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FEMA-EC970627® \ V\�� � �� �s� U II \•/ 11115 O D D The City With A Beautiful Future BUILDING PERMIT APPLICATION FJUN2 6 1997 1 bL-agPrint or Type in a Clear, Legible Manner : / 6 _ DEPT Job Address �'" ►r S � /'i � �-/� Date: Lot: a Block: f,� Subdivision: �6 Q �S Phase or Section Number: Owner h m e S Address: J I G its s+{ Phone #: Contractor: Address: Phone #: Description of Work to be Done Class of Work: ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition _ 3 LF 011+In Area of Building in Square Feet First Floor 1 7 0 4- Garage 470 Value of Work /� to be Performed don 10 Second Floor � 7 `� � Other 7/0 GRAY AREA FOR OFFICE USE ONLY NOTICE g 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' itt �:�ile'tli `i at any time after work is commenced. A2 I hereby certify that I have read and examined this application and know the same to be true E and correct. All provisions of laws and ordinances governing this type of work will be r, complied with whether herein or not. The granting of a permit does not presume to give authority to 'olate or cance the provisions of any other federal, state or local law regu ing con t the perfo ance of construction. 0 t p ontractor or Authorized Agent PrintName :ed77'`b Electrical Co Plumotnc Contractor Mechanic Contractor FPMC - 1 (4M4) S'7� - t 4 Y-e� 4- BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK ELEVATION CERTIFICATE O.M.B. Expires May 3sMay3 1997 31, 193067-0077 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 FOH INSURANCE COMPANY USE BUILDIN WNER'S NAME POLICY NUMBER ZIZI 77 STREET ADDRESS (Incl ' g Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY STATE ZIP CODE 2x 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 4. DATE OF FIRM INDEX _ 5. FIRM ZONE `, 1 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 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 I . ❑ 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 1 1 1414,17 .I6� 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 .❑ 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 ❑ . ❑ 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: 1�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 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 F�actual s ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: struction ❑ 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: 1 171 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: 1 1 I I 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 81-311 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 represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment unq9iv14LC S. Code, Section 1001. CERTIFIER'S NAME TITLE ADDRESS . — Z-310 SIGNATURE CITY NAME fir;A !!rr STATE ZIP Copies should be madd$f 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 LEVEL REFERENCE REFERENCE BASE LEVEL LEVEL FLOOD ELEVATION BASE BASE REFERENCE C ADJACENT FLOOD FLOOD GRADE LEVEL :. EL ELEVATION ELEVATION REFERENCE ADJACENT LEVEL GRADE =J' 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 Im l� FG M,5,20 f-6 N31' 10'51"`N 88-89' 0 SCALE: I = 20' F*r, �OB L CD 0 57.00 — ,8'_6" LTJ PLAN NO. 3524 A 71, 100 'j-) T0.5 = 467.00 2 PAV GRD. = 456.,?0 (mir). Fin. Pr. 465. 1 FG 467.00 16, 7' 1 0700 30.0' B -L 10' X 101 TUE J'! R; 467.,3n icG 467, 70 PLANS ARE RMEWED F R AppROVAL OF SINMV FAMILY RESIDENCE OjNjLN CITY OF COPPELL ')R -RED OTHER DEPICTIA '4' E I CALL -OUTS ON PIE IMCOPPt�gTO R REVIENED NOT BEEN RFVjE%,ViD HAVE BY AND ARE &U APP"LOVED' STREET cu;5�1� Apprcva! (f i! s:!c i} 7�), S h,?! I Pit be LJ .'-'u co" f,ict Top of Curb: 467.4()Wj!,h fl -'ie C'IYO UC)- t n PP811 duiVag cu u -,e3 af, � z0flifig F Lot Area: -120()C) Sq.Ft. TypMeA'C' Draincoe Ordinances. Fence Length: 254' .E.. . LETTZ 1-I'V7 Q, ZYJ FENCE LENGTH 'SHOWN IS MA.X. FIELD VERIFY EXIVING FENCES. GENERAL NOTES: DRIVEINAYS 12' WIDE ENTRY WALKWAYS 3' WIDE PARKWAY SIDEWALKS 4' WIDE (# UNLESS OTHERWISE NOTED) 6 MIG DAL40 FARKW� DALLAS. TEXAS t7G:60 _'6. 5T Nnr 2300 zod 066 r4td. OF -COPPERSTONE f,1111div COPPLPSTONE A city 414 Copporsfono Trail COPPELL, TX date .06/13../97 Plot) 3524.00 ELEV A LEFT HR SURVEY PLAT HR_r LOT 21, BLOCK A, OF COPPERSTONE, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN VOL.96013, PC.87. CITY OF COPPF,LL VOL.83005, PG.3562 & 35669 112 "IR F 88.891 `�f� • 8 vQ 1 O O LOT 20 10'x 10' TU ESM'T 112 "IRF LOT 21 ko DLK. A 12.8' 17.5' FORMBOARD SURVEY 13.0' FF.ELEV.467.6 1 30' BUILDING LINE m 0 M 9 46'40" 10' UTILITY ESM'T 90 12'40" N 31 10' 51 " W REFERENCE BEARING 88.89' 112 "IRF LOT 22 414 COPPER S T ONE, TRAIL I hereby certify that on theZ6day ofT� 1922 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. The 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. Date JUNE 27, 1997 ..:..............:.. JOB #, HARRY J. ROWELL GF No. 4597 / LEGF,ND �� Scale: 1" = 20.0'-- 1/2" Steel / Iron Rod Found 0 1/2" Steel / Iron Rod Set Property Line )Food Fence — — - — - – Chain Link / hire Fence x—x—x—x—x Overhead Electric EE-- E-- \s'UR Z7Z7. 7-7 HARRY R0 WELL & Associates, INC. Surveying & Engineering 1301 Elm Street Ste. 201 Carrollton, Texas 75006