FEMA-EC951213r
957They With A Beautiful Future BUILDING PERMIT APPLICATION I
1-7 73 ;L 1 Print or Type in a Clear, Legible Manner
Job Address: 6-100 &r& / 00 Lr) Date:
Lot: -5.4 Block: Subdivision: Q• Phase or Section Number:
Owner: 1mns 8,l 1„f4,' I -A C f Address: Phone #:
Contractor: /404? 4&qPhone
#: X 3
Description of Work to be Done Chase of Work: L`❑- Ad 'tion ❑ Alteration ❑Repair ❑ Demolition
4— i/C1-)Pe r wc& -� X9;9114 / Iq reps (dfn ce,
Mea of Building in Square Feet
First Floor Garage -4P Value of Work
h to be Performed 7 CQ
Second Floor Other SV 550:5
L
3 550 :5 F�' GRAY AREA FOR OFFICE USE ONLY
NOTICE
This permit becomes nall and void if work or construction andmzed n 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 on* 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.
12,9s
SURVEY - PLAT JIMMY W. POGUE, INC.
This is to certify that I have, this date, made a careful and accurate survey on the ground ofert ro located
p p y at
No 600 BERKSHIRE LANE in the city of, COPPELL
Texas
Lot No. 34 Block No. A City Block No.
of FAIRWAYS AT RIVERCHASE
Cityor-. COPPELL, DALLAS COUNTY,
Texas, according to the
recorded in Volume. 93056 page 2367, MAP Records DALLAS
90 4tock Wall
_ an addition to the
KAP thereof
Countf, , Texas.
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0 SUR`'
The plat hereon is a true representation of the property, as determined by on the ground survey, the lines PAUL A. HIDALGO
and dimensions of said property being as indicated by the plat; the size, location and type of buildings and
improvements areas shown, all improvements being within the boundaries of the property, setback from REGISTERED PROFESSIONAL
property lines the distance indicated, and that the distances from the nearest intersecting street=# road, LAND SURVEYOR NO. 4490
is as shown on said plat, all corner monuments are as shown.
THERE ARE NO ENCROACHMENTS OR PROTRUSIONS.
1"=201 This survey was performed in connection with the transaction
Scale described in GF No. JIMMY W. POGUE, INC.
DEC. 11, 1995 of HOLMES BU T LDERS 3510 MARVIN D. LOVE FREEWAY
Date Title Company. Use of this survey for any other purpose or by any DALLAS, TEXAS 75224
other parties shall be strictly prohibited as this survey is a copyright PHONE (214) 371-0666
JOB No: 61347 owned by Jimmy W. Pogue, Inc., and all other uses are forbidden,
without prior written consent of JimmyW.
Pogue, Inc.
RON
SITE PLAN
SCAL@ 1' - 201-V
LOT 34. BLOCK A
FAIRWAYS AT RIVERCHASE
DALLAS COLNfY
COPPELL. TEXAS
MNi Mm f.L"
CITY OF COPPELL 600 BERKSHIRE LANE
EVIEWED
Ily DATE
Approval of the ns and specifications shall not
be construed to mean construction in direct con-
flict with the City of Coppell Building Colt •nd
Zoning Ordinances.
N. -
PLANS ARE FOR
APPROVAL OF SINGLE
FAMILY RESIDENCE ONLY.
OTHER DEPICTIONS OR
CALL -'OUTS ON PLOT PLAN
HAVE AND ARE BEEN REVIEWED
ARPROVED.
O.M.B. NO. 3067.0077
ELEVATION CERTIFICATE Expires May 31,1996
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 LOMB).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION
BUILDING OWNER'S NAME
STREET ADDREA (Including Apt., Unit, Suite
(Lot arA Block Numbers,
Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
ZIP CODE
rY NUMBER 1 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 1 6. BASE FLOOD ELEVATION
D E:(in AO Zones, use depth)
f l `tel -9J AC, C1c Imo, C,
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): X 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: L I I I I I , Lf 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 4--- .
2(a). FIRM Z��es Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of L1_ L71,r1*71 . 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 I I LJ 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 I . U feet 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 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
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: la 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: ❑ Yes X Noo/ (See Instructions on Page 4)
60
5. The reference level elevation is based on: X actual cconsi u ttion ❑ 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�PI , (J 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: L 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
"J-013 1,10 . U13417
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law 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.
/ 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, Section 1001.
CEETIFIE. NAAE I I A _ LICENSE NUMBER (or Affix $ekl)
TITLE( i�QOfSirAl.. COMPANY
ADDRESS
SIGNATURE`S w
Coal
.LASSTATE ZIP
---- /i�- 7522,c�
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON
WITH ON PILES,
SUE
BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE REFERENCE
LEVEL SASE LEVEL
REFERENCE
FLOOD
LEVEL
ELEVATION
:::i.:::•i: ::.::.,•;: �'
BASE . •.
FLOOD `•••"" •ADJACENT REFERENCE
BASE
FLOOD
ELEVATION REFERENCE ADJACENT GRADE LEVEL
ELEVATION
LEVEL GRADE
'�:. •.�Yr}'::j.C:`•`•i:}}:
i.:.;: if,',
•'iir ADJACENT(;
...:.•.IT1/c'::•..:.:.•. ...:.:. .. .. �'r.: ��(11'•;..;: GRADE
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.
Page 2
CITY OF COPPELL, TEXAS
STREET CUT PERMIT N? 043
Date: i -z— �2- 95 -
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: x o o m cr X i d = Address:
Street Name: 4,00 c�L 4 A Z I— — 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 Surfacz� ( ) Surface Only
Fee Per Square Foot Total Fee to 0 0 0
Ph.: Issued By: 46 �jo
Applicant -Contractor
(Subject to provisions on reverse side)
CITY OF COPPELL, TEXAS Inspector
Application for Sidewalk — Drive — Curb & Gutter
Address 7n g
Use: Residential Commercial
For: Sidewalk —Frontage Width Matl
Drive —Lena h Width Matl
T p Goth Width Matl
T png& —Width Matl
T rngthWidth Matl
Curb Lin. Ft.
Gutter Lin. Ft.
Owner
Contractor
By Date
Prop. Line
Width �9