Town Center L3B3-PT020116®
COP?ELL
CONSTRUCTION DE'Y'ELO~ P .EBMIT APPLICATION
Address:
Phone Number:
OR
Location description (~UMcA Y/ci~ ~): /~C'~ ./..f ~ 'lc?,,~ ~' ff/,/~.//a ·
Type of proposed construction or development:
( ) Residential ( ) Alteration of a natural waterway drainage course
/~ ) Non-reddenthl ( ) Other ((M~¢r~ & ~A dra~M~ or ~larci)
( ) Placement of Fill (i~ right-of-way or on pri~m property)
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Description of Construction Permit requested:
avina ( ) Medan or Landsc, ptna
/'(N) Sidewalk ~) Water MJdn
~ ) Drive Approach ~ ) R.C.P.
f'(~) Excavation ~"(~) Sanitary Sewer Main
~) ~ Lane ( ) ln?,-~
( ) ~rtda, ~J)~
( )mphp
~) FIll Area
( ) Draimge Ch~m~.l Excavation
( ) Slope Prot~cflouYRdaining Wall
~(~) pUrktn~ L~t
*:* Please pFovide the nstm~ address and 24 hour phone p.mher for superyisor of ever?
contractor working under Ihi~ general peFlldt.
(,
All constFucflon shall be in COmpliance with, but not Hmi/~! to, the City of Coppe]l
Subdivision OTd!nmnce~ Standard Construction De~iJls, Streetscipe ~ and approved
plans. The contractors shall adhere to the City's Erosion and Sedimentation Ordinance.
CONSTRUCTION DEV~O~ PERMIT APPLICATION
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A Construction Permit Fee in accordance wiLb the City of ~oppell Fee OFalnance fhan be
paid prior to be~ work,
Any work requiring closing of a lane of traffic, street, or alley must be approved by the
Engineering Dept. with notification to the following prior to dosing:
Police nelmrtment O 972-304-3600
Fire Department O 972-304-3S00
Street Department O 972-304-3S46
Attach bar~cade pl.n / trench safety p~an of a lane or street closure. (Required)
Note: Street closures are allowed frqm 9:00 a.m~ until 3:00 p.m. OlVZY unless otherwise
approved by City Engineer.
pre-construction meeting is required prior to b~nnln~ work related to thla permit. Contact
the ins/pector to s~dule meeting.
' '~ ~gnature~f ~,~plican(
Prinu~d Name Date
City Iasgector
· Contact Number(s)
FOR CTIn/USE ONLY
Is the fill area located in an identified flood hn~mrd al"~? ( ) ~ ~ NO
If YES, then a Ftoodplain Dodopm~nt Permit is re~ired befor~ any ¢or,.d,,w.~n am b~n.
Is additional information required? ( ) YES ( ) NO
Are other federal, state, or lo~al permits requires? ( ) YES ( ) NO
~I~_ERMIT APPLICATION APPROVED
- '¢" ~ ~i[-y Approval ' '
( ) PERMIT APPLICATION DISAPPROVED
/ Date -
Applicant sludl indenmify and forever Aoid lmrmlest against tiff C~y of Coppdl each and mty claim, dettumd
or cautf of action tAar may ~ ninth or eom against it Ay rtafon of or O' anY way arising of# of tl~ elot~,