Stratford-RS021008
..
NATIONAL FLOOD INSURANCE PROGRAM
-
a.M.B. No. 3067-0077
Expires July 31,2002
ELEVATION CERTIFICATE
Important: Read the instructions on oaaes 1 .7.
SECTION A. PROPERTY OWNER INFORMATION For I""","", Company Use:
BUILDING OWNER'S NAME PoIic,y Number
BRENTWOOD BUILDERS
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAlC Number
709 STRATFORD LANE
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Par<:el Number, Legal Desaiption, etc.)
LOT 12, BLOCK A, STRATFORD MANOR ADDITION
BUILDING USE (e.g., Residential, Non-residential, Addition, AcressOfy, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDElLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):_
( #if - ##' - ##.#11' or ##.#I##IIf) 0 NAD 1927 0 NAD 1983 0 USGS Quad Map
o Other:_
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bl. NFIP COMMUNITY NAME & COMMUNITY NU~ER
COI'PELL.480170
B2. COUNTY NAME
DAUAS
83. STATE
TX
84. M\P AND PANEL 85. SUFFIX B7 FIRM PANEL 89. BASE FLOCC ElEVATION(S)
NUMBER 86. FIRM INDEX DATE EFFECTlVE.REVlSED DATE 88. FLOCC ZONE(S) (ZoneAO, use depth oflklodng)
0155 J 8-2:>ill 8-23.m X NlA
B10. Indieatethe source of the Base Flood Elevation (BFE) data or base flooj depth entered in B9.
o FIS Profile ~ FIRM 0 Community Determined 0 Other (OesClibe):_
Bl1.lndieatetheelevation datum usedforthe BFE in 89: ~ NGVO 1929 0 NAVD 1988 0 Other (Descnbe):_
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Oth8fWise ProtE<:!ed Area (OPA)? 0 Yes ~ No Designation Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building eevatioos are based 00: 0 Coostructioo Drawings' ~ Building Under Constl1JClion' ~ Finished Constructioo
'A new Elevatioo Certificate will be required when construc1ioo of the building is complete.
C2. Building Diagram Number 1 (seE<:! the building diagram most similar to the building for which this cerlfieate is being com~eted - see pages 6 and 7. If no diagram
",""ratey represents the building, provide a sketch or photograph.)
C3. Elevatioos - Zones A l-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARIA l-A30, ARlAH, ARlAO
Complete Items C3.-aj belaw according to the building diagram specified in Item C2. State the datum used. ~ the datum is different from the datum used for the BFE in
Secion B, convert the datum to that used for the BFE. Shaw field measurements and datum conversion calculation. Use the spoce p'o~ded or the Comrrents area of
Section 0 or Section G, as appropnate, to document the datum conversion.
Datum NGVD 1929 CooversioolComments
Elevation relerence mark used~Does theeevation reference marl< used appear 00 the FIRM? ~ Yes ~ No
o a) Top of bottom floor (including baserrent or enct06ure) 457. 2,ff.(m)
o b) Top of next hi9herfloor N1A._ff.(m)
o c) Bottom of lowest horlzootal structural member (V zooes ooly) N1A . _ff.(m)
o d) Attached garage (top of slab) N1A. _ff.(m)
o e) Lawes! e1evatioo of machinery andlor equipment
selVldng the building (Descnbe in a Comments area)
o fj Lowest adjaoent (finished) grade (LAG)
o g) Highest adjocent (finished) grade (HAG)
o h) No. of perm""ent openings (flooj vents) v.ithin 1 ff. above adjocent grade Q
o I) Total area of all pennanent openings (flooj vents) in C3.h NIA sq. in. (sq. an)
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SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certitication is to be signed and sealed by a land sUlVeyor, engineer, or architect authorized by law to certify elevation information.
I certify thai the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data availabie.
I understand that any false statement may be punishabte by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME ROBERT C. MYERS LICENSE NUMBER 3963
TITLE VICE - PRESIDENT
COMPANY NAME ANALYTICAL SURVEYS, INC
ADDRESS
707 EASY
TURE
~
CITY
GARLAND
DATE
1H)1.Q2
SEE REVERSE SIDE FOR CONTINUATION
STATE
TX
TELEPHONE
972-272~2fJ7
REPLACES ALL PREVIOUS EDITIONS
ZIP CODE
75042
A Form 81-31, JUL 00
I
. .
. IMPORTANT:' lIT these spaces, copy the corres~. ,Ing information from Section A For InsU"""" CorrjJany Use:
BUILDING StREET ADDRESS (Induding Apt, Un~ Su"" and/or Bkjg. No.) DR P.o. ROUTE AND BOX NO. Poley Nuniler
709 STRATFORD LANE
CITY STATE ZIPCOOE CoIrjJMy NAIC Number
COPPELL TX 75019
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community offidal, (2) insurance agenUcompany, and (3) building owner.
COMMENTS
~FORMSONLY
o 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 (v.ithout BFE), complete Items E1 through E4. ff the Elevaloo Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be competed.
E1. Building Diagram Number _(&;ect the building dlagran rrost similar to the building for which this cerlficate is oong competed - see pages 6 and 7, If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom fioor (Induding basement or endosure) of the building Is _ ft..(m) _in.(ern) D above or D 0000 (check one) the highest adjacent grade. (Use
natural grade, IT availa~e).
E3 For Building I)agrams 6-8 v.ith openings (see page 7), the next higher floor or elevated fioor (elevation b) of the building is _ ft..(m) _in.(ern) above the highest adjacent
grade. Compete ~ems C3.h and C3.i on front cj form.
E4. For Zone AO only: If no floorJ depth number is availalJe, is the top of the boItOOl fioor elevated in a::cordance v.ith the community's fioorJplain management ordinance?
Dyes D No D Unknown. The local offidai 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 competes Sections A, B, C (Items C3,h and C3.i only), and E for Zone A (v.ithout a FEMAjssued 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 OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVES NAME
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
o Check here if attachments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local oflidal who is authorized by law or ordinance to administer the community's fioorJpain m1l1agement ordinance can compete Sections A, B, C (or E), ald G of this Elevation
Certificate, Compete the appica~e item(s) 1I1d sign below.
G1. D 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 infonnafion. (Indicate the source and date of the elevation data in the COOlments area below.)
G2. D A community oflidal competed Sect"n E for a building located in Zone A (v.ithout a FEMAjssued or communityjssued BFE) or Zone AO.
G3. D The f(jlowing information (Items G4-(9) is provided for community floorJpain management purposes.
G4, PERMIT NUMBER G5. DATE PERMIT ISSUED 00. DATE CERTIFICATE OF COMPL",NCEIOCCUPANCY ISSUED
G7. This permit has been issued for: D New Coostruction D Substantial Improvement
Ga. Elevation of as.lJuilt lowest floor (induding basement) of the building is:
G9. BFE or (in Zone AO) depth cj floorJing at the building site is:
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
SIGNATURE
COMMENTS
_._ft.(m)
__ft..(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
o Check here if attachments
FEMA Form 81-31, JUL DO
REPLACES ALL PREVIOUS EDITIONS
"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.
REf. BRNG. (P.P.)
N 00"23'48" E 110.00'
fN " I.R.
____L:7.5'~~(P.~____________
20' NO fiLL/NO
BUILD ESMT. (P.P.)
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I.O.f. = 457.53
FORMS ONLY
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10' X 10' ELEC.
PAD ESMT. (P.P.)
fND 1/2" I.R.
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R = 350.00'
L = 33.18'
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--- 10' U.E. (P.P.
fND 1/2" I.R.
NO 1/2" I.R.
R = 525.00'
L = 77.83'
T.C.-
454.52
~
~ -
T.C.=
454.19
STRA TFORD LANE
*=:1
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.)
BRENTWOOD
BUILDERS
(2~~__
~ ROBERT C. MYERS, R.P.L.S. NO. 39153
ROBERT C. MYERS
1172) 272-1217
172) 272-1407(rAX)
ADDRESS
NAME
P.O. NO.
SCALE
DATE
DRN. BY
709 STRATfORD LANE
5-12A
N/A
1"-20'
11-1-02
SLJ
~
1utalytiral ~uru~ys, 1Jnr.
". PROFESSIONAL COMPANY OPERATING IN YOUR BtsT INTEREST"
707 EASY STREET
GARLAND, TEXAS
7!lO'2