Loading...
FEMA-EC971103rcThe City With A Beautiful Futur: .01 BUILDING PERMIT APPLICATION @ QD D ' CBCT 11997 f+f , Print or Type in a Clear, Legible MannerI � Job Address: J7z(o �1E�?2 StOn� 0/1Kt 1+3P5l9 Date: seSPE 177 N DEPT Lot: 13 Block: ' Subdivision:dd CoPPEu. E.57 -A7-,-5 Phase or Section Number: OwnerStxect CAkstom Poroe6 Address: .0. BDX 136 - CoPPtc.L Phone #: 393-2078 Contractor: 5#9m E Address: Phone #: Description of Work to be Done Class of Work: ©'New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition &/A1& .6 FArnI`� t�E RcHEu .? J70 -0���37_ Area of Building in Square Feet First Floor�fnOi Second Floor 7•� NOTICE Garage (ole Value of Work pp to be Performed �3im Other 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 regulatingApnstruction of the performance of construction. S(gnature of ContrIctor or Authorized Agent Print Name Nr< G ef+r►ic r 6'lectrical Contractor Plumbing Contractor j Mechanical Cont actor FPMC - 1 (4/94) In BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK ' ELEVATION CERTIFICATE 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 FOh INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS-(Induding Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER T 3•Z���.S�ON.� L� OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY STATE ZIP CODE CO PP•�LL ,. TX, SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the.following from the proper FIRM (See Instructions): 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: LL I I I LJ 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 LJLLMqL-!�.LC 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 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 LLi . LJ 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 I 1 1. LJ 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? U Yes [J No LJ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 ❑ Other (describe 0 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 Lx No (See Instructions on Page 4) \ 5. The reference level elevation is based on: �1S 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 3 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: AJ. U feet NGVD (or other FIRM datum -see Section B, hem 7). 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 available. I 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 Seal) ' TITLE COMPANY NAME ' • • .. • ' • Scl�Pl/.�.�D.e /�q�P,c°�/ �OtcJ.� �� L'G� • r ;� • � •'''L� , ADDRESS CITY ©�,c STA V.. ZIP Zonl TX '75-006;,,, s Ig`'•� �� -- --- — I SIGNATURE DATE PHONE l9 1'z ) 2 4 2 - 6";r_`79 Copies should be made this Certificate for 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: ,8 lL,y/i�.q.PX_ 54� .P !'UT_ �7-�� .dam S6417'1'.Ei9.5L_ /k/ f �PiDG �V 0671,J1E L_ ,Vo,110 -- 4,17 A I 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION ! D ®®/ D � 4 — / ` ^ �� � (in AO Zones, use depth) . I 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: LL I I I LJ 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 LJLLMqL-!�.LC 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 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 LLi . LJ 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 I 1 1. LJ 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? U Yes [J No LJ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 ❑ Other (describe 0 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 Lx No (See Instructions on Page 4) \ 5. The reference level elevation is based on: �1S 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 3 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: AJ. U feet NGVD (or other FIRM datum -see Section B, hem 7). 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 available. I 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 Seal) ' TITLE COMPANY NAME ' • • .. • ' • Scl�Pl/.�.�D.e /�q�P,c°�/ �OtcJ.� �� L'G� • r ;� • � •'''L� , ADDRESS CITY ©�,c STA V.. ZIP Zonl TX '75-006;,,, s Ig`'•� �� -- --- — I SIGNATURE DATE PHONE l9 1'z ) 2 4 2 - 6";r_`79 Copies should be made this Certificate for 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: ,8 lL,y/i�.q.PX_ 54� .P !'UT_ �7-�� .dam S6417'1'.Ei9.5L_ /k/ f �PiDG �V 0671,J1E L_ ,Vo,110 -- 4,17 A __ _---_ HR SURVEY PLAT H R. BEING LOT 13, BLOCK 1 OF OLD COPPELL ESTATES AN ADDITION TO THE CITY COPPELL, DALLAS COUNTY, TEXAS. RECORDED IN VOLUME 96020, PAGE 2443, P.R.D.C.T. BIG CEDAR ADDITION VOL. 92125, PG. 3455, P.R.D.C.T. PARK LAND 1/2" I.R.F. 91.67 1•67 87°40'59" 10' SANITARY SEWER ESMT. 3/8" I.R.F. o _ — 85°30'01" 0 � I 20' B. �— I I N 8.5 I I I � i w I .a FORMBOARDS I i' o di � I O � I j I LOT 14 y 1 f, 1 1 8.5 1 I LOT 13 i FSS cT� �,O �Tlti 1/2" I.R.F. 1/2" I.R.F. 1/2" I.R.F. 31.28 REFERENCE BRG. S 85°23'38" E 326 HEARTHSTONE LANE I hereby certify that on the.` 11S -T --day of OCT. , 19 97 , this survey was made on the ground as per the field notes 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 1 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 . OCTOBER 31, 1997 --- JOB # . 97-4770 HARRY J. ROWELL GF No. 4597 ,' LEGEND E) Scale: 1" = 20' HARRY 1/2" Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set 0 ROWEL L Property Line B y ; k Associates, INC. Wood Fence — — — — — Surveying & Engineering Chain Link / Wire Fence x—x x — x — x 1301 Elm Street Ste. 201 Overhead Electric E E— E— Carrollton, Texas 75006 E.M.A. LET71M MD%aj 1t CMOFCOPPELL 1 06 ;r DATE Dproval of the p s and specdkWons shah not - e construed to mean constmctlon in dimct conflict Frith the Cly Of Coppell Build codes and ZoW9 e i