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FEMA-EC950808' Zq ® -3 The CityABeautiful Whin BUILDING PERMIT APPLICATION Buildingng Inspections Division 5 93 12 6 t Z`1 Print or Type in a Clear, Legible Manner GRAY AREA FOR OFFICE USE ONLY Job Address: � i, Permit Fee: Receipt Number-��!! 7GCll Date: Lot: S Block: Subdivision: v ` 6 6s v S TA jT,' o t N Phase or Section Number: I %� urs ti W o m t S Address: (l7 Oo�I��S P 112 30 'hone #:Owner: uo 01 14- 38() - 2366 435-3 Contractor: Urr,1-. -tr'�J3 �tS 1 l Address: (� N ` w �Z o Phone f/: 3 $ _ 02 6 35-3 Description of Work to be Done Class of Work: New ❑Addition _ Alteration ❑ Repair ❑Demolition S D� % z� Area of Building in Square Feet 6 3] Garage" "NI 4 � 6Value of Work First Floor_ q to be Performed 1 9)dQ Second Floor Other__4 GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: Receipt Number-��!! 7GCll 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 Zoning district, Occupancy Classification. Approved By: Date: 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 Comments: regulating construction or the performance of construction. J U ,J R 5tr e- r - Signature of Contractor fir Authorized Agent Print Name 1-rEx Ririe T���c7 Electrical Contractor Plumbing Contractor Mechanical Contractor BIR - 1 12/921 ELEVATION CERTIFICATE Expire No 306 May31, °°" 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 LOMB). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION IFOF+ INSURANCE COMPANY USE BUILDING OW ER'S NAME POLICY NUMBER STREET ADDRESS (Includin Apt., Unit, Suite and/o dg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY STATE ZIP CODE ZZ 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) f 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 1 L � /(�D '29 1 1 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: L_LLL_l -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 Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of 11 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 L1_LLL_] .L 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 1___ '__ . _J feet above , or below C__I (check one) the highest grad? adjacent +.o the building. if no flood depth number is availahle, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? [_`t-YesF No _ j Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: _i 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 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: s No (See Instructions on Page 4) 5. The reference level elevation is based on:11 actual construction �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: 1L l _ 4S*, . 0 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 _ASr6 14 feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvement 1 rNJ1 , (,;.,en RI 11. f.4'. Y 'Al f' f VI i, 11 " crr- :+F% r -_ . 1 ­-TIe111ATIC1N 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 8 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 18 U.S. Code, Section 1001. CER�TIFYR'S NAME LICENS f i TITLE C PANY NAME f �� ---- -- ADDRESS Y --Z34:: SIGNATURE Copies sftould be m& of this Certificate for: 1) community official, 2) insurance aq COMMENTS: STATE ZIP `x " V, ��ONE zip ?nt/company, and 3) building owner. ON WITH PILES, SLAB BASEMENT PION ERS, OP COLUMNS AV A A V ZONES ZONES ZONES ZONES ZONES REFFF{r77F REFFRENCE LEVE( BAL LEVEL _ RFFf.RENCE FLOOD LEVEL ELEVATION r BASE FLOOD ADJACENT RFFERENCE ELEVATION REFERENCE GRADE LEVEL AD ACEN7 FOOD ELEVATION LEVEL GRADE k* 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. f SURVEY PLAT LOT 5R, BLOCK E, OF REPLAT LOTS 1 THRU 13, BLOCK E, GIBBS STATION PHASE ONE, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. R OI 86.0 10.01 f THIS PORTION OF THIS PROPERTY LIES WITHIN THE 100 YEAR FLOODPLAIN PER PLAT / / / / / C0 4- / / LOT 5R BLK. E 0 8.3 LOT 6R 16 5' s r r 0 71 �} N A FORMBOARD w SURVEY LOT 4RCID v, 0 am 0 9u D NG ,INS 2 8.4' / N UN UTILI OTY ESM T o TU ILE. g r 5' 24 g 6 / � � / 5.00' 00 ) Qt; �l / CO 65 M66" " 3 ) 260. 916 CREEK CROSSING I hereby certify that on the day of (., 19-i� this survey was made on the ground as per the field notes shown an this survey and is true, correct, and accurate to to the dimensions of the subject properly and rize, location and type, of buildings and improvements thereon, of any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject properly. There are no encroachments, conflicts, or protrusions visible on the ground other than those shown. Date AUGUST 8, 1995 �,'� '''f 017% .. JOB # : HARRY J. ROIfELL GF No. ---0 LEGEND 0----- 1/2" Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set Property Line Food Fence -------'— / wire Fence x—x—x—x—x kk Scale: 1 " = 20. 0' b MT? "'3 T711??TT777 T -' :';x7777 /'77 . " HR HARRY R0 WELL & Associates, INC. Surveying k Engineering 1301 FIM Street Ste. 201 Carrollton,. I.rus 75006 JI -IL -05-95 WED 03:45 F't1 HI_INT I hAGT4N HOPlE�E: 214 —13 i 713 P. bj' --7 SCALE: 1 = 30' ARC TABLE ARCS LEN. _ RAO. CHRD. BRG. 'A+' 24.96' 565.00' 'A2' 78.23' 290.00' ' N04'23'36"NlI���O� rk, 10.01' \ � � a \ SN . ifl [O PLAN NO. c�0 3281 A 48•_11" m 3 MS - 45,16D FAD GRD. +51.60 CN ! O a. ao v1 0 � o J D] O O U o6 N X5.0 I / o. to 29,-i 1 j CITY OF COPPELL PCII IEWED BY ©ATE Approval of the plans and specifications shall not be construed to mean construction in direct con- i the City of Coppell Building Codes and j 1 odi�Ordinances. Lot Area: 11411 Sq.Ft. GENERAL NOTES DRIVEWAYS 16' WIDE + ENTRY WALKWAYS 3' WIDE PARKWAY SIDEWALKS 4' WIDE * UNLESS OTHERWISE NOTED Type 'B' Drainage PLANS ARE REVIEWED FJEJ�1 APPROVAL OF SINGLE FAMILY RESIDENCE ONLY. OTHER DEPICTIONS OR CALL -OUTS ON PLOT PLAN HAVE NOT BEEN REVIEWED AND ARE NOT APPROVED. F.E.M.A. LETTER REQUIRED. ? / ) STREET CUT FORM BOARDR�r SURVEY epth: 285' FENCE LENGTH SHOWN IS MAX. FIELD VERIFY EXISTING FENCES. mktd. as Gibbs Station S"bd'v._Gibbs Station Phase One lot 5 r b!k E — E address 916 Creek Crossing city Coppell, TX -- - - - -- U - — - -date date ALL07/05/95 plan 10010 DALLAS1 �as4e ►AN(KAv, suit[ 1900 —J 0 7/ 0 5/ 9 5 �__^_ 3281.01 E L E V A E n c I v oAa Tex�a 11