Texas Shoot-Out-CS 930716CITY OF COPPELL
P. O. BOX 478
COPPELL, TEXAS
(214) 393-1016
75019
Revised 3/12/92
Construction Develo_c-~cDt per-it ~lication
Name of Applicant: William S. Powell
Address: / Z~-
Phone Number:
Location of Property:
If Located in a Subdivision:
Address
Name of Subdivision
If Not Located in a Subdivision:
Section No.
Block No.
LOt NO.
Name and Number of Survey/Abstract
Acreage
Location Description
Attach a vicinity Map
Nature of Proposed Construction or Development (Check and Complete):
( ) Residential ( ) Non-Residential
( ) Alteration of a Natural waterway ( ) Other (Describe & Attach
Drainage Course a Drawing or Sketch
®
(~ Placement of Fill
Description of Proposed Construction or Development (Check and
Complete):
( ) New Construction ( ) House
( ) Mobile Home ( ) Non-Residential (specify)
( ) Substantial improvement to Existing Structure
( ) commercial ~ ~ " "
Description of Construction Permit Requested (Complete as Appropriate):
( ) Paving
( ) Median or
Landscaping
( ) Water Main
( ) R.C.P.
( ) Bridge
( ) Drive Approach ( ) Sidewalk
( ) EXCavation (~ Fill Area
( ) Sanitary Sewer ( ) Drainage
Main Channel
( ) Box Culvert Excavation
( ) Rip-Rap ( ) Inlet
* Please provide the name, address, and 24 hour phone number for a
contact supervisor for each and every contractor working under this general
permit.
6. All construction will follow the city of Coppell Subdivision Ordinances
and stamped approved plans. The activity shall be in compliance with
Erosion and Sedimentation Ordinance.
7. Applicant will provide one copy of approved plans, specifications, and
related cost estimate or contract of the proposed construction for the
purpose of permit calculation fee.
NOTE:
cut or that there is wor/~n the right-of-way not approved by
the city Engineer~ '
Signature of Applicant
Construction Permit Fee:
2 % Contract Construction
Cost on Items to be Dedicated
A separate excavation permit is required anytime pavement is
Date
FOR CITY USE ONLY
Is the fill area located in an identified flood hazard area? ( ) Yes ~ No
If yes, then a Floodplain Development Permit is required before any
construction can start.
~Is additional information required? ~ Yes ( ) No
Are other
CONDEV
federal, state, or local permits required? ( ) Yes ~ No
( ) Permit Application Approved
( ) ~z~l~t ApplicaAion Disapproved