Prologis Park-160915CONSTRUCTION DEVELOPMENT PERMIT APPLICATION
Name of Applicant Casey Dillon Date Submitted 9/15/16
Address of Applicant 2501 N Harwood #2450 Street Dallas TX 75201
Phone Number 4692361434 Fax Number —�
Location of Construction (address, if available): Park 121- Sandy Lake & Freeport
Subdivision Prologis Park 121 Section # Block # Lot #
OR Survey/Abstract # Acreage
Location description (attach vicinity map):
1. Type of proposed construction or development:
C Residential C Alteration of a natural waterway drainage course
C: 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:
XX
Paving
❑X
Median or Landscape
QX
SidewalkXQ
Water Main
Q
Drive Approach
QX
R.C.P.
Excavation
QX
Sanitary Sewer Main
❑X
Fire Lane
Flume
R
Bridge
OX
Inlet
F] Box Culvert
[:] Rip Rap
P Fill Area
❑X Drainage Channel Excavation
❑X Slope Protection/Retaining Wall
ZX 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: $
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:
Casey Dillon�� f"� I 4692361434
Signature of Applican Contact Number
of In ct Contact Number
FOR CITY USE ONLY
Is the fill area located in an identified flood hazard area? C Yes (ii No
If YES, a Floodplain Development Permit is required before any construction can begin.
Is additional information required? C' Yes CP' No
Are other federal, state, or local permits required? C' Yes P'No
'PERMIT APPLICATION APPROVED C PERMIT APPLICATION DENIED
City App oval 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.
DEVELOPMENT FEE TABLE
Project: Prologis Park lot 4 Blk. A
Date: 618/2016
TOTAL
AMOUNT DUE
FEES DUE
PRIOR TO
FILING
PLAT
Water Impact Fee
$7,794.00
(100% due at Issuance of Building Permit)
Water Tap Inspection Fee
$100.00
(100% due at Issuance of Water Meter)
Water Meter Fee (Domestic)
$882.00
(100% due at Issuance of Water Meter)
Water Meter Fee (Irrigation/Fireline)
$672.00
(100% due at Issuance of Water Meter)
Water Meter Deposit (Domestic)
$30.00
(100% due at Issuance of Water Meter)
Irrigation/Fireline Meter Deposit
$30.00
(100% due at Issuance of Water Meter)
Wastewater Impact Fee
$4,797.00
(100% due at Issuance of Building Permit)
Wastewater Tap Inspection Fee
$50.00
(100% due at Issuance of Building Permit)
Utility Final Inspection Fee
$50.00
(100% due at Issuance of Building Permit)
Park Fee
$0.00
$0.00
(100% due prior to Filing Plat)
Roadway Impact Fee
$96,115.20
$96,115.20
(100% due prior to Filing Plat)
Street Light Fee
Information not Available
(100% due prior to Acceptance of Project)
11
Street Sign Fee
Information not Available
(100% due prior to Acceptance of Project)
11
Construction Inspection Fee
Information not Available
(100% due prior to Start of Construction)
TOTAL
$110,520.20
$96,115.20
TOTAL AMOUNT DUE PRIOR TO FILING FINAL PLAT