FEMA-EC000518�TThey with A Beautiful Future BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible MannerJ)j
Job Address: l t C'� _-� � L0.Y\. Date:�zlql(30
Lot: -3 4 Block: Subdivision: Phase or Section Number:
Owner Address: ",°� `S ° �x Phone #:
11
Contractor: C 4A- Address: Phone #:
Description of Work to be Done Class of Work: ,New ❑ Addition
❑ Alteration El Repair ❑Demolition
- 1 Area of Building in Square Feet
First Floor 02
Second Floor ' aC --T 1
NOTICE
Garage -7( Value of Work -
.0 / C? to be Performed 5
Other to a
1 7 p 5-5- cS r- GRAY AREA FOR OFFICE USE ONLY
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 yf cancel the provisions of any other federal, state or local law
regulatin&pnstryction a performance of construction. ,I
�r Signature of onl
Electrical Contractor
FPMC - 1 (4/94)
or Authorized Agent
�J alb r
PlumW f Contractor
aA
a(' C Le eln ram
Print N me
4,
Mechanical Contractor
U1
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK v
I t
HOLD HARMLESS AGREEMENT
) IIWHEREAS, THE OWNER OF LOT_, BLOCK OF THE
S7t'g"T ark }�`lo� rw SUBDIVISION, c
(ADDRESS), 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 CITY OF
COPPELL'S DRAINAGE EASEMENT WHICH WOULD REQUIRE REMOVAL OF THE
DRIVEWAY IN ORDER TO EFFECT SUCH M PROVEMENTS; 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 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, RAPROVING OR IN ANY WAY SEEKING ACCESS TO THE RAINAGF
EASEMENT. ADDITIONALLY, OWNERS AGREE TO REIMBURSE Y FOR
REASONABLE COSTS INCURRED IN REMOVING THE DRIVRWAY.
DATE b
(owner)
HOHARM14 (driveway/drainage)
Original: City Secretary
Copy: Building Inspections
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use!
STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. rcompany
COPBELiL TEXAS 75019
DESCRIPTIONPROPERTY (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc,)
�><� '�_ At�ff�r ',�-1r,T}�[fRn rNitinn
vv1-wnv USE te_g.,-Resroenuai, non-re!dUW�al, Addition, Accessory, etc. Use Comments section if necessary.)
- ttglr' - 00.E or
LJ NAD 1927 LJ NAD 1983
" USGS Quad Map " Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B3. STATE
TEXAS
04. MAP ANDA LSUF
NUMBER
B6. FIRMINDEX
DATE
87. FIRM PANEL
EFFECTIVE/REVISED DATE
B8. FLOOD
ZONE(S)
B9. BASE FLOOD ELEVATION(S)
(Zone AO, use depth of flooding)
0010
[]4N
E
4-15-94
7-23-97
X
N/A
ow.nrun.ate aw avurve yr ine case riooa tlevation (13t -t:) data or base flood depth entered in 139.
i,j FIS Profile I X1 FIRM 1_1 Community Determined Lj Other (Describe):
811. Indicate the elevation datum used for the BFE in B9: I X ( NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe):
812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_) Yes 1_1 No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: I_lConstruction Drawings* I.KlBuilding Under Construction* 1_1Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number (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 C3a-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? 1 _1 Yes 1_1 No
O a) Top of bottom floor (including basement or enclosure) 468_ . QZ ft.(m) A'
O b) Top of next higher floor N/A _ ft.(m)
O c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m)
O d Attached garage (top of slab) tORPS..OlfLi . ft.(m) $
W: C, iYEi3
O e) Lowest elevation of machinery and/or equipment ROBERT
servicing the buildingN/A _ft.(m) �a
O f) Lowest adjacent grade (LAG) 466 Z QP.;u
O g) Highest adjacent grade (HAG) 467 . ,SQ, ft.(m) SSq;ei.�
O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade
(3 1) Total area of all permanent openings (flood vents) in C3h - 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.
certify that the information In Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
S NAME LICENSE NUMBER
BOB= C. tftS 3963
TITLE COMPANY NAME
1 Aluu4-W" _VERSE Rlr)F F{1R Cf�NTINl1AT1(�N RFPI Ar.FR Al I PRFV10I IS FnITIONS
-- T-6- EASEMENT
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Date — a
0
'o, B L.
DRIVE
'LOT PLAN
LOT 3, BLOCK 'A'
STRATFORD MANOR 50ALE:
COPPR I -rte Y r_ JOB #20028
FORM SURVEY
BEING LOT 3, IN BLOCK A, OF STRATFORD MANOR, AN ADDITION TO THE
CITY OF COPPELL, TEXAS, ACCORDING TO THE MAP OR PLAT THEREOF
RECORDED IN VOLUME 99167, PAGE 28, PLAT RECORDS, DALLAS COUNTY,
TEXAS.
REF. BEARING (P.P.)
FIR
611 STRATFORD LANE
N 00'23'48" E 85.00'
5-3A
P.O. N0.
FIR
U.E.--- I 14.0'
1"=20'
—
— ----
— I-- —
I
SLJ
I
C
I.r
I
3
2
I 114.4'
17.6'
00
co
N
Vl
n
m
m <
OD
o
m
Vf
;•� 6.3'
<
00
(11
N tp
t0 , j
N
coX3.0'
v
-06.7
04 9
3
t0
2.2'
_
co
Oh
16 2.2'
to C
v m
m
8.5'
v
R°
V
25.9' 42*
v
w
°
Oo
j
�
w
FORMS ONLY
T.O.F. = 468.05
11.3'
a �
e�
Ni
1.4' N
8.6' X1.8'- .n
N12.8'N 712.3 �N N6.0'
5.8 N 10.6'N
30713. L. (p )'-
m-
I
o
___
t0' U. E. (P. P.) _
FIR
R = 1025.00' I 14.
L = 65.12' FIR
T.C.=
466.87 STRATFORD
LANE
R = 975.00 FIR
L = 20.36'
T.C.=
463.10
NOTES:
NO SEARCH OF RECORD EASEMENTS HAS BEEN
PERFORMED ON THIS PROPERTY
(P.P.) INDICATES THAT BUILDING LINES, EASEMENTS,
R.O.W.'S ETC. AS SHOWN HEREON ARE PER PLAT.
OF Tf
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS. y�''4G�STfq .f,,
(NOT VERIFIED BY SURVEYOR) fO
...........
ROBERT C. MYERS
•, A! 3963
— 'ROBERT C. MYERSW'R.P.L.S. NO,. 63
ROBERT C. MYERS Annlgiiral §uruP!js, Jnr•
\ (972) 272-6287
(972) 272-8407(FAX) "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST"
0
I �'4\
. �`
BRENTWOOD
BUILDERS
ADDRESS
611 STRATFORD LANE
NAME
5-3A
P.O. N0.
N/A
SCALE
1"=20'
DATE
6-13-00
DRN. BY
SLJ
P.O. BOX 2797
GARLAND. TEXAS
75047