FEMA-EC050419To/
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T H E- C I T Y- O F
COPPELL BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
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Job Address: �Jaf� �NL a,N� l Cil
Date:y (la05
Lot: 7 Block: Subdivision:'jI FiNC6CT_bJS GSrAr;j
Phase or Section Number:
Owne . p��� Address:'�t�
2 Ime>�VI� � S� lug nb GAr.r o czati ,7x 7 7
Phone #:
Gl%a-0�<_ 1%%O
Contractor�o�lylStJ l�. +(/�,� Address: SPn,E A`�
(Class
Phone#:/17 —1770 X00LI
Description of Work to be Done of Work: A New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in SquareFeet
�(7A 7\0
yQ
°a3
First Floor Garage
Value of Work J
to be Performeda,�Q l
Second Floor ���� Other 31c)
8 S GRAY AREA FOR OFFICE USE ONLY �Y
NOTICEpD
This permit becomes null and void if work or construction authorized is not completed
within 180 days.
, ,
As D>;:
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 construction or the performance of construction.
J-
3 -
siiign cure of Comrrac�torJor.Autho rizedized Agent Name
f'y nPrint
Electrical Contractor Plumbin Connaeta Mechanical Contractor
128 1 S
BUILDING INSPECTION - WHITE, APPRAISAL -YELLOW, CUSTOMER - PINK WA? i-/, /av9f F
i
SURVEY PLAT
BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940
This is to certify that I have, this date, made a careful and accurate survey on the ground of property
located at No. 628 INGLENOOK COURT , in the city of COPPELL Texas.
Lot No. 7 , Block No. A
of ST. ANDREWS ESTATES an addition to the City of
COPPELL, DALLAS COUNTY Texas according to the PLAT THEREOF RECORDED
in VOLUME 150 at PAGE 78 of the MAP records of DALLAS COUNTY, TEXAS.
INGLENOOK COURT
R=
1/2" IRS 1025.00' — = 95.17'
1/2- IRF
_ 10' UTILITY ESMT
'� C5
C5 /
EXISTING PLOODPLAIN TO BE FILLED
3�— 455.83 /
12.0' O
455.66 N 9.5'
1n 8.2'
Of 16.5'
W N 12.0' a. N
� � O
O I
12.0' a
In
W 455.71
O8.7'
16r
J .0'
O_ r a
U
6 W
_FORMS ONLY I W B
m I ( NO. 628 ) o W
W T.O.F. 456.81
U) Z
2.5' 0
Z
Z 8.2' v
W L455.99 I Q
Y �S- B 10.8'
h S W
O � 16.3' ^>(0 p0 455.75 8.7'
O �O
Z
F 455.65
U IJ I J
(Y
m m
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m
Q
0
Q 20' BIL r —
M
W
J
F-
1/2" YC IRF 5' HOME OWNERS ASSOCIATION DRNG & WALL AAINTENANCE ESMT 1/2" YC IRF
SOUTH — 95.00'
THIS CERTIFK:AnON DOES NOT
TAKE INTO CONSIDERATION ST. ANDREWS MANOR
ADDMONAL FACTS THAT AN ANDREW SPEAR
ACCURATE TRE SEARCH AND OR
EXAMINATION MIGHT DISCLOSE VOLUME 4397, PAGE 1075
VOLUME 2001044, PAGE 3714
The plat hereon is true, correct, and accurate representation of the property as determined by
survey, the lines and dimensions of said property being as indicated by the plat: the size, location
and type of building and improvements are as shown, all improvements being within the boundaries
of the property, set back from property lines the distance indicated.
THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS,EXCEPT AS SHOWN.
THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR .m °� �° •DE
BO
Scale: 1 = 20 .....:.....
4-19-2005 HOLMES BUILDERS ° : �`°°"°..' °" �.
Date: USE OF THIS SURVEY FOR ANY OTHER PURPOSE
G. F. No.: OR OTHER PARTIES SHALL BE AT THEIR RISK AND SXQ, '
Job no.: 80072 UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS v °•• SURUE�G
Drawn by: CM FOR ANY LOSS RESULTING THEREFROM. ��
PLANS ARE REVIEWED FOR
APPROVAL OF SINGLE
'FAMILY RESIDENCE ONLY.
O'T'HER DEPICTIONS OR
CALL -OUTS ON PLOT PLAN
HAVE NOT BEEN REVIEWED
AND ARE Ma APPROVED.
95.00'
-- -- ------------'J
wm eo�aeral¢ 5' H.O.AE. I
Iw wrErK rosrsnam I
------------- OrEtt-------------1 I
REVIEWED 101
h 8
DATE
Approval of ollk qws and specM9catioos sw Aot
be conolW to bean constriction in direct comW
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12'-0'
,g, _,gyp 628 INGLENOOK COURT
51 TE PLAN 56ALE : 11=20'-0'
LEGAL DE50RIPTION: 04/01/05
LOT 7, BLOCK A
626 INGLENOOK
5T. ANDREWS ESTATE -5
GOPPELL,TEM5 _
DALLAS GONtTY
eon
thUtKAL tMLKUt:Nt:Y MANA1jk:Mt:NI AUt:NV O.M.B. No, 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1.7.
SECTION A- PROPERTY OWNER INFORMATION Fo InsuanceComparyUse.
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.I Company NAIL: Numaer
628 INGLENOOK COURT
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 7 BLOCK A ST. ANDREWS ESTATES
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):_
( ##°-4#'-##.##' or ##.##If##� ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ® Other: FIRM
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
COMPANY NAME BARRY RHODES
81. NFIP COMMJNITI' NAME & COMMUNITY NUMBER
92. COUNTY NAME
B3. STATE
COPPELL 480170
DALLAS
TEXAS
B4. MAP AND PANEL
04-19-2005 972-475-8940
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVTh2EVISEDbATE
88. FLOOD ZONE(S)
(Zane AO, use depth of Wing)
4811300155
J
0&04-2004
10-01-2W4
KAE
45.9
B10. Indicate the source of the Base Flood Elevation (BFE) data w base flood depth �rtwed in 89.
❑ FIS Profile ®FIRM ❑ Community Determined ❑Other (Desaibe):
811. Indicate the elevation datum used for the BFE in B9: ®NGVD 1929 ❑ NAVD 1986 ❑ Otho (Describe):
812 Is the building located in a Coastal Barrer Resources System (CBRS) area w Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date
SECTION C •BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings` ® Building Under Construction' ❑ Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number I (Select the building diagram most similar to the building for which this cerfificale is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations—Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO
Compete Items C3. -aa below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD1929 ConversionlComments BM PROVIDED ON RECORD PLAT DEFOREST COURT BY HALF AND ASSOC,
Elevation reference mark used _Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No
D a) Top of bottom floor (including basement or enclosure) 456. 81 lt(m) v
D b) Top of next higher floor NA . _ft,(m) 7
D c) Bolton of lowest horizontal sWdural member (V zones only) NA . _ft.(m) o
O d) Attached garage (top of slab) NA. _ft.(m) E
D e) Lowest elevation of machinery and/or equipment g
servicing the building (Describe in a Comments area) NA . _ft.(m) r P
D Q Lowest adjacent (finished) grade (LAG) 455.65 ft.(m) w
D g) Highest adjacent(finished)grade(HAG) 456. Off.(m)
D h) Noof permanent openings (flood vents) within 1 ft, above adjacent grade NA
D i) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the date available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001.
TITLE OWNER
COMPANY NAME BARRY RHODES
ADDRESS
CITY STATE ZIP CODE
7509 PENNRIDGE CIRC
ROWLETT TX 75088
SIGNATUR
DATE TELEPHONE
04-19-2005 972-475-8940
FEMA Form - 1, January 200 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. I Far Insu anceCanpany Use:
628 INGLENOOK COURT
CITY STATE ZIP CODE CompanyNAICNumber
COPPELL TX 75019
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
if attachments
SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT 9FE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be competed.
E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is bang completed –see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, If available).
E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
grade. Complete Items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _m(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, 9 available).
E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F -
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAissued or community -
issued BFE) or Zone AO must sign here. The statements in Sections A. B, C, and E are cormct to the best ofmy knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
here I
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community?s floodplain management ordinance can compete Sections A, B, C (or E), and G of this Bevation
Cerfificate. Compete the applicable item(s) and sign below.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by stale
or local law to cenrfy elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community of idal completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0.
G3. ❑ The following information (Items G4 -G9) is provided for community floodpain management purposes.
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
GB. Elevation of as -built lowest floor (including basement) of the building is: — _ft.(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _. _ ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
❑ Check here if attachments
FEMA Form e1-31, January 2003 Replaces all previous editions