FEMA-EC970311L'
The City With A Beautiful Future �
BUILDING PERMIT APPLICATION MAR ° 1997
q 1
Print or Type in a Clear, Legible Manner 40, !N612iCT1 ON
Job Address: A Date: V Y / C( —7
Lot: 1 Block: Subdivision: n S� Phase or Section Number: ~�
Owner (� Address: �6(V d� Phone #: 3
Contractor: f t Address: (C Phone #:
Description of Work to be Done Class of Work: ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
nla-, t-_ qC jy
Area of Building in Square Feet
First Floor Z Garage S Value of Work
_ to be Performed
Second Floor S Other Z �'
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
regulating construction of the performance of construction.
Signature of Contractor or Authorized Agent Print Name
09L Tf-,r it if c 0 ge,&
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
ELEVATION CERTIFICATE 4 , "E plresA4ay31,, 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 FOk INSURANCE COMPANY USE I
BUILDING WNER'S NAME POLICY NUMBER
STREET ADDRESS (Including 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
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 INDE
Lrr—, / /�!;
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO`Zones, use depth)
/
_W.T/lis
��
4CoZ.O
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): I_t-44SVD'29 I 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: LL_L_1_ 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 Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of II 1 4146 . LZJ 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 LLL_-LLJ ,❑ 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_11.11 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 [ _J_J.❑ 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? [P�'Yes ❑ No I Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: C-_1 NGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE: !f 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 FIRM: Lk Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: !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: feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
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: IL A". 14 feet NGVD (or other FIRM datum—see Section B, Item 7).
Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
y 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 3 - 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 imprisonmen _ Code, Section 1001.
CERTIFI R'S NAME LI NSqwffix
TITLE COMPANY NAME ••.
ADDRESS CITYSTATE ZIP
---1.3(nJ --� 7 1 - -- _. _ - 7_4RNE!e,
SIGNATURE DA PHONE
Copies should be madf this Certifio a 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
REFERENCE BASE LEVEL
REFERENCE
LEVEL FLOOD
LEVEL
ELEVATION
t
Y'.
BASE -'
BASE
FLOOD -`' ADJACENT:, RCEEFEREN
FLOOD
GRADE LEVEL
ELEVATION REFERENCE ADJACENT
ELEVATION
LEVEL GRADE
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
SURVEY PLAT
R - R
LOT 11, BLOCK A, OF COPPERSTONE, AN ADDITION TO THE CITY OF
COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN VOLUME 96013, PACE 0087.
LOT fO
9
CO
CO
rn
DE
LOT 46 A
DICgTED TO T BLOCK
112 "IRF
/2 "IRF
112 "IRF N 74 01' 54" W
REFERENCE BEARINC
CALL 85.00' MEAS. 84.84'
\3
ko
M
C6
112 "IRF
LOT 12
454 COPPERSTONE TRAIL
I hereby certify that on the ZOO day of Cly 19-47-Z this survey was made on the ground an per the field notes shown on this survey
and is true, on
correct, and accurate as to the dimensions of the subject property and sire, location and type of buildings and improvements there,
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 : MARCH 11, 1997
_ CF No.
LEGEND Scale: V'= 20.0'
1/2" Steel / Iron Rod Found
1/2" Steel / Iron Rod Set
Property Line
flood Pence — - — - — —
Chain Link / wire Fence x—x—x—x—x
Overhead Etectric E E — E —
AARRY J. ROIIELL JOB
4597
HARRY
R 0 WELL
& Associates, INC.
Surveying & Engineer*
f301 Elm Street Ste. 20f
Carrollton, Texas 75006
- - FED -2C-"' 7 W E D 0 7 :3'2 F'M H LI H T I F4 1-1 T 0 f-4 H 0 M E2v 214 713 7713 P. 02
FO 465,20
SCALE: 1 20'
iW
r
--::7
N6 6-
--- -5. 7
---- FG 456.20
77-
U&
LO
U
FORM BOARD
%JR VEY RBQUnft
�n.
1XI.
191'- 7"
00
0'---U. E,
FG 468.00
454
Lct Area: 12227 Sq Ft.
PLAN NO.
4184 A
FOS = 468 80
PAD ORO.= 468.00
- 'tv er
.Fn.F1r.= 466 2)
^8.00
Ln
IIS
00
0
00 114
U-)
0i
FC 468.00 8'-6"
03!
-T
FIG 466.40
COPPERS -TO -NE - TRAIL
lop of r,
�urc�: 467.90
Type 'C' Drainage
Fence Length: 271'
FENCE LENGTH SHOWN IS MAX,
FIELD VERIFY EXIST4NG FENCES.
GENERAL NOTES;
DRIVEWAYS 12WIDE niktd. as
ENTRY WAL I COPPERSTONE
PARKWAY SIDEW 'OF COPPELL
UNLESS 07HEIAV AD ) i --- --- - -- --- - -- — i
t. 1 1 subd:-,/ 'TONE
EEVIEWED 0 P P E R '-S zn,.�
0.),06 qj
blk
4QL 7 A
� -� __ _---. �i
9y D AT E __j
�,,qprav?l of ti�a pigs and specifications shall not 1-0 C -],'J -r e- S - - -----
_J cofistrued to mean construction in direct contlic+
454 Copperstone Trail
�,Jth the City cif _Copqell Buildini codes and Zoning I
Huntingtm COPPELE, TX
datepion
16610 DALLAS PAR<WAY. SUITE 2300
DALLAS. TEXAS 75245
(2f4) 7 13-5494 — Q2 2 9 7 _6 /ELEV A RIGHT'1
84.01