FEMA-EC030205T H E C I T Y O F
COPPELL
9
BUILDING PERMIT APPLICATION
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Print or Type in a Clear, Legible Manner
Job Address: (3 o 5 ,rATTore� L—y-,,.
Lot: Block: Subdivision:
Owner:
ev�yJOt7� Address:
Contractor: t 1 it Address:
Description of Work to be Done
5;VI. 4.)-e
Area of Building in Square Feet
First Floor 3 3 5-�:2-
Class of Work
a �ga5
�Llii r>7 _fie ✓� i —t -Y
t.
R
ew ❑ Addition ❑ Alteration
Garage 6
Second Floor �o Other �0
F
NOTICE
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 constructioWthe performance of construction.
-Q3
.mow
Date: -7 Z4 Al -3
Phase or Section Number:
Phone#: %-79) 393-380
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Phone A CC�-r � 9 D o_ -7)1 to
❑ Repair ❑ Demolition
Value of Work 4f0
0 O a
to be Performed
Signature of Contractor`or Authorized Agent Print Name rm
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Electrical Contractor Plumbing Contractor Mecha cal Contractor
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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_ 85.00'
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' r— i.5' UTILITY EA5EMENT
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�I Approval of the plans and specifications sha l not b�
' a -I construed to mean.construction in direct co0flict
with the City of CoppelI Build:A � C:i<le. aid Zonin
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GIN WALK A5 REO'D.
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5TRATFORD LANE����
PLOT FLAN
LOT: B -B 650 5TRATFORD LANE 50ALE: 1"=:20'-0"
5TRATFORD MANOR JOB #22152
GOFFELL, TEXAS DATE: 1 /28/05
O-.M.B. No. 3067-0077
�IONAL FLOOD INSURANCE PROGRAM Is Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1- 7.
SECTION A - PROPERTY OWNER INFORMATION Fa Insurance Company Use:
BRENTWOOD BUILDERS Company MAIC Number
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO,
630 STRATFORD LANE
STATE ZIP CODE
CITY TX 75019
COPPELL
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 8, BLOCK B, 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):__ _
NAD 1927 ❑ NAD 1983 E] USGS Quad Map ❑Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bt. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. NTY NAME B3. STATE
COPPELL - 480170 [DAL!LA�S TX
EB4. MAP AND PANEL B5. SUFFIX B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S)
NUMBER B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE B8, FLOOD ZONE(S) (Zone A0, use depth of flooding)
0155 1 8-23-01 8 23-01 X
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ other (Describe): —
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 -V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, ARIAH, ARIAO
Complete Items C3: aA 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.
(Comments
Datum NGVD 1929 Converswn _
Elevation reference mark used #9 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
• a) Top of bottom floor (including basement or enclosure) 459. 2 ft.(m)
,, b) Top of next higher Cour N/A. _ft.(m)
u c) Bottom of lowest horizontal structural member (V zones only) N/A.
o 0
u d) Attached garage (top of slab) N/A. _ft -(m)
w 0
0 e) Lowest elevation of machinery and/or equipment
a)
servicing the building (Describe in a Comments area) N/A. _ft.(m)
a.R
u f) Lowest adjacent (finished) grade (LAG) 457.5 ft.(m)
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u g) Highest adjacent (finished) grade (HAG) 458. 3 ft.(m)
u h) No of permanent openings (flood vents) within -I ft, above adjacent grade 0
u i) Total area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR AKUHI I tG I GtK I INUA 11uIV
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
707 EASY -
LI I T
GARLAND
DATE
2-5-03
V I - l l — -1
TX 75042
TELEPHONE
(972) 272-6287
EMA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
"FORM SURVEY"
BEING LOT 8, IN BLOCK B, STRATFORD MANOR, AN ADDITION TO THE CITY
OF COPPELL, TEXAS, ACCORDING TO THE MAP OR PLAT THEREOF RECORDED
IN VOLUME 2000034, PAGE 147, PLAT RECORDS, DALLAS COUNTY, TEXAS.
JD "PK" NAIL N 00'21'44" E 95.008
------- ----7-5-- (P.P.I ---
-- FND 1/2" I.R.
30' NO FILL/NO —
^ BUILD ESMT. (P.P.) J I
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9 9.5'
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9.5'
22.2'
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18.2' 17.5' 9.5'
of o0
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T.O.F. = 459.16
FORMS ONLY
15.0'
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BOARD
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.= 21.8' 40
30' B.L. (P.P.
6.4'
C4 1 9.5'
11.8'
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--�10' U.E. (P.P.) —--------'_'
FND 1/2" I.R.
REF. BRNG. (P.P.) FND 1/2" I.R. R = 975.00'
S 00'21'44" W
x
22.01' l = 73.06'
T.C.= T.C.=
454.88 455.31
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.
(�OBERT C. MYERS W R.P.L.S. NO. 3953
STRATFORD LANE
�P•'•\ST 7
h •' n6�' ♦ERF . p
ROBERT C. MYERS
. , A 3963 p� '
•� •.P��'ES5�0?'p
'ND S UR jl. O
ROBERT C. MYERS Anulgtiral iftrurgs 3nr•
(972) 272-6287
(972) 272-8407(FAX) "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST"
7
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10' X 10' ELEC.
PAD ESMT. (P.P.)
1/2" I.R.
ADDRESS
630 STRATFORD LANE
NAME
5-8B
P.O. NO.
N/A
SCALE
1"=20'
DATE
2-5-03
DRN. BY
SLJ
707 EASY STREET
GARLAND, TEXAS
75042
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