FEMA-EC010524t
///BUILDING PERMIT APPLICATION 'Jh
C 7[/• S7 Print or Type in a Clear, Legible Manner 11jy049Qi„(—Iq%)
Job Address: 61
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Date: S c
Lot: 1,3 Block: ` Subdivision:
6fs
Phase or Section Number:
Owner 3 u Address:
6,v -
�0 'x� 277Sa
Phone #:
97z
Contractor: / Address:
Phone #: /
Description of Work to be Done Class of Work: ®-Few ❑ Addition
❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor 30'70 Garage 7100 Value of Work
/, to be Performed Y7S O
Second Floor 11 �9 O Other 7 �Z>
0,5r GRAY AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee:
r-^•" Receipt Number:
Zoning District:
occupancy Classification:
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
Approved By:
Date:
17
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
119!5�
Comments:
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give authority to violate or cancel the provisions of any other federal. state or local taw
-
regulatin onstruc j n f the rmance of construction.
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Signature of Contractor or Authorized Agent Print Name
/sA 'r' u 'Vcy� 'Z*¢ir,+U CA,- s
1AAWSi
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 14/941
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on oases 1- 7.
O.M.B. No. 3067-0077
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION I For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
611 CANEMOUNT LANE
CITY STATE ZIP CODE
COPPELL TX
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 3 BLOCK E OF MAGNOLIA PARK ADDN.
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, it necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):
( ##° - ##'- ##.##" or ##.#####� ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bl. NFIPCOMMUNITYNAME&COMMUNITY NUMBER B2. COUNTY NAME W. STATE
COPPELL 480170 DALLAS TEXAS
B4. MAP AND PANEL
B5. SUFFIX
❑ a) Top of bottom floor (including basement or enclosure)
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
a
B6. FIRM INDEX DATE
EFFECTNFiAEVISED DATE
BB. FLOOD ZONE(S)
(Zone A0, use depth of floodlg)
0010
E
06-01-80
04-15-94
X
servicing the building (Describe in a Comments area)
810. Inelcale the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction
'A new Elevation Certificate will be required when constriction of the building is complete.
C2 Buildng Diagram Number 1(Select the buildng diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO
Complete hems C3. -ami below according to the building diagram specified in Item C2. State the datum used. fl the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum ConversiorXomments
Elevation reference mark used _Does the elevation reference mark used appear on the FIRM? ❑ Yes JEW.
❑ a) Top of bottom floor (including basement or enclosure)
467. 3 ft.(m)
❑ b) Top of next higher floor
_ _ft.(m)
a
❑ c) Bottom of lowest horizontal structural member (V zones only)
_• —ft(m)
0 0
❑ d) Attached garage (top of slab)
— —ft(m)
E a
❑ e) Lowest elevation of machinery ardor equipment
W d
servicing the building (Describe in a Comments area)
E m
LI f) Lowest adjacent (finished) grade (LAG)
_.
d
❑ g) Highest adjacent (finished) grade (HAG)
_ft.(m)
_ft.(m)
O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade
J
❑ i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm)
HARRY J. ROWELL
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME HARRY ROWELL LICENSE NUMBER 4597
TITLE SURVEYOR COMPANY NAME HARRY ROWELL COMPANY
ADDRESS CITY STATE ZIP CODE
1301 ELM STREET STE. 201 A CARROLLTON TX 75006
SIGNATURE DATE TELEPHONE
05-24-01 (972) 242-5679
FEMA Form 81-31, JUL 0 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
HR SURVEY PLATI HR
LOT 3 BLOCL E OF MAGNOLIA PARK ADDITION TO THE CITY OF COPPELL, DALLAS
COUNTY, TEXAS REC. IN VOL. 98145, PG. 506, P.R.D.C.T.
LOT 2
60D NAIL FND.
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01
R = 496.20'
124.05
H
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LOT 3
BLK. E
FORMBOARDS
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15.4
30' B.L.
w
0
w
w
0
r
12.6
r,
5 UTIL ESMT
1/2" IRF 90.00R = 360' 1/2" IRF
611 CANEMOUNT LANE
1/2" IRF
LOT 4
t hereby certify that on the 24TH day of MAY , 2001 - this survey was made on the ground and this survey plat has been prepared as per the field
1 f notes thereby produced, and it properly represents the facts as found on the ground. This survey plat has been prepared in accordance with, and in
•.-•rwi'.h . all rales and regulations promulgated by the Texas Board of Professional Land Surveying. Unless otherwise noted, the
. -d sole's : a the record data preyided in the title commitment for the determination of the boundaries of the laud parcel surveyed and for
r ue•ra .-•f rrc.xd which may be shown or addressed on the survey. The survey shows viable easements, encroachments, conflicts, or
•... _ „reu+ oc: '.h. ground.
Date _MAY 25, 2001 P��Go JOB 0!- 2Q/(o
GF No. HARRY J. ROWELL
4597
® LEGEND O Scale: 1" = 25' HARRY
1/2" Steel / Iron Rad Found O S[JR j
Steel /Iron Rod Set • R 0 W E L L
Property Line B y ; � do Associates, INC.
1<OOd Fence — . — - — . — . — Surveying & Engineering
Chain Link / Wire Fence x—x—x—x—x 1301 Elm Street Ste. 201
Overhead Electric — E— E E—Carrollton, Texas 75006 (972) 242-5679
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- Cirf-OF-Cf1PPELL ------
REVIEWED - - - - _
REVIEWED
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Approval of the pans and spe fications shall not I
b:; construed to mean constru n m
t1e City 4f C elQIRANZOn`
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CONPRETTER E
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Luft Resence ry
Lot 3 / B ock E I
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�25. BLDG LINE
O.// C A N E M 0 U N T LANE
PLOT PLAN
:KALE 1"020'-011
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