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Building Inspections Division
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BUILDING PERMIT APPLICATION
. � �l Print or Type in a Clear, Legible Manner
Job Address: 14/0 3WAITWvv47 Date:
IVB 0 8 q,
Lot: ? 1 Block: I Subdivision: j�i I' S /1 Phase or Section Number:
Owner: C- AN +M05 Address: J361)0 /1/- CEAR9&L 1 Phone a:
Contractor: 9 -"HO ffothES Address: r7u6 > 6q&S rF 12C. Phone N: 3411 -
Description of Work to be Done Class of Work: M -N-6 ❑Addition
❑ Alteration ❑Repair ❑Demolition
of Building in Square Feet
First Floor 10g.) -
Second Floor
Garage
3qI
Other /11�?-
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 my time after work is commenced.
1 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 my other federal, elate or local law
regulating construction or the performance of construction.
C.Wgnatme ollAntractor or AuthorizedAgent
Namne/
61,61 atT,
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& y
�Prriint
444*, rl /2
Electrical Contractor
Plumbing Contractor
Mechanical Contractor
BIO - 1 (2,12)
Value of Work
to be Performed __/ Ii�P!✓y
MAWd" 91:1
I
-32-
PROPERTY DESCRIPTION
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940 BRENTWOOD DRIVE
(50' ROW)
Lot 31, Block A, Villages of Coppell Phase 1IIB, an addition to the City
of Coppell, Dallas County, Texas.
940 Brentwood Drive
American Surveying Companq
of Dallas, Inc.
61261.6.!. Freeway, Suite 210
Da6Torras 75240
21414 239-4369) 2�•I369J69
DATE I 1- 10 -q3
SCALE l rl = 101
DRAWN BY &—A—
&Mect Property Is located In Zone
X according to the Federal
Insurance Administration national flood
insurance program Hood Insurance Rate
Map. Community - Panel Number.
410110 00/00
Effective /D -/G -y-/
G.F. NO. 9514
J.O. NO.
BUYER
The undersigned does hereby certify that the foregoing plat correctly represents an accurate survey made on the ground and there
are no visible conflicts, encroachments, overlapping of Improvements or easements except as shown; this plat correctly represents
the boundarles as found or located on the ground with respect to the recorded references shown and the area. If shown, co"ectty
represents the area enclosed by said boundaries. This property has access to and from a dedicated roadway.
DATE: �/
W6 l�
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Mgt W01111111
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.8800 N. CENTRAL EXPWY STE 330 DALLAS,TEXAS 75231 (214)
COPPELL
50.00' "r®ATE
633E
be c tstru 5 , m anaconstruction tin di ecticoo
flict with t ' City of Coppell Building Codes and
Zonl Ord narirp5
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SITE PLAN
LOT 31 BLOCK A
V(LLIACxE5 OF COFFELL
COFf=ELL, TEXAS
DALLAS COUNTY
S40 BRENTWOOD
SCALE : P 20'
50.00'
PLOT PLAN SUWEOT TO AL WVEI"ERrA R8OI5a nNTS
AND OONDMOK , HOFS OUNERS ASSO:IA 5 ARLIiITEGT P L
RENEU OOIAI E AFPR7JAL, SPEC $ITE DGTIDRKTI'.,
DRANAGE O 117" E"WIEHT5 AIA OTHER %MSTRIGTIONS
WNOH AAPLT TO 7HEpR��RrT. THE WILDER F&5WZAS THE
RIGHT TO HAKE MODFIG4TIA1i TO THS SRE FLAN TO A=OK-IODATE
OOHSTRIOTIOH OR THE 61M ERRORS AND OMSSIGNS ArWq
cOIL9 HT5 SOLELY WTH@I FNS D4 OMMON N O M TO P1T THE
HOUSE OH THE LOT.
ISL V I S I ONS
TOTAL FLATWORK
WALK :
53 Say -T.
DATE 10/12/93
JOB 03-131
PLAN ": R1511.3A
GITYWALK:
PATIO :
DRIVE :
1215aFT.
60 SOFT.
525 SQFT.
TOTAL
165 6GZFT.
O.M.B. NO. 3667=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 LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
BUILDING OWNER'S
STREET DDRE�Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
DESCRIPTION (Lot and Block Numbers,
S
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
POLICY NUMBER
COMPANY NAIC NUMBER
ZIP CODE
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDE%
5. FIRM ZONE
6. BASE FLOOD ELEVATION
i76
QQ !D
T
✓
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE):XNGVD'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: L1_JI 1 1. ❑ 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 --I— .
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- 1_4._l1511 .17 feet NGVD (or other FIRM datum -see Section B, Item 7).
(b). FIRM Zones V1 430, 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 .❑ 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 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 LL. ❑ 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: ❑ 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 No (See Instructions on Page 4)
5. The reference level elevation is based on: k 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: .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: LjI I I . ❑ 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 or local law to certify elevation
information when the elevation information for Zones At—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 S - Distinguishing Features—If the certifier is unable to cert to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section 1QIf u je ntered.
1 certify that the information in Sections B and C on this certificate represents m 1p rt f�•�Fdata available.
1 understand that any false statement maybe punishable by fine or imprisonm 'metion 1001.
CERTIF NAME t
TITLE _ COMPANY NAME
ADDRESS CITY (STATE ZIP
5728 G d -7W. rao t'�yii�s Terms �s'as+a
SIGNATURE ,rte _„_„_ ,
Copies should be made 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
y
FLOOD ADJACENT” REFERENCE
%
BASE
FLOOD
ELEVATION
ELEVATION REFERENCE GRADE LEVEL
ELEVATION
LEVEL GRADE GRADE '
Sr
ADJACENT;
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