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FEMA-EC960719aThe City With A Beautiful Future C1 U1/495jy� 2�1 BUILDING PERMIT APPLICATION 7) Z- 8, �- 9 Print or Type in a Clear, Legible Manner iU l JUN 1 9 c6 Job Address: �� �P2 Tcl�l� � Date: �• — �g Lot: �� Block: Subdivision: C' e 4Pe�ca2-4-Cx:,N€ Phase or Section Number: Owner (L . N.� (�" ES Address: 161.11D N A�)AkAs IPilI *-23� Phone #: -� + Contractor: Address: T�k.,ky/-VY- 'j 5Z'f g Phone #: .2 4 Description of Work to be Done Class of Work: EKew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition sr --7-1� 3380 Area of Building in Square Feet First Floor © Garage © Second Floor k7 Other k Z 3 Value of Work to be Performed GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Feer Receipt Number: % 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 Zoning District: Occupancy Classification: at any time after work is commenced. hereby certify that I have read and examined this application and know the same to be true Approved By: Dater i2LUI Comments: 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. Sin ure of ContrV1o?`;3—rX1UT90rized Agent Print Name a,-,- Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) N03067 } ELEVATION CERTIFICATE O.M.B. Expires May 31, 1 y31, 19433 _ 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 FOh INSURANCE COMPANY USE BUILDING OWNER'S NAME 1 / I POLICY NUMBER ADDRESS (InGufting Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) CIN S�TATE- ZIP CODE 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 }. TE OF IR tlyN fj F 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) "T� l 70 �/O � MX->7AW- X me //&-- 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ©NGVD '29 U 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 . L-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 _/_ . 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 114 48 .0 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 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 ❑ 'i . 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: LJ 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: [y Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: 0 a al 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:•L7 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 owler, 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. 1 certify that the information in Sections B and C on this certificate represents my be s =ret the data available. l understand that any false statement may be punishable by fine or imprisonment �� te. Section 1001. NAME TITLE COMP NY NAME o� Y ADDRESS CITY •••••••.Q• STATE ZIF 01) SIGNATURE TL1� y TZ.ONE:�T�Z�.S� 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 M I11Y BASEL FLOOD ELEVATION -LEVEL �_j BASE REFERENCE FLOOD ADJACENT 'r FLOOD GRADE LEVEL ELEVATION ELEVATION REFLRENCE ADJACENT LEVEL GRADE r .;:.pip•. ; .�. ; 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 PlAY-20-9E. NUN 05:01 PM HLINTIfAGTON HUr•1ES 214 713 7713 P.02 ARC TABLE ARC LEN. RAO, CHRD. BRG. 'Al' 41.3.3' 500.00' • N 3,1. 0'5.1w 85.00' 'AZ' 46.35' 450.00' t i I t I o WI I Oil F.E.M.A. LETTER RE UIRED• I MINIMUM f.f. 10 FORM BOARD 10'—f, SURVEY REQUIRED I , 1 66'-0" a,t Iti FF '}d 1. IC° o PLAN N0. SCALE: 1 = 20' I 3880 A00 w U-) o --- vel Ln i I� z 10'-2" I 060 2 I `o I � I �' 80 12'— 2" 41. 1 30 o 10Q ' oPPE Rsro NE r CITY OF COPPED. Rq �C Lot Area: 13059 Sq.Ft. KrZV1tZ=L) Fence Length: 286' FENCE LEN;TH SHOWN ;S MAX. GATE FIELD VERIFY EXISTING FENCES. Ap�v _-oLifte lans-ang _ GENERAL NOTES; be construed to ensyction in direct conflict WIDE ENTRY WALKWAYS 3' WIDE with the City of C ppell BuildWP"V"NE ENTRY + PARKWAY SIDEWALKS 4' WIDE « Ordinances. (« UNLESS OTHERWISE NOTED) subdiv. COPPERSTONE lot 26-71 bik A add Copperstone Trail City �Cuntin COPPEL.L, TX 16610 DALLAS PARKWAY, S�0 date plan oAt?;',T;X3-84;42+0 05/20/96 3880.00 ELEV A LEFT IN sURvEY PLAT���_1 LOT 26, BLOCK A, OF COPPERSTONE, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. CITY OF COPPELL VOL.83005, PG.3569 ' APPROX. LIMITS OF 100 YEAR FLOODPLAIN. 85.00 - LOT 25 a � 10.01 10.0' LOT zs DLK. A OPEN FORMBOARD SURVEY 3p \` gUJL� fNc LI/yF. -- b 103 52'20' — Ob IO UTfLITy —`— l' 46.43; 1 /2 "IRF 75 33'30" 334 COPPERIS'TONE TRAIL I her—Dy aartiJy that nn the e �' �d,er n.' 7. ✓. 195! , thi.e i.rveII was ad- the around as Per the fie td notes shown on this survey and is true, correct, and accurate as to the dimensions of the sub)rctmrv property and size, location and ype of buildings and improvements thereon, if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the ")set property. There are no encroachments, conflicts. or protrusions visible on the ground other than those shown. OF ���.�*CISfe Ie 7N Date JULY 11, 1996 .................. JOB # . HARRY J. ROWELL .................... ______---__---- CF No. 4597 LEGEND e Scale: 1" _zo.o- 9t- ifV. o� H RR Y d t�/ �sRvE� //f" Steel / Iron Rod Found 0 1/2" Steel / Iron Rod Set Property Line Food Fence — - — - — — — Chain Link / Fire Fence x—x—x—x—x Overhead Flee.trie F F__E_- T_"7 r , »— ,-7, , "RI R0WELL & Associates, INC. ------- --- Surveying & Engineering 1301 Flm Street Ste. 201 Carrot!lon, 7' r,r..v 75006