FEMA-EC950523m-47 qS5 M�o
T17 he City With A Beautiful Future BUILDING PERMIT APPLICATION / 2 5 95
2-1 Print or Type in a Clear, Legible Manner
Job Address: ' Date:
Lot: Block: Subdivision: 18�S S"ih Phase or Section Number:
Owner:,�,.�, Address: ((%aC�Phone A:
All, s 741
7 I
Contractor: c��,�,�� Address: �,,,�Tx -7�ZPF Phone #: �tA
Description of Work to be Done Class of Work: (New ❑Addition ❑ Alteration ❑ Repair ❑Demolition
Area of Building in Square Feet
First Floor (Z3q
Second Floor 119:�
Garage �o Z
Other
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 or the performance of construction.
Signature of Con or or A-iftheeized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
Value of Work
to be Performed 2 101 PVC
GRAY AREA FOR OFFICE USE ONLY
LOT 15R
LOT 17R
S 79 12' 37" W
RF.F'FRF.NCE BEARING
1012 AI.C; I' . oo' Hrn.��7 j. 10'
1,E CROSSING
! hereby rerti/h1 that on the 7-L day of MAY 19 yS, this survey max made on the ground as per the field notes rhown = this rum ry
and is true, rorreri, and arcurufe as to ll,r dime vicne of ! _ --<Fye:.' property and nze, [oration and type of buildings and improvements thereon,
if any. Thr survey it -vis all ra."errrents and viable easement," of urhirh I have knowledge or have been advised affecting the subject property.
There are no rn.:marhrnents, eonfltrfs, or prot+yrsn
ios visible on the ,ground other than those shown.
Date MAY 23, 1`995
E}3 LF,GL'A'D q3
f /?^ .Steel / Iron Rod Found O
1 /2" Sleet / Iron Rod Set
i'rooerly I.ni.e
4""nd } ence
".hoar Leek / Fire Fence X—x--x--X—X
lIF
/,�P�gt'cisri 8e.f'9
HARRY J. ROIWELL
CF No.W of
.....4597.... , .
A�
Scale: 1" = 20.0 o StjRVEi /
JOB # :
Hyl RR Y
ROWELL
& Associates, INC.
Surveying & Engineering_
1301 Elm .Street Ste. 2171
i''.r-ac ;:i(l0(i
S UR VE Y PL A Tn T
j
I:OT 16R,
BLOCK E, OF
F.PTA`T— F-Zl1TS 14 THRU 34, BLOCK E, GIBBS
4,
STATION
PHASE. TWO,
AN ADDITION TO THE CITY OF COPPELL, DALLAS
COUNTY, TEXAS.
LOT 15R
LOT 17R
S 79 12' 37" W
RF.F'FRF.NCE BEARING
1012 AI.C; I' . oo' Hrn.��7 j. 10'
1,E CROSSING
! hereby rerti/h1 that on the 7-L day of MAY 19 yS, this survey max made on the ground as per the field notes rhown = this rum ry
and is true, rorreri, and arcurufe as to ll,r dime vicne of ! _ --<Fye:.' property and nze, [oration and type of buildings and improvements thereon,
if any. Thr survey it -vis all ra."errrents and viable easement," of urhirh I have knowledge or have been advised affecting the subject property.
There are no rn.:marhrnents, eonfltrfs, or prot+yrsn
ios visible on the ,ground other than those shown.
Date MAY 23, 1`995
E}3 LF,GL'A'D q3
f /?^ .Steel / Iron Rod Found O
1 /2" Sleet / Iron Rod Set
i'rooerly I.ni.e
4""nd } ence
".hoar Leek / Fire Fence X—x--x--X—X
lIF
/,�P�gt'cisri 8e.f'9
HARRY J. ROIWELL
CF No.W of
.....4597.... , .
A�
Scale: 1" = 20.0 o StjRVEi /
JOB # :
Hyl RR Y
ROWELL
& Associates, INC.
Surveying & Engineering_
1301 Elm .Street Ste. 2171
i''.r-ac ;:i(l0(i
N
SCALE: 1 = 20'
Fv
FC 450.10~—^
pL
_AA_ SARI%
REVIEWED
APPROVAL OF sINGEE
I I F'AA1\gILV RESIDENCE ONLY,
OTl-I>ER DEPICT IONS OR
,LL -OATS ON PLOT IE I,IrlAvE I
T BEEN RE
AND ARE NQ1 APPROVED.
I
I
rI F.E.M.A. LETTER UI�tED. I m
I 11
MINIMUM ff. L�-'�
Jan 04 12:52
FG 450.00
r
1T-1
Ln FG 451.90 I 3
I N
LO
fzoRM BOARD �11 E t
SURVEY RB+QJMID b
45�.90
54—
IK coo ! I
FG 451.70
m
PLAN NO. 3718 A I
LF(G41,90 '10S - 45,.70
7—F PAD GRD.- 451.90
(minimus, Fin,Fir,=450.7)
Fc 451.90 g • _ a.,
25.0' E3. L,
10.0-1 U.E.
FC 451.60
t---���cur 1012 GREEK
CROSSING
Fence Length: 309'
TV' ;--451.2 FENCE LENGTH SHOWN IS MAX.
Lot Area: 11508 Sq.Ft, Tyle 'C' Drainage FIELD VERIFY EXISTING FENCES•
GENERAL NOTES mk(d. US
Gibbs b b s Stat
DRIVEWAYS 16' WIDE . ---r
ENTRY WALKWAYS 3' WIDE • Station
PARKWAY SIDEWALKS 4' WIDE ►
• UNLESS OTHtjjy0t0 F CI PELT subdiVT
yytt Gibbs Station Phase Two
EVIEWED . E
I
BY
DATE F1_
dress
Approval of the plan Rd specifics ifiit�x� ---- -101 2 Creek Crossing
nn eM_ i�ct COed cow
oppel!, TX
--
In a Ian
ELEVATION CERTIFICATE - x pt esMay3 , 1993
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-floodplaim 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 ,thisform can tie found on the;following pages.
SECTION A PROPERTY INFORMATION
BUILDINCyOWNER'S NAME
�T ADDRESS (Includin Apt., Unit, Suite and/oLz;�7rlo= E AND BOX NUMBER
16/Z P- �,�
t DESCRIPTION (Lot and BI cckk Numbers, etc.) —�
CITY/-)
FOri INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
�L /�/BBSJ7-47Z-eW i
STATE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2..PPANEL
3. SUFFIX
DATE OF FIRM INDEX
5..FIRM"ZONE
6. BASE FLOOD ELEVATION
4, _8, f 7Q
.,NUMBER
vL/ /O
�—
�% / � /�
- y
f n AO zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): �IGbD'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 . 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 I -
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 I I 14 .& 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 ,LJ 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 W . U 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 . U 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: Ef`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 77, 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: Yes El No (See Instructions on Page 4)
5. The reference level elevation is based on: actual construction 11 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: L4"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
y 41110TION It, 1ke
This certification iii tri i@ $106d bi it 106 si.ii` y&, enbiFiggf; or architect who is-autHorized by state or local law to certify elevation
information when tha elevation inf0rfiation. for Zones Al A30, AE; AH, A (with -EFE),V1:-V3.9,VE, and V (with 8F'E) 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.
I understand that any false statement may be punishable by fine or imprisonment under
18D U.S. Code, Section 1001.
S.I.c'E OF ,._ �
NAME
TITLE COMP N NAME '"""�*•�A�.r.....�
FiAyy L -
ADDRESS ITY 9 Q 627-8 �O �t- - STATE - ZIP
/311
�v
SIGNATURE 4� ONE
Copies should be m of 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
REFERENCE BASE LEVEL
REFERENCE
LEVEL
FLOOD
LEVEL ,
_
ELEVATION
BASE .. ,`'•,4�1:•;�?. .,:: .:,...: .
•
.ADJACENT �7E-.'
BASE
FLOOD ' .�t�f REFERENCE
•• I+y
FLOOD
ELEVATIONGRADE• LEVEL
REFERENCE ADJACENT
ELEVATION
LEVEL GRADE r
:: '::,•j.
::`•}�... >..: y:; i.::;: �j::',
:':• f;.::c?j ::.moi:: y.;::y.;
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