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HomeMy WebLinkAbout701194027 - 183 WAMPUM POINT RD - FLOOD~~i3 i73: 31p Lawrence and Gai 1 Sherman 425-643-8491 p. ~ . .~~ARTMENTO1=FfoiylFL+aNaSECtJRl7'Y EL VATIONCEF2TIFICATE oM~No.~s6o-t)ooe ":rr~rgency Managernent Agenq Expires February 28. 2009 =icon :nsurasce Pro~pm lmpoltent: >Read.the~instrDCtions on pages 9-8. _~ S CTION A -PROPERTY INFORMATION For Insurance Company Use: °':~ Owner's Nar~~ Polley Number ~. 1~ tv Gt° -~d-- t L ~J i-ik^ f'~. IVI A. M ~trect Address ~irrduding ApL, ifnit, Suite, an r Bldg. No.) or P.Q. Route and Sox No. Company NAlC Number ', State ` ZIP Code J $ X7(0 - '~ ' ~~ ~ ry 7tscrpGon (Lot and Bloat Numbers, Tax Pa I Number, Legal -Description, etc.} ,g Use (e.g„ Residential, Non-Residential, Additi ,Accessory, etG) ~ E S 1 iJ ~rVT'1 Ai.. _ :.t~.t4/~ongi9ude: Lat. !47. 8I 7GA ° N• Long. i z'Z . 1:3.~~.'~'S ~,/ Horizontal Datum: ~] NAti X927 .® NAp 1983 ' c, .at :east 2 photographs of the building if the CerB te'is being used to'obtain flood insurance. ~...,- Giagrarn Number~j- f`/d i C. o r~ 'S ~ 2 V e 7 ~ r~ -- No ~ G. ~+nE~ . ~ 1iluing with a craw( space or encosure(s); prnvid : R9. For a building with an adached garage, provide: S, -arQ footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft t'.. of permanent flood openings in the crawl space r b) No. of permanent flood openings in the attachatl garage er ~'osure(s}wags within 1.0 foot above adjacent grd a walls within 1.0 foot above adjacent grade °! ^e! area of flood openings in AB.b sq in c) Taial net area of flood openings in A9.b sq in SECTION B - FLOO ENSURANCE RATE MAP (FIRM} iNFORMATI4N i=,.- Community'Name & Community Number B2. County Name 83: State _ ~" Cc. $ oO ~9 a 8 $S i~ ~ir ~F ~~ 'S.or.t irr„JR" T•-,/Panel Nurrber 65. Suffix B6. FIRM Ind x i37. FIRM Panel 88. Flood B9. ease Flood Elevation{$} (Zone Date Effeclive/Revised Date Zone(sj AO, use base flood depth} ~, ~ ~ 1 ra.a5' C3- 7/!~ ~ 8z. ' A c-,r~lt~G 1't~Rti1.l,U~P ~' ~-ate the Source of the Base Flood Elevation (BFE} d to or base tkrod depth entered in Item 89. /~ PP ~q X r ~'~' -~~,5 P ~ FIRM ^ Community Dete irted ^ Otfter {Describe) Z err.~L t/2 Aaeos s 33.~ry t 8 t G. O G~ ~tua~ datum used for 8FE in item B9: ®N VD 1929 ^ iVAVD 1988 ^ Other (Describe) n j faceted in a Coastal Barrier Resources Sy~em jCBRS) area or Otherwise Protected Area (OPA)? ~ Yes ~ No ..c.~ Date ~ ^ CBRS ^ OPA - - _.,..~ _ _ ._ _~ SECTION C - BUILDIN ELEVA710N INFORMATION (SURVEY REQtJ1RED) ".-= - 3r, based on: Construction Ora 'rigs' ^ Building Under Consinaction' ^ Finished Construction ~i 3n Certificate wig be r~red when Consttu 'on oflhe building is complete. - ~. ~ or.s --Zones A7-A30, AE, AW, A {with BFE), VE, V1 V30, V (with BFE}, RR, ARIA. ARlAE. AR/A1-A30, ARlAH, ARIAO: Complete hems C2.a-g ac^,orting to-the building diagram speafied in Item 7. -.. Jti;ized sy, g Sc vol., vertical Datum /~~r4'ID j ~~ Gj _ o V^omm?nts piT ~ '~`~ $~o"`f'1 Check the measurement used. 'F ~` bosom floor ~ndudirig basement, crawl space, r enclosure floor} ~ ._^c~t feel ^ meters {Puerto Rico only) - F ~` c e next higher floor O 1SJ feet ^ .~•_r.,} meters (PueRO Rico only) " ~ t f the lowest h~rizcntal structural member (V ones only} ~l_i feet ~ meters (Puerto Rico only) e ` garage {top of slab) ' ^ feet 1..1 meters (Puerto Rico only) '~c w sttelevation Qfmachirtery or equipment servicing the buikfing ! 1. - O ~ feet [; meters {Puerto Rico only} type of equipment in Conimenls} dj3cen; (G~~) grade (LAG) ~ f3 ,, ~? ~ cJ feet ~ ;meters {Puerto Rico only) r.t ~id;ac~nt (firdshed) grade (WAG) ~d ~ Q feet L'I meters {Puerto Rico only} _ _•,_ ~ T^ SE£'iION D -SURVEY R, ENGINEER, OR ARCHITECT CERTIFICATION -` caEOn is to be ~py,;a>8d: by a Land surveyor, engineer, or architect authorized by law to certify elevation. ~ Z, l certdy that tMctiapfornoakvn on this Cert'rfirate serifs my bust eNorts to interpret the da[a available. °= ^7'hat any false sta(f~r-entmay be punishable by Frn~ orimprisorrment under 18 U.S. Code. Section toot.. ~ ~~~ ~VnSF/~(C~~ . ~ i`comrnents are provided on back of form: = ~,i~ '~.lc~c> f7 ~rla S 2 3 ~~ ' i? ~~5. I,i,~grtse Number ~" " ~ ~. ' ompany Nam '~, +f',,~ 23941 ~ '' `-. C,' tin `GIs YZ"pr ~11 ( City ate ZIP Code ~~~~~~ ~ T . ~~ Da Telephone OCPIRES 1117/4 $ ~~~'~~"`~"-~-, cry 2006 S 'reverse side for continuation. . Replaces ag previpus editions ~, JEffEflSON GOUNIY DCa 3 ~3:31p Lawrence andfGail Sherman. 425-643-8491 p.3 ' '' AN'~: [n thesaspaces,~~e4py the corresponding;information from Section A. For Insurance Company Use: ~. f d g :treat Address (ingyding.Apt.. unit, Suite. andf0r Bldg. No.) or P.O. Route and Box No. Policy Number S $ 3'7 - State ZIP Code Company NAIC Number _e_ -.SECTION D - SURVEYOR, ENGINEER, OR ARCHiTEC'f CERTIFICATION {CONTINUED) _ ~ t s9det^ of'This'EtBirafton'Certiflcate for (1) rA unity official, {2) insurance agenttcompa~ny, and (3) building owner. , .~^ is ~ s Cfar v ~'T E 2+K,n, E+v . ~ t.3 5;E P i'•~ E. +Ci..E1/. ~ o. ctio ~ ~,r.f,~f cc ~ a ~5 ~~ Ivy csSS ~~ u ~E-rtC~ s--ature ~W~ K~~ t4oa~ Date'~w A .ray 'F~c,~t `~ cst3 ~'£c7 ~ . O/ ~ Check hererf attachments _~^ >a~=%~101-t E -BUILDING ELEVATION) INFO T10N {SURVEY NOT RE4UfRED) FOR ZONE AO ANp ZONE A (WITFEOUT BFE) -' ~oneS AO and A (wlthoui SFE), eomptete )tams E'1- 5. tf the Certificate is intended to support a LOMA or LOMR-P request, complete Sections A, B, C. ~or Items Et-E4, use natural grade, if evailatrte. heck the measurement used. 1n Puerto Rico only, enter meters. °ra'+~dQ e'eva8on infoimatian for the following and the appropriate boxes to show whether the elevation is above or below the highest adjacent .`!N~ (W4G) and the lowest adjacent grade (LAG). `Top of bottom floor (including basement, pawl ce, or enclosure is _ ^ feel ^ meters i~ above or ~.-i below the HAG. '" ~ a'` `atom floor {indudmg basement, crawls ace, Ot enclosure) is ~ ^ feet ^ meters '~i above or L ^ below the LAG. _ ~ a agrams fr8 with permanent flood op ings provided in Section A Items 8 andtor 9 (see a e 8 of Instructions), the next higher floor - ~ b fn the diagrams) of the building is . ~ [~ feet ^ meters ^ above or (below the kfAG. - ~~ ~~arage{top of slab) is feet meters above or ~. ; op cf pla:'farm of machinery andtor equipment serv 'n t^e buildin a ^ below the t•IAG. . - g 9'i . _,,,_ ^ feel G) meters (] above or [] below the HAG. ~-: ~~e AO only: If no flood depth number is available is the top of the bottom float elevated in accordance with the community's floodplain management e-..^rance? Q Yes ^ No ^ Unknown. The I cat official must certify this information in Section G: • . .SECTION F -PROPERTY WNER {OR OWNER'S REPRESENTATIVE) CERTIFICATION ~~ Y+aaerty owner or owner's authorized representative ho comptefes Sections A, B, and E for Zone A (without a FEMA-issued or community-issued BFE). ~ ^~e AQ mustsign here. The statements in Sections A B, arrd E one correct to the best of mytvrowJedge_ ti='* ~wner'S,pr s Authorized rttative's NaJne - --- ---;% 'a s `~ y ,~.' ~ , ~ ~'' ~~~ . ~~ ~ slat ZIP Code _ _ i"-~ ~ pate f ~Tei bon ~ ~ ~ ' ,~ __ ^ heck h it at chments SECTION ' COMMUNITY INFORMATION {OPTIONAL) , ~``aal who is auth)ufzed by taw or oroinance to administer fhe community's floodplain management ordinance can complete Sections A. 8, C (or E), ; th!s EtevaGon Certitici~. Complete the applicable i6em{s) and sign below. Check the measurement used in Items Gt3. and G9. ;""! The information in aSection C was taken from other ocumeniatian that has been signed and seated by a licensed surveyor, engineer, or architect who is authorized by litY.til certify elevation infonna6an.~Ondicate-thesource and date of the elevation data in the Comments area below,). '' -- :.c*rimu.~ity affldal completed Section E for a building located inZane A (without a FI±MA-issued or community-issued BFE} or Zone AO. ~: `olioµdng informefiprrtllsms G4.-G9.) is providad.for camrnunity floodplain management purposes. __- ~.mher G5. Date Permitts ued G6. Date Ceriifrcate Of CompfiancetQccupancy Issued ~~ issued fpr: ^ New Construction ' [] Snbs(antial Improvement - `~'~ ~!lt ts~ytiast ftoor.(}ndudirxfbosement) of a building: r, - ~I"F r ^ feet ^ meters (PR} t7atum o (~ Zone Ate-deptttiof flooding at the building sRe: ^ feet ~ meters (PR) Oaium ...€~~-ft~'aNs ttiarn~ - _.__ Title Telephone __._ e , :are 81-31, February 2006 ^ Check here if attachments Replaces al! previous editions -- _ :~`3 u3':31p Lawrence andj Gail Sherman 425-643-8491. p.4 9 18 FENCE i ~~~~ ~~ " APR 2 5 2008 JffFE~SO~ C0U~1Y DCD ~ 9. 57 ^ . 8. 94 ~ ~ ~ ' Q Z ~°- 0~1 © Z ~ A -J Q Q ~ ~ n 9.94 ~ ~ ~ ~ ~ y Q ~.`_a .- ~ ~ ' ~ (~ ~ ` ~ X8.95 ,, ~ , ~. ~ ~ 4 ~f ~, r=ss .~ ~~ ~ ~ ~Q 3 ~~~ ~ ~ Q 3 ' Q 9.35 ;kg~:wJ~ ~/ i t~ ~L .10.25 ~ ' ...,...,1: 10. 76 _..1 r - ~ ~tpRsw, p S' 1 a4t6 ~S ~y~~ ""~ I ~J+v~'y' 9. 40 9. 53 s~+En 9. 84 - 9: 59 ,...10. 04 8; 63 8 ~ ' 9. 3~3 ~ ~: 17 ~. ~ ~ S~U~'H PRtIP TY LINE - -.a ~ wEt~~ ~,~ TAM