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FEMA-EC940628® W ►q�a�� TMG4'wI AB"ut*AM" BUILDING PERMIT APPLICATION AW 0 Building Inspections Division W" V t, 170 3. �- I Print or Type in a Clear, Legible Manner Job Address: I L}, -t �S Date: Lot: 4' Block: Subdivision: E�:-& Lim Po /& T Phase or Section Number: Owner: HLKTI K� emo NJ Address: `•.or9(sMt9if►cS�W bafhone #:-- Contractor: S Ami 6 pr�5- J (G Address: Phone #: Description of Work to be Done Class of Work: JR New ❑Addition ❑ Alteration ❑ Repair ❑Demolition 5t V5QE 7%" ((-y I>W CuA r.? -t #:Z61-7 Area of Building in Square Feet First Floor. Garage 5 © Value of Work to be Performed Second Floor C173 Other 41 000 11A-627 Sir" 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 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 jWthe p_rf�nan jof construction. Signature of Contractor or Authorized Agent Print Name Act :7 � R6E� Tw' *7,Pe Electrical Contractor Plumbing Contractor Mechanical Contractor BIR - 1 12/92) OV ELEVATION CERTIFICATE O.M.B. Expires May 31, 1077 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 LOMR). Instructions for completing this form can be found on the following pages. OWNER'S NAME SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I POLICY NUMBER STRE�T ADPDRESS (Including A t. it, Suite and/or Bld"l�be) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER I OTHERpESCRIPTION (Lot and Block Numbers, etc.) 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. DATE OF FIRM INDEX S. FIRM ZONE 6. BASE FLOOD ELEVATION / 70 0016 AP.. /_S l � (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): EINGVD '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: L -LI -L -1.0 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 1 1 14 .Ld_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 LI I tI LLJ 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 LJ . U feet above ❑ or below C) (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 I I J. 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 [I Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: Ll 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 FIR/M: �T Yes CJ No (See Instructions on Page 4) 5. The reference level elevation is based on: FJ 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 whi 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..JJ44.71.1Z 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._ L_ l -1--J-J. U feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvement _ 1:1 Mn 1 r ,,il 81 11, �,�,, i 9t1 RL. Pt A0% Al L 1"0 V101 r)I SFF RFVFRSF SIPF FOR CONTINUATION SECTION 9 CW11,117ATION 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 -130, AE, AH, A (with BFE),Vt 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 B and C on this certificate represents my best efforts to interpret the data avalkwo. I understand that any false statement may be punishable by 1rne or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LIGE NS e2 9 TITLE fiOMPANY NAME .. `_ f QG ' G/ ADDRESS CITY ) .0 .. -•STATE LP SIGNATUR`.:t i may,\ }. a�1. 9w - Copies - Copies should be ade of this Certificate for: 1) community official, 2) Insurance agenrc mpany, and 3) building owner. COMMENTS: FtFVATw1N ON SLAB A v ZONES ZONES 1 FVfl I CRAOF WlArW WITH BASEWNT A m- zoNEg 04E ON PILES, PIENB• ON C0LULOW 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 ARC. TABI-E ARC LEN. RAD. CHRD. BRG. 'Al ' 8.49'' 325.00' SCALE: 1 = 20' FG 445.30 FG 445.30 1689.47'00"W 68.00' 5.0' FP II oi�I---- 4- 20_0' B_L. M II 10'-0" FG 446.70 FG 446.70 O ( `\ I., 50'-0 PLAN 2517A 0 • ros = 447.50 O I PAD GRD.= 446.70 O FG 446.50 FG 446.70 >*v UI /z'ml. 589'4 6.70 V 8'—O,. 25.0' B.L. N FG 446.10 DITY OF b COPP� 1416 FALLS ROAD FORM BOARD EVOEWED SURITY REQun= T F.E.M.q. L Alpproval of the ns U � specitications shall not MjjvI R REQjJjRED• be construed to mean construction in direct con- mvl, f � f ict wi,h the City of t —Ppeli Building Codes and ' Zcnir,J Top of Curb: 446.10 Lot Areo: 7820 Sq.Ft. Type 'C' Droinage Fence Length: 151' FENCE LENGTH SHOWN IS MAX. FIELD VERIFY EXISTING FENCES. GENERAL NOTES: DRIVEWAYS 16' WIDE ENTRY WALKWAYS 3' WIDE PARKWAY SIDEWALKS 4' WIDE • UNLESS OTHERWISE NOTED 16616 DALLAS PARKWAY. 6IXT9 2366 DALLAS. TEXAS 76243 mktd. as Eagle Point subdly. Eagle Point Village@Riverchase lot 45 1[ blk A Ll -- address 1416 Falls Road city Coppell, TX dote plan 05/26/94 2517.00 ELEV A RIGHT 0 SURVEY PLAT � � '`` LOT 45, BLOCK A, OF EAGLE POINT AT RIVERCHASE, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. LOT 46 1 100 YEAR FLOG PLAIN LOT 45 BLK. A 0 I 20' BUIL ING LINE I -- I I I 10.0. 1 ti w FORMBOARD a SURVEY A 0 -/0.01 8.0' I I I I 10' I I 25' BUILDING LINE I I I � C4 I 90 80'00" 1 10' 1,TILITY ESAVT N 89 47' 00" lI REFERENCE REARING 59.51 ' 8.49' 1416 FALLS ROAD ko LOT 44 I hereby certify that on the z7Lday oj,-7uNF 19-2-121- this survey Was made on the ground as per the field note* 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 eneroaehments, conflicts, or protrusions visible on the ground other than these shown t. -f so0 Date JOB # . BARRY J. ROFELL GF No. 45s7 LEGEND (1) Scale: I" \ 1/E" Steel /Iron Rod Found 0 S'UIR f/2" Steel / Iron Rod Set Property Line Food Fence — . — - — . — — `07 Chain Link / Fire Fence x—X—x—x—X (lverl,�ut f.!�rtrc L i F T ' T�T� T7_"TTr': '%??7L ,:_?ZZ HR HARRY R 0 WELL d• Associates, INC. Surveying & Engineering 1301 F,(m Street Ste. 201 • Carrclltcm, Texav 7.5006