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FEMA-EC960725® W mq 5� 7They With A Beautiful Future BUILDING PERMIT APPLICATION 16 9(J• Z / Print or Type in a Clear, Legible Manner Job Address:n Date: 6-5 „_ _ I . Lot: a Block: Subdivision: Phase or Section Number: Owner Address: Jr Phone #: Contractor: Address: �m Phone #: Description of Work to be Done Class of Work: ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor aaa� Garage u/�v Second Floor I Other C Value of Work O� to be Performed GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee:' Rett Mitrrtber: 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 CiassifiCatit>rt: 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 Approved By: ©ate: Comments: give authority to violate or cancel the provisions of any other federal, state or local law regulating construction of the performance of nstruction. Signature o tractor or Authorized Agent Pri Name �?i917 1 1�>F,R'. �fi51 tic 12�U Electrical Contractor Plumbing Contractor Mikhanical Contractor FPMC - 1 (4/94) Y O.M.B. NO. 3067-0077 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 LOMB). Instructions for completing this form can be found on the following pages. 11-1-011:11 — SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE POLICY NUMBER ST7," AD S (IncWd q Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER GRIPTION Zp ani Block umbers, etc.) �# LO'k.* � Block A, Copperstone TMXXXX STATE ZIP CODE Texas SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the fbf; Tving 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 (in AO Zones, use depth) 480170 0010 E LOMB 1/25/95 X 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ® NGVD '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 . Ll 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 1— . 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 I II I .❑ 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 .❑ 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 I_ I_ I .I_I feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is availab!e, 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 8, 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 ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: 0 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 I 15KI&IS I.0 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 rel'wence !eve l Indicatedin, Sector i, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, i"he elevation of the building's "lowest floor" as defined by the ordinance is: I I WIM % .IJ feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement 2 -,25- /` , 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 Ai—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 enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then I included in the certification under Comments below. The diagram number, Section C, Item 1, must still be eR /certify that the information in Sections Band Con this certificate represents my best efforts to interpret th ata hkailableW )Q`s I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, S dlfY(7 1•'•"••••~•••••••'••�•• fCHA RD C. MAKI :;0.. 4587 `"f CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) Richard C. Maki Tx. Req. 4587 TITLE COMPANY NAME Reg. Prof. Land Surveyor Maki and Associates, Inc. ADDRESS CITY STATE ZIP 3521 W. Pioneer Parkway SuiteA," Arlington Texas 76013 SIGNATURE_-7—DATE PHONE (817)274-6883 C s should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: According to the HUD Flood Insurance Rate Map, Comm Panel No 480170 0010E, revised to reflrct LOMR dated Jan. 25, 1995, this lot is in Clear Zone X. The recorded plat for Copperstone shows a Min Finish Floor Elevation requirement of 464.9 feet, a vertical control survey determined the finish floor elevation of the wood forms on this lot to be . Bench Mark: RM 196, Elev. 467.22'. 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 BASE •' '" "' .`. ?+'. FLOOD ' '"'ADJACENT:::'�;,� rREFERENCEI BASE FLOOD ELEVATION IREFERENCE ADJACENT GRADE ' l•,zs LEVEL ELEVATION LEVEL GRADE ..' rrflt,...: :: i_ r.; ..;. ':.................. 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 PLANS ARE REVIEWED APPROVAL OF SIS c-mr. mCE ONLY. . 88.89' S 31°10'51"E •C. O � FAM t'LY RE_ 9.0,. OTHER DEPICTIONS OR CALL -GUTS ON PLOT PLA 16'3-1/ ,y11 t HAVE NOT BEEN ItEVIEWE CONC. AND ARE APPROVED. PAT 10 6140. 27'11"± 35'4-1/2" 11' G, CROSLEY "A" g 3'1-3/4' �; PLAN #2489 0 MARKET ' FORM BOARD - U XUVEY KEQU'MW t 2.0„ Z 7.4" , o cr Lp ,f O- lD O j - 24'0" (MIN.)- 7'4" - 7 o 9 ti .t 1'10" 9.01. (� N CY) r ri U N I 35'3„1 4.9„ 2. ' 4'9” 30' B.L. Ll 6 AGG. F.E.M.A. LETTER UiRED. Ln y. WAt. K MMMUM f f. -- D T•. — — — 88.89' 7 _S 3" , 5 I "� C7_ E _ ::� c Op STONE TRAIL CITY OF COPPELL REVIEWED BY DATE Approval of th tans and specifications shall not be construed to mean construction Building codes and ZonrwA e with the Cita of Copps Ordinances• I Lot 22 PROPERTY DESCRIPTION Lot 23, Block A, COPPERSTONE, an Addition to the City of Coppell, Dallas County, Texas. S 31 010'51 " E 88.89' Stone Wall Lot 23 27.3' ' Block A Min. F.F.— 464.9' L� 16.3' 9.0' Z µ QD �— 27.9'- .T �) 0 I 35.4' 00 14 to 0 to 7 Q ryl F) o, o �a Wood Forms FF Elev.= 469.24' ' Lot 24 27.9' 7.3' I Scale: 1"= 20' I I 8.1 9.1' --"--- 4.7'O =41J1 ------� 1'1.1' 30' Bldg. Line I 30.5' — — — — — — — — — — — — — — — — — — — — — — 10' Utility Easement N 31 010'51 " W 88.89' 006 COPPE�PSTONE TSA/L Center line control monumentation found was used for controlling monumentation. I, the undersigned, hereby certify that the survey map hereon, and the accompanying description, depicts and describes the results of Q careful and accurate survey, made on the ground, and to the best of my knowledge and belief, is a true and correct depiction and description of the property surveyed, and that there are no apparent encroachments or protrusions oc,oss boundary lines, shortages of area or boundary, except as shown hereon. The only easements the undersigned has knowledge, are those as shown, however this property is subject to any and all easements, reservations, and restrictions that may be of record. Any reference to the 100 year flood plain or flood hazard zone, is on estimate based on the data stated hereon, and should not be interpreted as a study or determination of the flooding propensities of this property. Note: This survey was performed in connection with the transaction described in: Form Survey, for Drees Homes ( Att: Andy ). P.O. BOX 14293 ARLINGTON, TEXAS 76094-1293 Legend: O Iron Rod Found —x—x— Wood or Wire Fence 0 Iron Rod Set 0 Control Monument All iron rods are 1/2" rebor unless otherwise noted. �yo s6 -- _'•,G�y Richard C. Maki Registered Professional Land Surveyor No. 4587 Date: 71125/96 Job No. 15418-7CW