FEMA-EC970326V!P
The City With A Beautiful Future t
BUILDING PERMIT APPLICATION 24 1997
i
1 76 Z01 Print or Type in a Clear, Legible Manner
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Job Address: Date:
Lot: (� Block: Subdivision: C pe��"Q (� Phase or Section Number:
Owner 2 2 S H a S Address: (5� � Phone #: $) � — L� (U 1 , q I 1 / k
Contractor: Address: Phone #:
Description of Work to be Done Class of Work: ,New ❑ Addition ❑ Alteration ❑ Repair p El Demolition
0 "--LA IF
S �o�
2A)-1 e v�7bN1
Area of Building in Square Feet
First Floor to Garage Value of Work
(� to be Performed
Second Floo I Other
GRAY AREA FOR OFFICE USE ONLY
NOTICE
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
regulatigg construction of the performance of construction.
Signature of Contrac or or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mech ical Contractor
FPMC - 1 (4/94)
97
HOLD HARMLESS AGREEMENT
WHEREAS, THE OWNER OF LOT l,I', BLOCK , OF THE
SUBDIVISION,7--a-
(ADDRESS), COPPELL, TEXAS (THE OWNER) UNDERSTAND AND
ACKNOWLEDGE THAT THE DRIVEWAY WHICH IS LOCATED ON THEIR PROPERTY
ENCROACHES ONTO THE CITY OF COPPELL'S DRAINAGE EASEMENT;
AND
WHEREAS, THE OWNERS UNDERSTAND AND ACKNOWLEDGE THAT IN CASE
* REPAIRS OR IMPROVEMENTS ARE REQUIRED TO BE MADE TO THE CITY OF
COPPELL'S DRAINAGE EASEMENT WHICH WOULD REQUIRE REMOVAL OF THE
DRIVEWAY TO EFFECT SUCH IMPROVEMENTS; AND
WHEREAS, THE OWNERS RECOGNIZE AND ACKNOWLEDGE THAT SUCH
DRIVEWAY WAS INSTALLED DESPITE KNOWLEDGE OF THE CITY'S DRAINAGE
EASEMENT;
OWNERS HEREBY AGREE TO REMOVE SUCH DRIVEWAY AT THEIR OWN COST
AND UPON REQUEST BY THE CITY OF COPPELL, AND IF OWNERS FAIL TO
REMOVE THE DRIVEWAY UPON REQUEST BY THE CITY, THEN CITY WILL REMOVE
SUCH DRIVEWAY AND OWNERS HEREBY INDEMNIFY AND HOLD THE CITY
HARMLESS FROM ALL CLAIMS OF DAMAGE TO THE DRIVEWAY WHICH ARISE FROM
THE CITY'S REMOVAL OF SUCH DRIVEWAY WHILE REPAIRING, INSPECTING,
IMPROVING OR IN ANY WAY SEEKING ACCESS TO THE DRAINAGE EASEMENT.
ADDITIONALLY,
OWNERS AGREE TO REIMBURSE THE CITY FOR REASONABLE COSTS INCURRED IN
REMOVING THE DRIVEWAY.
DATE 3//1*"%
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(owner)
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L=85.46'
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CITY-* COPPELL
R IEWED
DATE
'proval of the js and specifications shall n(
<; )nstrued to mean construction in direct confli
1V N c e Ct r oe CoprTi <3ulldir^ ;wes and Zoning
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FEM.A. LETTER
MINIMUM if.
83'28'00' E
20' REALD� UNE
LOT 15
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SPLAN BRIAR B 303-11r
CE N #2822
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121'
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30'
L=85.46'
COPpr„.�
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CITY-* COPPELL
R IEWED
DATE
'proval of the js and specifications shall n(
<; )nstrued to mean construction in direct confli
1V N c e Ct r oe CoprTi <3ulldir^ ;wes and Zoning
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FEM.A. LETTER
MINIMUM if.
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 LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
BUILDING OWNER'S NAME POLICY NUMBER
Drees Homes
STREET ADDRESS (Including Apt., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
438 Copnerstone Trail
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
_ 16'r Lot l5 , Block A, Copperstone moxxxX _
CITY STATE ZIP CODE
Coppell Texas
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
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
480170
0010
E
LOMB 1/25/95
1
X
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): X1 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:1 I I I I . LJ 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 _l.— .
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 L-1 I I I I Li feet NGVD (or other FIRM datum -see Section B, Item 7).
(b). FIRM Zones V1430, 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 1 1 I 1 1 1.1 1 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[ _ 1- .1.1_ I feet above 1 l or
below 1 1 (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__l_1.1 1 feet above 1__1 or below L_J (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 [_1 No F-1 Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 1_1 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 71, 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 U No (See Instructions on Page 4)
5. The reference level elevation is based on: (xJ actual construction F-1 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: L 1 1476.1 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: L1 1 _ f__ 1 -1 .1__ I feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, 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/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.
t certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data availat-ie.
l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER (or Affix Sea])
Richard C. Maki Tx. Req. 4587
TITLE COMPANY NAME ,
Req. Prof. Land Surveyor Maki and Associates, Inc.
ADDRESS CITY STATE ZIP
3521 W. Pioneer Parkway Suite_ -E, Arlinqton Texas 7finii
SIG C DATE PHONE —
March 26, 1997 (817)274-6883
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS: Accordinq to the HUD Flood Insurance Rate Map, Comm. Panel Mo.
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 465.6 feet, a vertical control survev
determined the finish floor elevation of the wood forms on this lot to
be 468 _ 58'- Bench Mark: RM 196, Elev. 467.22' .
ON WIT" ON PILES,
BLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE BASE LEVEL
REFERENCE
LEVEL
FLOOD
LEVEL
ELEVATION
Nrk:
�L.
BASE
BASE
RE
FLOOD "' ADJACENT: .'�+�x, REFENCE
FLOOD
ELEVATION REFERENCE ADJACENT GRADE f;•: LEVEL
ELEVATION
LEVEL GRADE S'k•
•. •.
ADJACENT i.
;.'':.:;:`'i:::;'i.::;::i'�;�"::;::�!:�
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
PROPERTY DESCRIPTION
• Lot 15, Block A. CQPPERSTONE, on Addition to the City of Coppell, Dallas
County, Texas, according to the Plat recorded in Volume 96013, Page 87,
Map Records, Dallas County, Texas.
Lot 14
E aw
35588*200I
I
I
. I
I to
Ui
1/2' Iron Rod Fnd, _ —
e— N 12'06'06' W
0.36' ham Eo•.m.nt 20• Utility
Easement
b1r«�tbn.
I_
OI Bldg• Line I I
00 — _ — _ Reor
co I
27.4' Lot 15 I o
Block A
l0 3
1 I� IR
tV 11.4 O
8.600
' 18.s a I H
I 3
I ' U)
LUI I V)J. P I
I
�O I 4 �- 13.0'
ap I
Wood Forms N
.� F.F. Elev.= 468.58'
ZI I I
8.4'-� 9.0'
1. 113.0'
6' J' a.
4.0' 12 C ^ 19.8' .r
Line
— I
1
I 30.1' I
10' utility Easement
1/2' Iron Rod Fnd.
.53- 1 N 54'19'40" W _X325 0� L-85.46
0.5J' kwn Prop. Coma ^
A�OPp['V ff ONE T'PA/ z
tro
# 3 Center eianforocontirolling monoumentat or.
was Lis
Scale: 1 25'
Lot 16
I, the undersigned, hereby certify that the survey mop hereon, and
the accompanying description, depicts and describes the results of
a careful and accurate survey, made on the ground, and to the best
knowledge belief, is true depiction and
G OF
of my and a and correct
description of the property surveyed, and that there are no
Ot�7✓ER °�
boundary lines,
• •
apparent encroachments or protrusions across
ys
shortages of area or boundary, except as shown hereon. The only
.�
easements the undersigned has knowledge, are those as shown,
, • ....1 • .. • . • . • . • .... .
however this property is subject to any and all easements,
u•�
ROCW&n HOp C. MIXQ
reservations, and restrictions that may be of record. Any.
........... . •••
reference to the 100 year flood plain or flood hazard zone, is an
estimate based on the data stated hereon, and should not be interpreted
•Q
as a study or determination of the flooding propensities of this property.
0�Z 8 S , ���
Note: This survey was performed in connection with the transaction
Q• • S °
described in:
Form Survey, for Drees Homes ( Ali: Andy)
l
JV11 fl AUD A'J'JJ.d1l11-4:1, 111.01
Richard C. Maki
P.O. BOX 14293 ARLINGTON, TEXAS 76094-1293
Registered Professional
( 817 ) 274-6883, Metro ( 817 ) 261-8138
Land Surveyor No. 4587
Legend: O Iron Rod Found -x-x- Wood or Wire Fence
Date: 3118197
r Iron Rod Set 0 Control Monument
Revised: 3124197
A1l iron rods are 1/2" rebar unless otherwise noted.
Job No. 17027-20S