The URL can be used to link to this page

FEMA-EC010710Ths City With A Smutlful Future BUILDING PERMIT APPLICATION_ //aq1. 9 —7 Print or Tvae in a Clear, Leqible Manner `�-J'rn 466aa4o , Job Address: WS MA DISO/J Date: Jane i8 0l Lot: Block: D Subdivision: MQ n 0 / a' i'- Y -K Phase or Section Number: Address: �b� s �' rnmOnS, Owner Street �euAs Vd l e Phone #: q72- 393- ?078 1.U5 eS Contractor: '56Me, Address: Phone #: Description of Work to be Done Class of Work: 0 New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition .S/rlG L�F �I�mi c, u 7� 1i9� l><ED Area of Building in Square Feet First Floor Garage Value of Work 00 to be Performed�� Jr8.3 Second Floor Other 4439 L GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: Receipt Number: Zoning District: OccupancyClassification: 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 13y: Date: 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 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 cons ction of the perf ance of construction. Signature of Contractor r Authorized A ent Print Name TtZ P!f El ctrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 4/941 BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK MULKALLMLKULNLYMANAULMLNI AULNI+Y O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002, ELEVATION CERTIFICATE Important: Read the instructions on pages 1.7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Campany use: BUILDING OWNER'S NAME Policy Number BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 618 MADISON STREET CITY STATE COPPELL TX PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 16 BLOCK D OF MAGNOLIA PARK ZIP 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): ( ##° - ##' - ##.## or ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NAP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME Gj f,GlSTE• ��OO B3. STATE COPPELL 480170 DALLAS TEXAS HARRY J. ROWELL d .p - •.•• .•••N..••••••.•..• • 4597 B4. MAP AND PANEL B5. SUFFIX ti A B7. FIRM PANEL E ii B9. BASE FLOOD ELEVATION(S) NUMBER d B6. FIRM INDEX DATE EFFECTIVEIREASED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 0010 E 03-08-74 0415.94 X B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or 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 1(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, V1 430, V (with BFE), AR, ARIA, ARAE, AR/A1-AW , AR/AH, AR/AO Complete Items C3: a� 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/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (including basement or enclosure) ❑ b) Top of next higher floor ❑ c) Bottom of lowest horizontal structural member (V zones only) ❑ d) Attached garage (top of slab) ❑ e) Lowest elevation of machinery and/or equipment servidng the building (Describe in a Comments area) ❑ f) Lowest adjacent (finished) grade (LAG) ❑ g) Highest adjacent (finished) grade (HAG) 466. 10ft.(m) Gj f,GlSTE• ��OO — —fL(m) tt. 00 HARRY J. ROWELL d .p - •.•• .•••N..••••••.•..• • 4597 LU Mr ti A E ii d S(lRV —• —it(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade J ❑ i) Total area of all permanent openings (flood vents) in C3.h 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 data available. I understand that anv false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME HARRY ROWELL LICENSE NUMBER 4597 TITLESURVEYOR COMPANY NAME HARRY ROWELL COMPANY ADDRESS CITY STATE ZIP CODE 1301 ELM STREET STE. 1 CARROLLTON TX 75006 SIGNATURE / DATE TELEPHONE r 07-10-01 (972) 242679 FEMA Form 81-31, JUL 60' SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS HR SURVEY PLAT H R LOT 16 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 17 U COMMON AREA & DRAIN. ESMT. N 18'12'52" W 71 no U0:L. t7b R = 740' 618 MADISON STREET W ea zM abd n N� w� to 88'27'47" LOT 15 I hereby certify that on the 10TH day of JULY 19 01 _ 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 the 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 Hoard 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 easementi of record which rnl-v be chce n or addressed an the curve,-. The a rvcy slkcwa viable easements, encroachments, con'icta, or protrusions apparent on the ground. Date JULY 13, 2001 xffll Go aRBa � JOB # ; 01-2999 (D LEGEND 0 1/2" Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set Property Line Wood Fence — • — . — - — — Chain Link / Wire Fence x—x—x—x—x Overhead Electric — E E— E— GF No. Scale: 1" = 25' By HARRY J. RONELL .......4597.... , . % HARRY ROWELL & Associates, INC. Surveying & Engineering 1301 Elm Street Ste. 201 •rollton, Texas 75006 (972) 242-587 � t i PIE LL Rj . T1~�• \ . V � r ConK4d t4tmi#1 r iC lOis s1z4! ° r r a 1'UC in. W*f C�11L' tCOI1S, o'c�ilildlil Crcl,laa �js g cod s and Goiring t ;■