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Home My WebLink AboutBLD2001-00275 Flood Certificate `ELtVATION•CERTIFIC O.K11.NO. 3067-007 FEDERAL EMERGENCY MANAGEMENT AG NCY Expires May3{ 1996 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION:Use of this certificate does not provide a waiver of the flood Insurance purchase requirement. This form is used onlyto provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to determine the proper Insurance premium rate,and/or to support amqu for a Letterd of Map Amendment or Revision(LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION BUILDING OWNER'S NAME FOR INSURANCE COMPANY USE VZ 1 C, 1 re-- 5 C �I e...I E R- POLICY NUMBER STREET ADDRESS(Including Apt.,Unit,Suite andior Bldg.Number)OR P.O.ROUTE AND BOX NUMBER P O I o x a SC.3 A Po A. (7 COMPANY NAIC NUMBER OTHER DESCRIPTION(Lot and Block Numbers,etc.) 9 aPt1 Caoz.— 33 - c305 Lc)7... ol- // CITY — V OL 3 Ot� SV2vEYs /�C7 N �1 �� /Z r N..)N o,� ^ STATE ZIP CODE A. KJ 1� SECTION 8 FLOOD INSURANCE RATE MAP(FIRM)NFORMATIONr P 2 v c 2 Provide the following from the proper FIRM(See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FARM ZONE .� 3 od 5 / 2_ 3 S J� 6.BASE Fl(X�n ELEVATION ,J 7_ 9_ g Z 4 on AO zones,use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): 7 5. O U 8. For Zones A or V,where no BFE is provided on the FIRM,and the community has established a BFE for this buildingsite, in ( ) �PIGVD'29 ❑Other(describe on back) the community's BFE:.( I I I I I.1 feet NGVD(or other FIRM datum-see Section B, Item 7). indicate SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions,indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level.._ , 2(a).FIRM Zones A1-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elev of l l •Li feet NGVD(or other FIRM datum-see Section B, Item 7). anon (b). FIRM Zones V1-V30, VE,and V(with BFE). The bottom of the lowest horizontal structural member of the reference level the selected diagram, is at an elevation of (c). FIRM Zone A(without BFE). The floor used as�reference leveti feet l from the VD(or tselecte sher FIRM elected datum-see Section B, Item 7) from below❑ (check one) the highest grade adjacent to the building. gram is L ).L feet above L_' or (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is L-1--j•U feet above❑ or below L1(check one)the highest grade adjacent to the building. If no flood depth number is available,is the building's lowest floor(reference g level)elevated in accordance with the community's floodplain management ordinance? 3. Indicate the elevation datum system used in determining the above reference level elevations:® N Yes ❑GVD'29 under Comments on Page 2 • No ❑ Unknown 9 ) (NOTE: If the elevation datum used in measuring the elevations is different than❑that used on Other cribe the FIRM [see Section 8, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes Q No (See Instructions on Page 4) SEE A TrAc-t-4 C o M A P 5.The reference level elevation is based on: ❑ actual construction CI(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place,in which construction drawings Uoti� r �}Po E ID 2�aw� N G. s case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6.The elevationof the lowest grade immediately adjacent to the building is:L1111.17 .�I J.feet NGVD(or other FIRM datum s Section Item ee SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section is not the"lowest floor'as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor'as defined by the ordinance is: C. Item 1 L�-L J__LI.0 feet NGVD(or other FIRM datum-see Section B,Item 7). g 2. Date of the start of construction or substantial improvement FEMA Form 81.31,kw 93 REPLACES All PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION October 1993 CERT 3 „I�l 1 .JUL2A1996 4 SECTION E CERTIFICATION This certification is to be signed by a land surveyor,engineer,or architect who is authorized by state or local law to certify elevation information when the elevation Information for Zones Al-A30,AE,AH,A(with BFE),V1-V30,VE,and V(with BFE)is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A(without a FEMA or communityissued BFE),a buildingofficial, a property owner's representative may also sign the certification. P P rty owner,or an Reference level diagrams 6,7 and 8-Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakawaywall, enclosure size,location of servicing equipment,area use,wall openings,or unfinished area Feature(s),then list the Feature(s)not included In the certification under Comments below. The diagram number,Section C, Item 1, must still be entered. I certify that the Information in Sections 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 line or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME O Z 3 91 1 5 v /L �! C1/O r2 ea_ 5 LICENSE NUMBER(or Affix Seal) TITLE oN SU 2 y E-,1i ti T 2/ _ COMPANY NAME "�^�C SG O✓E-izy ADDRESS a_I To ,•-, -EN �!� CITY H 3 C 7-Z 3 8 STATE ZIP SI ATURE DATE 3 O_ 385 59Gt3 PHONE Copies should be made of this Certificate for: 1)community official,2) insurance agent/company,and 3)building owner. COMMENTS: (- fv G E M A+2-,t 1Ztvc.�. I�.o,y0 I-l- A✓ r GE � ��+ e I os;wti�� , p5 A,e,2oA0 Spll r � l� 1 ^� T a L_1- (_L-E V. 1 S . �`/ n. L. S, z o �4 Z. Pam,--N. 2._ 9 � E sr/a" �r 5 N C p 2M z S- As Sf.1oL..., &..7 Iry Vag-- , 2. o % N o w T- L i S P. .- E3 0 ^ , (2�coRD 5 4= Et-%, �o �A .0%,, .F WASry•,,•,O,y _ r� poi SLAB 1N It )�' z WITH • SEMENT ON PILES, A V O�• O PIERS,OR COLUMNS ZONES ZOh S �FSOF 23911 t A S .. /STEP... Qom`` ZONES A V REFERENCE v NAI.OM° - ZONES ZONES pm IEVEI '� ' - ,�� REFERENCE BASE LEVEL ` ; REFERENCE EXPIRES 1/17/00 ; FLOOD ,, ELEVATKA III LEVEL • FIEVATx'lN '•.•: ADJACENT•::: ,C REFERENCE ilaill SASE REFERENCE ADJACENT OMDE 'rjV', LEVlL GRADE 'L�1 IEVEI FLOOD yttL; ELEVATION ', ADIACENi:: s.rT-(JI`C'.'3( :::C;:%J;=i:y")6?,!.1 QRAOE ;� The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. CERT 4 October 1990 i