FEMA-EC950327a) 4 4 ?gin 734
BUILDING PERMIT APPLICATION
3 17 Print or Type in a Clear, Legible Manner
r
2 4 9
i
J
Job Address: -a-7 6 -ro d Date: 3— q —<75 -
Lot:
! ..7Lot: Block: Subdivision: �i vQ/Q.. V�d Phase or Section Number:
Owner Ll� L Address: �Q LJ _ Phone #: •� 3 J,� n C703
Contractor: e Address: Phone #:
Qescription of Work to be Done Class of Work: [g New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
51n de, FAm i 1-,/
Area of Building in Square Feet
FFeet
First Floor 11051
Second Floor ` r
Garage 510
Other " 4 `
GRAY
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 construction of the performance of construction.
40A44y1---- Eri c. f&t ✓i'oieS
Signature of Contractor or Authorized Agent Print Name
QV -1 i2exFN -�O-eA &vx
Electrical Contractor Plumbing Contractor Mechanical Contractor
Value of Work O ,,, r^7,
to be Performed (0/
FPMC - 1 (4/94) 0
[&]
ELEVATION CERTIFICATE a.M.esMay3 , 1993
ExpiresMay31, 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 FOR INSURANCE COMPANY USE -
BUILDING WNER'SNAME POLICY NUMBER'
U Al T _t Qty �
STREET ADDRESS (In Apt., Unit, Suite and/or Bldg. Nuber) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
437,17 __ / V
OTHER SCRIPTION (Lot and Block Numbers, etc.)
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
Zones, Liss depth)
i. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ®iV b '29 11 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 LJ feet NGVD (or other FIRM datum -see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicat 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 1 44 .4feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1 430, 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 I,L 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 I I I.LJ 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? E Ye`s No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: If NGVD '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 e, 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 FIIRM: C Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: 1J actual construction U 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: 1 1 141!881.4� 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 commun' 's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: . L0 feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantt I mprovement
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 Ai—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, N
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 of erpret the data available.
I understand that any false statement may be punishable by fine or imprisonmentu/ SBS 161 X1001.
_i.7 4
CERTIFIER'S NAME
NAME--- jL.Q I». , ..
%I697&!
STATE ZIP
Copies should be 7 a 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
REFERENCEL REFERENCE
LEVEL B,SE LEVEL
REFERENCE
FLOOD
LEVEL
ELEVATION
BASE
•ADJACENT.•:'.}:',.`Iki
BASE
FLOOD •.{:''':': REFERENCE
FLOOD
ELEVATION REFERENCE ADJACENT GRADE �'< LEVEL
ELEVATION
LEVEL GRADE
.. •' :; �`•�:; ::, �. iii•::.: �:•+...:.;
.... :.
i•;: i. i;:'rr:;
� }�: ADJACENT::
... •.
.{';''i ::: n:.:::.n::. �:�:::: :ii:i•w,f1 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
Nr_1
SCALE: 1 k 20'
oC TABLE
AC E ACHRD. B'RG.
DAand
T'"`� `
mean . sPecifd
00,; mit "�Ir� X11 E
T7fan s — —20ape 0, B C.
912,_
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FG 448.60
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50'-0"
PLAN NO.
2657 A
0 0
z I
TOS = 448.90
"
PAD GRD.= 448.10
00
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FG 448.60
25.0 B
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FG 448.60
FG 448.60
M
1327 BRADFORD DRIVE
Lot Area: 10184 Sq.Ft.
GENERAL NOTES:
DRIVEWAYS 16' WIDE .
ENTRY WALKWAYS 3' WIDE
PARKWAY SIDEWALKS 4' WIDE
• UNLESS OTHERWISE NOTED
Buyer
Top. of Curb: 447.70
Type 'B' Drainage
mktd. as
Ap grooved Il River Ridqe
Constructlon subdiv. %
River Ridge Addition
Flot 3 blk
A
address
Date 1327 Bradford Drive
city
Coppell, TX
date
Fence Length: 265'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXISTING FENCES.
pan
1'0610 DALLAS P1TEXA3Y, QUITE 2500 0 3/ 1 6/ 9 5
DALLAO. TE7(64 Tsx+. 2657-00 E L E V A LEFT
esu 1 -e+
SURVF, Y PLAT
LOT 3, BLOCK A, OF RIVER RIDCE ADDITION, AN ADDITION
TO TIIE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
W�
J/
�v 8j '.'� o�-. �-
CALL
IL1FA S, SS. 6 7,
25.0, ) �4
l RAI FORD DRIVE
rk
day of AtA.[? 19`�, this survey was made on the ground as per the field notes shown an this survey
cis to the dimensions of the subject property and size, location and type of buildings and improvements thereon,
-•.a. ..._ v ..,, W. �..nvnls 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 . MA ROTI 27, 1995
t /2" Steel / Iron M.':;d i'ound
'12 11 Steel / Iron Hod .Set
.+-<t,)erty Lute
Link / Wire Fence r,--x--x.._-x----x
CF No.
Scale: I" = _90.01
,�E
G�Q', •pyC1 .4 �Zn
IIARRY J. ROIrELL }
4597
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Hyl RR Y
R0lITrLL
_& Associates,_ INC.
Surveying & Engineering
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