FEMA-EC9606247They With A Beautiful Future
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BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
JUN 1 2 96
Job Ad
Date:
Lot: 41Block: Q Subdivision: f_ L` �� f Phase or Section Number:
Owner / ] Address:
�T ✓�n t`I 1 � -t
_ Phone #•
�c��\45 ?5 Z-1 2
Contractor: r..z Address:
Phone #:
Description of Work to be Done Class of Work: 0 New ❑ Addition ❑ Alteration
❑ Repair ❑ Demolition
C..' t= r C- \c,-- NX 33%2-
Area of Building in Square Feet
First Floor Z'Garage 41 5 --1 Value of Work
X2�'
C'to be Performed
Second Floor r a Other S
Z
i ;d GRAY AREA FOR OFFICE
USE ONLY
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
PermitFee:
Receipt Number:' ra
1
Zoning District:i
Occupancy Classification
at any time after work is commenced.
l
I hereby certify that I have read and examined this application and know the same to be true
Approved
Date:
Commefl
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.
-
s— t
SigTWure of Contractor or Authorized AgInt Print Name
Lt. r' \ 7 e g" t— r oe
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
o�
0077
O.M
ELEVATION CERTIFICATE Expires
, 1993
Exp�resMay31, 193
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 FOH INSURANCE COMPANY USE
BUILDIN WNER'S NAME POLICY NUMBER
l/ A:'_-
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY MAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.) �--�
11n74,--,- 4� "gL i si>— !//G GAS �5►�� i liE�CrS�AS
CITY STATE ZIP CODE
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. DD/ATE OF FIRMINDEX5.
FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
1
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): �' Ih"GVD '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 _Z .
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 11414171. 1 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
the selected diagram, is at an elevation of I I I I I I,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 _ l _ i .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 11J . 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: ❑ 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 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: O'Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: 21 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:1 1 441 .41J 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: l l IW44 .164 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.
1 certify that the information in Sections B and C on this certificate represents my b to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonr�/IWeCode, Section 1001.
NAME / E RO or Affix
TITLE CQMPANY NAME
ADDRESS CITY _,n'
STATE
SIGNATURE uAl t rriurit
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 ZUNES
REFERENCE
REFERENCE M M I F ELEVEL
D LEVEL REFERENCE
LEVEL
III1, I''llIft
BASE
BASE
REFERENCE FLOOD
FLOOD GRADE
ADJACENT LEVEL ELEVATION
ELEVATION REFERENCE ADJACENT -
LEVEL GRADE
y+7777
ADJACENT
�n 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
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Lot Areo: 7820 Sq -Ft.
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GENERAL NOTES -
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I DALLAS, TEXAS 7524E
(Z1t) 713-E<94
N89'47'00"'VV 68.0n, y,
— Flood Plain
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FG 446,
FG 446.70
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G� FG 4650
CITY OF C0PELL
REVIEWED 1412 FALLS ROAD
IF-E.M.A. LETTER
I notRE HJT''+
con- MINIMUM U.
and
Top of Curb: 446.60
Type 'C' Droinage Fence Length: 200',
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXISTING FENCES.
rnktd. as
_ Eagle Point
subdiv.
Eagle Point Vlg. @ Riverchase
lot 46 �I bik
address
1412 Falls Road
city -- --
Coppell, TX
date p;on
05/29/96 �I_ 3312.00 ELEV B RIGHTI
HR SURVEY PLAT HR
LOT 46, BLOCK A, OF EAGLE POINT VILLAGE AT RIVERCHASE, AN
ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
JOHNNY J.E. THOMPSON,
ADRIAN F.MOORE & STEVE KIMBREL
VOL.83184, PG.2397
68. 00' CUT "X"
X FOUND
N
k6
N
---------------------------
90 03'20"
'-89 5625" fO' UTILITY ESM'T
N 89 47' 00" W
REFERENCE REARINC
68.00,
1412 FALLS ROAD
LOT 45
I here cert{ that on the s'
by 11f day of —TA60, 19?1:L 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.
4� CPf°��rr'Ve�s
Date JUNE 27, 1996 4,,, a u,
.. JOB #
BARRY J. ROIIELL
_ GF No. 4597
- -- (t) LEGEND —1 Scale: 1" = zo n,
f/2" Steel / Iron Rod Found O
i/2" Steel / Iron Rod Set
Property Line
)Food Fence — . — . — . — —
Chain Link / )Fire Fence x—x—x—x—x
Overhead Electric E—E—E—
HARRY
142 -t -
R 0 WELL
& Associates, INC.
Surveying & Eng{neeri
1301 F, lm Street Ste. 201
Carrollton, Teras 75006
APPROX. LOCATION OFHE
100 YEAR FLOODPLAIN
i�PER PLAT
---- -----------o ----___
0
20' BUILDING LINE 10.0'
10.0'
O
LOT 46
BLK. A
w
w
p
FORMBOARD
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SURVEY
r4
A
LOT 47
O
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o
10.0'
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to
N
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V
10.0'
25' BUILDING LINE
N
k6
N
---------------------------
90 03'20"
'-89 5625" fO' UTILITY ESM'T
N 89 47' 00" W
REFERENCE REARINC
68.00,
1412 FALLS ROAD
LOT 45
I here cert{ that on the s'
by 11f day of —TA60, 19?1:L 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.
4� CPf°��rr'Ve�s
Date JUNE 27, 1996 4,,, a u,
.. JOB #
BARRY J. ROIIELL
_ GF No. 4597
- -- (t) LEGEND —1 Scale: 1" = zo n,
f/2" Steel / Iron Rod Found O
i/2" Steel / Iron Rod Set
Property Line
)Food Fence — . — . — . — —
Chain Link / )Fire Fence x—x—x—x—x
Overhead Electric E—E—E—
HARRY
142 -t -
R 0 WELL
& Associates, INC.
Surveying & Eng{neeri
1301 F, lm Street Ste. 201
Carrollton, Teras 75006