FEMA-EC961210(A)
C�City With A Beautiful Future
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Job Address:
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BUILDING PERMIT APPLICATION DEC 0 6 06
Print or Type in a Clear, Legible Manner
1 0q_D Date:
Lot: lO Block: Subdivision: J�(�- 0'knC416 Phase or Section Number: T
Owner gopf(,` � k4c-y Address: tW(b �.VA�ty ?' L q Pp451 Phone #: 2
"" t� ,j 'Itiva� t- colo X
Contractor: � ,s+l l{�? Address: l l� N� DAWlh W4 -q 4A�,� '��24 Phone #:
Description of Work to be Done, � Class of World: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor
Second Floor \Z
Garage �0,
Other _5
Value of Work
to be Performed 2r'L I OCO
GRAY AREA FOR OFFICE USE ONLY
010
NOTICE Permit Fee: Receipt Nutter:
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 Zoning District: � O=pancy Classification.
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 Approved
Ely_�WA7
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 Comments -
give authority to violate or cancteovisions of any other federal, state or local law
regulating construction the perfconstruction.
ignature Contractor or Authorized Agent Print Name
Electrical Con actor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94) Aw
ELEVATION CERTIFICATE O.M.B. No May 31, 1993
Expires May 31, 1993
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
NAME
STREET ADDRESS (Including Apt., Unit, Suite and/pBld-. Number) OR P.O. ROUTE AND BOX NUMBER
V
FOh INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
2:;
CITY///� STATE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO Zones, usedepth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [ GVD'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 I I I I I .LJ 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 LL414f-?I.0feet 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 I I I I I .❑ 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 . , 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 —i 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? J Yes E No Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: E"GVD '29 ._._. Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see Section B, Item 71, 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 rFII,R�M: 19 Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: u actual 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: 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: 1 1 441L .16 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 90 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 B and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIE,TS NAME EOWSE NU09@ fprpc Seal)
TITLE C MPANY N 'tip
>A1A1
ADDRESS CITY •�� STATE ZIF
SIGNATURE Q PHONE
7z s
Copies should be njWe of this Certific to 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 LEVEL - gq REFERENCE
LEVEL FLOOD LEVEL
J+Y ADJACENT ;1
FLOOD GRADE
ELEVATION REFERENCE ARIAGFNT
LEVEL GRADE
FLOOD
ELEVATION
7777777
`5 ADJACEM:;
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 iowest horizontal structural member.
Page 2
111
SURVEY PLAD., AD1)1710N. AN ADDIII4n
PLAT 0! AMR RITXRBCORDBD IN
LOT 10. BLOCK A•CQPP L, DALLAS COUNTY.
To Tfur ct�'Y:O $f:� •
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1299 BRADFOL?D DRIVE
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Date : DECEMBER >0, 1996
#
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OF No. a9 '
LEGEND (0 9asls I"= 20.D%_— a HARRY
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ARC TABLE
ARC LEN. RAD. CHRD. BRG.
'Al' 28.54' 225.00'
S ),
p0'e
L� 1299 BRADFORD DRIVE
'..r
TOC — 446.6
Lot Area: 9172 Sq. t. Type 'B' Drainage
GENERAL N0 '@�--" em. "" �"'.. F"� ra m, r 1 r.,_
DRIVEWAYS WIDE + mktd. OS
ENTRY WALKWAYS 3' WIDE , River Ridge
PARKWAY SIDEWALKS 4' WIDE
(+ NL S OTHERWISENOT
_.. subdiv.
River Ridge Addition
lot
r ` t7e plays and she not 1 0= bllt A
p, to nears cc.>el11.:
HR ... .. .,, _ SURVEY PLAT �HR
LOT 10, BLOCK A,OF A R PLA T OF RIVER RIDGE ADDITION, AN ADDITION
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN
VOLUME 95031, PAGE 2123.
LOT 9
7 /2 "IRF
co
LOS ,y¢Ac�,AR JOlts
15,
LANDSCAPE ESM'T
VOL.87174, PG.3438
THIS PORTION OF THIS PROPERTY
(IES WITHIN THE 100 YEAR FLOODPLAI
ZONE AE
LOT 10
DLK. A
--------- N 8.0
vi
8.4'
10.6'
FORMBOARD
SURVEY
FF. ELEV. 448.98
25' BUILDING LINE
8.1'
------------------------
5/8"IRF 7.5' UTILITY ESM'T 90 3 1 '40
( R=225.00' N 68 09' 50" E
518 "IRF REFERENCE BEARING
28.54' 39.00'
5/8 "IRF
5/8 "IRF
LOT 11
I hereby certify that on the—'F�-*—day of DFS, 19q(a, this survey was made on the ground as per the field notes shown on this survey
and is trse, correct, and accurate a to the di.renaicna of the subjict property and size, location and type of buildings and improvements thereon,
if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject property.
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
Date : DECEMBER 10, 1996
G LEGEND 0
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
Property Line
jfood Fence — - — - — - —
Chain Link / hire Fence x—x—x—x—x
I Overhead Electric E ---- E— E --
GF No.
Scale: I" = 20.0'
�yE of rF
....................
HARRY J. ROIIELL
:...4597......
JOB #
HARRY
R0WELL
& Associates, INC.
Surveying & Engineering
1.301 Elm Street Ste. 201
Carrollton., Texas 75006