FEMA-EC970320The City With A Beautiful Future
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BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
MAR 1 1 1997
Job Address: ( Tom— L/�
Date: �i5� DEFT
Lot: ' Block: Subdivision: C0PPG7�.S"bA1t A��A-ms Phaseor Section Number:
Owner N Address: i ®� SAS > 2(�Phone #: -7zj -713 -
t�F �-
Contractor: Address:
T�
Phone Phone #: 4 ,ZaW,A5
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Description of Work to be Done Class of Work: 191 New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor J S� Garage bpi
ff
Second Floor 1Other y3 181 e14
Value of Work
to be Performed
GRAY AREA FOR OFFICE USE ONLY
NOTICE
permit Fee:
# 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
Zoning District:
j Occupancy Classification: u-
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
Approved
Date:
com
�.
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.
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Signal e of Contract or Au onzed Agent Print Name
Electrical Contractor Plumbing Contractor NAchanical Contractor
FPMC - 1 (4/94) cj�—�
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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16610 Dallas Parkway • Suite 2300 • Dallas, Texas 75248 9 (214) 713-8494 • Fax (214) 713-9996
ELEVATION CERTIFICATE O.M.B. Expires May
y31, 1077
ay 31, 1993
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).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION TFoh INSURANCE COMPANY USE
BUILDI�NG�WNER'S NAME POLICY NUMBER
;74U T/.V 6 TON S
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
33 1 iS/ --
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
CITY STATE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
46o 7o
2. PANEL NUMBER
00 A5)
3. SUFFIX
4. DATE OF FIRM INDEX
A) -r_ lS /'95ra-
5. FIRM ZONE
X'r
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [�_PVD '29 1]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: LL 1_L_L_� . ❑ 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
of 1 I 41,6V . Meet 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 ❑_1_1 LL .❑ 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 LL -1. L feet above ❑ or
below ❑ (check 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 -.L-1 . ❑ 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? L I Yes [L No ❑ Unknown
3. Indicate the elevation'datum system used in determining the above reference level elevations: L4-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 FFIIRMM��eS ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: f 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.)
6. The elevation of the lowest grade immediately adjacent to the building is: L _❑_tel _ . L_.. feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: LI 1441 .4 feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDI1IONS SEE REVFRSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
1
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 F 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 unde�8 U.S. Code Section 1001.
CERTI IER'S NAME LIC U r
-- __---- -- -- - --- - - —--
TITLE COMPANY NAME
ADDRESS CITY 70 STATE ZIP
--7--
SIGNATURE PHONE
Copies should be made is Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS: _
ON -..• _ _.
WITH
SLAB
BASEMENT
jIERS. Me Ct)Li JINN
A V
A
A V
ZONES ZONES
i ZONES
ZONES ZONES
REFERENCE
LEVELRASE
FLOOD
REFERENF:E
LEVEL
�-
REFERENCE
LEVEL
ELEVATION
i
B ASE
FLOODAUJACENT
ELEVAI'IOIJ REFEItF t.Clq�pJ CFNi
nFFE RI -.NCE
GRADE LEVLL
BASE
FLOOD
ELEVATION
LEVLL GRADE
y ADJACENT'.
GRADE •.
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured
at the top of the reference level floor.
Eievations for all V Zones should be measur<.d
at the bottom of the lowest horizontal structural member.
Page 2
FG 46720
S59'28'07" E 46.34'
un
AFDC "I"Al31L-F
_ARC LEN. RAO_._ CHRO. BRO.
'A1 60.76' 625.00 — — --—
6y 1()' V 1" 'A?.' 43.20' 400.100'
31•��I
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SCALE; 1— 20'
J
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71 0' — 0" L469,90
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PLAN NO.
3787 A
'OS = 470.70
F."D GRD. = 469.50
(mir,. Fin. F1r. 469.10)
i
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—_mss to
F- 453.90
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FG 470. JO
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VIEVVED FOR
GLE
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FG 469.90--r'!
FORM BOA
,$URVEY RE9_UU E) `�
F.E.M.
A. LEITER LT�tE,D.
MHqUKUM f f. ffll
Lot Area: 113562 Sq.Ft,
FORM BOARD
SURVEY REQUIRED
GENERAL NOTES;
DRIVEWAYS 12' WIDE
ENTRY WALKWAYS 3' WIDE +
PARKWAY SIDEWALKS 4' WIDE
(• UNLESS OTHERWISE NOTED)
�165�10DALLAS�FARKWASVITE0
DALLAS,TEXAS 75248
(211) 713-0191
CALL -OUTS ON LOT PLAN
IIAAND qRE
LBEEN REVIEWED
`5 M A R T E L %9PRO�JDf
t CITY OF COPPE�LL
Top of Curb: 469.8CR IE qp
Type 'C' Drainage v th; 28t�'
UA I E
Approval of the plans j. tF &%-not
be construed to mean htr c ion in direct conflRct
with. the. i -WJ L8 .i _
'[mk+d. as Ordinances.
_
Copp
ERSTONE i
COPPERSTONE '
oddress
Martel Lane
COPPELL, TX
dote
r +! p'an 1
f 11/011/96 j, 3787.01 ELEV A LEFT
H•_
R
IS UR VE Y PLATI HR
LOT 17, BLOCK E, OF COPPERSTONE, AN ADDITION TO THE CITY OF COPPELL,
DALLAS COUNTY, TEX--VRECORDED IN VOLUME 96013, PAGE 0087.
LOT 16
J
COTTONWOOD CREEK
.34' 69.1 9 01„ w 112 "IRF
46
1 /2 "IRF N 10
--�
10.1'
112 "IRF
LOT 17
BLK. E
FORMBOARD
SURVEY
FF.ELEV. 469.46
30 BUILDING INE
I _ —
w — 92 53'50"
UTILITY ES�•T
101 112 "IRF
_ `'112"IRF
79 0�J'10" 60.76
(
R=40 00' r r
1/2"IRF ALL L3'42.98
MEA -- - -
I hereby certify that on the M: day of / /R P— 19-9= this survey was made on the ground as per the field notes hown on this survey
and is true, correct, and accurate as to the dimensions of the subject property and size, location and type of buildings and improvements thereon,
if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject property.
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
yr OF
(H�Aiii
Date MARCH 20, 1997JOB # J. ROIIELL
GF No. 4597
(D LEGEND 0
1/2" Steel / Iron Rod Found O
f/R" Steel / Iron Rod Set
Property Line
Food Fence ---.---•—
Chain Link / Wire Fence x—x—x—x—x
Overhead Electric — E — E— E —
Scale: 1" = 20.0'
HARRY
R0 WELL
& Associates, INC.
Surveying & Engineeri
1301 Elm Street Ste. 201
Carrollton, Texas 75006
w
CO
ko
A
T�
�
w
� o
w M
C co
10.1'
10.1'
112 "IRF
LOT 17
BLK. E
FORMBOARD
SURVEY
FF.ELEV. 469.46
30 BUILDING INE
I _ —
w — 92 53'50"
UTILITY ES�•T
101 112 "IRF
_ `'112"IRF
79 0�J'10" 60.76
(
R=40 00' r r
1/2"IRF ALL L3'42.98
MEA -- - -
I hereby certify that on the M: day of / /R P— 19-9= this survey was made on the ground as per the field notes hown on this survey
and is true, correct, and accurate as to the dimensions of the subject property and size, location and type of buildings and improvements thereon,
if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject property.
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
yr OF
(H�Aiii
Date MARCH 20, 1997JOB # J. ROIIELL
GF No. 4597
(D LEGEND 0
1/2" Steel / Iron Rod Found O
f/R" Steel / Iron Rod Set
Property Line
Food Fence ---.---•—
Chain Link / Wire Fence x—x—x—x—x
Overhead Electric — E — E— E —
Scale: 1" = 20.0'
HARRY
R0 WELL
& Associates, INC.
Surveying & Engineeri
1301 Elm Street Ste. 201
Carrollton, Texas 75006