FEMA-EC941107 (2)ure
The City With A Beautiful Fut
r'Ec
\k Ilq,�3511
BUGj'I DING PERMIT APPLICATION
A/ Print or Type in a Clear, Legible Manner
Job Address: / O3 "7 �` . s Date: 10 l/Z
y
Lot: S Block: Subdivision: 6.'645 Phase or Section Number: 2
Owner: / Address: /660 ��, Phone #: 360-2,366
Contractor: ` l Address: OU //c j- 23oex Phone #: ! /�
Description of Work to be Done Class of Work: I New ❑Addition ❑ Alteration
❑ Repair ❑Demolition
Area of Building in Squmm Feet
First Floor / / if `-'
Second Floor t S 6 9
Garage S 3 6
e17
This permit becomes mill 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 cwect. 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 wthority tovioWef �g° the provisions of any other federal, state or local law
oon��xi tie pt�*— of construction.
J — rSo h
of Contractor or rM7 Print Name
mow+ U
Electrical Contractor Plumbing Contractor Mechanidl Contractor
Value of Work %V V
to be Performed 000
GRAY AREA FOR OFFICE USE ONLY
FPMC -1 (4/94) ��
sz��a�' l�"
OCT
1 2
94
I
j
Job Address: / O3 "7 �` . s Date: 10 l/Z
y
Lot: S Block: Subdivision: 6.'645 Phase or Section Number: 2
Owner: / Address: /660 ��, Phone #: 360-2,366
Contractor: ` l Address: OU //c j- 23oex Phone #: ! /�
Description of Work to be Done Class of Work: I New ❑Addition ❑ Alteration
❑ Repair ❑Demolition
Area of Building in Squmm Feet
First Floor / / if `-'
Second Floor t S 6 9
Garage S 3 6
e17
This permit becomes mill 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 cwect. 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 wthority tovioWef �g° the provisions of any other federal, state or local law
oon��xi tie pt�*— of construction.
J — rSo h
of Contractor or rM7 Print Name
mow+ U
Electrical Contractor Plumbing Contractor Mechanidl Contractor
Value of Work %V V
to be Performed 000
GRAY AREA FOR OFFICE USE ONLY
FPMC -1 (4/94) ��
sz��a�' l�"
♦ ♦ 1 s
ELEVATION CERTIFICATE ExpiesMay 6'"°° 3
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 LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOk INSURANCE COMPANY Use
BUILDING ER'S NAMEPOLICY NUMBER
STREET ADDRESS (Including Apt., it, Suite and/or Bldg. ) OR P.O. ROUTE AND BOX NUMBER COMPANY MAIC NUMBER
OTHERpESCRIPTION (Lot and Block Numbers, etc.) /
G�
7— 5..l3«Y e a� Z0,885 S-;4 T/o �i51 Z
CITSTATE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM IN�DEXX�
5. FIRM ZONE
6. BASE FLOOD ELEVATION
,J1.COMMUNITY
(In AO Zones, use deptll)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 2;NPG6'29 El other (describe on back)
8. For Zones A or V, where no �BrF� EE is provided on the FIRM, and the community has established a BFE for this building site, indicate
u—Lz�1�
the community's BFE: .10 feet NGVD (or other FIRM datum -see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMON
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 Ai -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 W15Z .IM feet NGVD (or other FIRM datum -see Section B, Item 7).
(b). FIRM Zones V1430, 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? EJ- es ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: 0"h'IGVD'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 ,,FFI—I,RM: E'� s ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: Ela
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
r, 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 11ST/ I . feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
t: 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 I I I I . U 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
i
R@9 v I, it 4*!to* WhQ is #*f,60 6
-04 Is to 9@=
y gAte of Wo jaw to pertify elevatiq
WPB' affiffiuMW 01610 Wft §A ikuffibrlod by W law oe kdhanZ to providO flo6dplain matidgemant Informay "ali in the
cattificatehi In thd sdoe 61 iisnes AG " A (without a FEMA or dommunity issued Wri), a building offialal, A Property awnet,- or an..
owner'?; FeolFe6dhiaflVi May also sign the certificatio6.
Reference level diagrams 6, 7 and 8 - Distinguishing Features -4f 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.
understand that any false statement may be punishable by fine or imprisonment under OQ Section 1001.
,el"ode,
CW 2
olf� CW k'
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J11110-4
NAME
ADDRESS
SIGNATURE
HARRY
VL
STATE ZIP
Copies should be 40 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
REFERENCEj
REFERENCE BASE
LEVEL
REFERENCE
LEVEL
LEVEL FLOOD
LEVEL
ELEVATION
BASE E•REFERENCE
BASE
FLOOD
FLOOD GRADE LEVEL
ELEVATION REFERENCE ADJACENT
ELEVATION
LEVEL GRADE GRADE
NT
.... .. . ...
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 , '
URI EVAEWED
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1039 GIBBS
FG 449 0 CROSSING
FENCE LENGTH SHOWN IS MAX.
TOC = 449.8 FIELD VERIFY EXISTING FENCES.
Type 'C' Drainage , SrRm Curl
0
1
N
FG 449.00
ARC TABLE
ARC LEN. RAD. CHRD. BRG.
'Al' 46.00' 50.00'
Fence Length: 549'
Lot Area: 19908 Sq.Ft.
GENERAL NOTES:
DRIVEWAYS 16' WIDE
ENTRY WALKWAYS 3' WIDE
PARKWAY SIDEWALKS 4' WIDE M
• UNLESS OTHERWISE NOTED
AppFor roved
mktd. as
Gibbs Station
Construction subdiv. Gibbs Station Phase Two
_ gat 35 blk E
�— , Gddress
E1 er DA6 1039 Gibbs Crossing
� r City
�funtmgton Coppell, TX
date 'Ion
iSS10 DALLASPARKWAY. QUITE 2900 09/ 15 / 9 4 4278.00 E L E V A RIGHT
DALLAS, TEXAS 7628
12141 710-0/04
HR
CI IR\/rY EDI A
1039 CI13BS CROSSING
I hereby certify that on the-Zt day of J��6-T 19-'34, this survey was made on the ground as per the field notes shown on this survey
and is true, correct, and accurcle as to the dimensions of the subjecf 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.
OF
Date J 0 B # .
HARRY J. ROWELL
..................
GF No. 4597
LEGEND (1) Scale: , _ �9y��51 °J HARRY
. SUR`1
112" Steel / Iron Rod Found
p Steel /Iron Rod Set
Pro • R 0 W E L L
Property Line
Wood Fence _ _ _ _ ___ f v & Associates, INC.
Surveying do Engineering
I Chain Link / Wire Fence x—x--x—x—x 1301 Elm Street Ste. 201
hverheod Electric ---. E ,-.---- E E Carrollfon, Texas 75006
7-7 177.7
HOLD HARMLESS AGREEMENT
THE OWNER OF LOT-3� , BLO R C , OF THE
�j; s ,,fes -ZT SUBDIVISION,
(ADDRESS), COPPELL, TEXAS (THE OWNER) UNDIRSTAND AND
ACKNOWLEDGE THAT THE DRIVEWAY WHICH IS LOCATED ON IR PROPERTY
ENCROACHES ONTO THE CITY OF COPPELL'S SANITARY SEWER EASEMENT;
AND
WHEREAS, THE OWNERS UNDERSTAND AND ACKNOWLEDGE THAT IN CASE
REPAIRS OR IMPROVEMENTS ARE REQUIRED TO BE MADE TO THE CITY OF
COPPELL'S SANITARY SEWER EASEMENT WHICH WOULD REQUIRE REMOVAL OF
THE DRIVEWAY TO EFFECT SUCH IMPROVEMENTS; AND
WHEREAS, THE OWNERS RECOGNIZE AND ACKNOWLEDGE THAT SUCH
DRIVEWAY WAS INSTALLED DESPITE KNOWLEDGE OF THE CITY'S SANITARY
SEWER EASEMENT;
OWNERS HEREBY AGREE TO REMOVE SUCH DRIVEWAY AT THEIR OWN COST
AND UPON REQUEST BY THE CITY OF COPPELL, AND IF OWNERS FAIL TO
REMOVE THE DRIVEWAY UPON REQUEST BY THE CITY, THEN CITY WILL REMOVE
SUCH DRIVEWAY AND OWNERS HEREBY INDEMNIFY AND HOLD THE CITY
HARMLESS FROM ALL CLAIMS OF DAMAGE TO THE DRIVEWAY WHICH ARISE FROM
THE CITY'S REMOVAL OF SUCH DRIVEWAY WHILE REPAIRING, INSPECTING,
IMPROVING OR IN ANY WAY SEEKING ACCESS TO THE SANITARY SEWER
EASEMENT. ADDITIONALLY,
OWNERS AGREE TO REIMBURSE THE CITY FOR REASONABLE COSTS INCURRED IN
REMOVING THE DRIVEWAY.
r,
DATE ' 2 6
(owner)
(owner)