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HomeMy WebLinkAbout932200801 - 970 BECKETT POINT RD - FLOOD 2atC) - 03-01 - 000oat* U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Keith Hansen Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number Beckett Point Road across from 980 City Port Townsend State WA ZIP Code 98368-5717 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Tr."A"Beckett Pt.So.Beach,Beckett Pt.Fisherman's Club Assessor's Plat,Gov.Lot 1,Sec 23,T3ON,R2W,WM.,TP#932200801 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Garaqe-Residentiall A5. Latitude/Longitude: Lat.48 04 38.2 Long. 122 53 23.3 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 621 sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 8 within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 720 sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ® Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State Jefferson Co.530069 Unincorporated area WA B4.Map/Panel Number B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9 Base Flood Elevation(s)(Zone 530069 0135 B Date Effective/Revised Date Zone(s) AO,use base flood depth) July 19, 1982 Al 9.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized GP16101-2Vertical Datum NAVD 1988 Conversion/Comments NAVD 1988-3.51'=NGVD 1929 Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)4.61 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor . ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) . ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) . ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building . ❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 4.6 ®feet El meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 4.6 ®feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including . ❑feet El meters(Puerto Rico only) structural support 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. /certify that the information on this Certificate represents my best efforts to interpret the data available. �1,, RO$� l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ,„-,,c� of WAsy.'S' ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a /"�C AQ a -).. 7.i\` licensed land surveyor? ® Yes ❑ No f i 2 Certifier's Name Kent L.Robinson License Number 19583 -o ee Title Surveyor Company Name Northwestern Territories Inc. NTI �� f �O Y P Y ( ) •e, 19583 4) Address 717 South Peabody ity Port Angeles State WA ZIP Code 98362 (�NA�(ANON , Signature i ,r 1•11,111!".' Date 2/24/2010 Telephone (360)452-8491 IMPORTANT: In these spaces,copy the corresponding information 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 1030 Beckett Point Road City Port TownsendState WA ZIP Code 98368-5717 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments This certificate is for finished construction of a detached garage located in Tract"A"Common Area across the road from and serving the existing residence on Lot 15 of Beckett Point •uth Beach.This is the second garage.The original garage is directly across from 970(Lot 15).The top of the foundation stem-wall is at levation 5.61. e garag- ails •.ve been constructed of treated material for their entire height per the owner Keith Hansen. V r r -- Sign ure Date 2/24/10 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters 0 above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. 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,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B,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 item(s)and sign below. Check the measurement used in Items G8 and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by 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 BEE)or Zone AO. G3.❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Phi Issued G6. Date Certificate Of Compliance/Occupancy Issued M,(.140q- 7 �&oo?21D I c2- I / 0? G7. This permit has been issued for: 'New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: LI . (3l feet ❑meters(PR)Datum Cif G9. BFE or(in Zone AO)depth of flooding at the building site: 1 . 0 feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet 0 meters(PR)Datum Local Official's Name Title 1 ct� os�nS MCInnt )1 Nay\a E.(/ ICCQ Community Name Telephone ersotO 0,0011,-1-/ 3 C4,p -379- S-7 Signature Date c� 3 I 2 2O I 0 Comments r1 rh.,4 I+nrn if aManMmnnfc IMPORTANT: In these spaces,copy the corresponding information 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 1030 Beckett Point Road City Port TownsendState WA ZIP Code 98368-5717 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments This certificate is for finished construction of a detached garage located in Tract"A"Common Area across the road from and serving the existing residence on Lot 15 of Beckett Point South Beach.This is the second garage.The original garage is directly across from 970(Lot 15).The top of the foundation stem-wall is at levation 5.61.The hhe garag ails ve been constructed of treated material for their entire height per the owner Keith Hansen. Sign ure Date 2/24/10 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is . ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is . ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is . ❑feet ❑meters ❑above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . ❑feet ❑meters ❑above or❑below the HAG. E5. 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,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B,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 item(s)and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by 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 BEE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: . ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: . ❑feet ❑meters(PR)Datum G10.Community's design flood elevation . ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments r—i r`I.nr4 i.nrn 4 o+4,3r4.mnn+c Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number Becket Point Road across from 980 City Port Townsend State WA ZIP Code 98368-5717 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View"and "Rear View"; and, if required, "Right Side View" and "Left Side View." iT : . 1 '' ,ao�"; }h ..,m -...m,..,:::,,x,r—TI.,„ ... . .t - d .. s . s NW Rear View North Side of Garage ab.. r t, , i- ,. ___._.._._—_ Left View West Side of Garage Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number Beckett Point Road across from 980 City Port Townsend State WA ZIP Code 98368-5717 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. is Front View South Side of Garage ► Right View East Side of Garage r $ n a . a 0 ' .a1 F ' r . 4 34*,+a r ' x is--4,,, '-.'",4,' 4yk z-',.'-",,?n µ , �'`' - `' +," ' " r 4T r , .,, *!,4)„, .4,...t,44.,. .4t- -2,4,3-1 \\ ._......„ _ _ , ... !,.- 4 Y .." '',:i.! .� xis„ q' . I_ • . 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I will be out of town next week but you can contact either Rick nelson or Kieth Hanson ( 360- 379-1416) if there is a problem. Also the club is in the market for a soils engineer to look at a problem we have on the point. Rick nelson thought that you may have such a person at NTI.if so have him get ahold of Patti Salinger at 360-385-0428 ,she can explain the problem and set up visit. From: tomr @nti4u.com To: beach940 @hotmail.com Subject: RE: Beckett Date: Thu, 2 Apr 2009 17:14:11 -0700 Bill, This is my proposal for surveying services at Beckett Point. The purpose of this survey is to set bench marks at the Base Flood Elevation (BFE) as shown on the 1982 FEMA map number 0135 B. (see attached), This FEMA map shows a BFE elevation for the area of interest to be 9 feet. This elevation is referenced to the NGVD29 vertical datum. We have an elevation on the WSDOT monument at the boat launch. The WSDOT elevation for the WSDOT monument is 9.90 ft. (NAVD88) converted using VERTCON equals 6.39 NGVD29. Parametrix shows this same point to be 5.86. I don't know why there is a 0.52 ft. discrepancy but it should be resolved before we proceed with building permits and elevation certificates. We propose to start at the WSDOT monument at the boat launch and run levels through the TBM spikes on the power poles as shown on the map that you sent. Our price for this survey will be $1200, I have spent several hours researching this project and talking to Rick Nelson and yourself. This price doesn't include any of my time, We may have a day open toward the end of next week. We will get you on the schedule as soon as we get your notice to proceed. Thank you, Tom Roorda, NT! 360-452-8491 Rediscover Hotmail®: Get e-mail storage that grows with you. Check it out. 1