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HomeMy Public PortalAboutCampbell Av_149A Feb 23 06 OS: 40e r• ` FEe --99 -2006 13:36 1 P.02/03 t �' ��� i , F FEDERAL �GnCti�it EMERGE-14C t C�Eivi i AtitiVC:r �O,M.t;. tie. 307 -00177 I .w E� • : , oc l "doV 1.� : ucsrv.IN b+rMt►; ,2 Expires QecetnUer 31. 20031 1 tz uvA� uuri t�t�e�cii Ail _...�_._._....... rnpodah': Reatr the iiisiructionc on pages 1 -7. 1, ' _ P I. , ' • ' : ` ERTY O R 14111 AT • t__ F f ti'r'e re b. U e. a .7 u.� i .I�L yy D � 2 � iiN � y G o - - 0 Aiv •� r �{�(yy1 ! L� !_Tan_ `- . _ uM " � B LD _ STREET D E �tdlr.p `t. Unit Lnt ida.t4d.)UR ©e. Ro!. rwOs0X o. � r*r' =i: S L .y._. r: f . • ""� U roe. t A.PA '" I t ' ef_. 04 NlN. e' _ \eI .4.. N :�h e ! CITY � S A - ti 'w, ..,� . . :.s`� , I _ ctrAoPcwy t)tciai%Ti3N (Lot no eject( Numbers, Tax Parcel Number. Legal bescription, Mu.) - ! ! t..br z1 r 0it"; 'tai `. - ut Dfy iS to Gtr= • . • 'CAR.' r rc i tires .. i�nA _ _ 00-. USE D I N P• SE e . Residential, ,o_ """�" -• e` ! V ra.Y,..v � t e.y, �5wenun(, Non- ioi.;�l{„iw ;, Adak - n, %nrF61�vty, slid. Use, i�Gh'tiitent�l oicei it n'9�h.a'"eoiy.} LP..? CT it • !lDkI O!'4CTrUDE IO TtON /. ra.ZO .n•_ ,... ..., °. Li .. ..v...sl . . 1 .., • . v. -..L� rrORIZON rAL Lnr um. SOURCE: Li GPs (Too f, , ow _ tw1 " n. ft tt .41?•") L MA. i927 1_1, n r s anti r SG t ,F Quail Qua M^ 1 1 & ...r ` I � •.r.V , •vvv rti...r V v Nvanu 4p 1_.r vlf let. B i. NF COM7vUbftTV NA R C�MMUPf �y{� BE MP INSURANCE KATE MIRE N___ TM I i .., w Nry TY Nff'ME B3. $TA7'E .rY e.a`.�era 1 35t69r-oi 6 .4,44.n.,wt ICe.rarac # - 1 b4. Nuke AND P.C.NEL t r1S. SUt= I at. F RNA !P!Dezx ay.. PA - ' -L,..D • _9. *_s "1:6 ^.SE "1:6 ct_EVA? xyJS). NUMBER 1 ^ DATE ! ErrPOTE /RE_VIg DATE 1 Z tale. Indicate lho soutcr3 or the Bees Flood Ei +Vahan fare data nr ;,Nee ihnr4 rtr ;pth ent e'rect iA B9. 1 L t F!S ?:mile j FER c 1 — b cs- osetntlt*, D.';:noineo. L :Other (Describe)_ 61 ?. Indicate the e!aYatiat d am used tot dui t?FC is 89: t4‘1 i4�C ( fit 4'� : t t Deacritk' rL� L-..1 !*V :Ns I___) Other f 7 - _ Ea12. lg th ly k!' l yr. a t:na_-rzE Berr!er Resoi.r= Syvtern CannS) B ca or Otherwise P te Ars; (CPA)7 L loo k4,2 No Designation Delta:.. _ I C 1 RECTION r - ? a EZ �' .9reu5.'Frkm;.. . 't S r' -Vcv `iEtRILIEL" Bultdlrtig otevntlnne o :o baw=d: 4n', j •er: ttuction Drawing- , , Building Under Ce s :::ctian° 4.. c.; ::;h8d Gonst ;;;cvon 'A new Elevation Certificate will he moult when constructor*, of the buildin e it: cornnit40 C2. Building Diagram Number + . (Select the building diagram most aunt ;ar to the building Iry which this certificate ■e ring convi tad - EN pages 6 and 7.1f no dlsgrarii stetrratety represents the Wading, grovtdn a stretch or photograph.) G.3. Elevations - ,tones Ai -A:30, AE. it it A (with OFF.). VF. V1 -V30, V (with BFI'_), AR, AR/A, AR/AE. AWAi -A30. AR/AH, Ai /AO eomplato .torna C3.a -i below d\xoiri;rrg id the b uiioing dieuram %pacified in Item 02. State the datum used. if the datum le atrterettt hum ! rho datum Used for .he I FE in sset{gtt q. envett the dT„ Cra to kb: t Cisad fur :ha BFE. S1ic ga measurement :end datum conversion czicu!etlon Use the s ti previded or the Commence 1105 or Sdcticir■ 13 or •StitlIt. « G. es appropriate, to document the datum conversion. Datum lRV� t . l '1 . CrmverslortlCoMrrtents.... Q A -4 _...... ___ __.. f Cievgtton reference marK used Does the elevation reference mark used w en the F Yes l'tv Oa) Top of bottom floor (including t stement or enclosure? T - 'a ft. Cm -d• ; f4. 0 V I t f I Ur)) Top of next higher floor t , . 1 \ m) t 1 19 G� ,.rr -<7 I ! [ y C) Bottom of lowest horizontal structural member (V zones only) - !�..R _ A: . • __ tt.(m) i r // . 1 ck" y' `R � �� y � t d) Attached garage (top of slab) _� -7 • . _ n.(m) o 'S ._:.+ I 0e) ! owpst aIevation or machine. • e IN.WOr equipment � T( j Nu, 1 ?�� I I serviclrtr3 the building (Dascri c In a OnmrnonL' gran . __I -. .r?. - „ff.(m - , -- -�-.,` 'di- d-T' I I ! ® t) lowest adjacent (ftn;shed) made (LAG? ., At . • -� ft•tm) .e1 k� �p 7 n-' �� 1 C) g) Highest adjacent (finished) grade (HAG) - T .. Cs ft.(m) z T'. E \0 $ (ji= 4," a /I I i j h) No. of permanent openings Mod vents) within 1 ft. shove adjacent grado b 1 ` fi ‘,.`§‘,o' r I) Talel area of elf permanent openings (flood vents) In C3.h a sa. In. (a cm) , s; •�,_.r,. 5 - --- itC.11ti ,- SLlitTie .. 6 - - - .' 1 GT GERTI ICA •,' .- - .. --- ThLs cohIf :cation i= to ;p shined a. ;eu by a lark; sumo trrve engineer, Or arcitiitect authorized by iv/ 10 cerliliy eleVetton f Inform..ation.: certify that the tnforsruiden in Sections ii, 8, end G on this dentitcete represents my best Worts to Interpret the data i '''•at iii - e I ti um,. t t 1 1° - na t:riipl.np tail• statement may be punishable by 1M s or imprisonment under is U S. Code, Section 1001. 1 CERTIFIER'S NAME E_iGEAs' N — R .... _ jA E.S II- t .4" Olv GM 2743 _ I TITLE COMPANY NAME w_ 1.F.GISTERED LAND SURVEYOR CHJ1T(tAM SURVErcgc cravIcES, L{C. I ADDRESS CITY STATE - Zi'r iijDC P. 0. 150X 61649 SAVANNAf (% 311.20 i SGhATURE - r- TE c f6�r � Har , �a.�`�ivt�ie l -- .,, -.�.t s t!�C+6 . �, .0 �r 1 « 4- .r c. 7' 5 f q : 2 y 3D3-0302 Iat orm 8131 ,lanuary 20r13 sPP apvFRR.^ qrrl = rrua C'rvjT[Nr ta-ric A, vSOr nr A¢ / nc.to rlry , C rr„T.r..rr 94% P.01 FEB -23 -2006 09:13