FEMA-EC940621 (2)TM City With A Beautiful Future BUILDING PERMIT APPLICATION , 0 1
Building Inspections Division
1
on
Print or Type in a Clear, Legible Manner rr i
Job Address: Z Lso t'j c:l m Date:
Lot: ) i Block: Subdivision: C—A(oCC—, Phase or Section Number:
Owner: rT K . T(r �I —m ,, 1 rn Address: rJ rJ !c+ Phone #: S Cl 13 C}
Contractor: Sp<rV f5- )01�S Address: Phone #:
Description of Work to be Done Class of Work: in New []Addition ❑ Alteration ❑ Repair E] Demolition
r era rnvt�l c� -� 2) LQ 6 `7
of Building in Square Feet
First Floor 2-t
94
Second Floor 0113
Garage S1 l
Other 1153
NOTICE Permit Fe
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 ening bi
days at any time after work is commenced.
Approved
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 Comment
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 construe ' nor the perf ance of construction.
IQ
ature of Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
BIR - 1 121821
Value of Work QQ
to be Performed�u�
GRAY AREA FOR OFFICE USE ONLY
Q Receipt Number: r
Occupancy Classification:
0.
0077
ELEVATION CERTIFICATE Expires
esMay3 , 1993
Expires May 3 t, 1993
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 FOR INSURANCE COMPANY USE
BUILDING WNER'S NAME POLICY NUMBER
- I _A/Ovz s
STREET ADDRESS (Inclyciing Apt., Unit, Suite and/or Bldg. Number)_OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
CITY a 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
DATE OF FIRM INDEX
5. FIR NE6.
BASE FLOOD ELEVATION
1
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): I _tNGVD '29 F1 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 _1__ ! . L 1 feet NGVD (or other FIRM datum -see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicat the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level _T .
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_... .Pj feet NGVD (or other FIRM datum -see Section B, Item 7).
(b1. 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 ! ._J___l__L_1_.) . _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 [_LJ. LJ feet above ❑ or
below U (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 L_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? �-'es [ No [J 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 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: r_ Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: ___ actual construction j _ ) 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.)
6. The elevation of the lowest grade immediately adjacent to the building is feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
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: l I __ __J . ! feet NGVD (or other FIRM datum -see Section B, Item 7).
Date of the start of construction or subsiantial Improvement
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 avallable.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
NAME LICENSE N GMeX *
V
TITLE fiOMPANY NAME �* r
(WHAKK
CITY NOWELL<fSTATE ZIP
ADDRESS -y- //^/� _.
Copies should be niade of this Certificate for: 1) community official, 2) Insuran offipany, and 3) building owner.
COMMENTS:
ON
WITH
ON PILES. '
BASEMENT
PIERS, OR COLUMNS
SLAB
A
v
A
A v
ZONES
ZONES
ZONES
ZONES ZONES
REFERENCE
REFERENCE
IFVFI
BASE
I. FVFI
FLOOD
ELEVATONBASE
TtFLFVAT.0.N
., :.:
ADJACENT :.F
"���i
?F:
REFERENCE
FLOOD
GRADE
LFVFL
ELEVATION
REFERENCE ADJACENT
I FVFL 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.
SURVEY PLAT
LOT 14, BLOCK E, OF EACLE POINT AT RIVERCHASE, AN ADDITION
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
LOT 13
66.00 TRANS. PAD ESM'T
2.5' T. U. ESM'T
I
— 20' RjMMG LINE I
I
_
LOT
1411
�SURVj
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0
k' BLK.
E
I
I
d Associates, INC.
Food Fence — . — - — — —
o. /7
8.0-
►
I w
! F
1301 Elm Street Ste. 2of
I �
>.T> _7_T _.7' > +-+ j T...7 --.-
Carrollton, Teras %.5006
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I h
4.0
I
�
I
I
�
FORMDOARD
I
SURVEY
FF.ELEV. 449.80
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8.0'
I
I
I
d. o'
25' BUILDNG LI
IIIIIII
i�b
vi�wo;
l\
N
cc
85 45'#"r.21
LOT 15
112 LONGMEADOW DRIVE
I hereby certify that on tha�da
y of- 19-'2,44 this sunray 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 I have knowledge or have been advised affecting the .subject properly.
Then are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
OF Td
t•, �cisrip� .f -
r Date Z'�
JOB #
HARRY J. ROIIELL
.................
CF No. 4597 i
0
LEGEND
Scale: 1 " = ZD 9��o�¢S�tOo/
HA R R Y
1/2" Steel / Iron Rod Found O
112" Steel / Iron Rod Set
�SURVj
)
R 0 WELL
Property Line
d Associates, INC.
Food Fence — . — - — — —
o. /7
Surveying d• Engineering
Chain Link / Wire Fence x—x—x—x—x
! F
1301 Elm Street Ste. 2of
.. ..:-:•� E.lertre __....._. (y' .._ F _ P,
>.T> _7_T _.7' > +-+ j T...7 --.-
Carrollton, Teras %.5006
ARC TABLE
ARC LEN.- RAD. ' CHRD. BRIG.
'Al' 66.21' 680.00'
�2
FG 447.60 FG 447.90
N00'43'05"W 66.00'
SCALE: 1 = 20' UE
PAD
EASM'NT
I I I
20.0' B.
cn
w II
w
I II 1
� I I JI
00
I- FG 449.00 ( I 1
O
O
8'-0„
FG
449.Odm
FG 448.40 3:1
�
Ln � I W FG 448.80
SMVWRBQUMWI Fin
0 50'-0"
rn c -0x
00 �'3- I 00
1 PLAN 3067A I Iz
I TOS = 449.80
PAD GRD. = 449.00
(min.finish fl6ot'=446.90) IUJI
0 Iri
8'-0" FG 449.00 (0 1
FG 449.00 8'— 0"
25.0' B.L. 1 -I
N
N I F— 10.0' UE L —4 c�
FG 447.90
FG,1'448.20
CITY OF COPPED
REVIEWED 112 LONGMEADOW DRIVE
ERMA. LETTER REQ
By A�
D y i a , .
Approval of the 0, ns and specifications shall not
be construed to mean construction in di18Ct = - Top of Curb: 447.80
Zoniit the City $l P"I,puildingCOftWd Type 'B' Drainage Fence Length: 188'
tonin �i'�
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXISTING FENCES.
GENERAL NOTES: mktd. as
DRIVEWAYS 16' WIDE *
ENTRY WALKWAYS 3' WIDE . Eagle Point
PARKWAY SIDEWALKS 4' WIDE
* UNLESS OTHERWISE NOTED Fubdiv.
Eagle Point Village@Riverchose
lot 14
blk E
address
112 Longmeadow
Amtingtmcity Coppell, TX
date plan
16610 DALLAS►ARKwAV, awr¢ 2366 05/24/94 3067.00 E L E V A LEFT]
DALLAS, TEIfA
1211. 71'-'409 76245