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FEMA-EC950201® wgn ?Vso356anie r BuildngInsecdons t BUILDING PERMIT APPLICATION Building Inspecilons Division yrfOR f O 7 / -) � �, Print or Type in a Clear, Legible Manner I_. Job Address: l 3 S C&,4I Date: Lot: % Block: Subdivision: C `C Phase or Section Number: Owner: Vt°n� Address: `�`J / � r74' -w d Phone #: Contractor: t, a Address: c t i Phone #: 3 S _ 5'Z 2— Description Description of Work to Done Class of Work: 01 -Kew ❑Addition ❑ Alteration ❑ Repair ❑Demolition le F,9 Area of Building in Square Feet First Floor 2 z 3 Garage tDS Value of Work to be Performed Second Floor I, �� Other kl:�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 construggionqr the Performance of construction. & L • Signature of Contractor or Authorized Agent Print N}me st fi dd, /i5 //"I 4 2 i1/to Electrical Contractor Plumbing Contractor Mechanical Contractor BIR • 1 12/821 � HOLD HARMLESS AGREEMENT WHEREAS, THE OWNER OF LOT�, BLOCK D , OF THE e: j; VJQQD L' 1L. SUBDIVISION, �5 G ¢�9X4M (ADDRESS), COPPELL, TEXAS (THE OWNER)UNDERSTAND AND ACKNOWLEDGE THAT THE DRIVEWAY WHICH IS LOCATED ON THEIR PROPERTY ENCROACHES ONTO THE CITY OF COPPELL'S DRAINAGE 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 DRAINAGE 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 DRAINAGE 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 DRAINAGE EASEMENT. ADDITIONALLY, OWNERS AGREE TO REIMBURSE THE CITY FOR REASONrLE COSTS INCURRED IN REMOVING THE DRIVEWAY. �/ DATE 1-31-9 owner) (owner) Geog(�V -- SvP RiwrWOr4N`F �5vULcgEJ4�J O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires May 31,1996 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. BUILDING OWNER'S NAME SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBERI COMPANY NAIC NUMBER 4�5 �2P,�,P,r-� h2MJF � OTHER DESCRIPTION (Lot and Block Numbers, etc.) C LoT' I (p R cCIC t I (Pt�FS A� CD'aN w oo D �'4c-mak JEC-��drf-� CITY STATE ZIP CODE P i n 77 X 750 i♦. 9 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 5. FIRM ZONE 6. BASE FLOOD ELEVATION 1 /\ (in AO Zones, use depth) � OI`70 0 1 0 e`�obEti 16199 u StykD� +76. 0 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '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 . ❑ 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 _l— . 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 4MIJ 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 .❑ 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—❑ . ❑ 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 II . Ll 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 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: ❑ Yes �No (See Instructions on Page 4) 5. The reference level elevation is based on: K 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: ❑+ 113 . L..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 11417101. Od feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement moi✓ oighbCK1994- FEMA Form 81-31, MAY 93 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 13FE),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 8 and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Sea[) �Pr" ;c X482,6 TITL COMPANY NAME P. L . S . ..� 0,p -- AD KESSCITY STATE ZIP o. �30,, z to a5�� bA 1I. , SIGNATLTRT�--•>. DATE PHTE Copies shouldjbe made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ��c-L► �� ,L� i` d ED ti l —16 Ip p`F `L�. 2�j S o Df PI�wg�-,,}� C3 (J D Agh 'I �► \o a�.,,+�-� �oz 9 tea-�,✓ jS�-''� af• 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 BASE REFERENCE ADJACENT AD: R FLOOD FLOOD GRADE LEVEL ELEVATION ELEVATION ::x:: REFERENCE gpJACENT ;',�, LEVEL GRADE 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 SURVEY PLAT • � r r;\R 1 iES .INTFRESTED IN PREMISES SUR`JEYED: s to certify that I have, this date, made a careful and accurate survey on the ground of the property logy 435 GRAHAM DRIVE , in the City of Coppeli. Texas, described as follows: BEING LOT 16, BLOCK D, of VILLAGE at COTTONWOOD CREEK SECTION IV an addition to the City of COPT V::., DAUAS County, Texas according, :o the maw thore0 -ecorded in Volume 93039, Page 1542 of the Map Roca, ' County, -Texas. W 3e Esr^'t l `ro osed a? P � P ( ; �j form ke f II 'v at 0.5' r - i OD v s.5'�.s' LOT 15 61 9 1 O CONCRETE FORMS 435 GRAHAM DRIVE ,I 18.0' 0.T 40.0' 10.7' i{ 25 Bl j! _iectrIc _aswnent 5' 5 33.03' 70' T.U. _ –_- — Elect. '_srn't. 38.33" -- GRAHAM DRIVE (50') noted. All lot lines are according to said Plat of Record. Note; Iron rod at all corners unless ^lat hereon is a true, correct and accurate representation of the property as determined by survey; su?lj ;I and all easements, reservations and restrictions that may be of record, the lines and dimensions of said proper as indicated by the plat; the size, location and type of buildings and improvements are as shown, all irnpro a, e ng within the boundaries of the property, set back from property lines the distances indicated. There are no •: �s:,.Ie easements, encroachments, conflicts or protrusions, except as shown. 4. ?j isa'=,; September 15, 1994 1"-20' +i .lr*, No,: 7403-41025 �I gig• r ;c e.ssiona and urveyor !i '� P.O. BOX 210856 — DALLAS, TEXAS 75211 214-330-9823 A LiJTERAQUI . MINIMUM 0., Ql ONNP.L. Or �vu- 7, r1n moi/ E`fiyt`T /fjc r,�ctio ations s direca�io of ; Ced4and O I FENGE I i I W/ GATE 1 10' DRNG. � \ I I I I GARAGE I I m I f �-- 8' S 1 DE PATIO _ I YARD o I WOOD M FENCE I O E R4180B (rvo BONUS RM) I m SIDE of ol1 lo -O" YARD I I 10' WIDE K m 25' B.L. —I -L DRIVE p 4' WALK 10' T.U. K ESM'T. v 5' X I o' 33.03' I VARY DRIVE K T.U. PED. 3g'3 LOCATION WITH ESM'T. ADJACENT STORM INLETSUR Q t I s' art #435 GRAHAM DRIVE 1 < ^�-lo BUYER: MR. * MRS. MACHOS JOB # 41025 DATE: 8-22-a4 r�„ou Cowirlov"a" or ANY law, sulumm co1- TlRKTOR, OR rupto N IN A miaw" or THIS JOB Is TO C 4WAC • VMrY ALL rROrGRTY LINM ee1ACKs, 'i SIM-YARD6, • GMJlFlNrs IN ORDfl! TO CONrLY WITH ALL rL•POW4 L, sTA1111. • LOCAL C00M OFIVOINANCm, . MSTIVCTIots. ORDER # 564 SOVEREIGN HOMES CORPORATION AN AFFUTATS OF RCS nMSTM ?M DON R. MOORE and A5500 LOT 16 of BLOCK 17 YLG. ®GOTTONWOOI7 GR��G GOpf'�LL TEXAS PLOT PLAN " - 201-0 LOT Ib of 6LOGK D VL6.o COTTONWOOD GREEK GOPPELL TEXAS ., INC. 1000 ADRM9 GOt1M 48901 SA r11m. DN.LNi, Tx 19710 211-410-9 900