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FEMA-EC9701077The CFty77�4r, vi 1pr4*" I q � �-'5 4 BUILDING PERMIT APPLICATION Print or Type in a Clear, Leqible Manner Job Address: , P ` Date: t? . Lot: Block: Subdivision:u Phase or Section Number: Owner t�uti.rt NClTo 0avw�cS Address: t(L j © �j �4ti A5 PKui 23 Phone #: `t7 Z% Contractor: Address:Phone #: F L t r— T> 917— j 411—Z3C� Description of Work to be Done Class of Work: ® New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition r a' JAN 0 2 9'I �j C to be Performed- erformed_Second Floor Other Second GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: Job Address: , P ` Date: t? . Lot: Block: Subdivision:u Phase or Section Number: Owner t�uti.rt NClTo 0avw�cS Address: t(L j © �j �4ti A5 PKui 23 Phone #: `t7 Z% Contractor: Address:Phone #: F L t r— T> 917— j 411—Z3C� Description of Work to be Done Class of Work: ® New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition r Area of Building in Square Feet First Floor Z�'? LC5 Garage Value of Work �j C to be Performed- erformed_Second Floor Other Second GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: Receipt Number: Y % 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 Zoning District:Occupancy ..- Classific tiom 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 Approved ey:%" �Date� Zj#,�ZZ CC1mmentS 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 r Agent Print Name` .T '�Gi11 4V LL l; Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) 7 -J{�/L►�1 L �S 5 �'o� Des-vnAlyEs �N.9 r' ggF CVPPe-LLL rn��rf7' O eGu,G N ''H )�Lr>o� P1. y / nr £q ✓n F� r /- rVP cASr6w2,Aj JC-"/"c34F F�J !+i �Co�o CaPP�sTONE � CDPP��L- � T,�,rc�s . K LyV 4_ 24- 71 �owuo G:SM&ME MOrAl�YPUBMsaaof L/O Lc"Vo --r,H -Aji=4 g� L<()Lk e iJ Yo r—e-,E -r) YYN • ELEVATION CERTIFICATE ExpiresNo 3067-0077 May3 ,1"3 Expires May 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. BUILDIN OWNER'S NAME STREET ADDRESS (Includir 4 Zey SECTION A PROPERTY INFORMATION Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER FOk INSURANCE COMPANY USE POLICY NUMBER COMPANY NAIC NUMBER s OTHER DESCRIPTION (Lot and Block Numbers, etc.) /C ©PP10 F�S?�JiSI� CITYSTATE ZIP CODE 112 '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 DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION / -7O ©©/� �p� /5 r G (in AO Zones, use depth) 4,6 �1• � 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 1S4f4GVD '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: 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 1 1 1416171.0 feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones VI 430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from selected diagram, is at art 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 II .L -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 W . L1 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: ❑-MVD '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 FIRM: D'�es ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: factual 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: 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: 1 1 `f 6 6 .61 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 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 un _ Vt ode, Section 1001. CERTIFIE 'S NAME TITLE ADDRESS —Z SIGNATURE NAME STATE ZIF PHONE 777_ 7/L7 -tel %�� Copies should be m# of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: ON i.. WITH SUB BASEMENT A V A ZONES ZONES ZONES BASE Y/ `1 FLOOD tLEVAIJ710N FLOOD - - I IO ELEVATN REFERENCE ADJACENT LEVEL GRADE GRADE LEVEL un nLea, PIERS. OR COLUMNS A V 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 a ";_j C' CITY (717"�'°��L a\not bF -ARC TABLE ARC LEN. RAO. CHRD. BRG 'Al' 17.03' 50.00' N SCALE: 1 = 30' f6 463.00 St�l_c�1 Q� a 0-r Lot Area: 27159 Sq.Ft. 466 Fence Length: 490' Top of Curb: 467.70 C O P P E R S T O N E Type 'C' Drainage FENCE LENGTH SHOWN IS MAX, TRAILFIELD VERIFY EXISTING FENCES. GENERAL NOTES; DRIVEWAYS 12' WIDE • ENTRY WALKWAYS 3' WIDE PARKWAY SIDEWALKS a' WIDE + (+ UNLESS OTHERWISE NOTED) mktd as COPPERSTONE_ subdiv. COPPERSTONE got 8 blk A I address l _ ^466 Copperstone Trail city f Huntbiom�� COPPEI.I, TX WA'r---- 16610 VALA3 PARKWAY, SUITC p 2300 dote Ion ' DALLAS,1) T{%AS714-4195 7521A 12/06/96 _ 4003.00 ELEV AA RIGH (21 SURVEY PLAT LOT 8, BLOCK A, OF COPPERSTONE, AN ADDITION TO THE CITY L OF COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN VOL.96013, PC.87. ddd 1 c7T�dtor �O 7B cs3� 000 37.03, 466 COPPERSTONE TRAIL I hereby certify that on the 4E��,day of -7 -AN., 199G . 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. 91, nZ DateJANUARY 7, 1997JOBCF No. 0 LEGEND 0 1/2" Steel / Iron Rod Found V 1/2" Steel / Iron Rod Set Property Line Wood Fence — -- - — - - — Chain Link / hire Fence x—x—x—x—x I Overhead F, lectric -- F, -- E— E — Scale: J " = 30 ' HR HARRY R 0 WELL & Associates, INC. Surveying & Engines; 1301 Elm Street Ste. 201 Carrollton, Tea -as 75006