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HomeMy WebLinkAbout995400081 - 42 MOUNTAIN VIEW - FLOODKj :p u.s.,oEPARTUiENT of HCxuE~r>a s€ct,RlTy ELE~/AT1~-N CERTIFtCAITE ~'~ "~. ~~~'00~ Federal Emergency GAanagement Agency Exatres Febrtrartr 28. ZOU9 National Flood Insurance Program Important:: Read the irtstrtictior~ ott pages 1-8. SECTION A - Pft©PERTY IMFORMA'F{ON For insurance Compar-y Use: AT. Buikfmg Own®r`s Name / ~ / Policy Number A2. Buitdrrtg Sfreet address (i~luding~ , U~if, Suite, andlor Bldg. No,j ocR:O. Route ~ x t~to. Corr~rarry NJ##C Number A4. Building Use (e.g., Residential, Non-Residential, Add~ion, Accessory, etc:) .g,~~3/OE/'~'C.. A5~ latitude/longitude: lat.• . toffy. , . , _ • . R~',l Datm~ ~ 1i~2'~ r A6..:Attach at least 2 photogrepFrs of the building "rf the Certificate is being used to..obtain food insurance. ~".. Buriieiiitg Diagram N~mber~. A8. Fort a building witty a cram spaxas or sure(s}. pti'ovi A9~. a bw7dimg vrlNn atta¢tred gam. pmovtwd!e~: a} Square footage of crewl space or endosure(sj jgOU~U sq it a) Square footage of attached gare$e ~~sq ft by IRS- of pe~rrfinetrt food openings irr the crau+dl spare or' try Na. of tikrod' irpernrrgs in file ge enclosures} waif wfitrie ~t.Gb foot. aboare aFfjaeerrrl! grade ~ wafts wiihhu 1.B foot abow~ ady~ent. grade ~.'I°t" c} Total net area of flood openings in At3.b sq in c) Total r-et area of food openings in A9.bab~~~ sq m SEGTIQN' B' - F1.El(?d~lll~i`J!I~N~E F~ITE' <IA1~' ~EI'RM~ It~I~CfRiC~A'FION Bt. NFtP Community Name & Communfiy Number B2. Cour~j Nam B3. State 64'~MapfPanel Number B5. Suffoc ~. FlRtill index 67. FIRM Panel BS. Flood .'Base-Flood Elevations} (Zane ~ 3tJ0 ~9 `Q ~ Date EffecfivelRevised Late /e~eY ~9 ~' 9f~ Z Zone(s) .4 AO, use bay flood depth) ` • I Bfl). Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item B8. . ~FtSPa .- QIE112f1A1 ~Co~rmcrunityt7ietermiaied oth~(Desen'ts~}. t~ ~~~1+~` B71. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1829 ^ NAVD 1988' ~Other(Descxibe) L B12. -s the butting located rce a Coastal Barrier Resources System (CBRSj area ar Othenaise Protected Area (dPA}? ~ Yes ~ No Designation Date 0 CBRS [] OPA SEG'L G f B[FG E~.E~lATION IIi~flR~l~'6ION ~fJ'I, REf~Ui~EIDij -- C1. Building elevations are based on_ ~Cor~trudion f~rawings" ^ Building UnderConsfrudion• ~ Finished Construd'wn `A Eleva#ion~ Cettr`iicate wt1L tre requrred~ v~hern cxrrstrucfiorr of the buadf~ is. coPrpleYt~s. C2. Elevations -Zones At-A3Q, AE, AH, A (with BFE}, VE, V1 V3tk, V (with BFE}, AR, ARIA; /1RlAE, ARlA1-A3D, ARIAIi, ARIAO. Co~-Iete Items C2.a-g bebw acoord'mg to the building diagremspecfied in Item A7. ~ ~~ ~~ plc 44t+~zedi . .f~l.!' ~~ ~~Ti tferticai Daturrr ~~ 7. ConversioNCommerrts ~.. ; ° _, , Check the measurement u dj t ~ 3 " a} Top of bottom floor (including basement, crew) space, or enclosure floor) ~~ feet ~ meters (Puerto Rico only} b) c}! Top of the next hr€yher floor Bottom of the lowest ho i l t t t l mb V Z l ~_. /y~ feet Q meters (Puerto R` ~Y}'` Q t E d r zon a s ruc ura me er ( ones on y} _t ,~ feet y} meters (Puer o ur d} Attached garage (top of slab} ~ __ ~ Q feet ^ meters (Puerto Rico only} e} Lowest. elevation ~ ~ack-inery or equiprneni' ser~iiEiirg the fsrtBdiitig~ (Describe type of equipment in Comments} tr -N ~~ •_t J, feet' ~ rrreters ~F>trerf~r r oaij#} ~ , Y ~;' ~._ p,, fy lowest adjaoerrt (finished} grade (LAt} __~'~,' f~aet ; r i i ~ nteter~ ~I~jRbnl~ ri .. g} Highest adjacent (finished} grade (HAG) ~~f~ ~~ feet ~ rrrefiers (Puerto Rico only} SEGTIOIif D~ - ~fJ'~fiE1EOt~, ~NGI I'~E~, O'er A~IFE" ~ER~'~i'FIO N , Thy certification is to be signed'and sealed by a land surveyor, engineer, or architect authorized by lawfo certify elevation krformatiort. f cseefify oaf ffie tirformatlon on this Certificate repreaetrfs rr~y Lrest e~orls to lrrderpr~ ~e deta avar7a6te. ~ ~- ! understand €haf any false sfafementmay be punishable byffne ovlmmnertt rider f8 U.S Gads SecBorr IOOf. ~~~~ ~~~ ~~ Cheek here ~ commeras are provided on back of form. ,t'rc. '1~, V Q o , ~~h~- .J, A~~~P~ sow/ ~ LPG 5' Z ,f ~,~ Certrfier's Name License Number ~ a~r,r~~ _ :... ~._ .., _ _ ~~ [/ °~`~~~ 7 , ~.o,~~~ ~~f Lot! - r FE~~ irwt~ t~'1-3'), fiatutaa See re~r+srse~ sides for carrtaa~~orn -~- 05/05/os~ ald:prefir€Qtls editions 0.~ IMPORTI4NT In these spies, copy the corresponding. tnformatson tfit~ee.Section A. For kssurance company use:.. Raiding Street Address (ax~ding Apt•, Untl, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number Cry State ZIP Code -Cony MAtG Nunsber r"_ a SE~T'rof~ 13 - SFJRVEXOR„ E~EEFI°„ t~ 1ER''FC-~ CE:RTIkTTIi0tM (GQNTtIII'G'ED ,.. .. Copy both sides of this Elevation: Certificate for (1) community offiaal, (2) insurance agent/company, and (3} building owner. signature Date ~i ~ ~ ^ Check here if aftachmenis SE E'-13Ut1..131FIGfCE 13111 INFt~121II1~Trolt1(SFtR',~ID'E fCJ~RED~ FCOR`Z~0'111E ~4 Al'~'QZ~NE /~ ~ BFE For Zones. AO and A (without BFE), complete Items E1-E5. !f the Certificate is intended to support a LOMA or lOfNR-F request,. complete Sections A, B, and C. For items E7-E4, use natural grade,. i available. Check the measurement used. In Puerto Rion ony, enter meters. Eti. Provide elevation ir~ion~ for the folloxroitrg and: cfreok the appropriate boxes ~ shovr*vatteiher.the elevatiosu is at~ove or belowrthe highest ad~ar: grade (HAG} and-the lowest adjacent grade (t.AG). a) Top of bottom floor ('mcludin9 basement, cravat space, or enclosure} is _ ^ feet ^ meters ^ above or ~, below the HAG. b) Tap of botto"ist floor (irtdud'mg basement,. crawl space, or enclosure} is _ ^ fee# [~ meters Q above or be~w tt~e tAG. E7`" For Building Diagrams 6-6 with pernsanenf flood openings provided in Section A Items 8 and/or8 (see e 8 of tnstructiorts), the next higher floor (elevaton.C2b in the diagrams) of the building is - ^ feet ^ meters ^ above or below the HAG. ES< Attached garage (boP ofslab} is ^ feel ~ metes ~ above or ~ below ~e HAG:_ E4. Top of platform of machinery and/or equipment servicing the buikting is ,_ ^ feet ^ meters ^ above or ^ below the HAG. E'r Zone AO only: tf no Rood' depth nunnber is avarlabte, is the tap of tare bot6om floor elevated: in acoordarrce wilts rxrnlsssuniy's• floodpFain marbagemerst , , ordinance? Q Yes ^ No ^ Unknown. The locel official must certify this,information in Section G. s~cTrol~l ~ - PROPERTY ofNNER (~R a~R's IZ~1?!12ESEItITJk.TIVE~ CEft'FlF1~ATroN The property owner or owner's authorized representative who corr~sletes Sections A, B, and E far Zone A (without a FEMP~issued or community-issued BFE} or Zone AO must sign here. The statements tis Sections A, B, and E are correct fo the best of my knowledge. Pioperty Cw+s'rer's of fJwianer's Autfioriied Reprssentatiare's Name Address City State ZIP Code $ignatu€e Date Telephone Comments ^ Check here if attachments SEGTiOlSt ~ - COMIiItE1N1TY I1dFtIRMATiON (OPTro1HA1 The local official who is authored by law or ordinance to administer the community`s floodplain rr~nagement oMirrance can complete Sections A, B, G (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in fierrrs G8. and Gl3. G. ~ Tare inforrrratiort in Sec~orr C was takers fwrrs otfres toe ffwt fras beers sfgrred and sea~sf by a K~;ensed surveyor engineers ar archiect vahc is aarthorized tsar law fo certify elevation krfovmatton.. (indicate the source arm date of the elevatiors data in the Comments area bebw:} G2. ^ A community offrcial completed Section E for a building boated in Zone A (witirout a FEMA-issued orcommunity-issued BFE} or Zone AO. G3.. ^ Tare fvQawing information (Items G4-G$.) is provided for community ftaodpiain rrrarragerrsent purposes. G4. Permit Number G5. Date Perms Issued G6. Date Certificate Of CompliancelOccupancy Issued G7. This permit has been issued for. ^ New Construction ~ Substantial improvement t^-t G8. Elev-atio~ ~'as-twill law~st floor (meldrFng; basement) of`fhe building.: .. " ^ feet- tJ ttleters (t~R) Datums G9. BFE-or (n Zone A0} depth of flooding at the buifding site: ~ feet ^ meters (PR) Datum Local OfficiaYs Name Title Community Name Telephone Signature Dafe Comments Check hererf attacFrmerrts: FEMA Form 81-31, February 2006.. Replaces alt previous editions _ ~ . ~~ ~ ~p I {v { I~ t I~ I I -" !~ I ~' I ~ I I 1°~~ I I ~, 1~I I :~ I. i~ ~~~ r ~~ ~~ .~ f®~ ~ 2`°~'0~ ~ ~o U --.--:__.__.~~ :~_.~_. _._~._ 8 5 8 i` ~2~3~~~' T TEW !f' 1 ~1~ t 5.,00 ~~0~ ~ ~ C ~ Er ~~ oat 2 3 . ~' G ~•v~ T W . ~ ~ 3.10 ~~ Q~~ TEW ;~ _._ ~ - __.-__. ,~ ~ .. _. .. __ . :_ ._: .~, ~0 3..x'7 ~ 2~,~o T~ W TE ~ .~ ~ .~ . ~c ~ 2 0. ~~' ~~~[~ ~~~~I~` ~rIS~~~ ~~~ z~oz ~ t ~~ ~~ Y ~~owr~/ ~~~~Z~~ ~~! ~ ~.~' ~~a o~j ~-~a-o~