to Utility Companies with approved Franchise/ROW Use
YesNo
Refer to the City of Coppell Ordinance No. 2001-944. Certificat
(Erosion Control/Safety fences must be installed prior to beginn
Plans provided and approved
Old Town Phase II
Project Name/Location or address
Henkel's & McCoy972-512-2900
General ContractorContact #
martinez.mike@verizon.com
E-mail address to return permit
Paul Messenheimer
Representative:
Franchise
972-318-5186
Telephone #:
Company:
paul.m.messenheimer@one.verizon.com
E-mail address:
(for contact if needed/if e-mail of approved permit is desired/p
Utility Company Represented:
Verizon
Oncor Electric Delivery Atmos EnergySBC/ AT&T
Time Warner Cable
CoServ Electric/GasOther
General Description of Work :
PLEASE ATTACH PLAN OF PROPOSED WORK
(In accordance with Ord. No. 2001-944)
Extend conduit from existing joint trench conduit on S Coppell St to existing Verizon handhole on Houston St.
Estimated Start Date Estimated Completion Date*
04/14/1405/16/14
* Completion requires submittal of Completion Verification Notic
Was contact made with City and/or utility companies to locate ex
Ú
Yes
No
if NO, Reason:
Contact City 48 hrs prior to construction.
Is removal of existing streets, alleys, or sidewalks necessary?
Ú
Yes No
if YES, project must have City inspection prior to concrete repl
Right-of-Way Use Permit Application Page 2 of 4
Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which
includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at
applicant's expense) and barricading according to the Texas Manu
Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage,
To schedule Public Works final inspection (Page 4) call 972-462-
vegetation, and erosion control).
Any excavation requiring closing of a street/alley must be repor
Ú
Police Department @ 972-304-3600
Fire Department @ 972-304-3512
Street Department @ 972-462-5150
Engineering Department @ 972-304-3679
Attach barricade plan / trench safety plan if a lane or street c
Ú
Street closures are allowed from 9:00 a.m. until 3:30 p.m. ONLY unless otherwise approved by City
NOTE:
Engineer.
Ú
Attach Work Order (franchise only) and/or 1 set of prints showin
Locates for existing franchise utilities must be done 48 hours p
For City utility locates, call 972-462-5155 to schedule 48 hours
The application with signatures of Franchise and Contractor repr
Dept. for approval prior to beginning work. Submittals by e-maiengineer@coppelltx.gov.
Printing your name indicates your acceptance of the terms and co
(
if you want the approved permit returned via e-mail, provide a v
Paul Messenheimer
03/28/14
Signature of Utility Company RepresentativeDate
Steve Forsythe03/28/14
Signature of Contractor RepresentativeDate
Signature of City RepresentativeDate
Comments
NOTE:Notify City Inspector at 972-304-3679 prior to beginning work and prior to
Ú
backfill for concrete, trench, ditch and open pit inspections. Backfill must meet
all construction standards approved by the City of Coppell.
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.
Page 3 of 4
UTILITY RELOCATION CHECKLIST FOR WORK WITHIN
CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS
Listed below are minimum requirements for utility relocation pro
A copy of the valid approved City of Coppell permit is required
1.
Notify adjacent property owners (commercial & residential) of pr
2.
names and phone numbers.
Proper erosion control measures must be taken.
3.
Follow Texas MUTCD standards for work in traffic zones.
4.
Sod is to be replaced when necessary.
5.
Irrigation repairs must be performed in a timely manner.
6.
Follow OSHA recommended trench safety at all times.
7.
Repair existing utilities that are damaged, including but not li
8.
manholes.
Densities may be required in trench lines (ASTM).
9.
Care and repair of street signage is the responsibility of the c
10.
No work is to be done in collector roadways before 9:00 a.m. or
11.
Prior notice of work activity on weekends and holidays must be i
12.
Line locates must be performed in advance by contacting -
13.
1 800 DIG TESS and/or the following:
CITY OF COPPELL UTILITIES DIVISION
coppelltx.gov/utility-operations-division
972/ 462-5155
CITY OF COPPELL ENGINEERING DEPT.
972/ 304-3679
HOMEOWNER ASSOCIATIONS
972/ 304-3678 (Planning Department)
TIME WARNER CABLEFEDERAL EMERGENCY MGMT. ADMIN.
940/ 898-5138
214/ 320-5455 (Mike Rasmussen)
AT&T LOCAL NETWORKTEXAS COMM. on ENVIRONMENTAL QUALITY
214/ 215-3031 (Rich Millenman)817/ 588-5800
COSERV Gas & ElectricDENTON CO. LEVEE DISTRICT
(Greg Ward)214/ 352-5118 (Richard Hightower)
940/ 321-7800 x 7624
EXPLORER PIPELINEAtmos Energy
972/360-4428 (Gary Dickinson)
918/ 493-5100 (Patrick Nwakoby)
ONCOR Electric Delivery
972/ 323-8917 (Larry Redick)
VERIZON COMMUNICATIONS 1 800 DIG TESS for line locates
(344 - 8377)
972/ 318-5277
14.Contaminants must be removed from work area daily and dispose
15.Streets, sidewalks and alleys must be kept clean of construct
16. Clean-up requires returning work area to pre-project condit
17.Contractor is required to contact Public Works Division for C
Page 4 of 4
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Contact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
with Utility & Streets personnel to verify that your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future pro
Franchise Utility Name
Project Location / Applicant's Work Order #
(if applicable)
Sub-contractor Company Name
24 hr.Contact Number
Date of Verification Appointment
Time of Verification Appointment
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PUBLIC WORK
of Utilities Maintenance Division on
Inspected by
µ
and found to be acceptable / not acceptable because
Follow-up needed? Follow-up scheduled for
Yes
No
Inspected by of Streets Maintenance Division on
µ
and found to be acceptable / not acceptable because
Follow-up needed? Follow-up scheduled for
Yes
No
A copy of this completed notice can be provided to the address b
or e-mailed by using the button below:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570
Submit by E-mailPrint Form