HomeMy Public PortalAboutBay St_1201 1ELMLY 91 ` '25=3525 F.
ELEVATION
�..E�AT1t)1 CERTIFICATE F i
. FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM '
cal rEWfi ; USe of this certify doss not provide a waitiv of the flood insurance purCheSe requirement, Tres Form's used only to
provide elevation information neeessety 10 ensure compliance with applicable community lloodpfain management ordinances, to
determine the proper insurance premium rate. and/or to st,ppon a request for a Lauer of Map Amendment or Revision (LOMA or IOLIA).
Instructions for completing this term ran be found on the fallowing pages.
SECT>tON A PROPERTY
INFORMATION I FOR INSURANCE CE Compa1Y use
SUhWAINO OWNER'S NAME INAACV laArtaEft
STREET A00I ESs rowans Ape.. Oak sulfa mew Mai. Kummer) OA P.O. 010t#E AND Dolt NUMUER cOMPI.NV Nan, nutia[R
..._(. 74 01 . �'Y X _ - -- - - - - -- - ----
OT I R MOW T)ON 0.0, and DN ak. Nwntrers, see.)
-r `. c - 5 t pi, 7 .. 4 E o rd--d J Pi Z. 1.', 7,
SECTION I F 000 INSURANCE RATE MAP (FIRM) INFORMATION
Provide die tottowtng from the proper FIRM (See InstructienS):
1, 0,;(16WUNiry who:4 t 2. PANEL SUN 1 S UFFIx 4. DAT OF FI k1 INDEX 5. F nr % ; ONE O. BASE FLOOD gkEVAr1oN
3 I { >� . ;--1)a4 ! ea t
1 1
7. Indicate the elevation dealm system used on the FIRM for Base Flood Elevations (BFE): t� NGVp '2s -Other (describe an back)
8, For Zones A or V, where no FIFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the ;Community's BFE:'i i 1 LLJ.LJ feet AIGVC or other FIRM datum -see Section E. Item 7).
SECTION C 101.141.13ING ELEVATION INFORMATION
1 . Using the Elevation Gertthecate instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
' describes the subject building's reference level 1 .. ,
2(a). RRM Zones Al -A30, AE, AN, and A (with SFE). The top of the reference levet floor tram the selected diagraitt is at an elevation
ot. ` _L1.t19.1 feet NGVD (or other FIRM datum -see section B, !tern 7),
(b). FIRM Zoe V1-V30, VE, and V (with EWE)- The bottom of the lowest horizontal structural member di the reteren` a levet frcnri
the selected diagram, is et an elevation of I. „Li .1 :.. i ,! 1 feet NGVO (or other FIRM datum -see Section 8, Item 7).
(c). FiRM Zone A (without t3FE). The itoot useu as the reference levet froth the sefeCted diagram is '.. ! , . feet above ' or
below i : (check one the Manes, Made adjacent to the building.
(d). FIRM Zane) AO. The floor used as the reference levet from the selected diagram is 1 i 1.i 1 feet above ' or below : (check
one) the highest grade adjacent to site bonding. tt no node depth number Is avaitabie, is the building's lowest floor (reference
level) elevated in accordance With the con's'
ommunity's ttoodplafn management ordinance? 1 Yes - - No ( Unknown
3, indicate the elevation datum system used,in delet1o1oirg tfu 41 i sere/ elevations: X NGVD 29 ' . Other (descrioe
under Comments on Page 2). {NOTE_ If the t?ievatiort arum ys>rdin pleasuring the elevations is diflerennt than that used on
the FJAM (See SeCilOn i7, kern 7), then convert file elpt4tioni to l? 9 davit system tad on the FIRM and shoo( the con efsken
equation under Comments on Page 2) .. _ ... .... , .... . . . . . _
4. Elevaion t reference lark, us ed.. , er . en'FtnM : V No'.( 0 tnstructians on•Page 4)
5, The' re:tererlce level elevation Is leased on; 0
actual censtrucriorl construction drawings •
(NOTE use of construction cfrowliVS is only valid if the buds does not yet have the reference Fever moor in place. in which
ease this certificate will only be valid /or the building during the course of construction. A post - construction Elevation Certificate
wr7l be requited once construction is c te.) .8 E. The elevation of the lowest grade tmmediiatety adjacent to the building is: 1 ; .8 6 feet NGVO (or outer FIRM datum -see
$ection 8, Item 7).
SECTIoN p COMMUNITY INFORMATION
M
i . tt the community official responsible for verifying building elevations specifies that the reference levet indicated in Scan C. Item t
is not the "lowest floor" as defined In the community's fro' dptain management ordinance, the elevation of the building's lowest
floor` as defined by ins ordinance's ill (.L, t..Fteet i4Vo (oi®ever FIRM datum -see Section 8, ttem 7).
2, Date of the start of conStruetion or substantial improvement .
•
w
•
f[ MA Faire et•21,90AYso - - A&PLKEt Ala, PRE yiOUSEDR'IONS SEE REVEPSESiOE FOR CONtiNum
. ,
• ,
V
-, •••,,,,...• ..,
,... pu
. Is
ESRCIrt e @M'''n.'"•1:,‘BOW
T hie cenitication is to be signed by a land surveyot. is Vries? , or architect who Is authorized by state or local law to Certify eleverVi
tntormation when the elevation information for Zones M -430, AE, AN, A (t SFELVA-V3 FI
0,VE. and V (with FE} is required.
Community officals who are eiAllotizied by Ittat Ir.. ar 4gcsimor,0 ,,-- provift OtactOthin fneltagwreana tolforma may Saso Sign the
certification. in tno woe of Z. AO lEr.4 A ts WI a 'FEWA or carnmunily rSTAlt=4 SPE), z L74141; 04001, a protatetty ownet. Or an
ownue z rtvosentaive my alsis sin tirm eca
Plefistence level ctams 6.7 and 8 • DiStinguishing Features-ti the certifier is unable to candy to dreahaway/rion wok
enckistee size. location 0 elirrviCortg equiPlinent, erea deS. tit opeldn• . et enfatti*1100 wee Fdaturrete), thee) i me Feettee(e) n
included in the oartilicadon urchiir Cenurents belov. Ttrt Ciceroni nurnbet, Section C, horn I, 0%41 strii entered:
1 oewy Aar the information in Sactiora ; .Ant r I C 046 Ohs a:Milk-ate represents tny best effort s f o Interpol the dada avRaccdo.
1 understand that any laiSe statement may tic nishahlo by Me of itiVelsonelOnf toner 18 U.S. Cede. Section 1001 *
.. . . . . ._. _
C;EATIFIERS NAM 1,.1C,FASE tidetabil ka• &nix Seal}
' VIM fl_t_-kke l' t t .3f ____-1 t-
--------
1 rat CCPAPANY ikiat
L ara.Rd St.U.O.vertaz litai.FAXIt_61,. ' , •• - , is s.... ". . . .... .. .. , .
edOrkSo CITY Stark 20;
_4S-tmakl _ _........., ._, PI io orSi'....a
S.Glisk 11.iliii.„• . - DA
i ...,/ tb.."4--‹- __-_ c \ \ 4, - 4 0 1
Copies should tic times -- Vhis , * - „an,,, ftele forearornonigy Mete, 2) knskIreade opentiodelpany, and 31 buildano owriA2r.
COMMENTS: — _„ _ . ...... _ .,
: - -- • _ _____ — ____. „ .... „ , ...._
--- .—
.,
ON '.4"fit ' ' ei tat&CZ,
tLAC likate2:2 MESS. Oa cAstafkine
A NI a A v
ZavE5 ZO°?16 r zosEs ZONES 7 ,
. 4
_ _ ---?...".."'"•—, Noew Nisi
E.
:.:.,.. .....-..„..--
.---i—_ t • - , !., ,?•.,,...%.
ii.....i
enat I 144
t0430 _ • • - -111
ti VtlA
. .......
0,4:0%te.a.
■ 1. -1... —
1
• ,- <1.. • ' ' ' • ■••••,,1
-L....•-•••., 1'
,:.?" , • ■ , . , •• ! ',•■ .,
•''''(..‘ .."'":, .- .
• ... '1:0 _j, OiliACtAll
:':-.:. V:.
.
. en .
.. . - ,..
Trio Oteeiern$ eboue 010 points of wilier) the eleueliOns should be Measured in A Zones alio V Zones_
BeyeliOns tor ati A Zones snooto be mosso/der al lha lop ot the feitofevs_de level Hoot.
.. . .. • ,
Elevations fat all V Zones should eit meow i al il -,. `D0110 of the *Wes ileri2Otilad sift:CM ol memo eq.
...
• • • , .., ,
Pado 2
,......, . . .