FEMA-EC971209 (2)7They With A Beautiful Future BUILDING PERMIT APPLICATION
/ 9. 2-9 Print or Type in a Clear, Legible Manner
Job Address: 3 3 �I G /'��
�� -214-34-70 Date: / / - `��� R ' : r
J% � ��$F'�i:: r:�;�
Lot: Block: Subdivision:
co.P,0413- + Phase or Section Number: /
Owner 11 int n+iiA aU /� c)w1 t 5 Address: l t
&S-D/j,Phone #:
1 C/t s �'
s"`t+'0
oZ00 I��g 15X0
Contractor: '-SC1,4Ak Address:
` Phone #:
Description of Work to be Done Class of Work: IFNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
�C � �d✓�S'�/mac{(��./�
Area of Building in Square Feet
690_ Garage 3,9
10 Value of Work
First Floor—a
to be Performed L)
L ,
Second Floor Other
GRAY AREA FOR OFFICE USE ONLY
a s a
NOTICE..77.#
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
w ,_
giveor ancel the of other federal, state or local law
vulatin ocoyto
rformanrerofisions
strn ton of thete
g 8 Pe constru bony
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SEEM - - - - -
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Signature of Contractor r Authorize gent Print Name
e �,�t�,� {auk 1��r
}SP
Electrical Contractor Plumbing Contractor Mechanical Contractorwin
FTNT <
a y�
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
O.M.B. No 3067-0077
ELEVATION CERTIFICATE' Expires May 31, 1993
FOWL EMNIGENOV MANAII MMNT 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).
instrdctlons for completing this forst can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
OWNER'S NAME
STREET ADDRESS (Including Apt., Unit, Suite and/or ". Number) OR P.O. ROUTE AND BOX NUMBER
POLICY NUMBER
COMPANY NAIL NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
CITY STATE ZIP CODE
����� _7X
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
S. BASE FLOOD ELEVATION
(in ADzones o )
4- 4
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 ❑ 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: I I I I I I . U 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 1 1416o191.L(A feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones Vi -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 I l l l l l .0 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 W .0 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 W . U 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? ❑ Yes ❑ No ❑ Ur*nown
3. Indicate the elevation datum system used in determining the above reference level elevations: O GVD '29 ❑ Other (describe
under Comments on Page 2). (W rE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see Section B, Item 71, 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: d" fees El No (Seo Instructions on Page 4)
5. The reference level elevation is based on: 0 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 certiftle 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: I I I*V.A1.8J 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: I I I I I I .0 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 EDITIONS SEE REVERSE SIDE FOR CONTINUATION
i
SECTION E CERTIFICATION
s . i 0 00 .
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 Ai—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 lssued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams G, 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 imprisonmVAunder 18 U.S. Code, Section 1001.
CERTIFI R'S NAME
TITLE
G/Z
ADDRESS
1—'361
SIGNATURE --./
CITY
PHONE
STATE ZIP
Copies should be m#e of this Certificate for: i) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
R—EF ERENCEBASE LEVEL
REFERENCE
LEVEL FLOOD
LEVEL
ELEVATION
•i.ri: ..;:1„a'i:i:.;j:: il
`'?'rr
5':. :.•
•ADJACENT•
BASE
.:`:;.'•.;:::.
BASE ADJACENT REFERENCE
FLOOD
FLOOD:'.::
GRADE LEVEL
ELEVATION REFERENCE ADJACENT
ELEVATION
LEVEL GRADE
:'i:+:i: .:.. r•.>:.?,:.y:;:
:;.
:i: AQ1ACENTMADE
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.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
Fa- R
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SURVEY PLAT � j�R
1,
LOT 16
1/2
LOT 19, BLOCK E, OF COPPF.RSTONE, AN ADDITION TO THE CITY OF
COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN VOLUME 96013, PG.0087
COTTONWOOD CREEK
CALL 85.00' HFA.;' -R!7 9P'
6 uy 1U, 01" E'
REFERENCE BEARING
CALL 85.00' MEAS.85.35'
'RF
LOT 20
'IRF
I hereby certify that on the-',tday ofL>E'4:f- 19--'2Z this survey was made on the ground as per the field notes shown on this survey
and is true, correct, and accurate as to the dimensions of the subject property and rise, location and type of buildings and improvements thereon,
if any. The survey shows all easements and visible casements of which I have knowledge or have been advised affecting the subject property.
Then are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
Date : DECEMBER 9, 1997
LEGEND 0
1/z" Steel /Iron Rod Found O
t/2" Steel / Iron Rod Set
Property Line
Tend Fence—.--------.—
l'i'Lain Link / Wire Fence x—.x--x—x—x
.)erhead Electric
GF No.
Scale: P'= = 20.0'
r o.y�
HARRY J. ROWELL
or
?:77777', 7T :7 TTTI?7�T7_7_T77771
I: 1
HA RR Y
R 0 WELL
& Associates, INC.
Surveying &Engineering
1301 Elm Street .Ste. 20f
Carrolltou, Texas 75006
+1-214-387-9314 HIGHLAND OPS/PURCH
FG 467.40
,r,0' 10�F PrI.00i
I
I F.E.M.A. LES I I
MINIMUM fj. A� T
20.0' R.L
I'IEE,
I FG 470.0
DATE
jar al of the pla and specifications sh ii
A co an eonstrvctinn in direct confli k.
403 P02/02 OCT 28 '97 11111
FC 467.80
m j 1h th pelf BuildinG codes and onir
un �),�4�i►�� FG 470.20
I
00 00 I i_
O rL? d67,_p�,I
PLAN NO. I
LLlI 3844 A I '
SCALE: 1 = 20' ori ros = 471,00
I F6
1 Co
Garage PAD GRD, = 470,20
¢
(min.Fin.F1r. =469.4 )
CIS
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w I I 1 o i
I
oI
Q
I
0
M
FG 470,
5' - FC 47 -4
I I
i
I I
--I
10.0' U.E.
" T CUT 339 MARTEL LANE
Lot Area: 12325 Sq.Ft.
DRIVEWAYS 12' WIDE
ENTRY WALKWAYS 3' WIDE •
PARKWAY SIDEWALKS 4' WIDE ■
(* UNLESS OTHERWISE NOTED)
19N0 DALLAS PARI , SU $300
DALLAS, iE%AS 75246
(Y14) M-6494
Top or Curb' 470.60
Type 'C' Drainage
FG 471,00
Fence Length: 261'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXIVING fENCES.
mktd, as
COPPERSTONE
subdiv, COPPERSTONE
lot 1 9 � bl` k
address
339 Martel Lane
city COPPELL, TX
date plan
0/16/97 3844.00 ELEV A LEFT