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HomeMy WebLinkAboutBLD2001-00710 Flood Certificate � 3 1D,_ , E 1? O U E . FEDERAL EMERGENCY MANAGEMENT AGENCY f —.._ O.M.B. No.3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31. 2002 O • 5 2001 ELEVATION CERTIFICATE Important Read the Instructions on pages 1 -7. azi._,,,;j 4 .....,t,y__. SECTION A-PROPERTY OWNER INFORMATION Farjnet ';._', ; Z3 F �- Ac3►3`I C. cor.._0 R.c) S S I tr . BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O ROUTE AND BOX NO. 1 11AJ4 Imo' ' _ AT 0-S. Nw- tol +- \hlrc-r3..t.ton0 2.0Ao . .. . . _ i.,t• t: ,t'.. . CITY STATE ZIP CODE QL.,i C. ENe- \!A 5 8 37 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) L-o j I c' F T44E Noce►Zt BA2TLam( St-iO2'r- P1..AT BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Lisa Comments section if necessrxy.) REsi p enir/ AO-- LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: Li GPS(Type): ( txM'°-U-lift or *I1140.11 1r) LI NAD 1927 Li NAD 1963 L i USGS Quad Map Li Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81. NFIP COMMUNITY NAME&COMMUNITY NUMBER 82.COUNTY NAME 83.STATE 944. E.t., 83S o F 1 (0Z.S ,S EFFE2S©n/ \h/A 84 MAP AND PANEL B5.SUFFIX ' B9. FIRM INDEX B7,FIRM PANEL 88. FLOOD 88. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 53ooc.9 0835 e, 7- t9 -87- /Vo.,„E A - 90. 00 F3. B1 0. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. J J FIS Profile Li FIRM Lf Community Determined U Other(Describe): 5EE Co A.A.n-wr1Ts PA,(r.r Z 811. Indicate the elevation datum used for the BFE in 89: i>4 NGVD 1929 LJ NAVD 1988 L,j Other(Describe). B12. Is the building located in a Coastal Berner Resources System(CBRS)area or Otherwise Protected Area(OPA)? I I Yes IX..Q No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on: LConstruction Drawings* LBuilding Under Construction* LJFinished Construction •A new Elevation Certificate will be renuir•. when construction of the building is complete. C2. Building Diagram Number (St -.L. i ,d building diagram most similar to the building for which this certificate is being con iett, • sea pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations-Zones Al-A30,AE,AM, A(with BFE), VE, V1-V30, V(with BFE),AR, AR/A, ARJAE,AR/Al-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 8, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area d Section 0 or Section G. as appropriate,to document the datum conversion. Datum 19Z, 9 Conversion/Comments Elevation reference mark used<3-15 19 c.c., USC-4( Does the elevation reference mark used appear on the FIRM? Li Yes 1.xl No U7 a)Top ci bottom floor(including basement or enclosure) _ ft.(m) a - " "���""""",ram% al b)Top of next higher floor fi.(ml . /f \ , • atom of'owest i-ortorr ai struct:rnl member(V ;eo .niy) _ ft(ns 4 i 4 ©0y oN ,� , A t..1. .1):tr?-acfled J7.-ira r (4•}n rir slab; _ '(m t L � T Y f) V) , ❑ e)Lowest elevation of machinery and/or equipment L. 1, V servicing the building i ft{m) :k Cp i b . �.% ❑ f) Lowest adjacent grade(LAG) 9 Z. ,4,7 ft.(+a'y f \ 'oO 'p� #ter y ClHighest rade(HAG) 9 g))No. of permanentdaent 9openings(flood vents)within 1 ft above adjacent grade? •� 8 •• „b pit�� �-4, U i)Total area of all permanent openings(flood vents)In C3h sq. in. (sq. cm) w 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 information In Sections A, El, and C on this certificate represents my best efforts to Interpret the data available. 1 understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME A2 LICENSE NUMBER ry p oL C. wool k/A Z 391 1 TITLE COMPANY NAME Prt,ES, woop Sv.e.NE (N Co 1,11/4)c. ADDRESS Z S O 1 S O v Ems..`! RQ, CITY t�oft.T t GC+�IU$aK8TATE ZIP CODE o w,4 98 36.8 Cl- A IMPORTANT: in these spaces,copy the corresponding information from Section A. :'Fdri s; 11( ,' t2Se.. i1 f. BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg No.)OR P.O.ROUTE AND BOX NO. .,P#IfIir Nfellhet.` ` U.S. t-1 w`( 101 a. \l't-.pwooc, (2..0,c..Ct• CITY STATE ZIP CODE convoy Ni IOl lit ' ' sl'i`.1'.' Qt�c %..e.H.t..r F.- 1�/,y �837` 1 -: r, .. , ; , ,. 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 • USE() US C- -+- Cfl B. M. L-+-( S 1 9 `c. N Ad ti 19 z 9 E t-E V /0 3. 2.3 A T T A,C N E D 1dl,a►P S 1-4 O w 5 Ec.E✓A•ri oN 5 1 A FC E A-T- S,T E. B u i l-I, 1 N Ce ?/..A N S 4/C R E- NOT A V A I L.A IS I.E... j Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO and ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items El through E3. If the Bevafion CertifiCaMe Is Intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. 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.) E2. The top of the bottom floor(Including basement or enclosure)of the building is I I I It(m)I 1 jin.(cm) LI above or LW!below (check one)the highest adjacent grade. E3. 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?j [Yes L„j No j_j Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The 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. A,cwoc_c> C. \/%1CC>a C . PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE 2 i SS Dr SC.o✓s.,4'/ R. h�oiar To �sJA . 98368 SIGNATURE �� ., / DATE TELEPHONE w6�t�L /i- �- 200 / 3C:=.0- 385- 59(08 COMMENTS ),J Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodpiain management ordinance can ccnmptete Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable Items)and sign below. G1. Li 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 e+evation&eta in the Col-mdnts area below.) I,I A commu' t' cii ini cemr..eted Section E.for r..build:To iodated in Zone A twithout a FFMAAssue r ccmmni:nt{-1:. Jets r:- ) Zone AO. G3. ( I The following information(Items G4-G9)Is provided for community floodpiain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED 06, DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued tor: Li New Construction Li Substantial Improvement GS. Elevation of as-built lowest floor(including basement)of the building is: —ft.(m)Datum: GB. BFE or(in Zone AO)depth of flooding at the building site Is: ft.(m)Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • w • • • N it; 0 DEPT.OF COMMUNITY DEVELOPMENT N O •k• N ' R (1© 1. 0 Ar11-1 sn r„o � O. -bN 00• SL2 C Z O O x � o 7 . X ro N cn ' O A O LO X X Cri iv 6G jC SFo CON rF o r' N W 3 CO • X x to (31 Cn to 0 m � D X • L -a in W -n cri a) -21 0 . 11 co 0 m • '•�� D lD -P V O (V • W r 0 II PI VI o 0 EAST NE SECTION 14