FEMA-EC970617The City With A Beautiful Future
BUILDING PERMIT APPLICATION
3 , Print or Type in a Clear, Legible Manner W m --W 942362. JU"N 1997
Job Address: 33 b ^--` 1 Date: / - / !� SPECTION DEPT
O { rS 1
Lot: -Z Block: �. Subdivisions Phase or Section Number:
0
Owner Address: (i.l� Lav 3 o e #, % 8 3 r �k 3 J3
v
Contractor: l ( Address: t ( Phone #: 1
Description of Work to be Done Class of Work: R<ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor Z �5- r
Second Floor ( -L 3c"
NOTICE
Garage 6-7
Other s
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 of the performance of construction.
o �
Signature of Contractor or Authorized Agent Print Name
X-1 slr /< 4f 6 a , /c
Electrical Cont ctor Plumbin ontractor Mechanical Vntractor
FPMC - 1 (4/94)
Value of Work _
to be Performed �� QC kJ
AREA FOR OFFICE USE ONLY
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
ELEVATION CERTIFICATE Expires O.M.B. M y31 1977
May 31,
1993
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 FOh INSURANCE COMPANY USE I
NAME
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
POLICY NUMBER
COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
LIST
CITY STATE ZIP CODE
/7X—
SECTION
lCSECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
q. DATE OF FIRkJ INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
480 / 70
GYM/O
E
Gam
(in AO Zones, use depth)
o/-zs-r
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): �GVD '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: I I I I I I . U 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 _L .
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 x_1_144,1 . LZ 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 .0 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 Iii . 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 W . U 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: IBJ IVGVD '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 77, 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 ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: 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: I 1 14441 . U 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: I I I I I I .Ll 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 90 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 n
I understand that any false statement may be punishable by fine or
efforts to interpret the data available.
p6W U.S. Code, Section 1001.
CERTI lE 'S NAMEF —@LIL;tNtrr4yMt3i;g4weat)
..•
TITLE CO PAN • • • ' " • •�
�� • I
ADDRESS CITY�'•.E .•J� STATE ZIP
SIGNATURE DA E PHONE
-
Copies should be mad f this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON
SLAB
A V
ZONES ZONES
FLOOD I_
ELEVATION REFERENCE ADJACENT
LEVEL I GRADE
ADJACENT ".
GRADE
WITH
BASEMENT
A
ZONES
BASE
FLOOD
ON PILES,
PIERS, OR COLUMNS
A V
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
Lr_T 1SIJZZZ ?Z1': T_ ]SURVIVY
I Li T��- - __Z_Z ;. i i- l l l
CITY OF COPPER- � - - -
-
VOL.83005, PC.3.562 & 3.569 85. 00'
S 31 10' 51" E
REFERENCE BEARING
I^ 112 • IRF �f1.9 56'55" 112 „II2F
LOT 26
112 "IRF
LOT 27
n r r.� 1
9. fi '
FORMBOARD
SURVEY 8 _?
9.611 FF. ELEV. 4 6 7.73
8.0
25' BUILD'w GC NE ---
7 03'30'
10' UTILITY ES,y'7' - — —
82 5.5'30"
R=
'000-00'
1 /2 "IRF
85.77,
LOT 28
330 COPPERSTONE TRAIL _
I hereby certify that on the1�4 day of T.'.vc 19-'F-7— 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. rhe survey shows all easements and visible easements of which 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.
LE OF-'_
Date : JUNE 17, 1997 5�P" 7N
JOB #
HARRY J. R..IIELL }
_-- _ CF No. _- 4597
LEGEND Scale: >" = 20.0' HA RR Y
1/2" Steel / Iron Rod Found O
Irop Steel / Iran Rod Set • R 0 WELL
iroperty Line 15;C:;e� /eo,& Associates, INC.
hood Fence — — - — — —
hain Link / wire Fence x--X—X—X--X
000rhead Electric - ---F. - F, ---E----
.-I777TT7 z
Surveying & Engin
1.701 Elm Street Ste. 201
Carrollton, Texas 75006
11 l 4 ."1"j',' ':1 -', 14 1 111°11 U d 10 1_II 1 11
FC 465.00
11'-2° -
�t
d -
SCALE: 1 = 20' Nl
101-1
i
rn
� 1
ARC LEN. RAD. CHRD. BRG.
N31'10'51"IM 85.00' _ _ 'Al' 85.77' 500.00,
*_� FC 464.00 ^ T
PLAN§ AT
Arli tO
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9p-1 ER
11�� Crr L -+CSU,
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. IX- c� AND RE
CdI
CITY los
70
PLAN NO.
0 3787 A
TOS = 46&50
PAD GRD.= 467.70
(min.F-m-17r.= 464.6)
FC 467170
U.f
Approval rJ 11--0 PlMis a iicat�.I�be construed to mean construction in
wild the City of Coppeli Building codes amad Zoning
Ordinances.
67' — 6"�
—� FG 46770
0'�1'-�
KEVIEWI D FOR
L OF SIN, ~LE
'IDENCE 3NLY.
TICTI IONS OR
ON PLOT PLAN
EEN REV EWED
21 APPR VED,
J�10'-
jr,
I J LTJ
rn
O
co
Z / 7 h ` RAiehv
1 1va e
I
I
t
1
FORM BOARD
S VEY REQUIRED
t (� STREET CUT
I �,•
�FG 468.10
330 COPPERSTONE TRAIL
F.E.T-I'A• LLTTE RE UIQ ED; Fence Length: 323'
MINIMUM f f.
Top of Curb: 468.10 rENCE LENGTH SHOWN IS MAX.
Lot Area; 14544 Sq.Ft. Type 'C' Drainage FIELD VERIFY EXISTING FENCES.
GENERAL NOTES
DRIVEWAYS 12' WIDE
ENTRY WALKWAYi 3' WIDE •
PARKWAY SIOEw 1LKS 4' WIDE •
(*UNLESS WHIAWISE NOTED)
Aum
10610 OAU.AS F
(214)
2100
mktd. os
COPPERSTONE
S��COPPERSTONE _
lot 27 A
address
330 Copperstone Court
city
COPPELL, TX I
dote I plan
05/28/97 11 3787.01 ELEV A RIGHT