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FEMA-EC970731or,�/ BUILDING PERMIT APPLICATION Print or Type in a Clear, Legible Manner uUU UW D o c JUL 2 41997 I L INSPECTION DEPT Job Address: Z'L This permit becomes null and void if work or construction authorized is not commenced � Date: Y/ Lot: I GI' Block: j/� Subdivision: Phase or Section Number: �— Owner Address: IZ4Sd l�.r Contractor: 1 Address: Description of Work to be Done Class of Work: M<ew ❑ Addition X77 Area of Building in Square Feet First Floor. 110 1 Second Floor t �- L Garage r 0 1 Other 2 / Z Phone #: —1 ¢ 9 - 3 S ( � p f 3 7'_3 Phone #: c . ❑ Alteration ❑ Repair ❑ Demolition Value of Work7 �y V I to be Performed y NOTICE I' r°• 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 r regulating construction of the performance of construction. Signature of Contractor or Authorized Agent Print Name V- 4C /C Electrical Co tra r Plumbing ntractor Mechanical C ctor .... . . . ..... . FPMC - 1 14/941 / BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK No ELEVATION CERTIFICATE O.M.B. Expires May y31, 1077 ay 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 FON INSURANCE COMPANY USE I OWNER'S 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.) /I _Z _r_ 19.E-� / /�f�z2��5�/Y� 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. DATE OF FIRM I EX 4_ 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) O / 7251/O G/_!s_ X 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [�-tGVD '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 —/— . 2(a). FIRM Zones Ai -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of L 141(, 7 .41 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 .❑ 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 . ❑ 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: ❑ 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 FIRM: Yes El No (See Instructions on Page 4) 5. The reference level elevation is based on: 2 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 . A� 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 -❑ feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31D 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 Zores 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 l understand that any false statement may be punishable by fine or CERTIF ERRS NAM E/ TITLE ADDRESS SIGNATURE , -& CITY my best efforts to interpret the data available. tent undp&18 U.S. Code, Section 1001. ...a kil�: STATE ZIP S�ly3��3,�1'�� Copies should be ma0wf this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: Page 2 ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE LEVEL REFERENCE BASE REFERENCE LEVEL LEVEL FLOOD ELEVATION BASE BASE ADJACENT REFERENCE. FLOOD GRADE LEVEL ELEVATION REF'R,NCE ADJACENT CLF-F� GRADE . im, FLOOD ELEVATIOIi 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 sl :ould 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 SCALE: 1 = 20' FG 466.00 FG, 469 ;'0 20.0' 81, f -n 0-0. —BL rO 467.50 c> FG 467.50 PLAN NO. l 52'--0" 3477 A r05 z 468.30 m PAD CPO. = 467,50 0 FC 467.50 46.5-2) co 160 A J V) 0 j�fC 46750 01 X0.0• B. L. L10-0, I,j-E FO 468.10 rO 46I70t) STREET Cl CITY OF GUFMLL -FOPM BOA Suw ay Rw�QT BY - ERSTONE TRAIL T ApPrc-,4 t rl"X- "T: A- 1, -7 v, (x) r, ti tql 1 n i " , - -- - nl&. - be wii"l the U�`9 o( ll'- ordinar,C1,15. Top of Curb: 467.60 Lot Area: 12000 Sq.Ft Type 'C' Drainage Fence Length. 292' FENCE LENCTH SHOW 15 MAX, FIELO VERIFY EXISTINI; FENCES. GENERAL NOTES; rnktd. as DRIVEWAYS 12* WIDE ENTRY WALKWAYS 3- MOE •COPPERSTONE PARKWAY SIDEWALKS 4' WIDE UNLESS OTHERWISE NOTED) subdiv. COPPERSTONE A F address 422 COPPERSTONE-IRAIL., city COPPELL, TX HUn'M$'T date plan 16610 GALLAS PAIRMI I $Vilt 2300 GALLAS. Tt 75240 3477.00 ELEV A RIGH] (2iA) 713-BA24 n T t ' . _ ! .-.! i i iLLl_LL. L11 Lr1_i i i i Ti -7 -Ti i h R - S UR VE Y PL A LOT 18 LOT 19, BLOCK A, OF COPPERSTONE, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN VOLUME 96013, PACE 0087. 1/2 1/2 "IR F' CITY OF COPI'ELL VOL.83005, PG.3562 & 3.569 88.89' 112 "IRF IV :i 1 IU' 61" 11 REFERENCE BEARING 88.89 RF ��,�1 �_/ ®PPER S I ONE TRAIL LOT 20 I hereby certify that on the-,�_day o,0,427-1,�� 19YZ, 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 JULY 31,- 1997 ;..... JOB # BARRY ✓. ROFELL } _ CF No. _ 4597 / LEGEND () ) Scale: 1 = 20.0'-- 1/2" Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set Property Line Food Fence -- — Chain Link / Fire Fence x—x—x—x —x Overhead Electric E ---- F---- F. — �SUR�/ Z f?7-TLZ771S ' Tr i -7—I HARRY R O WELL & Associates, INC. Surveying & Engineerir, 1301 Elm Street Ste. 201 Carrollton, Texas 75006