FEMA-EC970515The City With A Beautiful Future
Job Address: i n d -n
BUILDING PERMIT APPLICATION
I Print or Type in a Clear, Legible Manner
Date:
APR 2 9 1997
DEPT
Lot: Block:
Subdivision: 1, V
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r
Phase or Section Number:
or
caner
n " '--1 �Nry-)Cs.
�nQ
1 �T-I-)
Inc_: a
Address:Cm
O r
136
� Phone #: 9 a
Contractor:
Address:
Phone #:
Description of Work to be D ne
�rnt
Class of Work: w
)�- t ��'_,� IAS rct
ddition
❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor ? 2 %R / Garage
Second Floor Other
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
givei authority to violate or cancel the pro si ns of any other federal, state or local law
gulating constru012
perfo ce f c nstruction.
L -�
Signature t4 Contractor or Authori m
d`Agent Print Nae
1 K 11 r14k
Electrical Contractor Pim c�
bing Contractor ical Contractor
P-7�
FPMC - 1 (4/94)
Value of Work / D
to be Performed /
GRAY AREA FOR OFFICE USE
O.M.B. NO. 3067.0077
ELEVATION CERTIFICATE Expires May 31, 1996
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION
BUILDING OWNER'S NAME
F -IAM cul piji) �n
STREET ADDRESS (Including Apt., Unit. Suite and/or
OTHER DESCRIPTION
C61111WA
and Block Numbers, etc.)
OR P.O. ROUTE AND BOX NUMBER
v,5 Q 7_< 10
SECTION B FLOOD INSURANCE RATE MAP (FIRM)
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER j 2. PANEL NUMBER 1 3. SUFFIX
4OQ/7 6 1 00/6
4. DATE OF FIRM INDEX
6 1,s—
STATE
TION
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
ZIP CODE
5. FIRM ZONE I 6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
X
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 ❑ Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I .0 feet NGVD (or other FIRM datum—see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level _/_ .
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of 1 I14/!41 !,L' feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of L I I I I U feet NGVD (or other FIRM datum—see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is L _L_j . U feet above _' or
below ❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is W . LJ feet above ❑ or below _' (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevationson
NGVD '29 ❑Other (describe
under Comments on Page 2). (NOTE. If the elevation datum used in measuring the elevations is different than that used es
the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: Xactual construction ❑ construction drawings
(NOTE. Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: LA -4! .a feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I I I I l.L _I feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available.
l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
31EA VA R n A EAJ D C R1,5,Q J -gks// 4
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
e h A Ala rlC 1? r 0 v � e � %^ c�S� � V► C_
TITLE COMPANY NAME
2-'5Z J� G0 o % 7
ADDRESS CITY STATE ZIP
SIGNATURE DATE HO
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE BASE LEVELREFERENCE
LEVEL
FLOOD
LEVEL
ELEVATION
BASE.%'.: ��.`::'• -
FLOOD ADJAC''"' ''"' ENT :' REFERENCE
GRADE LEVEL
ELEVATION REFERENCE .•ADJACENT
GRADE
BASE
FLOOD
ELEVATION
LEVEL
:I.:
'........r:
..:p.
;;r..•.:
:.
ADJACENT.;:
r
GRADE.
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
SURVEY PLAT
FThisTi�sto
ALL PARTIES INTERESTED IN PREMISES SURVEYED:
certify that I have this date. made a careful and accurate survey on the ground of the property located at:
1283 BRADFORD DRIVE in the City of COPPELL Texas. Lot No. f4 Block No. A
City Block No. . of REPLAT OF RIVER RIDGE ADDDITION
►x
an addition to the City of OPPELL. DALLAS County. Texas. according to the MAP OR PLAT THEREOF
recorded in VOLUME 0 GE32123 of the MAP Records. DALLAS County. Texas.
GOLF ENTERPRISES• SNC.
" W 67.01
S 5g°13'0 r r
r r
JFL
14 1
ADSCAPE ESMT. PATHFRF00Lr)
�'
7.0' N
,d 8.0'
LOT 13 PLAN 8157 10.4'1 LOT 15
ELEV. A
WLEFT
1 1
O
1 _ �
O TRENCHED a Lr)
Lfl v
b (V
CV .o TOP OF FORM ELEV. - 4481
(n MN FN FLOOR ELEV. PER PLAT - 446.8 z
1
1 8.6'
1 '6.2'c
1
25' B.L. 1
1
1 � Q
6
N
80 TO P.C.
7.5' UTILITY ESM'T
N T
—__ —__ A//
N 68°09'50" E 66.00' SR
BRADFORD DRIVE
(50' R.O.W.)
FLOOD CERTIFICATE
AS DETERMINED BY THE FLOOD INSURANCE RATE MAPS FOR THE CITY OF COPPELL TEXAS.
BY GRAPHIC PLOTTING. THE ABOVE PROPERTY DOES NOT LIG WITHIN A. 100 YEAR FLOOD ZONE AREA.
MAP DATE: 4-15-94 . Zone: X Panel No. 480170 0010 E
The plat hereon is a true. correct, and accurate reppresentation of the property as determined by survey. The lines and
dimensions of said property being indicated by the plat. the size. location. and type of buildings and improvements are
shown. All improvements being within the boundary oi' the propert . set back from property lines are the distance indicated.
the distance from the nearest intersection. street. or road is indicated on said plat. There are no apparent visible ease-
ments. encroachments. conflicts. or protrusions except as shown.
Date: 5-15-97 THIS IS NOT AN OFFICIAL DOCIIENT
WITHOUT AN ORIGNAL S OMTU;F-
Job No.: HA.15819
G.F. No.: LEGEND:
1"= 30 • F.I.R. - FOUND IRON ROD BERNARD
Scale: BET S.I.R. - SET IRON ROD IJDERSON
Drawn By: NOT FOR CONSTRUCTION16 r� o
Benchmark Grou p
ON scow
�o Fsg
of Texas, Inc. �''�� T U Rv
2929 N. Control Expressway Suite 100 Rich -d—, Toxaa 75080 I%LEr>S QTS
E NOIfEERb (214) 880-3037 FAX 680-3052 SAWYORS NGTM
ii/04 e, 1J',I::Vii._:'L e 214b6'0319t,r'A6E 114
PLOT PLAN
IM BRADFORD DRIVE in the City of COPPE6L , Texas. Lot No. 14 Block No. A ,
City Block No. . of REPLAT OF RIVER RIDGE ADDDITION
an oddition to the City of COPPELL. DALLAS —County. Texas. occo"Ing to The MAP OR PLAT THEREOF
recorded in VOLUME 95031 PAGE 2123 • of the MAP Records, DALLAS County. Texas.
F.WD
GLOF ENTERPRISES, INC.
VOL. 87174, PAGE 3449
S 58'13'00. W
67 -OV
r r
LOT 14 1
1 BLK A 1
1 LOT 15
LOT 13 a wpeDr r ��
m ►w zDs 1
1
LU /.00
F6 ai.o I., rQ 40
EG 17.0 Q
FG 47.0 1 N 12
0q'i ♦ 1N�
N 1 PLAN
GLEV A Z
N LEFT a /
HF.F.446.4
FY44
V '
1 1o° :i:OO / • T
1
PLS S ARE, REVIEWED FOR
A � IRO Y .f� IJ OF .SI1�(T�i. I—E Ev47,0
1.00' FO 47.0
CA? f...-M"t'S UN PU'1' � 'J,A d I $
AN ARE Wier APPROVED..
7.5' UTEITY ESM!
4 4c:. N 68'09'50" E FO 46.4
T.C. 446,6 66.00' T,c, 448.1
CITY of CoPPELL VI41"EBRADFORD DRIVE
(50' R.O,W.)
47 T GA AT _ -- -- ,--
APP val of the Plans and sM�+I��s'4aFc I "Ot t. �, TP.P,,
be c nstrued to mean construction In ai v� � � � � S l°_ .�'I' �_
r :
With the City of Coppeil Building Cotes iii"id
Ordir ances. FORM BOARD
SURVEY REQUIRED
PLAN #: 816 7 A F -E AIA LETT -1 �"Da
LEFT
PA -P
Dote: 4-24.97 to %I INC GIAPE
NOM amok
HA -15581 F.F. FIN. FLOOR EEY.
Job No.: F.P. • PIaSHED PAD, ELEV.
G.F. No.; ,
Scale:
Y
Drawn By: MBE
Benchmark Group 3i
of TexAe. Inc. $A
4929 I1 #w It • �y SuIIo 100 Nehardoen *;a� & 73040
MOM t2N) 6oymaI PAX 010-3052 1UIYlY411IS
5
NOTES
LALL TIES MUST BE FIELD CHECKED
2 -HOUSE DRAIN FROM FOUNDATION PLAN
ONLY, CHECK OVERALL DIMENSIONS.
3.D0 NOT BUILD IN ESN'TS WITHOUT
SPECIFIC INSTRUCTIONS.
4.ALL ELEVATIONS. PROPOSED OR
OTHERWISE, BY GRADING PLAN DATED
nrrntc� gal
5.THIS
PSUBSTITUTER PLOT PLAN
LAN
6.ASSUMES SLAB ON GRADE AND SLAB
THICKNESS OF 6.5 INCHES AND ASSUMES
FINISHED GRADE TO MATCH EXISTING
GRADE • PROPERTY CORNERS.
T