FEMA-EC960514a7They With A Beautiful Future BUILDING PERMIT APPLICATION
193 �— Print or Type in a Clear, Legible Manner
Job Address: W A 13E2KS H RE Date:
Lot: 3 Block: A Subdivision: Fp 1RIJA S @ �j VE5eC gArSEPhase or Section Number:
Owner �'t12��t C,l tS+b rK 40(yles Address: --Box 13 (04- Coleple C I Phone #: 3 9 3 -LSO7 $ }
Contractor: 5 E, Address: Phone #:
Description of Work to be Done Class of Work: 14 New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor c227 9
Second Floor ego
NOTICE
Garage 641
Other
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 Astruction of thy performance of construction.
y 1611;x. X I/� 1:26pj w R EMa -i
Signature of Contractor or Authorized Agent Print Name
�f_C ��ec rtc -
Electrical Contractor Aumbing Contractor Mechanical Contrftctor
FPMC - 1 (4/94)
Value of Work 4'MoD
to be Performed 3800
GRAY AREA
ONLY
4.
1—
F.E.M.A. LETTER UIRED.
le
MINIMUM f f.
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FORM BOARD
stmvaY xBQuUen
N
( ) STRERT CUT
r—PLANS ARE REVIEWED FCS
APPROVAL OF SINGLE
FAM LY RESIDENCE ONLY.
/ OTHER DEPICTIONS OR
CALL -CUTS ON PLOT PLAN
HAVE NOT BEEN REVIEWED
AND ARE NOT APPROVED.
CITY OF COPPELL
REVIEWED
� DATE
Approval of the 4ns and specifications shall not
be construed to mean construction in direct conflict
with the City of Coppell Building codes and Zoning
Ordinances.
�.•�D" r � I �✓ Lis- ,fl.
JOB NUMBER:
Z496 - 3T59
I.DATE: �PUA-Ac� �I
DRAWN BY:
f SHEETS
"""'J:
rHR S:(LR VEY PL A T HR
l, -
LOT 31R BLOCK REPLAT OF LOTS 30-58 BLOCK THE FAIRWAYS AT RIVERCHASE
AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. REC. IN
VOL. 95127, PC. 4319, D.R.D.C.T.
LOT 3
NORTHWEST DALLAS COUNTY
FLOOD CONTROL DISTRICT LAKES
VOL. 87174, PC. 3553, D.R.D.C.T.
128.33
LOT--
'R ;•5 u
REFERENCE BEARING
612 DERKStIIIRE LANE
iD. "X"
I hereby certify that on the �?TH day a f MAY 19 96 this survey was made on the ground as per the field notes shown on this survey
and is true, correct, and accurate as to the dimensions of the subject property and size, location and type of buildings and improvements thereon,
if any. The surrey 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.
Date : MAY 14, 1996
LEGEND (1)
1/2" Steel /Iron Rod Found Q
1/2" Steel /Iron Rod Set
Property Line
N'oodFence --- --- —
Chain Link / )Wire Fence x—x—x—x—x
Overhead Electric, -- E F,— E—
GF No.
Scale: 1 " = 25'
HARRY J. ROWELL
4597
JOB # : 9G . z5 )4
HARPY
P 0 WELL
& Associates, INC.
Surveying & Engineering
1301 Flrn. Street Ste. 201
Carrollton, Texas 75006
ELEVATION CERTIFICATE COMB No 3067 10077
993
ExprrPSMav31, 1993
FEDERAL EMFRGF.NCY MANAC FMFNT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTFNTION: Use of this certificate docs not provide a waiver of the flood insurance pmr,.hnsP requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable romomnity floodplain managempnt ordinances, to
determine the proper insurance premium rate, and/or to support a request for a I Ptter 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 (Inrluding Apt., Unit. Suite and - Rld(i Numbor) OR PO n0t1TE AND ROX N! Ir,1RE-R
OTHFn DESCRIPTION (Lot and Block Nurnhors, etc I
O
F[)ti INSI InANCE COMPANY USE
P()f.ICY NI IMRER
COtAr;'rJv UNC NUMRER
ocK ,q OF 7W,-- SAT XPi
clry
erPPZI,6. TX, SInrE; zlnc;OUE
SECTION B FLOOD INSURANCE RATE h1Af' (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
I . COMMUNITY NUMBER
2. PANFL NUMRER
3 SUI -rix
4. TATE nr I ;,r,t Ir11��_x
�, riiir:l lr�r;�
r; Rn ;r 1I 00l) ELFVAtION
16-(ni
4i�,s^9¢
X
AO i nn—, n-,,. depth)
r rnalcate the elevation oatum system used on the FIRM for Rase Floors Flavatir)ns (RFF) i NGVD '29 Other (desrrihe on hack)
8. For Zones A or V, where no BFF is provided on the FIRM, and the community has estahlishPd a RFF for this buildinq site, indicate
the community's RFE: feet NGVD (or other FIRM datum -see Section R. Item 7)
SECTION C BUILDING ELEVATION INFORMATION
1. 1 tsinq the Elevation Certifirate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that hest
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
—� of I I 1414116! .Ifs. 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
y the selected diagram, is at an elevation of ( feet NGVD (or other FIRM datum -see Section R. Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is I 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 feet ahove ' or below' (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the buildincl's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? I i Yes ' No ' I Unknown
3 Indirate the elevation datum system used in determining the above reference level elevations:' 1 NGVD '29 i Other (describe
1, under Comments on Page 2). (NOTE: It the elevation datum used in measuring the elevations is different than that used on
0 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,F✓I fRM: X Yes No (See Instructions on Page 4)
5. The reference level elevation is based on: VAI actual construction I I construrtion drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reterencP level floor in place, in which
case this certificate will only be valid for the buildinq during the course of construction. A post -construction Flovation Certificate
will be required once construction is complete..)
6. The elevation of the. lowest grade immediately adjacent to the buildinq is 4'¢',(,! b' feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying buildinq elevations specifies that the referer
is not the "lowest floor" as defined in the community's floodplain management ordinance, the
2.
floor" as
of defined
of construction or substantial improvementfeet NGVD (or other FIRM datum
y the ordinance t
•'
CFHTII IER'S NAMi
�PowFGL
TITLE
ADDRFt;S
COMPANY NAME
/7�ii��.Pf1 i£'o4/.tGG- Gds
in Section C. Item 1
fildinq's "lowest
F''
t1OtA
Air 71r
ST,e.GET 57,-=. 20/ o MeoG,4ra v, TX. 75 oc
;IGt-lArTIUE AIr I fUVP
.7
CITY OF COPPELI, TEXAS
STREET CUT PERMIT N° 043
Date: q,a3 - oz �
The undersigned petitions the C I TY OF COPPELL for permission to cut or alter
street at the I cation described below in accordance with provisions as stated herein: r
Issued To: Address:
Street Name: tit 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
Ph.: Issued By:
Applicant -Contractor
(Subject to provisions on reverse side)
CITY OF COPPELL, TEXAS Inspector
Application for Sidewalk — Drive — Curb & Gutter
Address wing
Use: Residential Commercial
For: Sidewalk —Frontage Width Mad
Drive —Length Width Matl
T ring h Width Matl
T pngth Width Matl
T Length—Width Mad
Curb Lin. Ft.
Gutter Lin. Ft.
Owner
Contractor
By.
Date
Prop. Line
Width
ts`