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FEMA-EC991208C1The City With A Beautiful- — c� BUILDING PERMIT APPLICATION '� o Print or Type in a Clear, Legible Manner Job Address: ('14 /q)4 AI S O A1 Date: Nov. 8i 7 % 9 en I Lot: 15 Block: -D Subdivision: /44AGA/0 L j R ARK Phase or Section Number: Owner S trEE t C(.CS tOvrt f70i'►�► ES Address: �(o(op ,S. Stern mon s, Sty 29S hone #: q72 _.3g.3 -?0 78 Contractor: '541-46 Description of Work to be Done Address: Phone #: Class of Work: W New ❑ Addition ❑ Alteration ❑ Repair p 11 Demolition 5IA1646 rAMJLU D671604CD Area of Building in Square Feet First Floor a 7(r 0 Garage -773 Value of Work to be Performed' 602 . non. to— Second Second Floor 116Other T L GRAY AREA FOR OFFICE USE ONLY NOTICE Permit: "': Receipt Number: , 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 Zonft District: 0opupancy SSn: 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 aut ority to violate or cancel the provisions of any other federal, state or local law regular construction olthe performance of construction. iE Signature of Cibntractor or Authorized Agent Print Name Mi6 -Flextzko i6ou✓ Atr< R I✓lectrical Contractor Plumbing Contractor Mechanical Contraftor FPMC - 1 (4/94) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK I . • 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). Instructlon9 for completing this form can be found on the following pages. BUILDING OWNER'S NAME SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I POLICY NUMBER STREET ADDnEss (including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIL NUMBER I <o_ /4 21l�U__1,0,'l/ s Tit -6S-r OTHER DESCRIPTION (Lot and Block Numbers, etc.) LO T• iS .84,941e bot 1;7eV1w1VdV 1N AV —__ CITY STATE ZIP CODE 60 PP.Eu 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 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (In AO Zones, use depth) 4184 /'%D ©D /tj X 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 .0 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 r(b). ofI1l41(t1 10 feet NGVD (or other FIRM datum—see Section B, Item 7). 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 .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 II.0 feet above ❑ or below No7W X4&Vi9i%oN 4GS-176 WAS-r,9dC� 41 ❑ (check one) the highest grade adjacent to the building.4 T Ty,E , 0WZS7 44 ✓.e L 6r Fo�2m BRAS (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LULU 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: 0 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 0 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 FIRM: ❑ Yes ❑ No (See Instructions on Page 4) p5. The reference level elevation is based on: ❑ 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 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.) S. The elevation of the lowest grade Immediately adjacent to the building is: I I I I I I .0 feet NGVD (or other FIRM datum -see Section B, Item 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 BFI=),VI—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—it 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 line or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) h'�.P,c�t/ �'o�v.�'ce- TITLE —T COMPANY NAME ADDRESS CITY STATE ZIP Copies should be made Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. �' �'/� T/off ! •ELE Y. 419-7 94 -- — �� SURVEY PLAT HR LOT 15 BLOCK D OF MAGNOLIA PARK AN ADDITION TO THE CITY OF COPPELL DALLAS COUNTY, TEXAS REC. IN VOL. 98145, PG. 506, P.R.D.C.T. LOT 16 COIlMMON AREA & DRAIN. ESM T, S 18°12'52„ E 27.29 S 20°26'25" E 45.09 LOT 15 1I BLK. D ko � � I a `O w ^' wW 0.2 i V GZj C7 W Q w� Iato z 18.l FORMBOARDS 6.6 q — 13.2 0 ' o cD i� ko r, 23.1 �n 5' UTILITY ESMT. 92.48 R = 740' 614 MADISON STREET LOT 14 I hereby certify that on the 8TH day of DEC.,19 99, this survey was made on the ground and this survey plat has been prepared as per the field notes thereby produced, and it properly represents he facts as found on the ground. This survey plat has been prepared in accordance with, and in substantial compliance with , all rules and regulations promulgated by the Texas Board of Professional Land Surveying. Unless otherwise noted, the surveyor has relied solely on the record data provided in the title commitment for the determination of the boundaries of the land parcel surveyed and for any easements of record which may be shown or addressed on the survey. The survey shows viable easements, encroachments, conflicts, or protrusions apparent on the ground. RE OF T Date DECEMBER 22, 1999Q �B�tRFo� JOB # 99-6166. GF No. HARRY J. ROWELL� 4597 G LEGEND O Scale: 1" = 25' °►���o// HARRY 1/2" Steel / Iron Rod Found O SUjtVj 1/2" Steel / Iron Rod Set 0 ROWEL L Property Line B Y : & 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— arrollton, Texas 75006 (972) 242-5679 El FJ L- -- 20' Rear 9-- d9-.Lin e Two—Story Single Family 4 ) -'f House Is Parallel I W1 South Pro ME, D 6T9" Conc. Drive S'E'RF s t Y "s CITY OF (,q,'Cr-!5vL-LL 17 C1 JT Buidog codes and Zoning FOR �J; N D.W. Sp. MAD I SON STREELF PLOT PLAN SCALE 1/1611 -1) -Off LOT 15 BLOCK D MAGNOLIA PARK COPPELL, TEXAS I 4S 00 8' 3 1 aO N 0) El FJ L- -- 20' Rear 9-- d9-.Lin e Two—Story Single Family 4 ) -'f House Is Parallel I W1 South Pro ME, D 6T9" Conc. Drive S'E'RF s t Y "s CITY OF (,q,'Cr-!5vL-LL 17 C1 JT Buidog codes and Zoning FOR �J; N D.W. Sp. MAD I SON STREELF PLOT PLAN SCALE 1/1611 -1) -Off LOT 15 BLOCK D MAGNOLIA PARK COPPELL, TEXAS