FEMA-EC970217FA.The City With A Beautiful Futi.�_-
BUILDING PERMIT APPLICATION
nZI, Print or Type in a Clear, Legible Manner
7LFIB51997
Job Address: I J� �
Date: '
CTION DEPT
Lot: j Block: Y Subdivision: )// �,
Phase or Section Number:
Owner,^�tt� Address: j
1 l (.
Phone #:
u
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G! �Z_—
Contractor: Address: 6Ln bI
Phone #:
Description of Work to be Done Class of Work: w ElAddition
❑ Alteration
❑ Repair
❑ Demolition
(e/ `(.
-
2
A-,, a of Building in Square Feet
Q
First Floor (� Garage r"t Q 5
t
Second Floor Other \
Value of Work`J
to be Performed
It GRAY AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee: , '
Receipt Number:
7 c
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
Zoning District:
Occupancy Classification:
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
AWroved BY:
Comments:
®ate:
regulating const tion of the performance of construction.
Signature of Cgntractor or Authorized Agent "''' Print �Name
f �/r
lu
Electrical Contractor P bing Contractor Me anical -Contr4ctor
FPMC - 1 (4/94)
-O.M.B. NO. 3062-0077
: 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 LOMB).
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 I POLICY NUMBER
Unit, Suite and/or Bldg.14umber) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER
OTFgR DESCRIPTION (LotYVI
Block Numbersietc.)LOT D� ^ ^�� 57—A
7155
CITY y
_ _ /_ !` l�^/�I�rLJ l{'�i STATE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions): , rt F hf- PLA T
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
pl7o
ooto
E-15-94�
(in AO Zones, use depth)
.�
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 . U 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 I 15101 .a 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 .0 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 I 1 1. 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 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 FIROcua'l
Yes ❑ No (See Instructions on Page 4)
ryO
5. The reference level elevation is based on: i�constructio ❑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.) —7
6. The elevation of the lowest grade immediately adjacent to the building is: I�� . 7 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 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 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
lit -8 �J0• (O IG)
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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 Ai—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�hene Feqture(s) not
included in the certification under Comments below. The diagram number, Section C, ItElm 1,,,. t
ly 4
/ certify that the information in Sections B and C on this certificate represents my best effo $'i aT available.
/ understand that any false statement may be punishable by fine or imprisonment under 1 d e �' iaIllyl.
TIFIER'S NAE.
T E
Wb LAD)
ADDRESS
SIGNATURE -
1 CrC J
Copies should be made of this Certifics
COMMENTS:
rA
'A, PAUL A. HfG>1` GO ,.
LICENSE NUMBER (t �fY %!1)4490
NAME
STATE
►sPHONE
01cial, 2) insurance agent/company, and 3) building owner.
ZIP
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
.::
•'.:;i:::::':.
:::::`: s.;:: •. �.55,,
BASE
BASE
FLOOD ADJACENT :t•'•'f` REFERENCE
FLOOD
ADJACENT GRADE ":t��s LEVEL
ELEVATION REFERENCE AW
ELEVATION
LEVEL GRADE
.X,
:•:'"A.
:.':%r :•: •- m r.:.:::..�.; :•%:r.; .:.. �:�::�,,fl
DJACENT:;
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
I= 67.95'
IRON RNGC
SANITARY
o
n
20' REAR BL -�
l VER. WIDTH
1 UTIL. 4 ACCESS
EASMENT
eysizto AL WITH
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12i- X11
80.00'_
SIDEWALK PER
�- CITY CODE
CI II s OF COPPELL
REVIEWED
38 HEARTHSTONE LANE S=T CUT
DATE
4frn%,,��'je,v ct the lens and specifications shall not
flict
construed to mean constr�ati_"`ln -�AN
�roYh the City of Coppell BSI! �w s SGALEs I•=2o'-O" g�y�+
t mk'l.1� k.`§J Cel
Ordinances.
LOT 10, BLOCK I _ r
OLD COPPELL ESTATES
COPPELL, TEXAS
ThisSite Plan 1s not a survey. It is provided for building and site-work
layout only. Prior to the start of construction, the general contractor
shall verify with the city and/or the appropriate utilities all grades,
existing improvements. property lines, . required building setbacks,
easements, utilities, substructures, and any other existing site condition
that could present a hazard or interfere with construction. Any
discrepancies between this Site Plan and. actual on-site conditions shall be
the responsibility of the general contractor to resolve. Henderson Desigt►
Assoclates shall be responsible only for the revielon/correction of these
documsoto. and then only as information is provided liy the general
contractor. These requirements apply from the time these documents are
issuG4. and continue tbroughout elie course of construction.
Finish grads shall provide positive drainage away from (all) structuress) on
this site, and shall furthermore be sensitive to adjacent sites, aad shall
meet all local requirements.
SURVEY PLAT JIMMY W. POGUE, INC.
�- -----..-.._.._.------------
This is to certify that 1 have, this date, made a careful and accurate survey on the ground of property located at
No 338 HEARTHSTONE LANE in the city of, COPPELL, Texas
Lot No. 10 Block No. 1 City Block No.
of ULD COPPELL ESTATES, an addition to the
City of COPPELL, DALLAS COUNTY, Texas, according to the MAP thereof
recorded in Volume 96020 Page 2443 MAP Records DALLAS County, Texas.
SURVEYOR'S NOTE: I DID NOT SEARCH THE COUNTY RE ORDS TO DETERMINE;
EASEMENTS OR RECORD TITLE. ALL INTERESTED PARTIES SHOULD EMPLOY A
TITLE AND ABSTRACT COMPANY TO DETERMINE EASEMENTS AND STATE OE' TITIA',
AND OWNERSHIP TO THIS PROPERTY-
111
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80
r N 88047' 57" E (REFERENCE BEARING FROM PLAT)
HEARTHSTONE SANE
9
The plat hereon is it true representation of the property. as determined by on the `round survey. the lines �, rr►�t "
and dimensions of said property being as indicated by the plat, the sue. location Will type of buildings sed PAUL, A. HIDALGO
rmgro,ements are as shows, all improvements being within the boundaries of the property. set back from REG i ST ER E D PROFESSIONAL t `
property lines the distance indicated, and that the distances from the nearest intersecting street, or road. SURVEYOR NO. 4490
Is as shown on said plat, all corner monuments are as shown.
THERE ARE NO ENCROACHMENTS OR PROTRUSIONS., EXCEPT AS SHOWN.
This survey was performed in connection with the transaction JIMMYW. POGUE, INC.
Scale 1 " = 20' described in GF. No. FOR: ,_-- 3510 MARVIN D. LOVE FREEWAY
of H()Tass:S RitTIMERS
Dist - 2, T 7-- y _ Title Company. Use of this survey for my other purpose at by my DALLAS, TEXAS 75224
- -- neer punas shell be stikOy prohibised as this survey is a c0pyntkiit PHONE (.214) 371-0666
6349'-) owned by Jfsety W. Poplas• tee.. and all other uses aro follbiddsa,
roe No without prior +runs+ consent of limetty W. fT0/ea, lee,
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�ETKEL QD.
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C5 18-?
lo - ufrc...iry Et�ie-i r
80
r N 88047' 57" E (REFERENCE BEARING FROM PLAT)
HEARTHSTONE SANE
9
The plat hereon is it true representation of the property. as determined by on the `round survey. the lines �, rr►�t "
and dimensions of said property being as indicated by the plat, the sue. location Will type of buildings sed PAUL, A. HIDALGO
rmgro,ements are as shows, all improvements being within the boundaries of the property. set back from REG i ST ER E D PROFESSIONAL t `
property lines the distance indicated, and that the distances from the nearest intersecting street, or road. SURVEYOR NO. 4490
Is as shown on said plat, all corner monuments are as shown.
THERE ARE NO ENCROACHMENTS OR PROTRUSIONS., EXCEPT AS SHOWN.
This survey was performed in connection with the transaction JIMMYW. POGUE, INC.
Scale 1 " = 20' described in GF. No. FOR: ,_-- 3510 MARVIN D. LOVE FREEWAY
of H()Tass:S RitTIMERS
Dist - 2, T 7-- y _ Title Company. Use of this survey for my other purpose at by my DALLAS, TEXAS 75224
- -- neer punas shell be stikOy prohibised as this survey is a c0pyntkiit PHONE (.214) 371-0666
6349'-) owned by Jfsety W. Poplas• tee.. and all other uses aro follbiddsa,
roe No without prior +runs+ consent of limetty W. fT0/ea, lee,
�tf�p9y'
,rr
9