FEMA-EC980601D 0
j�
The City With A Beautiful Future
BUILDING PERMIT APPLICATION APR 3 Q 1998 I
ZPrint or Type in a Clear, Legible Manner
Job Address:Date: 4)3
30 raw QT E L� - -
Lot:1 1 Block: Subdivision: Phase or Section Number:
An�P�c�s ioNAV--
Owner
ltl- W STO M
Address: 01 0 0 --t.. 3 S£ DE "TON4
Phone #: 1-72__ 39 3_ 64,R l
Contractor: Y10 Address: t � Phone #: I
I�JAzJJ�� n�.s
Description of Work to be Done Class of Work: RIew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
�/-/y 9
Area of Building in Square Feet
First Floor aq k
Second Floor 1'2-3$
NOTICE
Garage i q A
Other 213
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 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.
Signature of Contractor or Authorized Agent Print Name
M4-16 ?L-U"Nk0,l PcD4EkT
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
Value of Work
to be Performed 3bb) Ooo ,Qa
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
E ONLY
CITY OF COPPELL
REVIEWED
DATE
9vrova{ or, ti ; pans and specifications shall
construed to mean construction in direct conf'.
1 the Citi of Coppell Building codes and Zorn: 12 13(a �
;a
19'-51, 21'-(o"
1
N
C
20' AR LD. LN.
1F'.E.M.A. LE'iTM REQUIREp..
Ai mj Tw f f
RESIDENCE
I
21'-3"
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'\ 3 RONT BLD.ZTt- - -
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900 1-35 E
Dentcn, TX 76205
940-898-0748
972-393-4995
t ) erMr wr�
SITE PLAN
0)
SCALE: 1:20
301 MARTEL LN.
LOT 11
BLOCK
E.
THE ESTATES OF COPPERSTONE
COPPELL, TEXAS
WAT50N CUSTOM HOMES - BUILDEF
<9-12 X393 - 4995
BEING LOT 11, BLOCK E, OF COPPFRSTONE AN ADDITION TO THE CITY
OF COPPFLL, DALLAS COUNTY, TEXAS. RECORDED IN VOLUME 96013,
PAGF 0087, P.R.D.C.T.
i;
r;
r'1
LOT 8
4 BLK. F
COMMON AREA
CALLED 121.86 MEAS. 122.06
q
LOT 10
10.7
11.7
1 L..'"T-c'_G Z4
L_.-_-- ____
91°45'05"
LOT 12
UTTI.. ES _
MT.
CALLED 29.57
r
MEAS. 29.9.E ALLL"b
RAD.= 50' ME!,A' 4` •8 76°511'38'
REFER • 4 `� • 6 �
1hereby certify that on the 9 T day of `J t; N' , 19 ' - , 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 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 visble easements, encroachments, conflicts, or
protrusions apparenton the ground
Date JUNE 03, 1998
LEGEND (D
1/2" Steel / Iron Rod Found O
1 /2" Steel / Iron Rod Set
Property Line
Hood hence -- --- -- --
('barn link / Wire Fence r —x -x—x-x
,nrrhead Flcctnc F -- F--- F -
GF No.
Scale: I" = 20'
By : A� 4�
77-
V OF �,'
SGt R��9
gin\
.............
HARRY J. ROWELL
A 4597 y /
��9,i, R0�ss5tO�p,04/�
JOB # . 98-3231
HARRY
I),OWhjLL
& Associates, INC.
Sur- ying & Engineering
1 1n1 Elm Strut Stc. 201
Ca ll!,ru,'1"Na- ;I)Ofi
1�. '.' .'_i --_---.__.
_
T /�- ____ .x.'111._'
T�
EY
PLAT,
BEING LOT 11, BLOCK E, OF COPPFRSTONE AN ADDITION TO THE CITY
OF COPPFLL, DALLAS COUNTY, TEXAS. RECORDED IN VOLUME 96013,
PAGF 0087, P.R.D.C.T.
i;
r;
r'1
LOT 8
4 BLK. F
COMMON AREA
CALLED 121.86 MEAS. 122.06
q
LOT 10
10.7
11.7
1 L..'"T-c'_G Z4
L_.-_-- ____
91°45'05"
LOT 12
UTTI.. ES _
MT.
CALLED 29.57
r
MEAS. 29.9.E ALLL"b
RAD.= 50' ME!,A' 4` •8 76°511'38'
REFER • 4 `� • 6 �
1hereby certify that on the 9 T day of `J t; N' , 19 ' - , 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 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 visble easements, encroachments, conflicts, or
protrusions apparenton the ground
Date JUNE 03, 1998
LEGEND (D
1/2" Steel / Iron Rod Found O
1 /2" Steel / Iron Rod Set
Property Line
Hood hence -- --- -- --
('barn link / Wire Fence r —x -x—x-x
,nrrhead Flcctnc F -- F--- F -
GF No.
Scale: I" = 20'
By : A� 4�
77-
V OF �,'
SGt R��9
gin\
.............
HARRY J. ROWELL
A 4597 y /
��9,i, R0�ss5tO�p,04/�
JOB # . 98-3231
HARRY
I),OWhjLL
& Associates, INC.
Sur- ying & Engineering
1 1n1 Elm Strut Stc. 201
Ca ll!,ru,'1"Na- ;I)Ofi
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 LOMB).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION
BUILDING OWNER'S NAME
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
-----
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
FOH INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
-----------
CITY STATE ZIP CODE
ro P>ozz �_ A i X'
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
I. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
70
V
1
(in AO Zones, use dept/,)
L�
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): IN;hGVD '29 [JOther (describe on back)
6. 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: LJ- L__L- 1. _] . L__J 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 . I_ .
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 I 1-414,171.18 feet NGVD (or other FIRM datum–see Section B, Item 7).
(b). 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 L.1 LJ_ 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 L_U.L_J feet above L_] or
below (check one) the highest grade adjacent to the building.
It(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LLI L -J feet above 0 or below r_1 (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
1 level) elevated in accordance with the community's floodplain management ordinance? 0 Yes [.] No ❑ 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: IJ Yes XNo (See Instructions on Page 4)
5. The reference level elevation is based on: �d actual construction L1 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: L -1 -1 -1 -JA . LJ 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 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 available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
- /�9�P�P�--Cv,«- -- -- -- - ----- - ---- - -----7--
<7 917--- -- - - - - - - -
TITLE COMPANY NAME
113u-/(?VZ--VP?9'-------------------
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ADDRESS CITY STATE ZIP
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SIGNATURE /;G%% iA DATE PHONE
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