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Home My WebLink AboutBLD1999-00660 - Flood Certificate FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. . / SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME - Policy Number JOSOPN tl- MORELLO BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg. No.)OR P.O. ROUTE AND BOX NO. Company NAIC Number I07o BE.c.. t<e.i T Po,,,, r c2.d. . CITY STATE ZIP CODE Po 2 i- 10.A0., s EA..) ti./A, g 8 3 C.8 / PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ^ Lo 12 S Ot- S°vj t--t (3CHG1F of U/VYLGC . C,4►°E (,E02CeE PSG.l-Ere...nilAtis _1,NG. BUILDING USE(e.g., Residential, Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) R.E5' 0 a NT'I At— LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: II GPS(Type): ( ##°-##'-##.##" or ##.#####°) I_I NAD 1927 L.j NAD 1983 I—I USGS Quad Map I—I Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE EFE✓ZSot.+ Co 530o C.9 TEFF E ea.SoNI \/ .//->SrI ,,"Co i OiN4 B4. MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL B8. FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 5 3or, Co 9 cD+ '3S 13 to-1 9-198Z NONI E A t 9. 00 10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. II FIS Profile IXJ FIRM I_I Community Determined II Other(Describe): 311. Indicate the elevation datum used for the BFE in B9: I_KI NGVD 1929 II NAVD 1988 I_I Other(Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? II Yes IXI No Designation Date: SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) '1. Building elevations are based on: I_IConstruction Drawings* I_IBuilding Under Construction* I, (Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. Building Diagram Number 5 (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.) :3. 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 C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the 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 I `,2.. 9 Conversion/Comments Elevation reference mark used Ca.F F. c-"" -'--'--- cz.P.5. '5TA. /4 Does the elevation reference mark used appear .;�I` d, � / o 2 a)Top of bottom floor(including basement or enclosure) to . 6.8ft.(.) c - I , j t \," ' / U b) Top of next higher floor Nlo,.rE •_ft.(m) N � ` �� _ T ��hp U c) Bottom of lowest horizontal structural member(V zones only) ft.(m) a o , , i U d)Attached garage (top of slab) No,.,,E ? s2 � U e) Lowest elevation of machinery and/or equipment w a = servicingthe building -w % e 2 i., -` _ft.(m) 1 Ti i -F 23911, )i , 781 f) Lowest adjacent grade (LAG) 4 .73 ft.(n�t) z' in i `r►j rfs-0-- <4- // T14 g) Highest adjacent grade(HAG) 4 , &O ft,(m) 2(1) j�; % 1-t. ��%i _ ❑ h) No. of permanent openings (flood vents)within 1 ft. above adjacent gradecu IL N EXPIRES 1 17/20o00k , U i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) h\\‘‘‘••‘"•r,,,,,,,,,,,tl 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. I certify that the infom+ation in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER f-N fLivoL p C,. \,/,/00 wA. NJ Z. 391 I TITLE COMPANY NAME P(-wS• V400p Sv2v6y,A,G I-.vc . ADDRESS CITY STATE ZIP CODE Z1 SS Di Sco,.eray t20• f o2-rl w7vsan,f) ...Ai" 9g3` 8 SIGNATURE ry / , ) __ _Q DATE TELEPHONE lam. �LU�_ /o- 20- S9 3C.o- 38S-5-9aa =EMA Form 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS RECEIVED OCT. Q 1999 J.C. PERMIT C .N `. IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: i?UILDING STREET ADDRESS(Including Apt., Unit, Suite,and/or Bldg. No.)OR P.O. ROUTE AND BOX NO. Policy Number CITY- ------ STATE ZIP CODE 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 2EFE-k Nc. e Mon_vM6.•v s CZM Z. 4- 2 M 3 �rl Pow .z. IOoLEs \KI 1-4 i µ A\/c t3 E E,.r (2 C ,u c E 0, USED —3—Er e=i-ve ni T L/ S MONUA.. rNo . 14 t ��_v. NAvo l S 2 S = 5. 42. z E LATITVOE? 48° 04 4G . o oii , Lon.ri-ToioE (ZZ�S3 ' Zo . S4-`7 19 83 I_I Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A(WITHOUT BFE) -or Zone AO and Zone A(without BFE), complete Items El through E3. If the Elevation Certificate is intended for use as supporting -)formation for a LOMA or LOMR-F, Section C must be completed. :1. 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.) :2. The top of the bottom floor(including basement t r enclosure)of the building is I_I_1 ft.(m) I_I_lin.(cm) I_I above or 1_1 below hock one)the highest adjacent grade. 13. For 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? II Yes Li No I l Unknown. The local official must certify this information in Section G. SECTION F -PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION 1 he 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME 'ADDRESS CITY STATE ZIP CODE ;IGNATURE DATE TELEPHONE :;OMMENTS I—I Check here if attachments SECTION G -COMMUNITY INFORMATION (OPTIONAL) le local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete actions A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. 1. I_I 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 information. (Indicate the source and date of the elevation data in the Comments area below.) A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. 3. 1_1 The following information (Items G4-G9)is provided for community floodplain management purposes. 4 PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED '. This permit has been issued for: I_I New Construction I_I Substantial Improvement . Elevation of as-built lowest floor(including basement)of the building is: ft.(m)Datum: I. BFE or(in Zone AO)depth of flooding at the building site is: ft.(m)Datum: OCAL OFFICIAL'S NAME TITLE OMMUNITY NAME TELEPHONE IGNATURE DATE OMMENTS II Check here if attachments MA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS