FEMA-EC9708297They With A Beautiful Future
IVPL�-�am
BUILDING PERMIT APPLICATIO
Print or TVDe in a Clear_ Lenihla Mannpr
AUG 2 7 1997
Job Address: �% / �.
C
-,N5PEeT1E)N DER
Date: p-
Lot: Zo Block: 4 Subdivision:
Phase or Section Number:
Owner Address: Phone #:
/i F rvt //t j,/ -!s fc 7- co kQ4 4 -7 T �`r 3 9 it x 3
Contractor: t Address: < <
Phone #: l I
Description of Work to be Done Class of Work: ew ❑ Addition
S HiQ 3/ (- t ,o=
❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor 2Z �'� Garage r C.
0 Z
Second Floor v Other
Value of Work �2 g� `
to be Performed
GRAY AREA FOR OFFICE USE ONLY
NOTICE
Pt�if
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
at any time after work is commenced.
Zoning District:
�L O=pancy Classification:
Approvedla, .,
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
Comments
give authority to violate or cancel the provisions of any other federal, state or local law
regulating construction of the performance of construction.
Signature of Contractor or Authorized Agent Print Name
�z T�,C D l� l�
Electrical Contractor Plumbing Contractor Mechanical Contractor
rrml, - 1 (4/94) ^��
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
ELEVATION CERTIFICATE Expires
M O.M.B. y37, 1977
May 3y, 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
BUILDING WNER'S NAME
POLICY NUMBER
U
STREET ADDRESS (Incl ing Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER
EESCRIPTION (Lot and Block Numbers, etc.) �1
CITY STATE 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
4. [/°TE OF IRM 1N9EX
� 9`f
5. FIRM ZONE
6. BASE FLOOD ELEVATION
:: �IvT
(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 . 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 /
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 461 .14feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones Vi -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 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 LU . LI 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 LII .IJ 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: ❑ 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 FIRMA. ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on:acLJ tual construction ❑ construction drawings
9
(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�_�J.�1 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 .0 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 At—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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
NAME
TITLE C PANY NAM • •
ADDRESS CITY .o •,� :� STATE ZIP
SIGNATURE
V'G_ _J1F PHONE
eo
Copies should be ma :.:I this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH CN 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
i
BASE:`.::' -
..{!':::; ADJACENT REFERENCE
FLOOD
BASE
FLOODIO
ELEVATION GRADE ':'.. LEVEL
REFERENCE ADJACENT
ELEVATN
LEVEL GRADE
.'�.:.::'..'::�:':''..:'::.`:�':.
ADJACENT::.
' mm
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
LOT 19
1/'2
SURVEY PLAT
LOT 20, BLOCK A, OF COPPERSTONE, AN ADDITION TO THE CITY OF
COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN VOL.96013, PG.0087.
N 31 10' 51" W
REFERENCE BEARING
88.89'
I
418 COPPER S T ONE TRAIL
hereby certify that on the day of A(6— 19j7 this survey was made on the ground as per the field notes shown onemthis 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 properly.
Three are no encruarhrnents, conflicts, or protrusions visible on the ground other than those shown.
�. nJ.ROWEL�L
Da.t AUGUST 29, 1997JOBGF No. LF, GF, NISScale: 1" = 20.0' � H
t /2"
Steel / Iron Rod Found 0
t /2" Sleet / Iron Rod Set
Property Line
Wood Fence — — — --
Chain
—
ihain Link / Wire Fence x — x — x — x — x
I �', c,•hoai! F. (actrir. --- F; --- E E --
- . rzTrrrT?
y? ,
ARRY
R 0 WELL
& Associates, INC.
Surveying & Engin
130 Etm Street Ste. 201
Carrollton, Texas 75006
+1-214-387-3314 H I GHL.HPID OF'Si'PIJ CH
SCALE: 1 = 20'
FG 465.00
I� I
14'-9"
w
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FO 467.70
CITY OF C1
N31' 10'51" W 88,89'
20.0'1-.L -
0
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59'-2"
PLAN Na.
3168 A
TOS = 468.10
PAD GRD. = 467..iQ
51 9 F'01/01 HUG 13 "371 10:48
20' A C
FG 467 3
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FG 464.90
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FG 46730 23'_2" 05
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j.p.proval of the p!aRs a d
be
-'ATE
specificatiop �ha!I r i
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CDt girl;^{f t0 meanmeanc J. ��:'JCtIOn
in direct ccr.;::.t
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with tha City o. ?r'- ^_2(i,
' llnQ Codes :ane 7r^:--0
Ordinances.
J rop of Curb: 467.20
-
Lot Area: 12000
S T '' e
Q•Ft. Type 0Drainage
r ���
� / � � � I'..:`i � ._
fi`eiice Length: 275'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EX15TING FENCES,
GENERAL NOTES;
DRIVEWAYS 12' WIDE
ENTRY WALKWAYS 3' WIDE
PARKWAY SIDEWALKS 4' WIDE
(• UNLESS OTHERWISE NOTED)
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16610 DALS.AS PARKWA , SWTE 2500
DALLAS, TEXAS 75248
(214) 713-8494
rnktd at,
COPPERSTONE
r.�al,<ly COPPERSTONE T
hIk
f_1 A
OJ.1idu�
418 Copperstone- Trail
city
COPPELL, ]X
dote plop
08/11/97
3168.01 ELEV B LEFT