FEMA-EC020411 (2)T H E C 1 T Y O F
COPPELL
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5
BUILDING ;PERMIT APPLICATION
176 Print or Type in a Clear, Legible Manner W 44' o�b,PP7
Job Address: �'
Date: a
Lot: Block: Subdivision:
Phase or Section Number:
Owner:Address:
P.O.:
Q .
, S 6yn�P&ne
Eq 7;L 3 93 -:3 (?0;k
Contractor: (( Address: ((
Phone #: ? L4
Description of Work to be Done Class of Work: ew ❑ Addition
❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor �� Jr-" __ Garage -75-L[_
Value of Work
--7
Second Floor 1 Other 60
to be Performed '50 000,
GRAY AREA FOR OFFICE USE ONLY
NOTICE
This permit becomes null and void if work or construction authorized is not commenced
Permit Fee:✓
Receipt Number: 5037�
'
Zoning District:
Occupancy Classification:
within 180 days, or construction on work is suspended or abandoned for a period of 180
days at any time after work is commenced.
Approved By:
Date:
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
Comments:
or local law regulating construe n or the performan -e of construction.
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Signature of Contractor or Authorized Agent Print Name
iax tkE ,ee b
Electrical Contractor Pluntbine onnactor Mec finical Contractor
01
BUILDING INSPECTION - WHITE, APPRAISAL. - YELLOW, CUSTOMER - PINK
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A
615 STRATFORD LANE
PLOT PLA? >~
LOT 4, BLK. A SCALE: P=20, -p°
5TRATFORD MANOR -Jots 1*22014
GOPPELL, TEXA5 nam: 3/25/02
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615 STRATFORD LANE
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5TRATFORD MANOR -Jots 1*22014
GOPPELL, TEXA5 nam: 3/25/02
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
mortant: Read the instructions on pages 1.7.
O.M.B. No. 3067-0077
Expired July 31, 2002 `
SECTION A- PROPERTY OWNER INFORMATION I For Insurance Company Use: I
BRENTWOOD BUILDERS
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.I Company NtAIC Number I
615 STRATFORD LANE
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 14, BLOCK A, STRATFORD MANOR ADDITION
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
##.##" or ##.## ) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME 83, STATE
480170 DALLAS I TX
134. MAP AND PANEL
B5. SUFFIX
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B7. FIRM PANEL
N/A.
B9. BASE FLOOD ELEVATION(S)
NUMBER
_ft.(m)
N /A ._ft.(m)
B6. FIRM INDEX DATE
EFFECTIVEIREVISED DATE
B8. FLOOD ZONE(S)
(Zone A0, use depth of flooding)
480170 0155
J
8-23-01
servicing the building (Describe in a Comments area)
X
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B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Desoibe):
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date_
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 1(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;ARIA, ARAE, AR/Al -A30, AR/AH, AR/AO
Complete Items C3. -a4 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 measurementland 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 Converdon/Comments
Elevation reference mark used -Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom floor (including basement or enclosure)
467. 22 ft.(m)
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o b) Top of ne..xt higher floor
N/A.
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o c) Bottom of lowest horizontal structural member (V zones only)
_ft.(m)
N /A ._ft.(m)
o d) Attached garage (top of slab)
N /A. _ft.(m)
E
o e) Lowest elevation of machinery and/or equipment
u, `°
servicing the building (Describe in a Comments area)
N/A.
Em
o f) Lowest adjacent (finished) grade (LAG)
464.37 ft.(m)
z' m
o g) Highest adjacent (finished) grade (HAG)
465. 93 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent
grade N/A
J
o i) Total area of all permanent openings (flood vents) in C3.h N/A 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.
I certify that the information in Sections A, 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.
CERTIFIERS NAME -ROBERT C. MYERS LICENSE NUMBER 3963
TITLE- VICE PRESIDENT COMPANY NAME -ANALYTICAL SURVEYS, INC.
ADDRESS CITY STATE ZIP CODE
707 EASY STREE GARLAND TX 75042
SIGN DATE TELEPHONE
4-11-02 972-272-0287
FEMA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
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STRATFORD LANE
_ R.-=975 1 -9n 21'
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LiTILiTY ESM'T
7.5'
J711 1-:y FSM'T
e' 1 72 1RI
N 00'23'48" E 90.00'
CITY OF COPPELL
VOL. PG.
'709 923
1/2 !RF ------
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UTILITY ESM'T
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The plat nereon is true, correct, and accurate representation of the property as dete,mined by
survey, the lines and dimensions of said property being as indicated by the plot: the size,
and type of building and improvements are as shown, all improvements be;nq within the bo
of the property, set back .from property lines the distance indicated.
THERE ARE NO ENCROACHMENTS, CONFi !CTS, OR PROTRUSIONS, EXCEPT AS SH
Scale: 1 "-= 30' THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR
Date: 04= C5 -20C2 BRENTWOOD BUILDERS
LJSF OF THIS SURVEY FOR ANY OTHER PURPOSE
G. F. No.: -_ OR OTHER PARTIES SHALL BE AT THERE RISK AND
Job no.: _ 72054 UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS
Drown by: __ R_G- FOR ANY LOSS RESULTING THEREFROM.
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011111111111
SURVEY
PLAT
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BARRY S. RHODFS Registered
ProfessiondI ;-ard
Surveyor (972) 475-8940
This is to certify that , have,
this date, made a corefu' and accurate survey
on the ground of property
located at No. 615
STRATFORD I -ANE
in the city of
COPPELL Texas.
Lot No. --4 _
Block No.
City Block No.
of — _
------A
STRATFORD_ MANOR _
an addition to the City of
COPPELL, DALLAS COUNTY
Texas according to
the PLAT
RECORDED
in VOLUME 2000034 at PAGE 0147 of the
MAP records of
DALLAS COUNTY, TEXAS.
THIS CERTIFICATION DOES NO'
TAKE INTO CONSIDERATION
A
ADDITIONAL FACTS THAT AND
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ACCURATE TITLE SEARCH AND OR
----'—
EXAMINATION ARIGHT DISCLOSE.
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STRATFORD LANE
_ R.-=975 1 -9n 21'
— Q 2 IRI
LiTILiTY ESM'T
7.5'
J711 1-:y FSM'T
e' 1 72 1RI
N 00'23'48" E 90.00'
CITY OF COPPELL
VOL. PG.
'709 923
1/2 !RF ------
6.'
UTILITY ESM'T
—_-
II I
'
The plat nereon is true, correct, and accurate representation of the property as dete,mined by
survey, the lines and dimensions of said property being as indicated by the plot: the size,
and type of building and improvements are as shown, all improvements be;nq within the bo
of the property, set back .from property lines the distance indicated.
THERE ARE NO ENCROACHMENTS, CONFi !CTS, OR PROTRUSIONS, EXCEPT AS SH
Scale: 1 "-= 30' THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR
Date: 04= C5 -20C2 BRENTWOOD BUILDERS
LJSF OF THIS SURVEY FOR ANY OTHER PURPOSE
G. F. No.: -_ OR OTHER PARTIES SHALL BE AT THERE RISK AND
Job no.: _ 72054 UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS
Drown by: __ R_G- FOR ANY LOSS RESULTING THEREFROM.
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