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FEMA-EC940926® q X56 35 w --� 3ggzy kG 2 5 A he City With A BeautfU Ful. BUILDING PERMIT APPLICATION 94 T 7Building Inspections Division 3 , Z I Print or Type in a Clear, Legible Manner - ( - / / Job Address: i'��C4Csi5:ied,�- Date: Lot:AL3 Block: �- Subdivision: ��, Phase or Section Number: Owner: 4� ��,.�,.( L�.aa.•joie.c/f Address:mr -15-Phone #:���� Contractor: Address: Phone #: .7t �o/%yt�sLl� 7Go3 ,� 5471 Description of Work to be Done Class of Work: %New ❑Addition ❑ Alteration ❑ Repair ❑Demolition of Building in Square Feet First Floor Second Floor Z Garage 7 73 Other 3G z NOTICE This permit becomes null and void if work or construction authorized is not commenced within 180 days, or construction on work is suspended or, abandoned for a period of 180 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to v olff"r cancel the provisions of any other federal, state or local law regulating constutction_gr the performance of construction. Signature of Contractor ot/Authorized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor BIR .1 (2192) Value of Work / to be Performed A%ep-o GRAY AREA FOR ONLY 120.54' PROP, UTL. 100 YR. FLOOD PLAIN LI IT 1 501.01, Lq SCALE I"=20' -O" UMLL REVIEWED DATE At proval of the laps and specifications shall not construed to mean construction in di ect con- . 'Iding es anc' FORM BOARD SURVEY REQUMM Did. ANG 1 ER RESIDENCE L 1 l� _ 25'-0" "I 10� UTA 16.4'1' 02, 4 )U `CENTER LINE BERKSHIRE LANE LEGAL DESCRIPTION LOT: 45, BLK: A FAIRWAYS AT RIVERCHASE DALLAS COUNTY COPPELL, TEXAS ELEVATION CERTIFICATE 0.0,.6. NO. 3067-0077 Fzpires t.hcry 31, 1.996. FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM INTENTION: Use of this certificate does_, not provide a waiver of the flood insurance purchase requirement. This form is Used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances; to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION BUILDING OWNER'S NAME STREET ADDRESS (Including Apt , Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER 400 Berkshire OTHER DESCRIPTION (Lot and Block Numbers, etc.) Lot 43, Block A FAIRWAYS OF RIVER CHASE --------------- CITY---------- Coppell FOR INSURANCE COMPANY USE POLICY NUMBER COMPANY NAIC NUMBER STATE ZIP CODE Texas SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVArION lin AO Zones, use depth) 480170 1 I C 2-15-84 AE 443 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): NGVD '29 i_ Other (describe on back) S. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: __1 _' _I feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 1— . 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of L 1449 L5.❑ feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of ! ! ! feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is IL feet above a or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is ! ! . ❑ feet above E or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD '29 !J Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section 8, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: © Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: ❑ actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: .LI .feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I I U feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local taw to certify elevation information when the elevation information for Zones Al -A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—lf the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location' of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code jIoiAorat;ja01. CERTIFIER'S NAME LICENSE NUMBER (or Affix a pF — Thomas W. Vogt .»••j»•«..»//y.«.«..•..••• TITLE COMPANY NAME....••...........::r Registered Registered Professional Engineer 45622 ADDRESS CITY •C�►S , CJ '�► ZIP P.0. Box 21 74 Bedford g7E �� Sj 76095 SIGNATURE 9-26�`J4 (817 -1621 Copies should be made of this Certificate r. 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON SLAB A v ZONES ZONES WITH BASEMENT A ON PILES, PIERS, OR COLUMNS A v The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. J ti Page 2 SURVEY PLAT ADDRESS: 400 Berkshire Lane, COPPELL, Texas. LEGAL: Lot 43, Block A, FAIRWAYS OF RIVER CHASE, an Addition to the City of Coppell, Dallas County, Texas, according to the Plat recorded in 93056, Page 2367, Plat Records, Dallas County, Texas. o z Q J • • Z J t � 0 i 29.7' m REVISED: 09-16-1994 DATE: 09-15-1994 SURVEY NO.: 9401073 SCALE: 1 inch = 25 feet FORMBOARD SURVEY y m 2 XO 0 LL L❑T 44 42.5' 3 28.8' O rLLOT43 coOCK A 12,045 SF 130.0' N 88° 02'431 W LRT 42 TIL. ESMT. per plat 93056, PG 2367 M Q �__j z f-- � U a H U I— Ln H L0 QQC'� CL W U 3 � z�CC) J ZCJ LL i The undersigned does hereby certify that this survey was this day made on the ground of the property legally described hereon and is correct, and that there are no discrepancies, conflicts, encroachments, overlapping of improvements, visible easements or rights of way, except as shown hereon, and that said property has access to and from a dedicated - 1 easements, reservations and restrictions that may be of record. hazard zones are an estimate based on data shown on the Flood J not be interpreted as a study or determination of the flooding LEGEND ,,,,„•el O • STEEL ROD FOUND ROD ~A .. �� -- use STEEL SET h THOMAS W. V®GT P.E. PROPERTY LINE j i� �' o;9cP 9 - - - X -CHAIN WOOD FENCE LINK FENCE _ a, ' ,',»a �., ,�� _.. ® W. VOGT err 2$ Q REGISTERED PROFESSIONAL LAND SURVEYOR N0. 1928 m P.P. POWER POLE = '= �f/STEP oa,�o REGISTERED PROFEaSIONAL ENGINEER NO. 45622 E- OVERHEAD ELECTRICAL LINES V`,��.';."-:: O'•S�R��y P.O. BOX 210274 • BEDFORD, TEXAS 76095-7274 CONCRETE slpfid' PHONE: (817) 284-1621 • FAX: (817) 589-1278 COPYRIGHT 1993 BY THOMAS W. VOGT