FEMA-EC010426M M -n
The (Y9 City With A Beautiful Future
BUILDING PERMIT APPLICATION
1-70,57 Print or Type in a Clear, Legible Manner 'j )m
`d1�4 X535
Job Address: �� Z ��VQ t}Ce
Date: 3�q a�
Lot: Block: Subdivision: �1��l�C-�(1���{— p�rlG�
Phase or Section Number:
Owner Address: 6Z -Z 57
Phone #:(IqZ�)
Contractor: SCJ
Address:
Phone #:
Description of Work to be Done Class of Work: New ❑ Addition ❑
Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor 2 Garage
Value of Work
Y� ��
Second Floor � S g Other
to be Performed
C
5 GRAY AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee: 1)
Receipt Number:Lo r3oTo.'o
Zoning District:
Occupancy Classification:'
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.
Approved By:
Date:
I hereby certify that I have read and examined this application and know the same to be true
42?22�o L-121
and correct. All provisions of laws and ordinances governing this type of work will be
Comments:
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 of the performance of construction.
Si nat re of Contractor or Authorized enr Print Name
)/,Fw 5/s 41 sIVV
sti�rolC's
Elect ' al Contractor Plumbing Contractor Mech Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
FEDERAL ERIERG5NCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
- ELEVATION CERTIFICATE
r
Important: Read the instructions on pages 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUI DING STREET ADDRESS �I rcludin Apt., Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number
2 LEV EE ,moic.'
CITY STATE ZIP CODE
102-07 L_L -7 So I �
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
T I T5LJD6V_ yku L_ I A
BUILDING USE (e. ., si en , Non-residential, Addition, Accessory, etc. Use Comments section if necessary.)
12r—_I ca)TI fi L_
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type):
( ##° - Mf - ##.W or ##.#WW) 1-1 NAD 1927 1-1 NAD 1983 1_1 USGS Quad Map 1-1 Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
CappeLk, v e I DALL A 5 At-AO-Dc-Wn-CYJ i-=-XA5
B4. MAP AND PANEL
B5. SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATION(S)
NUMBER
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DATE
"
EFFECTIVE/REVISED DATE
ZONE(S)
(Zone AO, use depth of flooding)
rs0
10 00
t
A 5 6"
E
610. Indicate the source ofth Base Flood Elevation (BFE) data or base flood depth entered in B9. /
1_1 FIS Profile FIRM IJ Communi Determined 1J Other (Describe):
611. Indicate the elevation atum used for the BFE in 69:NGVD 1929 1J NAVD 1988 1J Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1J Yes No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: L_IConstruction Drawings" 1 ilding Under Construction" I_lFinished Construction
"A new Elevation Certificate III be required when construction of the building is complete.
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate 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, V1430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3a-i 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 Conversion/Comment
Elevation reference mark used �111� �,� Does the elevation reference mark used appear on the FIRM? 1>0es 1J No
0 a) Top of bottom floor (including basement or enclosure) 4•(D'7 .93 ft. (40)
Elb) Top of next higher floor N P. _ ft.(m) "� .•OF•. F+
❑ c Bottom of lowest horizontal structural member"' A,p:•'G�STE
(V zones only) _ ft.(m) o o y; � .�►
❑ d) Attached garage (top of slab) _ ft.(m) w Q
❑ e) Lowest elevation of machinery and/or equipment *00
M "'S "" •••���
servicing the building ft (m) 8 3 B R •• S. R •• ES.
❑ f) Lowest adjacent grade (LAG) ftv) z' r- �• 1
❑ g) Highest adjacent grade (HAG) . 9Lft.A 11
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade Np :3 a V
❑ i) Total area of all permanent openings (flood vents) in C3h � sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Naw -01
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 data available.
I understand that anv false statement may be punishable by fine orimorisonment under 18 U.S. Code, Section 1001.
TITLE iRII?
=i is 44 ' (__'iv)Jw )zt a 6t✓ e -i rL.'R�vJ tart-' `A—c,' _..-5c>8B
AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces, copy the corresponding information frorrLSectien A. For Insurance Company Use:
BUILDING STREET ADDRESS Including Apt., Unit, Suite, and/or Bldg. No.) OR PI.O. ROUTE AND BOX NO.Policy Number
CITY I STATE ZIP CODE Company NAIC Number
e_o":ELS -75o i
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.
COMMENTS
1_I Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
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 completed.
E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being 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 I_1-1 ft•(m) I—I—lin.(cm) I—I above or Ll below
(check one) the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
I_I-1 ft•(m) I—L—lin.(cm) above the highest adjacent grade.
E4. 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? I_I Yes I_I No I—I Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
1_1 Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below.
G1. 1_1 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 state or local law to certify elevation information. (indicate the source and date of the
elevation data in the Comments area below.)
G2. I—I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or
Zone AO.
G3. 1_1 The following information (Items G4 -G9) is provided for community floodplain management purposes.
G7. This permit has been issued for: I—I New Construction I—I Substantial Improvement
G8. Elevatidh 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
SIGNATURE DATE
COMMENTS
Check here if attachments
FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS
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SURVEY PLAT
BARRY S. RHOOLS Registered arofessionc3' Land Surveyor X972) 47,5---
This
75- This is to certify +hot I have, this dote, made o careful and accurate Survey or the ground of property
located at No..-_ 602 LEVEE PLACE in the c't of
_ _ y COPPELL Texas.
Lot No. -- ----- ---- Block No. -- B -----
of— _ MAGNOLIA PARK _ _ an addition to the City of
COPPEL!_, DALLAS—COUNTY Texas according to th:e- PLAT 'HEREOF RECORDED
in VOLUME 98145 PAOr__05Q6 _of the MAP-_ ,ecores of___._ DALLAS —__COUNTY, TEXAS.
THIS CERTIFICATION DOES NCT
TAKE -INTO CONSIDERATION
ADDITIONAL FACTS THAT AND
ACCURATE TITLE SEARCH AND OR
EXAMINATION MIGHT DISCLOSE.
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The plat hereon :s true,
correct, and accurate representation of the property as determined
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survey, the lines and dimensions of said property being as indicated by the plat: the size,
locati
and type of building and
improvements are as shown, all improvements being within the boun
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THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS, EXCEPT AS SH
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THIS SURVEY WAS PERFORMED EXCLUSIVELY i OR
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Date: 04/03/2001
SUNRAY HOMES
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FORMS ONLY
(602)
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PLACE
109.20'
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The plat hereon :s true,
correct, and accurate representation of the property as determined
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survey, the lines and dimensions of said property being as indicated by the plat: the size,
locati
and type of building and
improvements are as shown, all improvements being within the boun
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of the property, set back from property lines the distance indicated.
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THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS, EXCEPT AS SH
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THIS SURVEY WAS PERFORMED EXCLUSIVELY i OR
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Date: 04/03/2001
SUNRAY HOMES
USE OF THIS SURVEY FOR ANY OTHER PURPOSE
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G. F. No.:_____
OR OTHER PARTIES SHALL 3E AT Tr1ERE RISK AND
Job no.: ___ 69215
UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS
Drawn by: DR...
FOR ANY LOSS RESULTING THEREFROM
Wed Feb 14 10:26:34 2001 [RCJ]
011111
_ _ _ _ _ 120.63'
5' U.E.
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- - - - '--1
PUBLIC WALXAB R M
F.E.M.A. LEITER REQUIRED. 109.20'Afflumumf.f. 46-6-1
CITY OF COPPEL.L
FORM BOARD REVIEWED
SURVEY REQUIRED
t ) sib c?$ A
Approval of the and specttfcations 9W Rot
In construed to mean construction in direct torim
wtm the City of Coppell Building codes and Zon"
NOTE: BLDR. TO VERIFY LOT Ordinances.
"FIT' AND ALL DIMENSIONS
PRIOR TO CONSTRUCTION
NOTE: HOUSE LOCATION MAY
VARY TO BEST SUIT THE
TERRAIN AND TREES..
PREPARED BY:
JM
�"'Rj- H 1K I N �"'( 33 -
'OVER Z5 YEARS OF FINE HOME DESIGN
2612 LONG PRAIRIE RD. SUITE `°APP
is nwoup w umn iry 9en7a fQ77 % Ire -7711
PREPARED FOR:
SITE PLAN
SCALE: 1" = 20'0"
LOT 1 BLK "B"
MAGNOLIA PARK
CITY OF COPPELL
NORTH DALLAS COUNTY, TEXA
SUNBAY HOMES
OLSEN RESIDENCE
DATE:
16 JANUARY 2001
DRAWN BY:
JENNIFER MOSLEY
CHECKED BY:
Aw 4/e 1. n
DRAWING NUMBER: