ST9802-CS001102 The City With A Beautiful Futtwe
CONSTRUCTION DEVELOPMERNT
PERMIT APPLICATION
1. Name of Applicant: 5a,/7' d',4,~
Address: 5'qo ~q~,,4 ~ e.ae t"'
Phone Number: $/7- Y,~I- g,~,~.
2. Location of Construction (address):
B. p,, tt z A 2
Subdivisio~ ' ~ t ~_t~ _ ' ' Section
Location description (attach vicinity map):
3. Type of proposed construction or development:
( ) Residential ( ) Alteration of a natural waterway drainage course
(~ Non-residential ( ) Other (describe &attach drawing or sketch)
( ) Placement of Fill (in right-of-way or on private property)
4. Description of Construction Permit requested:
( ) Paving ( ) Median or Landscaping ( ) Box Culvert
( ) Sidewalk ( ) Water Main ( ) Rip Rap
( ) Drive Approach ( ) R.C.P. ( ) Fill Area
( ) Excavation ~ Sanitary Sewer Main ( ) Drainage Channel Excavation
( ) Fire Lane ( ) Hume ( ) Slope Protection Retaining Wall
( ) Bridge ( ) Inlet ( ) Parking Lot
· Please provide the name, address and 24 hour phone number for supervisor of every contractor working
under this general permit.
CONSTRUCTION DEVELOPMENT
PERMIT APPLICATION
Page 2
5. All construction shall follow the City of Coppell Subdivision Ordinance, Standard Construction
Details, Streetscape Plan and stamped approved plans. The activity shall be in compliance with
Erosion and Sedimentation Ordinance.
6. Applicant shall provide one copy of approved plans, specifications and related cost estimate or
contract of the proposed construction for the purpose of permit fee calculations.
7. A Construction Permit Fee in accordance with the City of Coppell Fee Ordinance shall be paid
prior to beginning work.
Amount Due ~ 7~.7~ Date Paid 11/2/00
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.
I na ~ Date 11/2/00
FOR CITY USE ONLY
Is the ~H area located in an identified flood hazard area? ( ) Yes (tJ4io
If yes, then a Floodplain Development Permit is required before any construction can
begin.
Is additional information required? ( ) Yes (v~NNo
Are other federal, state or local permits required? ( ) Yes ( ~/~o
( 9~/ERMIT APPLICATION APPROVED
( ) PERMIT APPLICATION DISAPPROVED
Fornu/permits/constdev