The URL can be used to link to this page

Home My Public Portal AboutBRIGHT ST_12.pdfr-lAR 26 '96 14:56 BARRETT LAND SURVEYD-IG 897--6131 P.112 ELEVATION CERTIFICATE Expme-5 may -Jif, 1993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION, Use of this certificate does not provide a waiver of the flood! insurance purchase re(uirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinance$, to determine the proper insurance premium fate, and/or to support a request for a Letter of Mal) Amendment or Revision (LOMA Or LOW]), Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMAnON �F INSURANCE COMPANy USE BUILDING OWNEKS NAME NXICY NUM$ER YL- c,vTRF6YAnn2r.,9Q�pAoiUa1 COMPANY NAIL NUMBER OTHER DESCAIPTION (Lot and Slock Nombws. atc.I, Lg=> 4mpspt-,. - s"u6piiv1 ,alov CITY STATE ZIP CODE ---T-Y 136- SECTION 0 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See lnslrucbons); a- COMMUNITY NUMOSS 2, PANEL NUMBER 3. SUFFIX 4. WE OF FIRM INDEX 1 5, FIRM ZONE 6 BASE Fr 000 ELEVAI ION (in AO Zono% use doph) C /0 Jy& 48 7, Indieate the elevation datum system uwd! on the FIRM for Base Flood Elevations (817E). 9NGVD'29 00ther (describe On back) 8. For 7ones A or V, whiare no BFE is provided on the FIRM, and th cumfuunity has establkMed a 13FF for this building site, JncJij,,atW the community's BFE. [-,J--J_-L [..J. LJ feet NGVrJ (or other FIRM dalum-see $mlion b, Item 7)_ SECTION C BUILDING ELEVATION INFORMATION I - Using the Elevation Certificate Instruction% indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level -6-- - 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFL), The top of the reference level floor from the sole led diagram is at an olevation of LLJ-AIA,� 8 toot NGVD (or other FIRM datum-see Section 8, Item 7) (b). FIRM Zones V1 -V30, VF, and V {with BFE), 'The bottom of the lowest horizontal structural rnember of the reference level from the selected diagram, is at an elevation of L- LJ L J.0 loot NGVD (or other rInMdarturn-see Section B, Item 7),. FIRM Zone A (wilhoul'BFE), The floor used as the reference level from the selected diagram is I LIU feel above F-1 or below L1 (check one) the highest grade, adjacent to the building- (d). FIRM Zone AO The floor used as the reference level from the selected diagram is feet above EJ or boiow 'L---' (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the corrimunity's floodplain management ordinance? C.) Yes [] No E-1 Unknown 3. Indicate the elevation datum system used in dolormining the above reference level elevations: M- NGVD '29 1 ' I Other (do-scribe under Comments on Page 2). (NOTE; It the elevation dalbrio used in measuring the olevationi is different than that used on the FIRM [see Section B, Item 71, then convert the elevatiorI5 to the datum systern used on the FIRM IRM and show the conversion equation under Comments on Page.?.) 4, Elevation reference mark used appears on FIW FJ Yes 9 No (See Instructions on Page 4) 5, The reference level elevation is based on: 9 actual construction FJ construction drawings (NOTE.- Use of, con struction drawings is only valid it the building does noel yet have the reforence level floor in place, in which case this certificate will only be valid for the building during the course ot construction. A post-construction Elevation Certificate will be roquired once construction is complatoj 6, The elevation of the lowest grade in imediately adjacerst to the building is: LL I-L -1 7� Af feet NGVD 'or other FIRM datum-see Section B, Item 7), SECTION 0 COMMUNITY INFORMATION 1, 11 the community official responsible for verifying building elevations Specifies that the reference level indicated in Section 0, Itern I Is not the "lowest floor' as defined in the community's tloodplain management ordinance, the elevation at the building's "lowest Iloor' as defined by the ordinance is: I I ( � . ' I I J foot NOW) (oruthor FRIM daturn-see Section D, Itert, 2. Oate of the start of contitfucfion ov t�uostantial impvoveniont F FMA Form 8'1.3 1) MAY 90 RE PLACIFS AL L PREV10 US ED$ T 10N� SEE REVERSE SIDE FOR CONTINVATION11 t,1AR 26 196 14*�"'-�,6 BARRETT LANE, SUR�-'EYING 89 'Z'6131 P. 2.",2 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 cerlity alevatiolli Inlormation when the elevation Information for Zones AI—A30, AE, Ali, A (with 8FE),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 community issued BFE), a building official, a property Owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakawayfnon-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(&) not included in the certification under ComrnantF, below, The diagram number, $or-lion C, Item 1, must still be entered, I certify that the information in Sections B and 0 on this coffifiCate represents my best effoas to interpret the data available, I understand that any false statement may be punishable by fine ar imprisonment under 18 U, S. Code, Section 1001, TERTIFIER'S NAME LICENSE NUMBER (of Affix Seal) A, 12- E- 7- L A. si P A=4 f Aj TM,E COMPANY NAME ADDRESS X) CITY STATE ZIP SIGNATURE 0AI E PHONF Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3,) building owner. COMMENTS:..--. onv SLAG A V ZONES ZONE$ NT --Q-Th DASIEMENT A pigns, OR coca, MNS A V Z011JES ZQNF-S 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 tefurance level Hoor. Elevations for all V Zones should he measured at the bottorn of the lowest horizontal mructuial rn*ollbor, P'a � . I) BA, 4001D Ell""ON 21-11 AOE