FEMA-EC950831The CilyWith ASesA M" BUILDING PERMIT APPLICATION AUG 1 7 95
Building Inspections Division
Print or Type in a Clear, Legible Manner If
Job Address: 6014 ,B9-eK5N/R.E Date:�{A - j
u U-5 7- /01 199.��'
Lot: 33 Block: A Subdivision: FA/ RWA yS •4 idE�GNAlE Phase or Section Number:
Owner: v-* Iq 1556► � F t. n C.
Address: 120. 136,1'
Phone #: 393- 207$
Contractor: :5,4mg Address: Phone #:
Description of Work to be Done Class of Work: jo New ❑Addition ❑ Alteration ❑ Repair ❑Demolition
5016-6E FArHi�U �E7'A�tt6�
of Building in Square Feet
First Floor M&
Second Floor
Garage 6&j
Other
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 withjwther specified herein or not. The granting of a permit does not presume to
give authorityviolate or canc the provisions of any other federal, state or local law
regulating cotion_or the perjrmance of construction.
d42 ROM NEIMPjAc-4
signature of contiacTor or Authorized Agent Print Name
Electrical Contractor J Plumbing Contractor Mechanical Con actor
BIR - 1 (2/92)
Value of Work `T
to be Performed 3f &/W-
P( GRAY AREA FOR OFFICE USE ONLY
r ZZT_Z':I_ZI77J_Z71.Z1.'I11'-ZZ7ITT7_
i SURVEY PLAT
ii
`!+ LOT 33 BLOCK A OF THE FAIRWAYS AT RIVERCHASE AN ADDITION
TO THE CITY OF COPPELL, TEXAS.
LOT 34
8.0
NORTHWEST DALLAS COUNTY
FLOOD CONTROL DISTRICT
VOL. 87174, PG. 3553
e
15' ULT. 100 YR. FLOOD PLAIN LIMIT
10' UTIL. ESMT.
3/8" IRF
LOT 32
604- BERKSH11Q),E LANE
I hereby certify that on the32 T dv of Z--�+ f B 9� " this survey was made on the ground se per the field notes shown on this surrey
and is true, correct, and accurate as to the dimedslons of the subject property and size, location and type of buildings and Improvements thereon,
if any. The survey shows all easements and visible easements ofwhich I have knowledge or have been advised affecting the subject property.
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
(IF
Date : h_�3/ JOB
# .
..............
HARRY J. ROWELL
4597
j 43 LEGEND„
Scale: 1 = 20
11/2” Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
1, Property Line By:
IFence—•-----•—
�'hein ISnk / Hire Fence x—x—x—x—x
Dverhead glectrie E F— F—
`�'�°`" H AR R Y
RO�WELL
Associates, INC.
Surveying k Engineering
1301 Elm Street Ste. 201
Carrollton, Texas 75006
L4o- uv. yg #
x°aavy iui0+
I
RBQQLTi.
CITY Of COPPELL
REVIEWED
1
GATE
Approval of the pliMs and specifications shall not
be construed to mean construction in direct con-
iI ict with th pell Building Coda and
LA Y ErbSTRM 1 _
CUT1
F.E.M.A. LETTER
MINIMUM U:11,.
4`r l°1�wF�# .� t li s �D • d I
PLANS ARE REVIEWED FOR
APPROVAL OF SINGLE
FAMILY RESIDENCE ONLY.
OTHER DEPICTIOr:o OR
CALL -OUTS ON PLOT PLAN
HAVE NOT BEEN REVIEWED
AND ARE IVT APPROVED.
cortr00 �HZ6ray.+
i
twl.
a� i4'
STEWART ;', Designers. Inc. .1?U01We.A%PA KWAY9MI-11AWODALLAS.IUXAST.i484
ELEVATION CERTIFICATE Expires MOMB. M 306 y31, 1077
May 31, 1993
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ITIENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
;)rovide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
-termine 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
BUIL DING OWNER'S NAME
STREET ADDRESS (Including Apt , Unit, Suite andror Bldg. Number) OR PO. ROUTE AND BOX NUMBER
94 E -
Ci T HER DESCRIPTION (Lot and Block Numbers, etc.)
FOH INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
G_oT 33 d�o� of __T_�✓F,Y� .9TH q1I� -- --- -
ZX STATE ZIP CODE
r SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
I. COMMUNITY NUMBER
2. PANFL NUMBF"R
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
.. / DATE
(in AO Zones, use depth)
.7 Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): I I NGVD '2.9 I I Other (describe on back)
?j 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.I1._;- ! . ; . ! 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
W describes the subject building's reference level
`f 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 I 1. 111`II .!O feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Z % nes V1 V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference Igvpl from
the select d diagram, is at an elevation of I I _ I-1___I_J .I I feet NGVD (or other FIRM datum—see Section B, Item 7).
4 (r). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is -_j__) . I feet above I or
4 below -i (check one) the highest grade adjacent to the building.
1y (d) FIRM Zone AO. The floor used as the reference level from the selected diagram is 1 I . �_ ) feet above I I or below n (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
p level) elevated in accordance with the community's floodplain management ordinance? 1_ _1 Yes 1 1 No I I Unknown
', 3 Indicate the elevation datum system used in determining the above reference level elevations: I_ I NGVD '29 ( I Other (describe
0 u0nder 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 71, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
Elevation reference mark used appears on FIRM: P Yes KNo (See Instructions on Page 4)
The reference level elevation is based on: [actual construction 1-1 construction drawings
(.NO TE: 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.)
The elevation of the lowest grade immediately adjacent to the building is: Ll A44101. L31 feet NGVD (or other FIRM datum -see
3 ction B, Item 7).
SECTION D COMMUNITY INFORMATION
I It 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 offloor" as
� gslwest
2. Date of the start of constrby the u tioncortsubstanb'al +m Jrova feet NGVD (or other FIRM datum -see SectiontP ^a.r
p ment - i * ` , E1
CERTIFIE
5W NAME
_
TITLE
w 9e/^
ADDRESS
/30//,y,
SIGNATURE
LICENSE NUMBER (or
COMPANY NAME
CITY/
---
.. / DATE
HARRY ROWELL
T gzn`,``'"'
-10NA1 SAJAiP ZIP
`-_, SDD
PHONE
671 Z9e?—S6i