FEMA-EC940613®W W t4 C, o'-5 50 56 3? m. t �
1 iY�
The City WiM A aeeuft Future BUILDING PERMIT APPLICATION
Building Inspections Division
IM � . �-1 Print or Type in a Clear, Legible Manner
Mky 1 6 04
i
Job Address: Date: 160 /99
Lot: .39 Block: 14 Subdivision: K l �C-,�Lt N�s Phase or Section Number:
Owner: 'T M St ee eta 7�. Address: � � � ,� � Phone #: 93 _
J l . 0. oX 3� �,�E�L ,3 20 �79
Contractor:
Address:
Description of Work to be Done Class of Work: ® New []Addition
Phone #:
❑ Alteration ❑ Repair ❑ Demolition
of Building in Square Feet
First Floor 2-6'/ 7 Garage 9104 Value of Work
to be Performed
Second Floor 1392 Other
41 7X.3 75-'A*1. *4 GRAY AREA FOR OFFICE USE ONLY
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 violate or cancel the provisions of any other federal, state or local law
regulating construction or the performance of construction.
`Signature of Contractor or Authorized Agent Print Name
Mr G 09CI—ie/r- JLi N 0-D. MEMANIc41-
Electrical Contractor Plumbing ContractoiJ Mechanical Contractor
BIR - 1 (2/82) ��77 Q �" /)
Mo
Z -Z -Z-�Z—
NY EY I'll I'
LOT 39, BLOCK' A OF THE FAIRWAYS AT RIN'ER('IIA,,-,E IN ADDITION
TO THF CITY OF COPPELL, TEXAS.
Ir
o
7,
ROCK RET WALL
-19
LOT
13 1, K A
0,208 AC.
1 25.9 1 1
LOT M
ci
13. n
FOR'NIROARD
19.3
L 7 �7 7 H.0
i,j 5.5
J- m 8.0
1.0
2.8
5.7
1 14.1 CC) •f3_
13-7 14.2
1 1.7
'25' BLDG
- LINE
10' UTIL ESMT
cy-)
LOT 38
(N
750 27'I 7" E)
90.0
I
G--
K' -A I I Ri 11 LANE
J
-f
1 hereby efifv that the 7TH
9 4
jay of JUNE, 19 this --rvev wag made an the Rround as per the field
note. shown on this survey
nd Me .1 to
"
the dimensions of the 'W'j,"t
P-pe.fi,, original mnnnnn u or replacement
of l,h.t there.(
s'.r", vris and —,bl,
easements of al,,(,h I have
be,,, nd—,,,t of aff—t—g the —1q,rt property
Rrfrrrnoe bearing sh,—n in parenthesis.
JUNE 13, 1994
OF'
10 13
HARRY J. ROWF1 I
GF No.
..........
597
)0,
JA MY
Scale: V' =
/21" Sfvel Iron Rod Yound
Irnn Rod Sel
ROWELL
Properly bine
v
INC.
"I"oe
Surveying & Etigm(-,mg
i -m Link Wire F,,iive
1 :10 1 Elm Stroct Ste. 201
Cat r(d1f mi, Fpxw, 7 5006
• X11
20' REAR BLDG.
--,--------------- ----- ------- -
i
� I �
O d , JF.E.M.A. LE O
T'fER �.,
W � Lt. � � O
i iW O
C) cv
U) .-4
Coll
CITY OF COPPELL
V,111CON c . REVIEWED
1 DRIVE �
OT DATE
Approval o n pans and specifications shall not
be construed :c nean construction indirect
flict with the City of Coppell Building Codes nd
Zoning Ordinances. i
1 10' UTIL. ESMNT.\
90.00'
,� ?"A"T
�//�O BERKSHIRE
••
4' CONC.
WALK
--------------
LANE'
PLOT PLAN
SCALE 1/16"— 1'-0"
LOT 39 BLOCK A
RIVERCHASE
COPPELL, TEXAS
o•"'8•"°3°6'-0°"
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: 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 LOMR).
Instructions for completing this form can be found on the following pag--s.
SECTION A PROPERTY INFORMATION FOk INSURANCE COMPANY USE — I
BUILDING OWNER'S NAME POLICY NUMBER
STREET ADDRESS Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY MAIC NUMBER
4/� fZP.f'S,y/�P.� L .S�i✓E
OTHER DESCRIPTION JLot and Block Numbers, etc.)
G o 7, OCTHE F..gi,P�vq[/S 14 T 1r1Pg!Fe�isf�9,S
CITY rC� STATE ZIP CODE
SECTION 8 FLOOD INSURANCE AATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD 219 ❑ Other (describe on back)
8. 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: I I I I I I . U feet NGVD (or other FIRM datum -we Section 8, 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 .
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
Q_ ,w -of 4141 � . 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
p the selected diagram, is at an elevation of I I I I I I .0 feet NGVD (or other FIRM datum -see Section B, Item 7).
cll� (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W . U feet above ❑ or
below ❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the referencb level from the selected diagram is W . U feet above ❑ 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
Qlevel) 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 ❑ 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 71, then convert thations 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 ;FlR0A':7ys ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: actualnstructi n
co o ❑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: I 11414141 .L feet NGVD (or other FIRM datum -see
Section B. Item 7).
NAME
LICENSE NUMBER (or Attic Seal)
TITLE `COMPANY COMPANY NAME
ADDR S �� �-� CITY STATE ZIP
/30/ .6 Ylree7// / C9rra/�fo.� _ Ty. 750a6
SIGNATURE{ DATE PHONE
( 1'2/4) Z42 - 6
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
s. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
x '80 X70
Doli
E
41- i�' -- 9¢
�����
(in AO Zones, uw depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD 219 ❑ Other (describe on back)
8. 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: I I I I I I . U feet NGVD (or other FIRM datum -we Section 8, 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 .
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
Q_ ,w -of 4141 � . 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
p the selected diagram, is at an elevation of I I I I I I .0 feet NGVD (or other FIRM datum -see Section B, Item 7).
cll� (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W . U feet above ❑ or
below ❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the referencb level from the selected diagram is W . U feet above ❑ 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
Qlevel) 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 ❑ 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 71, then convert thations 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 ;FlR0A':7ys ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: actualnstructi n
co o ❑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: I 11414141 .L feet NGVD (or other FIRM datum -see
Section B. Item 7).
NAME
LICENSE NUMBER (or Attic Seal)
TITLE `COMPANY COMPANY NAME
ADDR S �� �-� CITY STATE ZIP
/30/ .6 Ylree7// / C9rra/�fo.� _ Ty. 750a6
SIGNATURE{ DATE PHONE
( 1'2/4) Z42 - 6