Sherrill Acres-PT191004OFFELL
4N 0d
CONSTRUCTION DEVELOPMENT PERMIT APPLICATION
Name of Applicant oney Goel Date Submitted 1/19/2018
Address of Applicant
602 Boulder Dr, Parker, TX 75002
72.814.8733 Fax Number
Location of Construction (address, if available):
707 E. Beltline Rd, Coppell, TX 75019
Subdivision herrill Acres Replat Section # Block # Lot # 62
OR Survey/Abstract # ingleton Thompson Survey Acreage bstract No. 1493 0.639 Acres
Location description (attach vicinity map):
1. Type of proposed construction or development:
C Residential C� Alteration of a natural waterway drainage course
G Non -Residential (7) Other (describe & attach drawing or sketch)
7) Placement of Fill (in right-of-way or on private property)
2. Description of Construction Permit requested:
® Paving
®Median or Landscape
Sidewalk
❑ Drive Approach
❑ Excavation
'lFire Lane
❑ Bridge
❑
❑X Water Main
❑ R.C.P.
❑ Sanitary Sewer Main
❑ Flume
❑X Inlet
❑ Box Culvert
❑ Rip Rap
❑ Fill Area
❑ Drainage Channel Excavation
❑ Slope Protection/Retaining Wall
❑X Parking Lot
Provide an attachment containing the name and 24 -hr. contact phone number
of supervisors) for every contractor working under this general permit.
3.A11 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
S.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. unti13:30 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:
oney Goel
Signature of Applicant
Signature of Inspector
972-814-8733
Contact Number
Contact Number
FOR CITY USE ONLY
Is the fill area located in an identified flood hazard area? � Yes C� No
If YEN, a Floodplain Development Permit is required before any construction can begin.
Is additional information required? ('
Yes r; No
Are other federal, state, or local permits required? C Yes 0 No
0 PERMIT APPLICATION APPROVED C PERMIT APPLICATION DENIED
City Approval
shall
lol ley
Date
Applicant
indemnify and forever hold harmless against the City of Connell 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.
7 H C l T
:OPPELL
siv R "* _ I
INSPECTION FEE CALCULATION SHEET
Project Name Loppell Office Condos Date rov 17, 2018
Page 3
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 contracts) and this spreadsheet with
completed calculations to the Engineering Dept. The contract(s) should indicate the cost to construct the following
improvements:
Grand Total (total of 808
both colored fields)
i Submit byE-mail Print'Form
PUBLIC IMPROVEMENTS
° __
PRIVATE IMPROVEMENTS
o
CONTRACT AMOUNT
CONTRACT AMOUNT
Paving
0
0
33,120
662
Water
31550
142
0
0
Sanitary Sewer
0
0
0
0
Storm Sewer
61100
244
0
0
Alleys
0
0
0
0
Sidewalks
16,400
656
51232
104
Other
Total
1,042
766"
Grand Total (total of 808
both colored fields)
i Submit byE-mail Print'Form