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HomeMy Public PortalAboutLogan St_15U.S. DEPARTMENT OF HOMELAND SECi1RITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1.8. OMB N. 1660 -0008 Expires February 28. 2009 SECTION A. - PROPERTY FORMATION For irtsurance Company Use: Policy Number F� A SOLO/142W Al . Building Owner's Name" A2. i ti SreAles dng Suite, and/or Bldg. No.) or P.O. Route and Box No. City i" E .7.6Z A eVC) Starter erA . ZiP Code 5/30461 A3. Prope4y Cysslipti of and Ell Nu,. ��Numberpg prilirQ , etc.) j 0 0 3 _of _04.7. A4[Buildining/Ussee((e.g., Residential, Non - Residential, Addition Accessory, etc) T 7 ,fit=/ V r' Company NAM Number A5. Latitude/Longitude: Lat. A6. Attach at least 2 photograp A7. Building Disgram Number. A8 For a building with a crawl space or enclosure(s), provide: t a) Square footage of crawl space or enclosure(s) ,�Y" sq fl bi No of permanent flood openings in the crawl space or PA endosure(s) wails within 1.0 foot above adjacent ode c) Total net area of flood openings In A8.b sq in Long, Horizontal Datum: ❑ NAD 1927 the building if the Certificate is being used to obtain flood insurance. 0 NAD 1983 A9. For a budding with an attached garage, provide: a) Square footage of attached garage sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade _ _ c) Total net area of load openings Ir: A9.b sq in SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION L rr1EF y P %> 71g r 82. PIA4L-__ Bb. Map/Panet umber B5. Suffix B6. FIRM Index I 87. FiRM Pane! T Btf. Flood B9. Base Flood Elevation(s) (Zone Datieeee 1 6 t i s Date i 2 2 e ( 4 use flood depth) J B10. Indicate the source orths.asee Flood Elevation (BFE) data or base flood depth entered in item 89. 0 FIS Profile ai FIRM ❑ Community Determined 0 Other (Deecrtbe) 811. Indicate elevation datum used for BFE In Item B9: WrNGVD 1929 0 NAVD 1988 0 Other ;Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? t l Yes irNo Designation Date i(J CBRS 0 OPA j. 83. State �..-" / j SECTION C - BUILDING ELEVATiOIN INFORMATION (SURVEY REQUIRED) 31. Building elevations are based on: 0 Construction Drawings* 0 Building Under Corssineetior *A new Elevation Certificate wit be required when construction of the building is complete. 32. Elevations -. Zone: Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARrA, AR/AE, Aft/Al -A30, AR/AH, pAR//AAO. Complete items C2.a -g below according to the bu irdi$ gram specified In Item A7. �ri%A f 7 1 Benchmark Utilized _ Vertical datum iniehed Construction Conversion/Comments a) b) c) d) e) f) 9) Check the measurement used. Top of bottom floor (including basement, crawl space, or enclosure floor) /5- .2 !feet Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (flntshed) grade (LAG) Highest adjacent (tktished) grade (HAG) - 4 u feet 104 _Q Leal Oef meters (Puerto Rico only) ❑ meters (Puerto Rico only) 0 meters (Puerto Rico only) 0 meters (Puerto Rico only) 0 meters (Puerto Rico only) 6 [-feet ❑ meters (Puerto Rico only) :[Meet 0 meters (Puerto Rico only) SECTION 0 - SURVEYOR, SNGMIEER, OR AirCNITECT CERTIFICATION This motion is to be signed and sealed by a land surveyor, engineer, or architect • • .. by law to certify elevation information. ! certify that the information on this Certificate represents my best efforts to etagere; the data available / understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code, Seo/on 1001. - ��mspta a hart of form. or? CerUtlers Name Lit Title Address Signature t &-©� tlft — z' .5 Dale Telephone FEMA Form 81 -31, February 2006 ere reverse side for continuation. Repiaoes ail previous editions !IMPORTANT: In these Building ress (including Unit, Sudle. andlor Bldg. No.) br P.O. Route and Nb. s Y'l e cr the correspondln Information frame Section A. 5. Shoe zyi Code .,y. SECTIOf4 D - SURVEYOR, ENGINE R. OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance Comments 440 C ,f C and (3) budding owner --� r them r01 SECTION E - BUILDING ELEVATION INFORMATION SURVEY NOT REQUIRED FOR ZONE AO AND ZONE A (WITHOUT EFE For Zone AO and A (without BFE), comp a tams El-Ed. if ttha Certlflcats le Miendsd to support a LOMA or cOMP.F request, complete Sections A, 9, end C. For Items E1 -E4, use natural grade, ff avallebie. Check the mees+aromsnt used. In Puerto Rico only enter meters. E 1. Provide elevation information for the Mowing and check the appropriate bones to chow whether the elevation is above or below the highest adjacent grade (HAG) and the knee* .dlocent grade (LAG). a) Top of bottom floor (including basement. crawl space, or enclosure) is fee: B meters B *bows or H below the HAG. apes, or enclosure) is feet meters above or b) Top of bottom floor (including basement. crawl below the LAG. E2. For Building Diagrams 0-0 with permanent flood openings provlded�Secrga k Items 8 r r o (sea spa 8 of Instructions), the next higher floor (Mention C2.b In the diagrams) of the bur4dlrep is _ . feet jj,„,__jj meters abovs or U blow the . E3. Attached l enege (top of slab) N __ 0 tent 0 meters 0 above or 0 below the t?AG. E4 Top of pill orrn of machinery andfor equipment servicing the budding is • 0 feat 0 meters 0 above or 0 below Owl HAG. ES. Zone AO only: If no flood depth number is available. is the top of the bottom floor elevated in accordance with the community's 1loodpiein rnaingoirrient ordinance? 0 Yes 0 No 0 Unknown. The local o!loiltt rntbit certify this information in Sect ion 0. IMINTOW _ SECTION F - PROPERTY OWNER OR OWNER'S REPRESENTATIVE) CERTIFICATION _ The pro9erty owner or owner's authorized rspr eeMatihrs who completes Seoden A, 8, end E for Zone A (wlthotrt s FEW- Issued or community- issued BFE or Zone AO most sign here. The statements In Scoffers A, if and E arc correct to lire Mar army Property Owners or Owners Authorised Fbspreserrtatlw's Name Addmas City Stele ZIP Code Slprhskaro __ Comments Date Telephane 1f!'ECTION 4 - COMMUNITY INFORMATION OPTIONAL) The local official who le authorized by law or ordinance to administer the communities lkhodpl01n nssPaQsment ordinance can complete Booborts A. B, C (c and G of this Elevation Caettficste Complete the sppacebte ilsm(a) end stun below. Chest the menuranew used In nema GS. end Q. GI. 0 The Information in Seddon C was Wren from other documenfetlon that has been signed and ended by a lbsnssd surveyor. engineer, or architect who Is authorized by law to certify elevation information. (Indicate the source and dots of the eieveton date in the Comments arse bsiow.) G2. 0 A community official compteted Section E for a building located in Zone A (without a FEW-issued or community- ttsued BFE) or Zone AO. 03. 0 The following Information (tiers 04 -G0.) is provided for oommunity floodplein management purposes. L_ G4. Permit Number "GS. Date Permit issued t18. Date Cerencset Of issued G7. This permit hes been issued for: 0 New Combustion 0 SubeMrmMal improvement GB. Elevation of ae-buet *wont floor (Including beeement) of the building. -- _ 0 feet 0 meters (PR) Datum G9. 13FE or On Zone Aral-depth of flooding et the building ewe: 0 feet 0 maters (PR) Datum Local OOh et s Marne ..Crifitaastiastago E). Tire Community Name Signature Telephone Dale Commerce Cthadr than. n anarbruse, . FEMA Form 81 -31, February 2000 Replaces ail previous editions Bu :Wing City- Building Photographs Continuation Page eet Address (inciuding ., Unit, Suite, and/or Bldg. No ) or P.C.). Route and Box No. t State. 4) 11 -4" ode Pao? *Wier- -1 ComposviNAIC Number - If submitting more photographs than will fit on the preceding page, affix the additionai photographs below. Identify ali photographs with: date takeri;Y‘Front MEOW and "Rear View; and, if required, "Right Side View" and 'Left Side View."