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FEMA-EC940707BIR - 1 (2/92) rhed'y== N2094 With A BeSullfill Future BUILDING PERMIT APPLICATION �. I .: Building Inspections Division 7 8-za Print Type in a Clear, Legible Manner or Job Address: `7' 3 / C,✓� Date: Lot: _ Block: Subdivision: Phase or Section Number: Owner: Ad _ Lalkao apF Phone /{• 1 - 11417 - 9 d 144 Contractor: / Address: Phone #: r� Description of Work to be Done Class of Work: [Kew ❑Addition ❑ Alteration ❑ Repair ❑Demolition , Area of Building in Square Feet First Floor�h�s Garage `7 T Value of Work to be Performed Second Floor Other GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: al Receipt Number:j►' 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 Zoning District: C3ct:upancy Classification: days at any time after work is commenced. Approved ey:: Date:Lj 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 COmmefltS:Ij 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. � 1 , ,L Signature gnnof Contractor or Authorized Agent Print Name t/t�t Electrical Contractor Plumbing Contractor Mechanical ntractor BIR - 1 (2/92) / /\ s,r 4 At r f LOT NO. 11, BLOCK D VILLAGE at COTTONWOOD CRSEK, SECTION IV CITY OF COPPELL, DALLAS COUNTY TEXAS DESIGN NO. M5 CDS # 0144 rA 3' CONCRETE WALK w Icft Rm TJJ. TRAM Rr EASEMENT 6 GRAHAM DRIVE PLOT PLAN SCALE 1'=20'-0' MARCH 23, 1994 l and LOT NO. 11, BLOCK D VILLAGE at COTTONWOOD CRSEK, SECTION IV CITY OF COPPELL, DALLAS COUNTY TEXAS DESIGN NO. M5 CDS # 0144 rA 3' CONCRETE WALK w Icft Rm TJJ. TRAM Rr EASEMENT 6 GRAHAM DRIVE PLOT PLAN SCALE 1'=20'-0' MARCH 23, 1994 I-EVERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM AiI2%-NTION. Use. of thh 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 delsrminyo 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 forth can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCEh.OMPANY USE BUILDING OWNER'S NAME 77 POLICY NUMBER BTR ET ADDRESS ludinp Apt_ Unit, Suite3pWar Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY N IC tWIVISER OTHER DESCRIPTION (Lot and Block Numbers, etc. d T /-7 /..De--,�Cri✓dir4D�_ _ -r?� CITY n nSTATE L— ZIP CODE SECTION S FLOOD INSURANCE HATE MAP (FIRM) INFORMATION Provide the following from the proper FiRM (See Instructions): 1. COMMUNITYtNUMSER 2. PANELrIUMBER 3. SUFFIX 4; DATE OF FIRM INDEX S. FIRM 20Ng 6. BASE FLOOD ELEVATION ' 490 / 7tf� Q�/O / (1n AO IDMS, use depth) e:2 4/ � J _L7i�j 70 ' 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFI:): CDNGVD '29 C3 Other (describe on back) 8, For Zones A or V, where no BFE is pr.,vi;!ed on the FIRM, and the community has established a SFE for this building site, indicate ,the community's SFE: I I I 1 l I.0 feet NGVD (or other FIRM datum—sea Section B, pent 7), SECTION C BUiLDING ELEVATION INFORMATION + 1. *Using the Elevation Certificate instructions, indicate the diagram numL+er from the diagrams found on !' ages 5 and 6 that best describes the subject building's reference level 2(a). FIR,P ZoneAJ-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram, ls at.an elevation of .j J4LJ feet NGVD (or other FIRM datu"se Section B, Itern 7). (b). FIRM Zones V1 -V30, VE, and V (with SFE), The bottom of that lowest horizontal structural member of the reference level from the selected diagram, Is at an elevation of u I I I 1,U feet NGVD (or other FIRM datum -see Section B, Itea: 7). (c). FIRM Zone A (without BFE). The floor used as the reference.ievel from the selected diagram is L-LJ.LJ feet above 0 or below 0 (check one) the highest grade adjacent to the building. (d). FIRM tone AO. The floor used as the reference level from the selected diagram is LU feet above ❑ or below [D (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? 0 Yes [] No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: CD NGVD'29 0 Other (describe under Comments on 'Page 2). (NOTE: U the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section R, item ;7, 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: �D Yes E NQ (See Instructions on Page 4) iJG 5. The reference level elevation is based on: 'actualconstruction 0 construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level Jioot in place; in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevatioh Certificate will be required once construction is complete.) , S. The elevationtof the lowest grade Immediately adjacent to the building is: 7 J • L`;�eI feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION ' i. 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: LLL. LU .•i feet NGVD (or other FIRM datum -see Section S. item 7). 1? 2. Date of the start of construction or substantial improvement IFEMA form 81-311 MAY 90 S REPLACES ALL PREVIOUS EDITIONS 1 SEE REVERSE SOF FOR CONTINUATION SECTION E CER711.1VAl lum -�--•' - V with BFE) Is required. 5 certification 1,' to tie cdgned by a land surveyor. engineer, A30�AEr AN, A (with Br -E) V1—V O,VEaand 10001 mal antmay also a elevationF ,rmation when the elevation information for Zones ..'.F mmunity officials who are authorized by total law or ordinance to provide tissued in management Ino .- %STE F+qs 0 tlfication. In the case of Zones AO and A (without a FEMA or community issued BFE), a building gfllcl>ill, a pry • Q . ner's representative may also slgn the certification. ' loon-br �t@Y.11wA11�.........:... RHODES ui ment, area use, •••� •••.•...••••.••.�•�� . i wall openings, or unfinished area feature(s), then fist the atlg�(IiIlRtfatS. :ie►ence level diagrams 5, 7 and 8 - Dlsptinquishing Features—Ii the certifier is unable tem tl mus Stilt be entered' closure size, location of servicing eq t <"•:°9 3691 -tuded in the certification under Comments below. The diagram number, Section C, . pF pN resents my best efforts to irtferprr�iSt�fionta� ertify that the information in Sections, B and C on this certificate rep lnderstand that any false statement may be punishable by !ine or imprisonment under i8 U.S. Code, �' .l S U f. ' LICENSE NUMBED (or Anix Seal) ZaRG� �,/ COMPANY NAME ORG° .E/Qr Q/ 7E.. ZI CITY isaNATURE lea sho d be me this Certificate for: 1) community official, 2) insurance agenticornpany. and 3) building owner. Cop - _ 1-1 /)" .-1 �-- COMMENTS: qN SLAG A V ZONES ZONFs VAN E6EV� A� * ,� 1 WITH GASEMFYT A ON pILE9. PIEFIS. CMI COLUMNS A V points at which the elevations should be measured in A Zones and V Zoner. The diagrams above illustrate the po•I Elevations for all A Zones should be measured at the top of the reference level floor, be measured at the bottom of the lowest horizontal structural rrl Elevations for all V Zones shouldember. ' i � i►v.,'Nt E .