Lost Creek Addition- PT180420Page 1 of 4
CONSTRUCTION DEVELOPMENT PERMIT APPLICATION
Name of Applicant Date SubmittedMARK HAAS COMPANY 5/16/2016
Address of Applicant 141 Dickens, Coppell, TX 75019
Phone Number Fax Number2142132302 2142132302
Location of Construction 568 COPPELL RD, Coppell, TX 75019
Subdivision AcreageLost Creek Addition
Section Block Lot1 26r
Location Description Lost Creek Addition, Lot 26 Block 1, Coppell Lofts, 568 S Coppell Rd
1. Type of proposed construction or development:
Residential
2. Description of Construction Permit requested:
Storm/Grading/Erosion/Utilities/Paving: Paving, Sidewalk, Drive Approach, Fill Area, Parking Lot, Excavation, Water
Main, Sanitary Sewer Main, R.C.P.
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.
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: $1,779.56 Date Paid: 4/4/2018
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
Fire Department @ 972-304-3512
Street Department @ 972-462-5150
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 a .pdf and CD with Autocad .dwg files.
Page 2 of 4
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:
Mark Haas
Signature of Applicant Contact Number
2142132302
Signature of Inspector Contact Number
FOR CITY USE ONLY
Is the fill area located in an identified flood hazard area?
If YES, a Floodplan Development Permit is required before any construction can
begin.Is additional information requred? No
No
City Approval Date
George Marshall 4/20/2018
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
Page 3 of 4
INSPECTION FEE CALCULATION SHEET
Project Name DateLost Creek Addition, Block 1, Lot 26 Coppell Lofts live /
work
5/16/2016
As per the City of Coppell Subdivision Regulations, the Developer shall pay 4% of the cost of the items to be permitted and
inspected by the Engineering Department and dedicated to the City. The Developer shall pay 2% of the items to be inspected
by the Engineering Department, but not dedicated to the City such as parking lots, private utilities, private drainage systems
and so forth. Inspection fees are due on or before the date of the Pre-construction Meeting.
In order to verify the inspection fee due, please provide a copy of the development contract(s) and this
spreadsheet with completed calculations to the Engineering Dept. The contract(s) should indicate the cost to
construct the following improvements:
Paving
Grading
Water
Sanitary Sewer
Storm Sewer
Alleys
Sidewalks
Other
PUBLIC IMPROVEMENTS
CONTRACT AMOUNT
$10,946.00
$0.00
$6,900.00
$7,360.00
$1,100.00
$0.00
$6,867.00
$0.00
X 4% =
$437.84
$0.00
$276.00
$294.40
$44.00
$0.00
$274.68
$0.00
$7,693.00
$0.00
$3,600.00
$3,700.00
$7,300.00
$0.00
$339.00
$0.00
X 2% =
$153.86
$0.00
$72.00
$74.00
$146.00
$0.00
$6.78
$0.00
Total $33,173.00 $1,326.92 $22,632.00 $452.64
PRIVATE IMPROVEMENTS
CONTRACT AMOUNT
Grand Total (total of
both colored fields)$1,779.56
Page 4 of 4
Signature of Applicant
Signature of Inspector
Date
Date