HomeMy WebLinkAboutCHECKLIST & CERTIFICATE - 07-00138 - Baker Office Building - Site PlanSite Plan Review Checklist
Project:
Permit #
z one: i3(,,
Surrounding Land Uses-. C15C
Elevations submitted' Y_e S
Landscape Plan submitted: `
Lighting Pian submitted:
ZE SSC S��6MVS �.
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V.S. DEPARTMENT OF HOMELAND SECURI-i ELEVATION CERTIFICAlcOME3 Na. 1660-0008
Federal Emergency Management Agency I Expires February 28. 2009
National Flood Insurance Program Important: Read the instrucfions on pages 1-8.
.
41+,.4tF 10 v Yrl ikrE .7 1's1G41114� Lop itiiI
- ___ —'r—■■ r:J --+ " % - "ham 4. I 'L% -J LSI I %,d %�_, �l �F�: ��J�i.�i L'+4 r 'i.P 4a I� U 1 1L43 U�IL �
344 N. C7d E. +++���FPP L� a• !Y/0r 1C1+..+Ia NO.)
� Or H.U. Route andBoxNo.
1%-4'.J 1 -. 4, 1 tcuu lu .JF- t ooqqu
A -e3 rhd r--% .+ f.
J- r -i ri ut�orfpuon (Lot aria block Numbers, Tax Parcel umb r, Legal Description, etc.)
adrn County Record Office last, No, 323430
A4. Building Use. (e.g., Residential, Non -Residential, Addition, Accessory,etc.) Commercj
aJ
. LfitudlLongituid: Lat. N43"49.53 Long. W1 11046-70 F" Horizontal Datum: NAD 1927 F
. Attach at least to raph of the buflding if the Certificate is beingused to obtain flood insure
nce. NAD 198
. Building Diagram Number
AR Fir n k HA; 10*h '
�rI er r! or endosur, provideFir � building its n ar i attached garage, ��
- d -
q care footage of -cr rl space cr n l ur � ft Square fog
tage of attached garace
b) No. of permanent flood openings, in the crawl space or � N�, � �
� � � rte, nnt fic�d openings in theattached garage
Sq ft
� cl �rk walls within in f . � fit � adjacent �� _ — iii within 1.0 f '
foot � o adjacent grad .
c) Vit! net area of flood openings ire _ in c) Total net area of fiood openings in A9.b
sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INF-ORMATION
1- NFIP
Community Name & CommunityNumber
. County Name
E33.Mate
Rexburg,
City of No. 160098
Puerta
Mai o
_.
Tidalio
L..` "%-'f%1.1 �� �1 SLI ILr L-. Q,D� I I%JVU L_i�V0A1V1 I torr_) uuia or jDase Ttcoo clepth entered in Itern B9.
FlS Profile 0 FIRM [I Community Determined
D Other (Describe)
lndica tc elevation datum ud for B1=E ire I tern E3 : EJ
D 1929 ED NAVD 1988 El Other Describe
B12. Is the building located in a Coastal Barri r e OUT t m area or Otherwise Frct of Are
a (OPA)?
Designation Date � D CB RS D OPA
SECTION Ej Y e ss
rom
- BUILDING 1 FOR F:
a h _� (SURVEY REQUIRED)
1. BulAin elevations are b d ori- El Construction r in * � �Construction*g
uUdin UnderEJ Finn d Construction
new Elevation Certificate will be required when construction of the building compiete,
C2. Elevations - Zoiies Al-�A30, AE, AH, A (with BFF-), VE, Vl-V30, V (with r E �FSA l - '"'�--I � � I1 t -
elo r a c rdin to the building diagram specified in item �Complete
Benchmark Utiked RM1 from FIRM mao Vertical Datum NGVD
on r ion/Corneteats
Top Of IDDUOM floor (including bs mnt, crawl spare, or enGlosure floor
I
b) Top of the n&xt higher ficor
c) Bottom of the lowest Dori ontai structural member Zones oral
y)
d Attached garage (top of slab)
e) Lowest elevation of machinery or equip ent servclng the building
(Describe typo of equipment inComments)
Lowest adjacent i n laved) grade
g) Highest adjacent(finished) grade (HAG)
Check the Measurement used.
4865-6 fejt
0
meters Puerto
Rico only)
4855.6 Q feet
❑meters
Puerta
Rico only)
El
feet
Q mefers
{Puerto Rico only}
❑
feed
Q meters
(Puerto Rico only)
El
fe e t
El meters
(Puerta Rico only)
4863.4
feet
❑meters
{Puerto
Rico oniy}
4865.6
fcr:#
El
meters (Puerto
Rico only)
SECTION D - SURVEYOR
ENGINEER, OR ARCHITECT E TI
FIA`ilO
This certification is to be signedand sealed by a land surveyor, engineer, or architect I��tt uthr« 71aw to i I eatfn
information. � that the ,i fog nia tion on this if to represents est efforts to interpret
I U17derstan d th at any false statemeint m ay be p unisl7ableby fine or� r o
c' ' I tif7 1001
Q Check here if cammenfs ars Provided on back of form.
&—% — _-., r, S l 7
%--ruimiersNaMe KendallAdams
—Y"±it - 1--% r
1 l u e r--- i-aT j I Land urveyor
/Adcjress 350 N 2" E
Signature
License Nuniber 5497
Company Name, Forsgren Associates
City �Rexburg
ate 4--0
State !d ZIP Code 83440
TeJephone 208-3,56-9201
A
lot
A
•7. 6 ;
�-F
21
��
a
or
See neve; id for continuation. Replaces all Prev- . editions
d
Building Photographs
See Instructions for Item A6.
Building Street Address (including Apt., Unit,'Sufte, and/or Bldg . Na.) or P .0 . Route and Box No.
344 N. 2nd E
City Rexburg State rd ZIP Code 83440
For Insurance Company
Policy Number
Cxxnpany MNC Hurnhex
If using the Elevation certificate to obtain NFiP flood insurance, affix at feast two bildinc� photographs below according to
ire instructions for ��erri A6. fder�tifiy ill phatagr�pi�s v�rith; date taken- "Front View" and "dear View"; and,. if required, "Right
Side View and °`deft Side View." If submitting more Photogr2phs than will fit an this page, use the Continuation Page,
following,
Front View 4-30-07 _ - — -.- _ Rearand South View 4830-O7
t
Rear and North ViP.w d-.i[7..[l7