FEMA-EC960404W M4
��eCity With ABeautiful= BUILDING PERMIT APPLICATION
19 -); ,).. 9 Print or Type in a Clear, Legible Manner
199 1 g 96
Job Address: - Date:
Lot:' Block: Subdivision: b S S / Phase or Section Number: 7
Owneri Address: 1 ��N� �� %,(7 Z Phone #: 3JU _G A j
Contractor: �,,, ! Address: Phone #: 5/ 7/ , L J U y
Description of Work to be Done Class of Work: QN'e'w ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor / �
Second Floor / G r
NOTICE
Garage �—
Other Z Z
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.
j lJ rl� r
Signature of Contractor or Authorized Agent Print Name
T- /(4,4' ! ItPip()
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
Value of Worth
to be Performed
FOR
kM
i�
' O.M.B. Alb3067-0077
p ELEVATION CERTIFICATE Expires A% 3-1, 1993
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM1I
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 FOh INSURANCE COMPANY USE
BUILDING OWNER'S NAME , / POLICY NUMBER I
STREET ADDRESS (IncllUding Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
/V7, rdV / r3 At ZZ& S TATh/o
CITY STATE ZIP CODE
_7_K
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
AO Zo4.�n/es&use depkh)
,1..
�
Apmr. Sj /%m¢ -(in
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 0�f) I VD '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 .H 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 l lam. Z 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 l 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 Lei 1_1 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 L1 1. LJ 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? R4 -Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: R-WGVD'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 A 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: L� <es ❑ 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: I 1 1415KT. 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 W A 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 unfinisi*d 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 dlilothis certificate represents my be f rts.to,interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonmery. Code, Section 1001.
CERT! ER -S NAME
Y
TITLE
ADDRESS
SIGNATURE
STATE ZIP
Copies shorlld be made ofpis Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
BASE
FLOOD
ON PILES,
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
ON
WITH
SLAB
BASEMENT
A
V
A
ZONES
ZONES
ZONES
REFERENCE
LEVEL
BASE
'"'•'
.ADJACENT.:''ti:
FLOOD
ELEVATION`K
REFERENCE ADJACENT
GRADE �
LEVEL I GRADE
BASE
FLOOD
ON PILES,
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
H SURVEY PLAT H
R R
LOT 14R, BLOCK E, OF REPLAT OF LOTS 14 THRU LOT 34, BLOCK E, CIBBS STATION
PHASE TWO, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
1/2"IRF.
TOP BANK
8.2'
DENTON CREEK
FLOODWAY BOUNDARY
5.20' -- —�--_ _—
MEAS.69.39'
h
LOT 14R
BLK. E
FORMBOARD
a+ _-
30 "RCP.
UT "X"
OUND
fo. f'
CO
SURVEY I
I � LOT f5R
I �
I �
I
x�
25' B UILDINC LINE
-----------------
— L----
f 0' UTILITY ESM'T /
----------------1-----
20" 5' TU ESM'T / 89 55'05
( R=450.00' ) S 79 12' 37" lY 20.0'
CALL 13.39' REFERENCE BEARING
MEAS. 13.45' CALL 59.44' MEAS.59.49'
1004 CREEK CROSSING
I hereby certify that on thel"d day of APS., 19—% this survey was made on the ground as per the field notes shown on thissurvey
and is true, correct, and accurate as to the dimensions of the subject property and wise, location and type of buildings and improvements thereon,
if any. The survey shows all easements and visible easements of which I have knowledgeor have been advised affecting the subject property.
There are no encroachments, can/fiats. or protrusions visible on the ground other then those shown.
Date : APRIL 4, 1996
E) LEGEND 13)
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
Property Line
Wood Fence -----.—•—
Chain Link / Wire Fence x—x—x—x—x
Overhead Electric —E —E— F.—
OF
BARRJ.Y ROWELL
GF No. 4597
Scale: 1 ' = 20.0' �
JOB # :
HARRY
R 0 WELL
& Associates, INC.
Surveying & Engineering
1,701 Elm. Street Ste. 201
Carrollloa, 7'a..ras 75006
O
co
�
o
ct
LOT 13R
W
10.0'
47
b
/ nl
DENTON CREEK
FLOODWAY BOUNDARY
5.20' -- —�--_ _—
MEAS.69.39'
h
LOT 14R
BLK. E
FORMBOARD
a+ _-
30 "RCP.
UT "X"
OUND
fo. f'
CO
SURVEY I
I � LOT f5R
I �
I �
I
x�
25' B UILDINC LINE
-----------------
— L----
f 0' UTILITY ESM'T /
----------------1-----
20" 5' TU ESM'T / 89 55'05
( R=450.00' ) S 79 12' 37" lY 20.0'
CALL 13.39' REFERENCE BEARING
MEAS. 13.45' CALL 59.44' MEAS.59.49'
1004 CREEK CROSSING
I hereby certify that on thel"d day of APS., 19—% this survey was made on the ground as per the field notes shown on thissurvey
and is true, correct, and accurate as to the dimensions of the subject property and wise, location and type of buildings and improvements thereon,
if any. The survey shows all easements and visible easements of which I have knowledgeor have been advised affecting the subject property.
There are no encroachments, can/fiats. or protrusions visible on the ground other then those shown.
Date : APRIL 4, 1996
E) LEGEND 13)
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
Property Line
Wood Fence -----.—•—
Chain Link / Wire Fence x—x—x—x—x
Overhead Electric —E —E— F.—
OF
BARRJ.Y ROWELL
GF No. 4597
Scale: 1 ' = 20.0' �
JOB # :
HARRY
R 0 WELL
& Associates, INC.
Surveying & Engineering
1,701 Elm. Street Ste. 201
Carrollloa, 7'a..ras 75006
N
SCALE: 1 = 20'
b
I
N
rn
FC 449.40
�l
w
I
8'-7"an n
ARC TABLE
_ ARC LEN. RAD. CHRD. BRG.
'Al' 13.39' 450.00' �—
CITY OF COPPELL
REVIEWED
I 69s,,
0 0 F -&q A 'P au 4L/
�kk DATE
Approval of th lans and specifications shall not
`9 be construed to mean construction in dirW confkt
with the CIN, I� 'Op�J J641ding codes and Zoning
.3.25_.
LE'r7U RE
QUME
MINIMUM ff.D.
+ FLOODWAY
oD
rURM HOARD
SURVEY REQUIRED
FG 451.90
Lj
CU
a
FG 451.90
52'--0"
PLAN NO. o
3245 A
TOS = 452.70 0
PAD ORD.= 451.90 ^ i
FC 451.90 (min.Fin.F1r= 450.4)
FG 450.JO H
� STRM
o+
0
0
f
O
V
N
G 51.90
25.0' L.
10.0' U.E.
' TU.Ir.—/�
14
IN
CD
0
10'-0"
0
N
FG 450.90
1004 CREEK CROSSING
TOC = 450.3
Lot Area: 10462 Sq.Ft. Type 'C' Drainage
GENERAL NOTES;
DRIVEWAYS 12' WIDE +
ENTRY WALKWAYS 3' WIDE +
PARKWAY SIDEWALKS 4' WIDE +
(+ UNLESS OTHGR>VISE,NQH
" RE REVIEWED FOR
i4+AA�P�IPDROVAL OF SINGLE
FAMA"'LY RESIDENCE ONLY.
OTHER DEPICTIONS OR
CALL -OUTS ON PLOT PLAN
1�HAVENOT- BEEN REVIEWED
AND ARE �= APPROVED.
Hunfingwn -
15610 DALLAS PARKWAY, SUITE 2300
OALLAS, TEXAS 75246
(214) 713-6414
Fence Length: 299'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXISTING FENCES.
mktd. as
Gibbs Station
subdly. Gibbs Station Phase Two
lot 14 --]blk E
address
1004 Creek Crossing
city — ,
Coppell, TX
dote —plpl�n
03/05/96 I 3245.00 ELEV A RIGHT11