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FEMA-EC980203 (4)::. -� o ; 7 :�. r e .Y ' ea3,M PRO,- BUILDING PERMIT APPLICATION JAN 2 31998 1 �j 2 Print or Type in a Clear, Legible Manner t�� '^''^�� !�!PT Job Address: Tui tce ' Date: _. Lot: �3 Block: Subdivision: /�Phase or Section Number: Owner � �r/l�. Address: 2-Z)q 1 M,69J L 01 .77�79Y-Y,one #: Contractor: Description of Work to 1Z Done jf_ , A .., - L. Area of Building in Square Feet First Floor ZTg ` Second Floor NOTICE Address: 1 Class of Work: PINew ❑ Addition Garage 15 72 Other 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 Authon d Agent riot Name 6 • E/ec 1, is l Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) Phone #: ❑ Alteration ❑ Repair ❑ Demolition Value of Work A ] r to be Performed l D / 0, ) n S S- IF '- GRAY AREA FOR OFFICE USE ONLY BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK HOLD HARMLESS AGREEMENT WHEREAS, THE OWNER OF LOT , BLOCK , OF THE QzWE SUBDIVISION, kS N\ 1, (ADDRESS), COPPELL, TEXAS (THE OWNER) UNDERSTAND AND ACKNOWLEDGE THAT THE DRIVEWAY WHICH IS LOCATED ON THEIR PROPERTY ENCROACHES ONTO THE CITY OF COPPELL'S SANITARY SEWER EASEMENT; AND WHEREAS, THE OWNERS UNDERSTAND AND ACKNOWLEDGE THAT IN CASE REPAIRS OR IMPROVEMENTS ARE REQUIRED TO BE MADE TO THE CITY OF COPPELL'S SANITARY SEWER EASEMENT WHICH WOULD REQUIRE REMOVAL OF THE DRIVEWAY TO EFFECT SUCH IMPROVEMENTS; AND WHEREAS, THE OWNERS RECOGNIZE AND ACKNOWLEDGE THAT SUCH DRIVEWAY WAS INSTALLED DESPITE KNOWLEDGE OF THE CITY'S SANITARY, SEWER EASEMENT; OWNERS HEREBY AGREE TO REMOVE SUCH DRIVEWAY AT THEIR OWN COST AND UPON REQUEST BY THE CITY OF COPPELL, 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 OF DAMAGE TO THE DRIVEWAY WHICH ARISE FROM THE CITY'S REMOVAL OF SUCH DRIVEWAY WHILE REPAIRING, INSPECTING, IMPROVING OR IN ANY WAY SEEKING ACCESS TO THE SANITARY SEWER EASEMENT. ADDITIONALLY, OWNERS AGREE TO REIMBURSE THE CITY FOR REASONABLE COSTS INCURRED IN REMOIlk, E DRIVEWAY. DATE (� o er) (owner) • O.M.B. NO. 3W,7.0077 ' ELEVATION CERTIFICATE ExpiraoMay3t, t"9Y6 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 lorm 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 FOS+ INsLIHANCE COMPANY USE POLICY NUMBER BUILDING OWNER'S NAME STREET ADDRESS (wudmy Apt.. Unit,Suwte andlo(Bldfl. Numbeq OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (lot and Block Number etc•) <--)P� � Tk L0_r 1-S -y�-�- r STATE ZI1'CODE CITY T G x66 r.. t:.o SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): t. 9• SUFFIX L. pATE OF FIRM INDEX S. FIRM ZONE 6. B,A �iErrrZ 000r CO�AMUNITY NWIBER 2. PANEL NUMBER 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): Q NGVD '29 ❑ Utilur (rascriau on back) 8. For Zones A or V, whom no BFE is provided on the FIRM, and the community has established a BFE for this GritCing sits, indicate the community's BFE: L I I I I I.LJ feet NGVD (or other FIRM datum -see Section B, Itam 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Cartiftcata Instructions, indicate the diagram number from the diagrams found on Pages 5 iun:t 6 that Least describes the suojact building's reference level 2(a). FIRM Zonos At -A30, AE, AH, and A (with l3FE).. The top of the reference level floor from the Selected dia3raro is at an ::lavation of I II410J •I teat NGVD (or other FIRM datum sea Section B, Item 7). (b). he bottom of the lowest horizontal structural member of the returunca levdl from FIRM Zonas V1 -V30, VE, and V (with BFE). T Item 7). the selected diagram, is at an elevation of LJ_L_l__J .0 feet NGVD (or other FIRM datum -sea Section U. (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is J .LJ tuet above ❑ Uor balow ❑ (chock one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is L_LJ.LJ feat abova ❑ or balow ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) alevatud in accordance with the community's floodplain management ordinance? ❑ Yds ❑ No n Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '2J D Older (&;scribe vation datum used in measuring the aluvations is diftarr,nt ition Mal ""d O under Comments on Page 2). (NOTE: If the elen the FIRM (sea Sacrion a, liam 7J, than convert the elev lions to the datum system used on the FIRM and shOW Ittt> conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on �FII,R/M: Yes ❑ No (See Instructions on Page 4) 5. The reference lavul olavation is basad on: L actual construction ❑ construction drawings (NOTE: Uso of construction drawings is only valid it Ilia building does not yet have the roforonca luvUl N00( ill ;�1.:cu, nt n�111 11 case this certilic:,tu wit! only be valid for the building during the course of construction. A post conslrucUun Ei�v,rflor; Crtrt,ricata will be raquirud once cor,;;Iruction is compluta.) -1-10#18 f 6. The elavation of ttli: lowest grade immediately adjacent to the building is: .LTJ foot NGVD (v. otl,," FIf►tvt duu,m-sue Section 8, Item 7). SECTION D COMMUNITY INFORMATION hat the 1. If the conur;un,ry ouical�s one dllnlor verifying the community'stng elevations specifies tloodplain managementto dinance,the elevationlof thu c uilding S "IOWust Ill 1 is not the 'low;,lt floor" flOOr" as dahnaJ toy the ordinance is: Ll. j I -1_-� •� I feet NGVD (or other FIRM datum -sea Section B, Item 7). 2. Data of the Start Of construction or Substantial improvement --------- FEMA form 81.31 , MAY 93 REPLACES ALL PRLVIOU5 EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CI±RTIFICATION This curtilication is to be signod by a land surveyor, engineer, or architect who Is authorized by state or local law to certify alavation Information when the elevation Information for Zones Al—A30, AE, AH, A (with 8FE).V1—V30,VE, and V (with 8FE) is required. Community otjicials 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 8FE), a building official, a property owner, or an owner's representative may also sign the certification. ' Rolarenea level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unabla to certify to breakawaymon-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Featuru(s) not `inciudad in the certification unuar Comments below. The diagram number, Section C, Item 1, must still be entered. I cattily that the information in Sections B and C on this certificate represents my bast efforts to interpret the data avail.:,bla. I undarsiand that any false statement may be punishable by fine or imprisonment under 18 e, Suction i CO.. OF ST CERTIFIERS NAME LICENSE I __- TITLECGMFA NAME 1 k�o�s SiiS RE J • i7 ................. to...... . IATl: 15 8940 �0 s should be Ade of this Certificate for: 1) community official, 2) Insurance agent./company, and 3) building owns r. COMMENTS: wtTH UN 4w5EMENT HIc H:J, O:. L.. � c.•._ -- SLAJ V A A A LONkS zoNES ZONES I y; t.,-,.., Thi thu points at which the eluvutions should bu mu":,urud in A 'Lune:; and V .'unut. Elevations for :: I A ?ones should ba measured at We top of the (defence luvL,l Moor. Elevations for as :r Zarics should be measured at the buttom of the lowest horizontal structural nwrul,e". Pago 2 PLANS ARE REVIEWED FOR APPROVAL OF SINGLE Fad MIL V 6THER I CALL -OUTS ON HAVE NOT BEEN PEVIEWED -------- AND ARE aU APPROVED. o 7A* -A" GARAGE yJ IN NORTH SITE PLAN SCALE: I' - 20'-0* 3 0'E :3. L). PORCH 48* W CONC. WALK 79.731 1 L III Ili I I : I — i LOT 13, BLOCK E COPPERSTONE R0d 1, ii 1 1 � V:7—:� DALLAS COUNTY COPPEL,—TEL(A6 �'0111 ITY REVI MARTEL LANE ela "-- -,k.pproval of theloosand �a construea io mean construction in direLtc;-,o ,?fth the CRY of Coppell Building codes and Zoio,ig )rdlaances. 1� KE.M.AALETI-ER REQUIkL--3. MINIMUM f.f. CONC.DRIVE D E c' 121V P10" BOARD 9mvKY 0 RESIDENCE GAP. 2 yJ IN NORTH SITE PLAN SCALE: I' - 20'-0* 3 0'E :3. L). PORCH 48* W CONC. WALK 79.731 1 L III Ili I I : I — i LOT 13, BLOCK E COPPERSTONE R0d 1, ii 1 1 � V:7—:� DALLAS COUNTY COPPEL,—TEL(A6 �'0111 ITY REVI MARTEL LANE ela "-- -,k.pproval of theloosand �a construea io mean construction in direLtc;-,o ,?fth the CRY of Coppell Building codes and Zoio,ig )rdlaances. 1� KE.M.AALETI-ER REQUIkL--3. MINIMUM f.f. All) rF 46 8,a SURREY PLAT BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940 This is to certify that I have, this data, made a careful and accurate survey on the ground of property located at No. 3J-6 "AR_nF& L.4 NE , in the city of LL_ Texas + Lot No. /_3 , Block No. E City Block No. of _ G'apPrr_-2s-ml jE , an addition to the City of GoPfl:- LL., {D_ae..t.q-f Chu; Taxes, according to the recorded in Volume at page of the Map Records of OALLA.5 COUNTY, TEXAS. MARTEL -LANE i E469.3 I 1.3'7 2.6 E4� y: li.P1r c ll./r F©,emc No. 3/5 T.o.F N06 Z.7 27 N E 468,w t0 V N v.lOc�Q re 12DN FENCE /3 1 tZ •' 1�r -� �s�^f L) `0 N G .2 8.3� I.5 • .o �i N 6.0' 14.3 Z,4' r 7.J h N N m zs.s' E4".4 �nn 'tom _o w ib_ 0.3 �- EhaG•o �L121= N59� 28'�7'Vy The plat hereon is true, correct, and accurate representation of the property as dstermined by survey, the lines and dimensions of said property being as indicated by the plat: the size, location, and type of buildings and improvements are as shown, all improvements being within the boun- daries of the property, set back from property lines the distance indicated, THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS., EKcePT A6 Scale: / "=2o THIS SURVEY WAS PERFORMED EXCLUSIVELY FO Date: 2- 03- 98 GA10,Ve(G. USE OF THIS SURVEY FOR ANY OTHER PURPOSE Job No..:: F.OR OTHER PARTIES SHALL BE AT THEIR RISK 59S/� AND UNDERSIGNED IS NOT RESPONSIBLE TO 0TH S Chocked by: FOR ANY LOSS RESULTING THEREFROM. EIEDYNi POST N45977 /2 �R40 RHODES . 666v*'* .0 0 ' N (� N O I 1.3'7 2.6 E4� y: li.P1r c ll./r F©,emc No. 3/5 T.o.F N06 Z.7 27 N E 468,w t0 V N v.lOc�Q re 12DN FENCE /3 1 tZ •' 1�r -� �s�^f L) `0 N G .2 8.3� I.5 • .o �i N 6.0' 14.3 Z,4' r 7.J h N N m zs.s' E4".4 �nn 'tom _o w ib_ 0.3 �- EhaG•o �L121= N59� 28'�7'Vy The plat hereon is true, correct, and accurate representation of the property as dstermined by survey, the lines and dimensions of said property being as indicated by the plat: the size, location, and type of buildings and improvements are as shown, all improvements being within the boun- daries of the property, set back from property lines the distance indicated, THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS., EKcePT A6 Scale: / "=2o THIS SURVEY WAS PERFORMED EXCLUSIVELY FO Date: 2- 03- 98 GA10,Ve(G. USE OF THIS SURVEY FOR ANY OTHER PURPOSE Job No..:: F.OR OTHER PARTIES SHALL BE AT THEIR RISK 59S/� AND UNDERSIGNED IS NOT RESPONSIBLE TO 0TH S Chocked by: FOR ANY LOSS RESULTING THEREFROM. EIEDYNi POST N45977 /2 �R40 RHODES . 666v*'* .0 0