Founders Crossing-CS031526T. N IE1-1 ^. , C i 'T Y .. ,n.0, F
COFTELL
CONSTRUCTION DEVELOPMENT PERMIT APPLICATION
Name of Applicant I 0 SOSS/�t> �G G Date Submitted 3 �S
Address of Applicant I /a, Q
Phone Number �Z -3D � Mao Fax Number
Location of Construction (address, if available): ��/ atjHEL 0
Subdivision�V�t RS C�Section # Block # Lot # .3
OR Survey/Abstract # Acreage 0. 7S'
Location description (attach vicinity map):
1.
2.
Type of proposed construction or development:
C ResidentialAlteration of a natural waterway drainage course
1 Non -Residential ( Other (describe & attach drawing or sketch)
C,, Placement of Fill (in right-of-way or on private property)
Description of Construction Permit requested:
Paving Median or Landscape
Sidewalk Water Main
Drive Approach R.C.P.
Excavation P<Sanitary Sewer Main
Fire Lane Flume
Bridge Inlet
7 Box Culvert
7 Rip Rap
Fill Area
Drainage Channel Excavation
Slope Protection/Retaining Wall
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: $ /x,311,/ Date Paid: 3&11"
NOTE: A separate excavation pernnit 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:
Z/4- 70 7-2124
Signature of Applicant Contact Number
Si nature of Inspector Contact Number
FOR CITY USE ONLY
Is the fill area located in an identified flood hazard area? (- Yes C('0o
If YES, a Floodplain Development Permit is required before any construction can begin.
Is additional information required? CYes "o
re other federal, state, or local permits required? C Yes KNo
ERMIT APPLI TION APPROVED C : PERMIT APPLICATION DENIED
u
v rov 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.
Water / Sewer & Inspection Fees
Founders' Crossing
531, 517 &
525 Bethel Rd.
Coppell,
TX
Public
Private
Unit
Unit
Cost
2%
1%
Quantity
Unit
Cost
Extention
Inspection
Inspection
Public/Private Utility & Pavinq Improvements Inspection Fees
Fee
Fee
Sanitar Sewer -Public
4' Dia. Manhole
1
EA
4,500.00
4,500.00
90.00
6" SDR 35 1
10
LF
56.00
560.00
11.20
Totals Sanitary Sewer -Public
5,060.00
101.20
101.20
Water -Public
1" Tap
3
EA
1,800.00
5,400.00
108.00
1-1/2" Tap
1
EA
2,600.00
2,600.00
52.00
Totals Water -Public
8,000.00
160.00
160.00
Storm Drain -Public
Demo existing Curb Inlet
1
EA
2,200.00
2,200.00
44.00
Install 3 Grate Inlet
1
EA
4,500.00
4,500.00
90.00
Totals Storm Drain -Public
6,700.00
134.00
134.00
Paving -Public
6" 3500 PSI A roach
802
SF
3.70
2,967.40
59.35
HC Ramp 1
2
EA
550.00
1,100.00
22.00
4" Public Sidewalk
120
SF
3.60
432.00
8.64
Totals Paving -Public
4,499.40
89.99
89.99
Sanitar Sewer -Private
6" SDR 35
137
LF
32.00
4,384.00
43.84
4" SDR 35
75
LF
31.00
2,325.00
23.25
Clean Outs
6
EA
400.00
2,400.00
24.00
Totals Sanitary Sewer -Private
9,109.00
91.09
91.09
Water -Private
1" Water Line
465
LF
24.00
11,160.00
111.60
Connect to Water Meter
3
EA
550.00
1,650.00
16.50
Totals Water -Private
12,810.00
128.10
128.10
Storm Drain -Private
-
Connect to Exist. 48" RCP
1
EA
1,500.00
1,500.00
15.00
18" RCP 1
138
LF
62.00
8,556.00
85.56
2'X2' Grate Inlet
2
EA
1,800.00
3,600.00
36.00
Totals Storm Drain -Private
13,656.00
136.56
136.56
Paving -Private -1
6" 3500 PSI Paving
6475
SF
3.70
23,957.50
239.58
5" 3500 PSI Paving
4968
SF
3.40
16,891.20
168.91
HC Ramp 1
3
EA
550.00
1,650.00
16.50
4" Public Sidewalk
2694
SF
3.60
9,698.40
96.98
Totals Paving -Private
52,197.10
521.97
521.97
Total Public/Private Utility & Paving Improvements Inspection Fees
1,362.91
5104
Frost National Bank
THE RATLIFF GROUP, LLC Copper, Texas 75019
P.O. BOX 949 30-9-1140
COPPELL, TX 75019 3/26/2015
A
PAY TO
a
0
ORDER OFE City of Coppell
**1,362.91
m
s
One Thousand Three Hundred Sixty-Two and 91/100********************************************************************
DOLLARS
City of Coppell
255 Parkway Blvd. 8
Coppell, TX 75019 )6djjtbZ1
MEMO AUTHORIZED si ATURE
THE RATLIFF GROUP, LLC
City of Coppell
Water/Sewer Inspection Fees
3/26/2015
5104
1,362.91
Frost Bank 1,362.91