FEMA-EC951207The City With A Beautiful FNture BUIING PERMIT APPLICATION
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Job Address: SQL �,,,e� �,.�- Date:
AQZ 4,S"
Lot:?7 Block: $ Subdivision: _ Phase or Section Number:
Owner„/o J�Ly �� Address:��� Phone
Contractor: �� Address:`�z3 � rs��,e• Phone #���j
Description of Work to be Done Class of Work: WNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
z. S�
Area of Building in Square Feet
First Floor —2%_2!� Garage ''7, 5?
Second Floor /"Z/ Other 7��
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 d cancel the provisions of any other federal, state or local law
regulating con -tion ofa performance of construction.
Signature ofC9titractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
Value of Work
to be Performed�l m1t!D
Y AREA FOR
= q�
IUM VOGT SURVEYORS. TEL:517-58971278,
Dec 07,95 5.17 No.001 P.01
SURVEY PLAT
ADDRESS: 504 Berkshire Lane, COPPELL, Texas. t
LEGAL: Lot 37, Block A, FAIRWAY OF RIVER CHASE, an Addition to the City of Coppell, Dallas County,
Texas, according to the Plat recorded in Cabinet 93056, Slide 2367, Plat Reoords, Dallas County, Texas,
LOT 38
76 '2717'1
+ g
.-
NN
+6.7 LOT 37
BLOCK A
2. C
+
4
TOP Fetes iEL.EY 3771
x > 1
4Q.72' CA
N J
V
r
130.0' * W W
752� 17 LA
ih
LOT 36 C
,
DATE: 12-07-1995
SURVEY NO.: 9502136
G.F. #:
SCALE: 1 inch = 25 feet
PURCHASER:
SELLER:
LEGEND
0 STEEL ROD FOUND
• STEEL ROD YET
PROPERTY LINE
— ' WOOD FENCE
"— X -- CHAIN LINK FENCE
e P.P. POWER POLE
E ` OVERHEAD ELECTRICAL LINES
CONCRETE
The undersigned does hereby certify that Uus survey was this day made on the ground of the property lag* 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
roadway. said property being subject to any and all easements, reservations and restrictions that may be of record.
Any reference to the 100 year flood plain or flood hazard zones are an estimate based on data shown on the Flood
Insurance Rete Map provided by HUD and should not be interpreted as a study or determinationy tl�gflooding
propensities of this property.
THOMAS W. VAGT, P.E.
REGISTERED PROFESSIONAL LAND SURVEYOR NO.1928
REGISTERED PROFESSIONAL ENGINEER NO. 45622
P.O. BOX 210274 • BEDFORD, TEXAS 76095.7274
PHONE: (817) 284.1621 s FAX: (817) 589.1278
COPYRIGHT 1994 BY THOMAS W. VOGT
10/04/95 11:10
Ul I-IfY4-1t"n 1n; J5
BRICK %INC
REF. ELEV.
CITY OF COPPELL ENGINEERING - 93043514 NO.3429 901
IIY ur uurrt� PLANS ARE UVPEWED Ft
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SCALE : 1 =20'-0 co: em.` c� +
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LOT 37 OLK "A" [tone u Phone»
FAIRWAYS OF RIVERCHASE ESTATE Fes" Fax q 1326� - 35-9-C)
COPPEl,L TEAS
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AND cowpAY
KANC-• s RESIDENCE JSL Anlatecu
TOTAL P.02
CITY OF COPPEI.!., TEXAS
STREET CUT PERMIT 043
Date : 1 I – 15- i6"
The undersigned petitions the C I TY OF COPP ELL for permission to cut or alter
street at the location described below in accordance with provisions as stated herein:
Issued To: `%d A - C'. Address: -6 4 i;.r%%re
Street Name: � L .- X r A ,,-re Location:
Purpose For Cut:
Size of Cut: Length Width Area: Sq. Ft.
Work To Be Performed By. ( ) Auth. Contractor
( ) City
Type of Street: ( ) Concrete ( ) Pent. Asphalt ( ) Hot Mix Asphalt
City To Replace: ( ) Subbase and Surface ( ) Surface Only
Fee Per Square Foot Total Fee $ a 0 0 00
Ph.: Issued By:
Applicant -Contractor
(Subject to provisions on reverse side)
CITY OF COPPELL, TEXAS Inspector
Application for Sidewalk — Drive — Curb & Gutter
Address ming
Use: Residential Commercial
For: Sidewalk —Frontage Width Matl
Drive length Width Matt
T pngth Width Matl
T -- Goth Width Matl
T pngth. —Width Matl
Curb Lin. Ft.
Gutter Lin. Ft.
Owner
Contractor
By
Date
Prop. Line
Width ,p
ELEVATION CERTIFICATE o.';XPileo. y3T, 1996
E>:pii es Mcry 3 T, 1996
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 pages,
SECTION A PROPERTY INFORMATION ---
BUILDING OWNER'S NAME FOR INSURANCE COMPANY USE
—_ -` — POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
504 Berkshire Lane COMPANY NAICNUMB� ER
----
OTHER DESCRIPTION (Lot and Block Numbers, etc.) —
` Lot 37, Block A, FAIRWAYS OF RIVER CHASE
CITY -- _
Coppe 11 STATexas ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
I. COMMUNITY NUMBER 2, PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION
480170 1 C 2-15-84 AE (in ^44°3,"SBdBptn)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 ❑ 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: U_IJ__j_j.LJ 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 LL s112 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 L I I '_I 1 1.11 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 '.LJfeet above ❑ 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 1 J feet above ❑ or below L ] (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: [N 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 B, 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: IN 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: I I I I I I . Ll ,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: LJ j.0 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 oir tocal'lbw 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—if 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,
1 certify that the information in Sections B and C on this certificate represents my best a data available.
1 understand that any false statement may be punishable by fine or imprisonment un 8 �5( t ti 'on 1001.
CERTIFIER'S NAME
Thomas W. Vogt
LICENSE
TITLE COMPANY NAME ,T+�'��'�'c•c: ��a d'4.''f/
Registered Professional Land Surveyor .y 00,,�,�
AOgnE sCITY Bedford Texas 76095 ZIP
.0. Box 210274,
SIGNATURE 12_0 /p
ATF1995 (8j1ftE 284-1621
Copies should be made of this Certific. or: 1) community official, 2) Insurance agenttcompany, and 3) building owner.
COMMENTS:
ON
SLAB
A v
ZONES ZONES
FLOOD
ELEVATION
�'�L ADJACENT
.y.1__ GRADE
ADJACENT
GRADE
WITH
BASEMENT
A
tF ZONES
DASE
FLOOD
LEVEL
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.
Pane 2