FEMA-EC010403he BUILDING PERMIT APPLICATION
TN
/ / //-.5 –7 Print or Tvae in a Clear, Legible Manner
Job Address: rho
Date: a _ �1 _ O'
Lot: � Block: Subdivision: /tea rl0 l ('0.., ArK
Phase or Section Number:
Owner L I Address: Sir
5— Phone #: 9,72_ 3 ^ ?
Contractor: SA4rne Address:
Phone #:
Description of Work to be Done Class of Work: New ❑ Addition
StAk �i�m�w
❑ Alteration ❑ Repair ❑ Demolition
�'!�sff F 1�� C'.0 e,:T � � l
—��
Area of Building in Square Feet !`/Q
First Floor AngQ Garage / UA Value of Work 00
to be Performed ^ T
Second Floor � 7 Other
GRAY AREA FOR OFFICE USE ONLY
NOTICE
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.
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 hether specified erem or not. The granting of a permit does not presume to
give authority violate or c el the provisions of any other federal, state or local law
regulating c ruction of the rformance of construction.
4&A, I R. -b;. Ada^
Permit Fee:
Receipt Number:
Zoning District:
Occupancy Classification:'
Approved By:
Date: 07,
Comments::
Sig re of Contractor or Agent Print Name
F13 14 lt/ E/ C6 AAuthorize rr s p
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 14!94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
the I
1-7.
O.M.B. No. 3067-0077
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION I Forkmurance Company Use: I
0VILUIIV%7 Vvnvcrf a IVFWIC rvn y Ivu faint
BUILDINSTREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
70 177 1 o 'T
STATE I
CITY D PPzp. _ T
PROPEM DESCRIPTION Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.
area,
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):
( ##° - ## - ##.## or ##.#####°) LIfINAD 1927 U NAD 1983 USGS Ouad Map �-I Omer:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
o PP4'GL -484170 1) •4a -/9s' I T
B4. MAP AND PANELB5.
SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
B8. FL
B9. BASE-FLOODATI N
NUMBER
DATE
EFFECTIVE/REVISED DATE
ZONE(S)
(Zone AO, use depth of flooding)
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
1_1 FIS Profile 1_1 FIRM 1_1 Community Determined 1_1 Other (Describe):
B11. Indicate the elevation datum used for the BFE in 69: 1JkrNGVD 1929 1_1 NAVD 1988 1-1 Other (Describe): _
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation
1-1 Yes 1_1 No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: I_lConstruction Drawings* I_uilding Under Construction* I_117inished 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 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, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3.a-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/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? Yes o
❑ a) Top of bottom floor (including basement or enclosure) _ ft.(m), m0F Z❑ b) Top of next higher floor �� % • fs.(rlI) r
❑ c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) ,� o
❑ d) Attached garage (top of slab)------- ."s
—ft -(M) $
❑ e) Lowest elevation of machinery and/or equipment u, m HARRY J. ROWF.1.1.
servicing the building (Describe in a Comments area.) _ ft.(m) E 2
❑ f) Lowest adjacent (finished) grade (LAG) _ ft.(m) z'
Ell g) Highest adjacent (finished) grade (HAG) — ft•(m) N S�
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 8
❑ 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.
/ understand thatany false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
ADDRESSfUTY TE ZIP CODE
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SUR-VEY PLAT HR
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",;LOT 20 BLOCK D OF MAGNOLIA PARK ADDITION AN ADDITION TO THE CITY OF COPPELL
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I hereby ,that on tl R day o[ •„ iO 01 ` this survey was made on the ground and this survey plat has been prepared as per the field
notes ther duced, as rdperI rep eats i ili facts as found on the ground. This survey at has been prepared in accordance with, and in
substantial fiance w1tC6' `rl teles and r=1stlone,irom aced by the Texas Hoard of Professional Land Surveying. Unless otherwise noted, the
surveyor h ` A, , d solei o,[ record data #�t#ovi&d in the tl a commitment for the determination of the boundaries of the land parcel surveyed and for
any euemah zecor�whi�, a be show$',br addtbesed asur►ey. The survey shows viable easements, encroachments, conflicts, or
protrusiono, rent on the
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Date APRIL 4,,2001
JOB # 01—
.
GF NO. EARRY J. ROWELL
4597 ;
LEGEND" Scale, 1"
HARRY
1/2" Steel / Iron Rod Found O Y
1/2" Steel / Iron Bod Set R 0 W E L L
Property Line B d & Associates, INC.
Wood Fence --^' — �r x ,. Surveying k Engineering
Chain Link / Wire Fence X—X ,—X—X s 1301 Elm Street Ste. 201
Overhead Electric `'— E— E—arrollton, Texas 75006 (972) 242-5679
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MAD IS ON S T RE E T
PLOT PLAN
SCALE 1/16"=1'-0"
Mar -16-01 10:19A City of Coppell 972 304 3514 P.01
HOLD AGRE OMM
WHEREAS, THE OWNER OF LOT v'o1&, BLOCK OF THE
e ._Je SUBDMStON, %Qfg A tfem.
(RESS), COPPELL, TEXAS (THE OWNER) UNDERSTAND AND ACKNOWLEDGE THAT
THE DRIVEWAY WHICH IS LOCATED ON THEIR PROPERTY ENCROACHES ONTO THE
CITY OF COPPELL'S DRAINAGE EASEMENT; AND
WHEREAS, THE OWNERS UNDERSTAND AND ACKNOWLEDGE THAT IN CASE
REPAIRS OR IMPROVEMENTS ARE REQUIRED TO BE MADE TO THE Ct1Y OF COPPELL'S
DRAINAGE EASEMENT WHICH WOULD REQUIRE REMOVAL OF THE DRIVEWAY IN
ORDER TO EFFECT SUCH IMPROVEMENTS; AND
WHEREAS, THE OWNERS RECOGNIZE AND ACKNOWLEDGE THAT SUCH DRIVEWAY
WAS INSTALLED DESPITE KNOWLEDGE OF THE CITY'S DRAINAGE EASEMENT;
OWNERS HEREBY AGREE TO REMOVE SUCH DRIVEWAY AT THEIR OWN COST AND
UPON REQUEST BY THE QTY OF COPPELI,., AND IF OWNERS FAIL TO REMOVE THE
DRIVEWAY UPON REQUEST BY THE CITY, THEN CITY WILL REMOVE SUCH DRIVEWAY
AND OWNERS HEREBY INDEMNIFY AND HOLD THE CITY HARMLESS FROM ALL
CLAIMS OP DAMAGE TO THE DRIVEWAY WHICH ARISE FROM THE CTIY'S REMOVAL
OF SUCH DRIVEWAY VaM.E REPAIRING, INSPECM40. IMPROVING OR IN ANY WAY
SEEKING ACCESS TO THE DRAINAGE EASEMENT. ADDITIONALLY, OWNERS AGREE TO
REIMBURSE THE CITY FOR REASONABLE COSTS INCURRED IN REMOVING THE
DRIVEWAY.
Allo f record:
Date 2 -14 - t
's signature)
(Owner's printed name)
Date
('s )
.Sarah ,D, 1&&14411m
(Owner's printed crane)
NOTE. iYaddidonol owners are involved, pkase attach sepwwe shat for signatures.
HOHARM14 (driveway/dminap)
Original: City SAY
Copy: Buiwing Inspections