The URL can be used to link to this page

Home My Public Portal AboutChatham Av_1701B f ' S �i.� y . i r , • FEDERAL EMERGENCY MANAGEMENT AGENCY I ' NATIONAL FLOOD INSURANCE PROGRAM O -m No. 3067 -0077 1 Expires July 31, 2002 ELEVATION CERTIFICATE ` I k Road theinstrucdons on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION . �' 4r u i pr iini dale: ,.;:, BU dU 1NFR'S MANE ' Nt 14 , .., .. F;,... . rAtif.,:Narritr. : ' • ..;.. BUILDI BEET ADS Apt., UM, Slit and/or Ne;) .ORt. O. ROUTE AND BOX NO. n I ,.. '; ' '/ �' �' TT t.„ s-.-p STAB 23P cvDE � � �-� a.r� arrl 3 i 3�ga r i fi Droo (Lot ausd /Kish Nlaitb8r Tau P614.01h1„110si t.„ dt Den e, oG„) . BUILDING USE (&g, Reeldenbat 1, .) IATI „ I n DE (OPTIONAL) HORIZONTAL DATUM: SOURCE: LJ GP$ (Typo): (h •fly' i*LP.itr or LI NAD 1927 l_-J NAD 1989 L! 118C1S Quad Map Li Otlhar. SECTION l9 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP rrY NAME 8, c{ m iviUN111' AAa, heut+t 'd t i 0iiiTY itAWE B S. STATE °Nr3 s I3sI(.4 - t . ; ., - 1 �> ® 49...a ,a j B4. MAP AND PANEL B5. SUFFIX B8. FIRM INDEX :' -. ,. FIRM PA NEL El:. FLOOD e BASE LD I.EVATIQNI(S) NU MBER DA TE rD i DATE Z B (2Ona AOF. FLOOD uee depth E of ) B10. lr tale the SCUMS R of l ,(BFE) data or Pars and nered .1); . Li FIS Profile FIRM F ood L J C o m rtuinity Determined ) J depth et Othe ( Describe h 811. Indicate the elevation deauwn used for the BFE in Bo: be(1Rlf`V1192SI Li NAVD 1988 Li Other ): ' B12. Is the Wading located in a Coastal Barrier Resouroea System (CBRS) area or Otherwise Protected Area (OPA)? LJ Yes I Designation Dote: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations am based on: (JConstnictian Drawings** Liauldrng Under Coo: dn:flons ber Construction 'A new Elevation will be required when construction of the building is complete. C2. Bulldog Diagram Number I (Select the building diagram most similar to the building for which this certificate is bafng completed - see pages 8 and 7. II no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al-A30. AE, AN, A (with BIDE), Nit, V1 -V30, V (with SFE), AR, ARIA, ARIAS, AR/A1 -A30, ARAN, MAO Complete Items C3an -I below according to the building rli:Stram°speicifed in Item C2. State the datum used. If the datum Is different from the datum used for the BFE in Section B, convert the daturri,to t eused.forthe BFE. Show fie4d measurements and datum conversion Use the space provided or the Comments area otSection D or Section G. as appropriate, to document the datum oanverbn. Datum t't4 io►ZA convensioncornmeoa i' L A. Elevation reference marts used .: Does the efevetton reforptsoe mark used appear on the FIRM? (i Yes L f No O a) Top of bottom floor (Including basement, of enclosure) S R(tt, 4 - - 0 b) Top of tread higher floor /�1 4., R(m) 'F 0 �_ - 2w,G /,:,, `'d`:ry. O c) Bottom of lowest horizontal structural member (V zones only) Al' I,�., $t /'''' .(m) 2 . O , a, x d 1 b l 1 0 d) Attached garage (top of slab) JV,l °' - fl.(rm) ¢ III (e) Lowest r of rrwuhine,y &WI P BgWp nt J .^ >. . UM d t servicing the building fl.(� ' • ❑ 1 ) Lowest M sly (LAG) a Ri 4 '... ' o .. , - O Highest adjacent grade (HAG) RAP) ` ' 't a $1001 �.�, CI h) No of penrnanenl openings (flood vends) within I ft..ab grade fJ IIle e .. � � , �., 0 0 Total nls) !A P3h of al permanent openirhes `(flood ve J) M sq- In (WI . cal) SECTION 0 - SURVEYOR; t4t$EER.`. ARCHITECT CERTIFICATION This certifr� ton is to be signed and seated by a lend surveyor, engine or archited authorized by law to certify elevation information.. I certify that U* bdonnnboo In Seems A, 8, and C on this carfificeie nspreasnts /»y best ef s to intermit tha data suable. I urndersland ttha false statement magi be punishable by Ilne or ki 1ao'nmant under 18 tJ Code, Sectors 1001. CERTIFtERSV I f4 T 1.4 v A. ai ►.`t COMPANY ` U( � iEl J �. 'TIRE l „`+lrr0 S 4r V �'Y b 4f- '.l f N e IS1io'r I T..... —FT ADDRESS A as 1rLTse 0 rb oau► yr a 0,40A STATE ZIP CODE l ja � akt TURE U • y f DATE ., zS.° 8 C :'�'r es T s-- -- FEMA Form 81-31, AUG 99 S1 ,R�fERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS • IMPORTANT: In these spaces, ropy the corresponding information from Section A. [for •insurance Company Use: BUILDING STREET ADDRESS (Including Apt., Unit, Suite. nattier dktg, No.j OF( i'.O. ROUE ANU 66i NO. Poley.Nurnber ! t''., _ ri�A �� ,y CITY,— STATE ZIP CODE Gehipany t�AiC'Number 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. COMMEWS 1 r}6 A-11 '3' ) �� ' - EL'E"v -i 1h 1 o i ftS" 13.7 re I°-- r - \..® 6 0— e %Ai B S'ra s‘ =so 4 d , r' r d iv' :- d l rs / e .l (4... EL,. I4.O "t o•+ .. rrc' 1 i+le Reis it.)—c.. ICS?rt.v"c,:ti ( v.r 1 E1. , 1 1 A O m r- I , .I 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 E4. If the Elevation Certificate is Intended for use as supporting information fora LOAM orLOMR -F, Section C must be completed, El. Building Diagram Number (Select the building dia ram most similar to the building for which this certificate is being completed - see pages 6 and 7. if no diagram accurately re a nts a (ding, provide a sketch or photograph.) E2. The top of the bottom floor (includi base d ur the building is i_I_I ft-(m) L I Jln.(cm) LI above or LI below (check one) the highest adjacent grade. 1 Fl Fnr Snarling fliagramc FJt with niwninas (® Dade 7). the next higher floor or oiovotod floor (olovotion b) of the building is L1J ft.(m) LLjin.(cm) above the highest adjacent grade, y E4, For Zone AO only If no flood depth number is available, is hetop,:of the bottom floor elevated in accordance with the community's floodplain management ordinance? I „_., Yes I j Nor I 4: UitiknoHn. 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.: • PROPERTY OWNER'S OR OWNER'S AUTHL (IL U ntrn eatr',n,,v ; rvrennc ADDRESS Vri I oiAit xiF CODE SIGNATURE vvioc YELEPTAJNE COMMENTS j / 4 t 1___[ Check here if attachments SECTION G - COMMt1HIT1(•INFORMATION (OPTIONAL.) The local official who is authorized by law or ordinance to adminis)er ommunity's iloodplain management ordinance can complete Sections A; 9, C (or E), and G of this Elevation Certificate.. • Complete the applicable item(i) and sign below. (31, 1 J The information in Sec/ion C was taken fmm nthnr tinr7imentaiinn that hag !von signed and embossed by a licencod curuoyor, engineer. or architect who is authorized by.state or local law to certify elevation information, (Indicate the source and date of the elevation data In the Comments area below,) G2. (J A community official completed Section E for a building located in Zone A (without a FEMA issued or community - issued BFE) or Zone AO. G3. L_..I The following :..: ,,..emu, ,. (Items G4-G9) is provided for communityfloodplain management purposes. G4. PERMIT NUMBER 05. DATE PERMIT ISSUEu . DATE CEt 1 OF C.`OMPLIANCEIOCCUPANCY 1 _ j GS. G7. This permit has been issued for: l_l New Construction _I Substantial Improvement G8. Elevation of as - built lowest floor (including basement) of the building is fL(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site iss u.rvv-µ ,.„ _ ft. (m) Datum: LOCAL OFFICIAL'S NAME ” >, ' YIT1 E • COMMUNITY NAME / \I p e . J w'8 I LLtONE SIGNATURE f ( f DATE i J : COMMENTS • • • i._ I� Check here if attachments •