FEMA-EC950223The City With A Beautiful Future BUILDING PERMIT APPLICATION FB 2 2 95
1673,Iq Print or Type in a Clear, Legible Manner k
Job Address: Date: — ^
Lot: ' Block: Q Subdivision: j> l Vim- l� Phase or Section Number:
Owner: P 1Address: g MPhone #: '3qPo.�: X100.5
0 315
Contractor: rn Address: Phone #:
Description of Work to be Done Class of Work: Flew ❑Addition ❑ Alteration ❑ Repair ❑Demolition
45iY141i ),/ 1Qi,y1tiY�5
of Building in Square Feet
First Floor U�
Second Floor
NOTICE
Garage
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 construction or the performance of construction.
Signauue of Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
Value of Work
to be Performed
Y AREA FOR OFFICE USE ONLY
ELEVATION CERTIFICATE O.M.B. No 3067-0077
_FEDERAL EMERGENCY MANAGEMENT AGENCY Expires May 3r, 1993
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 tie found on the following pages.
SECTION A PROPERTY INFORMATION For, INSURANCE COMPANY USE
BUILDING OW R'S NAME POLICY NUMBER:'-
Al S .
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Nunl&rLOR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.
l� T /l . T�C�OG /G �? /✓E D r ffDD /T/Ef)
clrY �
STATE ZIP CODE
7� %SQ
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION '
460 / 74
Do /O
�`- .
/
(in AO zones, use depth)
.. nluicate ine elevation datum system used on the FIRM for Base Flood Elevations (BFE): 151VWD'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. 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
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
off 1 4419 - U 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 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 w . 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 I . L 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? [3 -Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: 2"19 -G -VD '29 0 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: eess ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on:actCl ual 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: 1 LL -4-140. -140. L4 feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. 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 of the building's "lowest
floor" as defined by the ordinance is: L 1 "6.19 feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement --
cmr% rvrm a 1-s11) MAY VU 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 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.
I 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 ITI%fode, Section 1001.
CERT�IFIR'S NAME,/ LIC UMBE Affix Se V'�
TITLE
ADDRESS
SIGNATURE
NAME I�•wc. ..,._
rs TV �' m�`` STATE ZIP
nti'1.�L. .e Tv
Copies thould be "de of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS: —
ON WITH
ON PILES,
SLAB BASEMENT
PIERS, OR COLUMNS
A v A
A v
ZONES ZONES ZONES
ZONES ZONES
REFERENCE
REFERENCE
BASE
LEVEL
REFERENCE
LEVEL
FLOOD
LEVEL
ELEVATION
!FNr3�y1;l,.; 1; l,,a•i}i ;1'y„'1!..:il;�fj?: i'�_
•ADJACENT•:'
BASE
FLASE �.y REFERENCE
OOD ..,.::.•...
FLOOD
ELEVATION REFERENCE ADJACENT GRADE?fi LEVEL
ELEVATION
LEVEL GRADE ��+•
• .i.}:.:.:,{:•i:;,
..,.i'• ADJACENT:;.
•�;ii':;. r•;jr"•r:::lJ,1.•i:
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
SCALE: 1 = 20'
t:E"MR REQ D.
MiN UM f:f
FG 447.2
0
r
N
Z
I
CITY OF COPPED„
REVIEWED
Uy'—T—' DATE
Approval of the Vans and specifications shall not
be construed to mean construction in direct con-
flict with the City of Coppell Building Codes am
Zoning Ordinances.
` ���6� N�� 13 Off. E
18.1.
— X35.0' LE
FORM
SURVEY REQUIRED
I .
FG 448.00
48'-0"
PLAN NO.
3142
TOS = 446. )0
PAD GRD.= 447.50
(min. Fin.Flr.= 446.8)
4.16.00
lo_
FG 4476
w
0
ICD
u7
1
I ,
LO WT
— FG •t 00 8 —0"
'5.0' B.
o
N
7.5' U
C G -n n a 71 1 %7 ;Z7 —777,
I_,ANS ARE REVIEWED FOR.
APPROVAL OF SINGLE
AMILY RESIDENCE ONLY.
A
OTHER TS ON PLOT Pi -02 9 5 BRADFORD
kVE NOT BEEN REVIEWED � � npj. Cff
►ND ARE N APPROVED.
Lot Area: 8983 Sq.Ft.
r
GENERAL NOTES:
DRIVEWAYS 16' WIDE
ENTRY WALKWAYS 3' WIDE
PARKWAY SIDEWALKS 4' WIDt
• UNLESS OTHERWISE NOTED
Approved
For
Construction
Buyer
18610 DALLASPARKWAY. SUITE 2300
DALLAS. TEXAS 76248
Top of Curb: 447.10
Type 'B' Droinage
DRIVE
mktd. as
River Ridge
subdiv.
River Ridge Addition
lot hl� I,
0
II oddress
Date 1295 Bradford Drive
—� city
Coppell, TX
,. dote'Ion
02/13/95
Fence Length: 240'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXISTING FENCES.
3055.00 ELEV 8 RIGHT
H -ISURVEY PLATI
LOT If, BLOCK A, OF RIVER RIDCE AnniTION, AN ADDITION
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
LOT 10
00-1
h.
18.2 0 ? 0
LOT I S 5 '
1 0'0
DLK. A
100 YEAR FLOODPLAIN
PER FLAT
CYD
8. V
FORMBOARD
S UP VE Y
FF. FLF. V.449. 10
N 68 09' 50" E
6 6. 00 f REFERENCE BEARING
LOT 12
/7—
1290 DRAD"-14
OT11) DRIVE
I hereby certify that on the 4! day o,,O Flea. 19`3L ; this survey was made on the ground as per the field notes shown an this survey
and is true, correct, and accurate as to the limensions of the subject proprtfy and size, location and type of buildings and improvements thereon,
if any. The survey shows all easements and -)isible easements of which I have knowledge or have been advised affecting the subject prop".
There are no encroachments, amiflicts, or pr-,rusiona vivibte on the ground other than those ahourn.
Date FFD. 22, 1995
CF No.
...................
HARRY J. ROWELL .
................
4597
JOB # :
Scale: 1 20. 0'
L E Gl,,'ND 0
1 1/2" Steel 0
ITon Rod Found IIA RR Y
i;
t/2" Steel Iron Rod Set
R 0 WELL
operty Line
-,od Fence .. . . . .. %& Associates, INC.
ty, link Wire rew:v -,.<--x--x—x Surveying & Engineering
1301 Fl"l Sfy""Pi Ste. 201
14 A7 (IS
Ca 1 4 1 i 10 U,
�t
9.91
O
o
N 68 09' 50" E
6 6. 00 f REFERENCE BEARING
LOT 12
/7—
1290 DRAD"-14
OT11) DRIVE
I hereby certify that on the 4! day o,,O Flea. 19`3L ; this survey was made on the ground as per the field notes shown an this survey
and is true, correct, and accurate as to the limensions of the subject proprtfy and size, location and type of buildings and improvements thereon,
if any. The survey shows all easements and -)isible easements of which I have knowledge or have been advised affecting the subject prop".
There are no encroachments, amiflicts, or pr-,rusiona vivibte on the ground other than those ahourn.
Date FFD. 22, 1995
CF No.
...................
HARRY J. ROWELL .
................
4597
JOB # :
Scale: 1 20. 0'
L E Gl,,'ND 0
1 1/2" Steel 0
ITon Rod Found IIA RR Y
i;
t/2" Steel Iron Rod Set
R 0 WELL
operty Line
-,od Fence .. . . . .. %& Associates, INC.
ty, link Wire rew:v -,.<--x--x—x Surveying & Engineering
1301 Fl"l Sfy""Pi Ste. 201
14 A7 (IS
Ca 1 4 1 i 10 U,
25' BUILDING
LINE
O
o
89 55'50"
N 68 09' 50" E
6 6. 00 f REFERENCE BEARING
LOT 12
/7—
1290 DRAD"-14
OT11) DRIVE
I hereby certify that on the 4! day o,,O Flea. 19`3L ; this survey was made on the ground as per the field notes shown an this survey
and is true, correct, and accurate as to the limensions of the subject proprtfy and size, location and type of buildings and improvements thereon,
if any. The survey shows all easements and -)isible easements of which I have knowledge or have been advised affecting the subject prop".
There are no encroachments, amiflicts, or pr-,rusiona vivibte on the ground other than those ahourn.
Date FFD. 22, 1995
CF No.
...................
HARRY J. ROWELL .
................
4597
JOB # :
Scale: 1 20. 0'
L E Gl,,'ND 0
1 1/2" Steel 0
ITon Rod Found IIA RR Y
i;
t/2" Steel Iron Rod Set
R 0 WELL
operty Line
-,od Fence .. . . . .. %& Associates, INC.
ty, link Wire rew:v -,.<--x--x—x Surveying & Engineering
1301 Fl"l Sfy""Pi Ste. 201
14 A7 (IS
Ca 1 4 1 i 10 U,