FEMA-EC021101T H E C 1 T Y O F
COPPELL BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner s F 02. 0a4 V� 315
Job Address: 7o Ot S s- -{- Os-ck Lane Date: /o O
Lot: I Block: A Subdivision: marfl �' Phase or Section Number:
:P O (ol) gg O -i 1 lOwner: Address(p
Contractor: 1 Address:I( Phone A: (0k) 39 .3
3 '"9'0a,
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Description of Work to be Done Class of Work: w . ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor -7 9
Second Floor ;t,3 -1 Sr
Garage
Other 56
706
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 hereb certifythat I have read and examined this a lication and know the same to be j
Value of Work
00
to be Performed �� O o 0j 000,
'� GRAY AREA FOR OFFICE USE ONLY
Receipt NOW,,
i�CCt paricy;Cta53ifi(
Y PP -Io'
true and correct. All provisions of laws and ordinances governing this type of work will 0C Itf
be complied with whether specified herein or not. The granting of a permit does not Comments.
presume to give authority to violaLe or cancel the provisions of any other federal, state
or local law regulatin constru n or the performanc of construction.
N a A r CAL,
c L L�0.w t1
Signature of Contractor or Authorized Agent Print Name
Fe L S P(lJry�'p%Y 1tt'U
Electrical Contractor Plumbing Contractor Mechanic& Contractor
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK 9 1
FX -VIA. LETTER RE2!p
bmimm 110.00'
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709 STRATFORD LANE
PLOT PLAN
LOT 12, BLOCK 'A' SCALE: 1'=20'-O"
STRATFORD MANOR JOB ##22082
COPPELL, TEXAS DATE: 9/12/02
Ah
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on pages 1- 7.
AML O.M.B. Na. 3067-0077
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION I Forlamice Company use:
BRENTWOOD BUILDERS
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
709 STRATFORD LANE
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 12, 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):
( #W - ##'- ##.W' or ##.# } ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B�P� C M �ONITY NAME & COMMUNITY NUMBER { BA. COUNTY NAME B3.TX STATE
B4• MAP AND PANEL
B5. SUFFIX
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B6. FIRM INDEX DATE
EFFECTIVEIREMSED DATE
B8. FLOOD ZONE(S)
(Zone A0, use depth of lbodirg)
0155
J
8-23-01
8-23-01
X
NIA
810. 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 Barrier 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 At -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, ARIAH, AR/AO
Complete Items C3. -aa below according to the building diagram specified in Iters C2. State the datum used. ff 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 NGVD 1929 ConversionlComments --_>
Elevation reference mark used #9 Does the elevation reference mark used appear on the FIRM? ® Yes ® No r
o a) Top of bottom floor (induding basement or enclosure) 457. 5 ft.(m)
o b) Top of next higher floor NIA . _ft.(m)
o c) Bottom 0lowest horizontal structural member (V zones only) NIA. ft.(m) „ ... .
o d) Attached garage (top of slab) N/A. _ft.(m) E
o e) Lowest elevation of machinery and/or equipment W '°
servicing the building (Describe in a Comments area) N/A.
o f) Lowest adjacent (finished) grade (LAG) 455.9 ft.(m) Z m
o g) Highest adjacent (finished) grade (HAG) 456. 7 ft.(m)-
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0
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 cerfification 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, S, and C on this certificate represents my best efforts to interpret the data available.
I understand thaf any false statement may be punishable by fine or imprisonment ander 18 U. S. Code Section 1001
CERTIFIER'S NAME ROBERT C. MYERS LICENSE NUMBER 3963 T
TITLE VICE - PRESIDENT COMPANY NAME ANALYTICAL SURVEYS, INC.
ADDRESS CITY STATE ZIP CODE
707 EASY GARLAND TX 75042
TURE DATE TELEPHONE
11-01-02 972-272-0287
MA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: ' Ift' these spates, copy the
BUILDING S ' EETADDRESS (Including Apt, Unit, S
709 STRATFORD LANE
CITY
COPPELL
information from Section A.
ardor Bldg. No.) OR P.O. ROUTE AND BOX NO.
STATE
TX
For
ZIP CODEI Company NAC Number
75019
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentloompany, and (3) building owner.
COMMENTS
"FORMS ONLY
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1 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.)
E2. The top of the bottom floor (including basement or enclosure) of the building is ` ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3 For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
grade. Complete hems C3.h and C3.i on front of form.
E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the oommunity's floodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3, h and C3.i only), and E for Zone A (without a FEMAassued or community -
issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G • COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the communitys floodplain management ordinance can complete Seclions A, B, C (or E), and G of this Elevation
Certificate Complete the applicable item(s) and sign below.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by
state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or communityissued BFE) or Zone A0.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: _.—ft.(m) Datum: _
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ _ ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑ Check here if attachments
FEMA Form 81-31, JUL 00 REPLACES ALL PREVIOUS EDITIONS
11
10' X 10' ELEC.-
PAD ESMT. (P.P.)
FND 1/2" I.R.
"FORM BOARD SURVEY"
BEING LOT 12, 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.
R = 350.00'
L = 33.18'
1s
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.
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS.
(SETBACKS NOT VERIFIED BY SURVEYOR.)
���7
ROBERT C. MYERS R.P.L.S. NO. 3963
REF. BRNG. (P.P.)
.. — --o
R = 525.00'
L = 77.83'
STRA TFORD LANE
cF. tf•4
�?•'�s�'Ffo ys
..... C. MYE.
a 3963 +� '
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13
D 1/2- I.R.
M► Lei B1%11
■
ADDRESS 709 STRATFORD LANE
NAME 5-12A
P.O. N0. N/A
SCALE 1"=20'
DATE 11-1-02
DRN. BY SLJ
ROBERT C. MEYERS AnalUtiral ftrurg �i
p m • 707 EASY STREET
(p72 272-6287 GARLAND, TEXAS
(p72� 272-8407(FAX) "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST" 75042