HomeMy WebLinkAbout821333006 - 313 MARGARET ST - FLOODFEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CLRTIFIC~TE
O.M.B. Na. 3067-0077
Expires July 31, 200.E
Read the instiructions on pages 1 - 7.
SECTION A -PROPERTY OWNER INFORMATION For Insurance Company Use:
- -- - rVm. nwuW01
BUILDING STREET A SS (Including Apt., Unit, Suite and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL: Number
CITY ^ `' /~ ` • ' ' STATE ZIP CODE
PROPER DESC I ION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
~~ 2) .33'3 0O6 •S ~~~ N/L~~ r,~i.~-~ . .. .. . .
BUILDING USE (e.g., Residential, Non-residential, A~Idition, Accessory, etc. Use Comments sect+on if necessary.) , - . .
fl Q4 ~G~~a,.~cr-r.r~ .
1.A 111 VYG6V1\VI I VVC ~Vr I IVIYMLi ~ ~ -~ ~ r7VttILV(
( ~° - #*' - ~N.i14M" or r'l#.#q###°) • ~~NAD 'i 927
IJ NAD 1983
SOURCE: I_IGPS
U USG
~~
iJ Other:
SECTION B -FLOOD; INSURANCE RATE MAP (FIRM) INFORMATION
Bt. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
PA ~- E [.. t3 8~ o F 1 ro 2 S ~~i~~2S p~ J ~/'~-
84. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX 67. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding}
5 3 00 4 9 b 8 t3 b Q 7 / y g Z /va ,~,, E C_ NONE ~, /!e o.d
a lv. InOlCaie me source or ine tease riooc tlevatlon (BFE) data or base flood depth entered in B9. SBS ATr,ac. -}S p
~ FIS Profile IJ FIRM ~J Community Determined ~ Other (Describe): , ~ . d C7 M ~• r'
611. Indicate the elevation datum used for the BFE in B9: ~j NGVD 1929 ~ NAVD 1988 ~J Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LJ Yes ~j No
Designation Date:
SECTION C - QUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
F:
C1. Building elevations are based on: Construction Drawings• L jBuiiding Under Construction• uFinished Construction
`Anew Elevation Certificate will,be required when construction of the building is complete. ~ o ~ ~,.. O t ~-+ ` b 2. Pi..An+ ~
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed -see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARfA, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3a-i below acxording to the building diagram specified in Item C2. State the datum used. If the datum is different from
~.:, tha_datum used for the BFE in Section B, convert the~datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
Datum l 9 Z 9 ConversioNComments S E.E 2-~.r ER S~
Elevation reference mark used ~S H ~ ..+ E " Does the elevation reference mark used appear ~, Na
O a) Top of bottom floor (inGuding basement or enGosure) _ ft.(m)
^ b) Top of next higher floor _ ft. m `~ U ~'
O c) Bottom of lowest horizontal structural member N zones only) _ ft,(m) ° O~ C,~~~~
O d) Attached garage (top of slab) __._ ft,(m) g '~ ~ ~~ w ~
O e) Lowest elevation of machinery and/or equipment w ~ V .c Q
servicing the building ~ ~ ft.l~ ~ ~„ ~ ~
^ f) Lowest adjacent grade (LAG) .?. . $.ft:(,~rl) z . ~'' O~ 4 N
^ g) Highest adjacent grade (HAG) g , ~ ft,(~ ~ ,`.^~~' ~~~ ~ to
O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ~ '`J
O i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm)
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 certif~<elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best eRorts to interpret the ~ata avai/ab/e.
1 understand that any false statement maybe punishable by fine or imprisonment under 18 U S Code, Section 1001
CERTIFIER S NAME a LICENSE NUMBER
AILNor..O ~.. wooer ~ ~ ` ~/A ~ 39' 1 1
., CO~pANY NAME ~ ~
SUR.V6..yorG d- f/Lt,.S r D l~ti T ~Ko So•~VE ~IV~. , :.*,4~A t3
ADDRESS ITY STATE ~ ZIP CODE
2/ s s D r 33G,ovr,~y 20 fs`o~cr o~ti,s~,
SIGNATURE DATE TELEPHONE '
FEMA Form 81-31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS:...
IMf'UKIANT: In these spaces, copy the corresponding information (From Section A.
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR .O. ROUTE AND BOX NO.
•~~ r--- S N! N E Q .z, .For Insurance Company Use:
Policy Number
CITY STAT
~~-- / _ ~
C.-u L,~f /9-
i ZIP DE
Company NAIC Nlumber
SECTION D -SURVEYOR, ENGINEER, OR A HITECT CERTIFICATION (C NTINUED)
Copy both sides of.this Elevation Certificate for (1) communit~V official. (2)I insurance aaent/comoanv An[I /31 huilrlinn nwncr
~„...,.,~.. ~ v ~ 5 TE+'} S A 2E.q l-~As NUT ~EE N S?~, n! ~ O . No F
G..~Vr`T I Oti
2~ I:IC. Hr ~ G r` M pt .c K S \~/ ~ ~, ~ ~ 5 TA/3d_I 5 N ~' ~) T V S E D U S V~ (~ C
M b N. r- S f^I ~ /y ~~ ~ A S ~4 ~ g ~ t; ~L~ ll,~,. T/ O /~.! S ~!1-~ ~ G h} (S 3 8~ C~i ~
~ ~-,
- A s - o F .~ ~ r3 S EG 1~2 ~PE2 t ( • vBN
Z .oo F"-r N A~/ p 198 C.o>vv ,~c~-~.r~ V O I'Z. 9~' Check Mere', if attachments
SECTION E -BUILDING ELEVATION INFORMATION (SURVEY N T REQUIRED) FOR ZON AO and ZONE A (WIT. OUT BFE)
For Zone AO and Zone A (without BFE), complete Items E7 through E3. the Elevation Certificate is intelhded for use as supporting
information for a LOMA or LOMR-F, Section C must be completed.
E1. Building Diagram Number (Select the building diagram most si filar to the building for which this certificate is beings completed -
see pages 6 and 7. If no diagram accurately represents tfhe building, rovide a sketch or photograph J
E2. The top of the bottom floor (including basement or enclosure) of the b ilding is ~~~ ft.(m) L~_~in.(cm) ~~ above or ~~ below
(check one) the highest adjacent grade.
E3. For Zone AO only: If;no flood depth number is available, is the top of he bottom floor elevated in accordance with th
n
'
flood lairs mono ement ordinance? Yes No Unknow e commu
ity
s
.The local official must certi this information in Sf3ction G.
SECTION F - PRpPERTY OWNER (OR OWNE 'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A; B, and E for Zone A', (without aFEMA-issued or
community-issued BFE) or Zone AO must sign here.
~f#-~-~~C.IZ.~r~ 12~
PR PERTY OWNER'S OR OWNER'S AUTHORIZED REP NATIVE'S E ~G~~ ~~~~
ADDRESS ~ - CI
~t ~ ~ ~ , STA ZIP CODE /~
o ~Zua~~ /
SIG TURF ~, ~~: 0 ~'n 1I ~ DA E TELE H(1NF
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2
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SECTION G - COM r r
U TY IN ~_~ Check here
ORMATION (OPTIONAL) ' if attachments
The local official who is authorized by law or ordinance to adm nister the c mmunity's floodplain management ordinance can mplete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the pplicable item(s) and sign below.
G1. (,~{ The informatioir ufr S~dtiorfG was taken from other documentatio that has been signed and embossed by a licensed surveyor,
engineer, •or architect who isauthorized by state or local law to c rtify elevation information. (Indicate the source andl date of the
elevation da#a In the Comments area below.)
G2. ~ A commurnty, offaal completed Section E for a building located in Zone A (without aFEMA-issued' or community-issued BFE) or
1. 'Zone AO ~, ' ,
G3. f fihe followirg~ir)`c~rmatiori (Iterils G4-G9) is provided for communi floodplain management purpo$es.
G4. ERMIT NUM ~ 5. DAT,~ PERMIT ISSUED G6. DATE CERTIFICATE F COMPLIANCE/O CUPANCY
. ISSUED
G7. This permit has been issued for: ~~_;~~ New Construction ~~ Sub tantial Improvement
G8. EI®uaboq pf as b~~t inwest:floor titicluding basement) of the building i
' : T
ft,(m) Datum:
G9. BFE
or (iri Zone AO) depth of flooding at the building site is: ~
~.". ft.(m) Datum:
LOCAL OFFICIAL'S NAM i TITLE i
COMMUNITY NAME TELEPHONE ' . _
,, `3r''•
SIGNATURE DATE ,,,,
COMMENTS _ . ' c `~ 1:%' ~ ..,, ._ ,~ < , ~ , , . , ,! .
- '. ~ ~ Check here' if attachments
FEMA Form 81-31, AUG 99 REPLACES ALL PREVI US EDITIONS
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