FEMA-EC030311T H E C I T Y O F
COPPELL
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E A s o , a 9
BUILDING PERMIT APPLICATION
r//iWR Print or Type in a Clear, Legible Manner
Job Address: 2 gIITZ$692-o�Vplj44
u
Date: Z o 5r03
Lot: Block: Subdivision.-(JQ2
Phase or Section Number:
Qtf�lM4 0111.04
'.�A.. f4r-E►tuQ. CiA�LZ
Owner: 'Pvt. Address:
Phone A 2- 1 4 43o
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Contractor: Address:
-hi @ D 5 i' ue t p Tp �i� O 1�. 3 ` ..ew 6uKd
Phone #
'! o%912-4-74-27441
Description of Work to be Done Class of Work: ❑ New CN!�,ddition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor 1 4q Garage ZZ 3
Value of Work
Second Floor 0M 1 Other 3
to be Performed
I Id�
S GRAY AREA FOR OFFICE USE ONLY��!
NOTICE
This permit becomes null and void if work or construction authorized is not commenced
'
a d of 180
within 18o da s, or construction on work is sus ended or abandoned forerto
Y P P
d _
�
days at any time after work is commenced.
know to be
I hereby certify that I have read and examined this application and the same
true and correct. Ahovisions of laws and ordinances governing this type of work will
be com 'ed with ether specified herein or not. The granting of a permit does not
pres e to iv a _nty to violate or cancel the provisions of any other federal, state
-
or o law e u ng construction or the performance of construction.
all
i ture of on a for or Authorize Agent Print Name
tN D4awu. 4A i b S7ulAur *L-
Electrical Contractor Plumbing Co Apctor Mechanical Contractor
pg
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t 1 BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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CI'T'Y OF Cv
REVIEE
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DATE
BY
fans and Specifications shall not be,
Approval of the p
construct�an in ,�};,pct. �;°n�'ct
construed to mean eti cti I,� -e, tog,-.nd Zoning
with the City of Copp P40AMMM ADVOloH
VOL. 9.106 PS. $941
�)jrdi iv� r c, e
PROP osev SWEV46"
Area =
130,593 5- Ft.
or 2.998 Rcres
60W
FEMA. LETTER REQUIRED.
Mbamum Uf- . 15d.:1� W-7
m
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on pages 1.7.
O.M.B. No. 3067-0077
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION ) For Insurance company Use: )
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
932 Warren Crossing
CITY STATE ZIP CODE
Coppell Texas 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 7 of Warren 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 #.#+Igkfgl!°) X NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map X Other: FEMA MAP (SCALED)
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
Coppell 480170 1 Dallas I Texas
B4. MAP AND PANEL
B5. SUFFIX
B6. FIRM INDEX DATE
B7. FIRM PANEL
Datum NGVD 1929 Conversion/Comments
B9. BASE FLOOD ELEVATION (S)
NUMBER
Elevation reference mark used'*. Does the elevation reference mark used appear on the
EFFECTIVEIREVISED DATE
B8. FLOOD ZONE (S)
(Zone A0, use depth of Ilooding)
48113CO155
J
August 23, 2001
August 23, 2001
X and AE (floodway)
450
rsw. marcate me source of me t3ase Float tlevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile X FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: X NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?0 Yes X No Designation Date
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' X Building Under Construction* Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number I (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, V1430, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, ARIAO
Complete Items C3. -a4 below according to the buldmg 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 NGVD 1929 Conversion/Comments
Elevation reference mark used'*. Does the elevation reference mark used appear on the
FIRM? Yes X No
o a) Top of bottom floor (including basement or enclosure 456.80
ft (m)
m
.�ErOF
o b) Top of next higher floor NA.
ft. (m)
m
�"
o c) Bottom of kmwt horizontal structural member (V zones only) N.A.
ft(m)
...........
o d) Attached garage (top of slab)
ft. m
()
c
-.
l $Tim ROIL
o e) Lowest elevation of machinery and/or equipment A.C. Pad
Lu WS
servicing the building (Describe in a Comments area)
ft (m)
E'9
r9,
t� d
SSS
o f) Lowest adjacent (finished) grade (LAG) 456.1
ft (m)
Z .
.
o g) Highest adjacent (finished) grade (HAG) 456.5
ft (m)
o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade N.A.
o i) Total area of all permanent openings (flood vents) in C3.h N.A.. sq. in. (sq. cm)
i 1A ?
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.
1 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.
CERTIFIER'S NAME LICENSE NUMBER
Crystal Robertson RP.LS. #5447
TITLE COMPANY NAME
R.P.LS. Arthur Surveying Co., Inc.
ADDRESS CITY STATE ZIP CODE
220 Elm Street #200 /1 y _ , Lewisville TX 75057
DATE TELEPHONE
03111103 972-221-9439
IMPORTANT: In these spaces, copy the corresponding inforrrtadon from Section A For Insurance Company Use:
BUILDING STREET ADDRESS (Including Apt. Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number
932 Warren Crossing
CITY STATE ZIP CODE Company NAIC Number
CoPPell Texas 75019
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance ageMlcompany, and (3) building owner.
COMMENTS
City of Coppell Benchmark No. 20
❑ 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 far a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagram Number_(Select the building diagram most similarto the buiklirg 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 (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft(m) _in.(cm) above the highest adjacent
grade. Complete items 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 community'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 FEMA4ssued 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 NAME
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 community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation
Certificate. Complete the applicable items) and sign below.
GL ❑ 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 community -issued 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: t(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _7 ft(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here if attachments
/
-----------
POINT
IN CREEK
APPROX. LIMITS OF
' FL00F OOM FEMA iA S 21'33'40"
SF04'12'55S ZONNE AE
2" W (FLOODWA6 87.52'
DENTON CREEK
52009112 119
A62.57"
3 78046'07"
POINT 21.42"
I CREEK
to
C0
E
PROPOSED 50' PRIVATE
MUTUAL ACCESS
& DRAIN. ESMT.
(PER PLAT)
Ti iu x iu
RANSFORMER Z -
ESMT.
5' TU ELEC. ESMT -_._.- S.I.R.
\ - - S.I.R.
(50' R.O.W.) N 89'00 10 W
-WAMEN-CRWSjNG--50.x,5'_
FORMS SURVEY
THIS IS TO CERTIFY THAT I HAVE, THIS DATE, MADE A CAREFUL AND ACCURATE SURVEY ON THE GROUND OF THE PROPERTY LOCATED AT NO. 932 WARREN CROSSING
IN THE CITY OF COPPELL , TEXAS, DESCRIBED AS FOLLOWS:
LOT NO. 7 OF WARREN ADDITION , AN ADDITION TO THE C17Y OF COPPELL ,
DALLAS COUNTY, TEXAS, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 94108 , PAGE 3347 , MAP RECORDS, DALLAS COUNTY, TEXAS.
NOTE: BEARINGS PER RECORD PLAT; F.I.R. = FOUND IRON ROD; S.I.R. = SET IRON ROD; C.M. = CONTROLLING MONUMENT; F.C.P. = FENCE CORNER POST.
NOTE: ARTHUR SURVEYING CO. INC. IS NOT RESPONSIBLE FOR ANY EASEMENTS OR MISCELLANEOUS REQUIREMENTS THAT THEY HAVE NOT BEEN ADVISED OF.
FLOOD NOTE: IT IS MY OPINION THAT THE PROPERTY DESCRIBED HEREIN is WITHIN A SPECIAL FLOOD HAZARD AREA ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT
AGENCY FLOOD INSURANCE RATE MAP COMMUNITY PANEL NO. 480170 0155J , PRESENT EFFECTIVE DATE OF MAP AUGUST 23. 2001 , HEREIN PROPERTY SITUATED
WITHIN ZONE X (UNSHADED) AND AE (FMDWAY)
DATE: MARCH 07. 2003 SCALE: 1' — 60' A.S.C. NO.: 2303070 DRAWN BY: C.J.R. CHFCKFD RY:
'14'0 .*
ARTHUR SURVEYING COMPANY, INC. .....„ ........
Registered Professional Land Surveyors 4CRYSTAL R06
P.O.Box 54 — Lewisville, Texas 75067 4'u "fi
Office: (972) 221-9439 Fax: (972) 221-4675 EGIS ED PROFESSIONAL LAND URVEYO 1.-A