FEMA-EC9709167The City With A Beautiful Future
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
rAUG 2 9 1997
L:1
Job Address: q 7 0
Date:
CTION DEPT
Lot: 7 Block: /1 Subdivision:
Phase or Section Number:
T
C e j
r
#:
1 �` S 3 a
P'~1 7
Owner Address:S
Phone
Contractor: S Ayr.Z Address:
5 a
Phone #:
Description of Work to beDoneClass of Work: ew ❑ Addition
❑ Alteration
❑ Repair ❑ Demolition
P/ ate, `t % 057 A
Area of Building in Square Feet
First Floor a d o �� Garage
7,2-0
Value of Work
�� 0
to be Performed
Second Floor G 6 Other 2.5-0
GRAY AREA FOR OFFICE USE ONLY
NOTICE
P+$t t
Of
, ReWpt Number: ,
This permit becomes null and void if work or construction authorized is not commenced
within 180 days, or construction on work is suspended or abandoned for a period of 180 days
Zoning PiSt(Ct:
�' ` ..�-
UCCUpancy Classification:
at any time after work is commenced.
Approved
mate:
I hereby certify that I have read and examined this application and know the same to be true
Corn
and correct. All provisions of laws and ordinances governing this type of work will be
complied with whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any other federal, state or local law
reguillconst n o t t rformance of construction.
ai s
gnature of Con actor or Authorized Agent Print Name
—. �-e ed 07D LA- P<
Electrical Contractor Plumbing Contractor Mechanical Contractor
t
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
0
ELEVATION CERTIFICATE O.M.B. May 31, 1 y31, 1
0077 Expires M 1993'
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FON INSURANCE COMPANY USE I
NAME . / I POLICY NUMBER
STREET ADDRESS (Indug(ng Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER
OTHER DE$CMPTIUN (Lot and Block Numbers, etc.)
--yS-T�A•TTE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITYNUMBER
/ 70
2. PANEL NUMBER
3. SUFFIX
1 4. DATE OF FIRM lf4DEX
4 �S—�
5. FIRM ZONE
� �
6. BASE FLOOD ELEVATION
lin 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 .❑ 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.!" subject building's reference level _/_ .
2'(a). FIRM2,ones Ai -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 ,I..J'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 I I I I I I .❑ feet NGVD (or other FIRM datum—see Section B, Item 7).
(c). FIRM Zon*;A (without BFE). The floor used as the reference level from the selected diagram is Lei . ❑ feet above ❑ or
one the highest grade adjacent to the building.
(d). FIRM Zorie,AO. The floor used as the reference level from the selected diagram is W . ❑ 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)�ewloval d in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicatethe.elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE. U the elevation datum used in measuring the elevations is different than that used on
the FIRM °(ses Section B, Item 7J, then convert the elevations to the datum system used on the FIRM and show the conversion
equad.bq r,Comments on Page 2.)
4, E=EatK1lbPUse Mark'used appears on FIRM: ❑ Yes ❑ No (See Instructions on Page 4)
&T. r"IgveL:elevation is based on: L`T actual construction ❑ construction drawings
(NOTE Wa of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case thisvert*ate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
WN ba' ",cwtWion is complete.)
6. The 'i9f`the lowest grade immediately adjacent to the building is: 1114Ird81. feet NGVD (or other FIRM datum -see
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
a floor" as,.d by the ordinance is: I I I I I I , ❑ feet NGVD (or other FIRM datum—see Section B, Item 7).
2: Date Ot14e flt`af construction or substantial improvement
FEMA Forrp,!,141i 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 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.
1 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 118 U.S. Code, Section 1001.
CERTIFIER'S NAME
TITLE
_ I(,!: -a
ADDRE''SS??�� //
---
SIGNATURE -A
N
PHONE
7'_9,
STATE ZIP
Copies should be madolf this Certificate 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
LEVEL REFERENCE
REFERENCE SASE LEVEL
LEVEL FLOOD
ELEVATION
BASE
BASE REFERENCE FLOOD
FLOOD- ADJACENT ELEVATION
ELEVATION REFcRENCE ADJACENT GRADE LEVEL
CLEVEL GRADE
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
HR SURVEY PLAT HR
LOT 7, BLOCK A, OF COPPERSTONE, AN ADDITION TO THE CITY OF
COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN VOL.96013, PG.87.
f /2 "IRF
DRAINACE & /
FLOODWAY ESM'T40- /
aV \ /
/
O
4p LOT 7
BLK. A
/
rig�
to d'
m
LOT 8
Mb
14.2• t7
FORMBOARD
SURVEY
FF.ELEV.469.29
13.2'
45 BLDG. LINE
\
\ N
\ 'm
\ 104 57'55"
132 1. ---
l' \
10, U.E.
R=50.00' )
6.05'
/
470 COPPERS7'ONE TRAIL
I hereby certify that on the_L-gNay of-rACAt ' f9fd?7� 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 sue, 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 : SEPTEMBER 16, 1997
LEGEND 0
1/2" Steel / Iron Rod Found O
f/2" Steel / Iron Rod Set
Property Line
Food Fence — — . — — —
Chain Link / wire Fence x—x—x—x—x
Overhead Electric E E— E —
CF No.
Scale: 1" = 30.0'
/ 00 r"Rie vN
JOB # .
HARRY J. RO HELL
4597 '
HARR Y
R 0 WELL
& Associates, INC.
Surveying & Engin
1301 Elm Street Ste. 201
Carrollton, Texas 75006
ARC TABLE:
ARC LEN. EAM CHRO. BRG.
'Al' 26.05• 50.00•
ell ! /
' !�y
`'11 / !
h
4o ! «�
N
/ !
! / FOIA FG 46A. 77-
ss
7-s — N
PLAN NO.
4105 A o �v
C `'Y' OF COP
_ 6 pp�� A
amy;ti
C.EgM• B
R�� ��
CAJE
/•, � r1,;4;i # r! _ns Gl,d ;p cificctions h gt
be coa"z.,,u -d to I.^,8a1l construction in d!rcct cGii:;l
with tho City o3 LY; hell Building codes ar'd Zo�:i:,g
Ordinances.
Fence Length: 535'
Lot Area: 19952 Sq.Ft.
Type 'C' Drainage
GENERAL. NOTES:
DRIVEWAYS 12' WIDE »
ENTRY wALKWAYs 3' WIDE »
PAW ! M I'gj VVED FOR
APPROVAL1` F�� GLE
FAINJILY Ry-LS;{�:DE'NCg: ONLY.
Y.
O i IIER iJE TC ? Oi.
CALL -OUTS ON PLO ►' PLAN
HAVE NOT BEEN R.EV1,tyVFD
AND ARE NOT APPROVED.
to +su I
rc 4"0
FORM BOARD
470 M WVEY REQU11
COPPERSTONE
TRAIL FENCE LENGTH SHOWN IS WAX.
FIELD VERIFY EXISTING FENCES.
mktd. as
COPPERSTONE
5"bdlv. COPPERSTONE
lot 7 blk A
address
470 Copperstone Trail
city
COPPELL, ]X
ISM DALLAS PARW1A, 5YITE 2300 date plan
DALLAS ' TcxAs "zoo jI
71,3-849408/ 15/97 4105.00 ELEV A LEFT
(214)
Ob:LT L6; 6T 9ne 7_0d 02,9 Hodfldi6do GNH-1HJIH t7T26-L82-t7TZ-T+
1414 /
P
P
- f69.3
Fu0 GIQO.n' l6d5J
�r
t4
n
tC raES
FS 4 5
,
/
o
Fence Length: 535'
Lot Area: 19952 Sq.Ft.
Type 'C' Drainage
GENERAL. NOTES:
DRIVEWAYS 12' WIDE »
ENTRY wALKWAYs 3' WIDE »
PAW ! M I'gj VVED FOR
APPROVAL1` F�� GLE
FAINJILY Ry-LS;{�:DE'NCg: ONLY.
Y.
O i IIER iJE TC ? Oi.
CALL -OUTS ON PLO ►' PLAN
HAVE NOT BEEN R.EV1,tyVFD
AND ARE NOT APPROVED.
to +su I
rc 4"0
FORM BOARD
470 M WVEY REQU11
COPPERSTONE
TRAIL FENCE LENGTH SHOWN IS WAX.
FIELD VERIFY EXISTING FENCES.
mktd. as
COPPERSTONE
5"bdlv. COPPERSTONE
lot 7 blk A
address
470 Copperstone Trail
city
COPPELL, ]X
ISM DALLAS PARW1A, 5YITE 2300 date plan
DALLAS ' TcxAs "zoo jI
71,3-849408/ 15/97 4105.00 ELEV A LEFT
(214)
Ob:LT L6; 6T 9ne 7_0d 02,9 Hodfldi6do GNH-1HJIH t7T26-L82-t7TZ-T+