FEMA-EC960131The City With ABautitW Falun BUILDING PERMIT APPLICATION
Building I tenons DivisionQ
1s f l Z 7 S "''f (s 7nt7or Type in a Clear, Legible Manner
AV 2 5 96
Job Address:L
Date:13
Lot:j S'
/
Block:
Subdivision:
C- 7 tJut
Phase or Section Number:
Owner:
Sd ✓,Gs/ y ,
N
/� L
y6c
Address: �fs{-h F�-� !.v .T�
��Ji 4
Phone #•
3
Contractor: 5� Address: Phone #:
Description of Work to be Done Class of Work: ❑ New ❑Addition ❑ Alteration ❑ Repair ❑Demolition
S/ -r- 2
of Building in Square Feet
First Floor 191(.
Second Floor f .�r.s 7
Garage
Other
7'0 Z
4Y9
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 w Cher specified herein or not. The granting of a permit does not presume to
give authority# violate or cancel the provisions of any other federal, state or local law
regulating coyfiJEuctionjoMe pgrformance of construction.
Signature o Mrctor or Authorized Agent Print Name
1/
Electrical Contractor Plumbing Contractor Mechanical Contractor
BIR . 1 12/92)
Value of Work
to be Performed �/ � 67
GRAY AREA FOR OFFICE USE ONL
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.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER I
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER I
4�,ci G2P,1,, bF- -
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
LL3t7: C3 oeli' V; 1ca
CITY J T 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
ZON
5. FIRME
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
4560 i o
60 Ib
Ocfio6>✓Q 16 1 1
L -k l
4-76.0
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 __1_ .
2(a). FIRM Zones Al -A30, AE, AH, Find A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I I A I t3 a 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 cf I I I ❑J .❑ 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 ❑ 1. ❑ 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 ❑.j . ❑ 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: ❑ Yes �tNo (See Instructions on Page 4)
5. The reference level elevation is based on:actual construction ❑ construction drawings
(NOTE: Use of construction drawings is o�alid 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: I l *713 Al .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 1 +7101.IQ feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement --1-- 3 ( !q C2
FEMAForm 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 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.
I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data availaole:_
l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 100;
=il
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
TITLED COMPANY NAME
ADDRESS CITY S*T,� 1
S562-2)1 tZ, I A 2 X 75 ,i 1
SIGN DATE PHONE
3 24 2
Copies should ke made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS: ��+�,� r-��2� i� Q r( (�+j —,C>,2 �DT
v
Ok— �� �� �a�� 1�? Ai7 E7k5T P oc-2-{-7�,. I I N C �{-
o -2>g 29'er'e— (54z 04—
C__0 a-
4—C__orz 1->S of- D.% (I o Ce �-A 5
�1 _Q PA4_0& ' 471-) S` ------ — ---------- - -- — ---- - —
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 -
FLOOD ADJACENT REFERENCE FLOOD
ELEVATION GRADE LEVEL ELEVATION
REFERENCE ADJACENT
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
.70� O
F
FENCE 5' T.U. E5M'T.
ON P.L.
15.0'
10' DRAIN'6.
E5M'T. 20' B.L
I�
DRIVE
II �j
8 51 DE 1 FENCE
YARD I W/ GATE I
I 1
IIGARAGE I
1
I j PATI I
0 1, I
c0`1 I I O I
FENCE I j �i
,w SATE I R4133D
I (REVISED) I
48'—O"
4' WALK-
------ --
10' T.U.
ESM'T.
25' B.L.
#431 GRAHAM DR.
BUYER: EMER50N
-.JOB # 44063
DATE: I-12-016 ORDER # 5"78
earo=ee coHeTw�TtoH or
A.W KRO, d UM% GOLF
TRACTOR OR reptoc" Oa
AV "amTf or THis .106 1s
TO VOWC • veRirr ALL
rROMPLTV lit4m. xtnA llm
OPWrAMPS, 4 NAAEM CM N
ommm "ro cc*mY reTH
ALL FOP AI.. STATA •
LOc.N. C00M CNWIHA -4m
. PR Twc.Tlcm.
f�
15'-0"
SOVEREIGN
HOMES'.
CORPORATION
M AFFILIATE OF RCS ENVESTMENT9
PLOT (FLAN I° = 20'-011
LOT 15 Of BLOCK D
VLCG. ® COTTONWOOD GREEK
COFFELL , TEXAS
DON R. MOORE
and A550C., INC.
ICOUAAWtAH5 GIMM
ow LDA rmw.
CALLA^ lrx ism
214.640-9-M
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SOVEREIGN
HOMES'.
CORPORATION
M AFFILIATE OF RCS ENVESTMENT9
PLOT (FLAN I° = 20'-011
LOT 15 Of BLOCK D
VLCG. ® COTTONWOOD GREEK
COFFELL , TEXAS
DON R. MOORE
and A550C., INC.
ICOUAAWtAH5 GIMM
ow LDA rmw.
CALLA^ lrx ism
214.640-9-M
SURVEY PLAT -- _ -
"
TO ALL PARTIES INTERESTED IN PREMISES SURVEYED:
This is to certify that I have, this date, made a careful and accurate survey on the ground of the property located at
439 GRAHAM DRIVE, in the City of Coppell, Texas, described as follows:
BEING LOT 15, BLOCK D, of VILLAGE at COTTONWOOD CREEK SECTION IV an addition to the City of COPPELL,
DALLAS County, Texas according to the map thereof recorded in Volume 93039, Page 1542 of the Map Records of I�
Dallas County, Texas. Ii
TU Eectric Esm't.
7&W
Tie Ratak" Miep
I �R
LOT 15
BLOCK 0
I
10' Drainage Esm't.
I 16.5'
1 211.1'
78
I k0 rform 1111"
�-
LOT 16 i �, �' LOT 14
`V; 9.8 O
O
N 1.0' N
CONCRETE FOWS
439 GRAHP+#il DMW
las'
Minimum FF EL -470.0
M (per Fit)
Actual FF EL -473.9
35.6' v. 124' 16.5'
(
N
______ t _
75.0'
10' TU Electric Esm't.
GRAHAM DRIVE (509)
Note: Iron rod at all corners unless noted. All lot lines and easements are according to said Plat of Record, unless noted.
The plat hereon is a true, correct and accurate representation of the property as determined by survey; subject to any -
and all easements, reservations and restrictions that may be of record, the lines and dimensions of said property beinci
as indicated by the plat; the size, location and type of buildings and improvements are as shown, all improvements
being within the boundaries of the property, set back from property lines the distances. indicated. There are no visible
easements, encroachments, conflicts or protrusions, except as shown.
Date: January 31, 1996
Scale: 1 "=20'
Job No.: 7403-44063
Registered r esswnal Land Surveyor
P.O. BOX 850281 — RICHARDSON, TEXAS 75085-0281 214-330-9823