HomeMy WebLinkAboutELEVATION CERTIFICATES - 98-00008 - Grand Auto Parts - Auto RetailerELEVATION CERTIFICATE �.�.�. Na. ��6�-���
FEDERAL EMERGENCY MANAGEMENT AGEN �x�'���51+r1ay3�,199�,
NATlQNAL FLD�❑ 1NS�JR,gNCE pRQG,�q� CY
ATTENTION: Use o€ this certificate does not prcmde a waiver of the flood insurance purchase re u�r�
provide elevation infiormativn necessary to ensue compliance �v#�h
q meat. This form is used or��y to
P applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Leger a# Mai Amendment or Revision (LOMA or LOM�t).
instructions for completing this form can be found on the following pages,
�
SECTION A PROPERTY
INFORMATION
UUILU[« WNER ME
...� '.�"
STREET ADDRESS (IncWing Apt., Unit, Suite acrd/orBldg.-
Number) P.O.TE AND BOX NUMBER
eV /V
OTHER DESCRIPTION Lot and B1cCk Numbers
CITY
STATEE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
rruviae zne toltowing from the proper FlRhrt {See Instructions};
,FOR INSUIRANCE COMPANy t E
POLICY NUMBER
COMPANY NAIL NUMBER
1P COBE
he community'sL 1 1 %.f�.% �! I 1 l '4.J to o ! i n cl +sr+k F E for this uil 'n E t
B FE .e, indicate
. feetNGVD (or other FIRM daturn-see Section B
Item .
SECTION C BUILDING ELEVATION INFQRMATiON
I Using the Elevation Certificate Instructions it
describes the subjectbuilding
icate the diagram number from
the diagrams found n Pa and
reference Il.2(a). FIRM zones fit
� fry I� floor fromthe selected t d ding r. i of n elevation
- Lt feet D (or other FIRM datum -see Section B, Item 7).
(b). FIRM Zones and V (withFE. The bottom f the lowest r-
itf t��t��� kir f
tl� It �i � i t threference ll from
fi
feet NGVD (or other FIRM datum -see- Section B, Item 7).
FIRM Zone A (without 8FE).
The floor used as the r�eference level from the selected diagram is
below(o -J.. feet above r check one) the i h t grade adjacent to the building.
FIRM Zone AC. The nor used as the reference level from the e _
t ab
ovev or belOW_
(checkone) the r adjacent t t l iig. if n flood depthnumber r available, i fybuilding'sIt floor(refere'ncelr elevatedin accordancewith community"floodplain
management ordinance? Yes
- -
Unknown�i.
. Indicatetheelevation datumt used in determining the above reference . 7~ 129 Other (describe under Comments on Page 2). (NOTE- If the Plevationtum ased �
GVD
the FIRM wring elevations idifferent
then rthe l elevations
underequation
atum system
Comments o 2J IRM and show th,9 conversion
4. Elevation reference mark used appears on FIRMA- 19, Yes I . NG (See
ttIn an Page 4)
5. The reference level elevation is based on> --<--actual
(NO TE. -Use construction r w rcondrawings
case t t the reference l / floor it
valid for the bLiildjng during the cOurse of
triton complete.,constructionElevationCertificate
will be required once cons. The elevation of the It r
mediately adjacent to thebuilding1 �!Section a It. '
. .feet NGVD (or,other FIRM datum -see
SECTION
,J* ..
.1 T ane community official responsible for verifying building
is not the Vatio11 tht the reference Il indicate
find i the comm ' f I in Section , Iters 1
Mrn nit ordinance. t � la
floor���as defined b the ! elevation r� fbuilding's
feet N VD r other FIRM datum
—see at f thetart f r�tr�t��r r � �tr� � �t ,
.r- r-, r .
rc:rvvk ro 1-3].r MAY 93 RECCES ALL P ES
OUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
� �, Ind .��� �,�r�r� ��
hitect whio is authorized by state or local I to rte elevation
This itf� SEE i ruir •
certification I t signed iAEA(with BFE , "1— ' 9 'E, i
4 t�o�
information for ori a
intormat� or ordinance t provide flood r , an
4�� r ,�t�cr�:� local � rrtr�r� r
community officials ''BFE)� building official ti l
certification. in the case ot
Zones, and (without FEMA
s
Features—If the certifier i unable t c to r /
n -fir wall,
Reference level i
enclosure � , i iunfinished or area Et then list tt r t
Item�- 4 =s. till}. .t .
entered.
The diagram number, Section
icr��ro�tbelow.luded i thertiftL�
•,' r.
til to represents best �:
Sections 8 1 certify that the informa ion inand C t " �. c
unishable by fine or imprisonment under It VS. cod
understand that any false statement
GERTIFIER'S NAME J c> kA 0
TITLE _
pr 0_ 0
ADDRESS TM
SIGNATURE
4F
Copies should b
COMMENTS:
LIGENtit N U IlAi�=
4� e Jj t=>
COMPANY NAME
C314 VAdin tolw il'i a AS
IT
1:?7:� k" e
made of this. Certificate for: 1 community officiaig ii
N
SLAB
TONES ZONES
-.-V
ELEVATION
ADJACENT
GRADE
ADJACENT
GRADE
WITH
BASEMENT
A
ZONES
.,a
...4 is j
U
.;4 a •D
1.•`m
PL
PHONE
2
ZIP
r Or
surance agenticompany, and 3) building owner.
BASE
FLOOD
ELEVATION
ON PILES,
ZONES ZONES
REFEREN E FREFERENCE
LEVEL LEVEL
BA E
FLOOD
ELEVATION
hich the elevations should be measured in A Zones and V Zones.
The diagrams above illustrate the points at w
Elevations for all A Zone: should be measured p
Zones should b measured t the bottom
f theJ Ot horizontal trt rl '��.
Elevations for all '
Page
2
Fr
�±
•'
• '�
r+`+.
:`� t'•i • Y•F tee. F `e
•
"• ��. + E
�
e` r •
+ t•• .i•�i a "• . , .•q' ,
+ F r Fal
F '
.
•!.
,• .�, �. 0.'a ,•+' �'
DJ AGENT
-0.e;
GRADE
• ae_ a�'F
a e . .a.l�• � F} • a'i`l,•
hich the elevations should be measured in A Zones and V Zones.
The diagrams above illustrate the points at w
Elevations for all A Zone: should be measured p
Zones should b measured t the bottom
f theJ Ot horizontal trt rl '��.
Elevations for all '
Page
2
ELEVATION CERTIFICATt: �W1e3i"�' ,'ccs
FERAL ENIE."RGE"NCY MANAGPA�ENT AC?-i'.'-,'qCYc7
NATIONAL FL000 INSURANCEFACGAAivi
E N: Use ci this cardfl=te dces not arovide a waiver cl, the ficad insurance purc,for i's used only to
ro i e l vataninrcrm4-=-%tcn n�eaensure l 't � le un ko crdin2� c
Cetermine theproorarandlari sums request forLa."..er Me -.o d rRevision rLCMR),L,
Inztr-uctions for a ' 'ng th's form can be found on the fcflaw ri�aSes.
SE -.=0N A PTY 1NF<DFMA11CN
isb
STR OO H(IndudingUnit, Sulto andjor "Ida m f) �rp-. t R ANG ECS.U1b
k,- 2Aii3 Et -)f -)-
G S 0 b ruF1O Lat and Black lumbers. a
S !R1,Z:7 CCMPANCM
PLIC NUMBER
C*Cj4 i FA MAIC WMSERi
C�Tf ST ATE ^.�f'i
73P �EAIF- X Ru f� a ZIA HO 53 41L10
SEC710N S F CDCO INSURANC42H. -RATE MAS
Provide. the foilawing from the proper FIS(%'S-jee
�
1,C' .I NUMBER
1b06 SGUU�� pdo oK- C;M? 0 0
FANS N UIM EE:
* 0 A E F Fit
E5 3, 1,9
k�d���IN E�
(in AC ZCnes- la:513 de C31n I -
466-//136
. Indiceate ti'le =�evmicn datum sys4am4
rr � a i f
..
y e t o neal
s I p d= 6 E for bu-' ld rj. cate
For Zane '
or , where nc '". i.5 Qra
�-+ 141 'iLlfeet or ocher FiRM datum-115edatum jo , Item ,r
the cum u '_- 1 01 -
7 BUILDING I M S
.�
I..., ..,' -� �=t besi
i t di -gr -am n a r from i acini found P aces t
Using the #sac.o n rfi��
.z."le subiectbuilding's revere c:levei
�.� ,IFS ��, i r (with r� f . + C -*.L
+"e + r .� �'Y =L =s--1 ." + a
,cc aithe reference level
ru m,
2(�� SIM oe lf*%%"0j AE, � ar,
f �e� r
C2
t N C- V ED ati-m r FIN d2-ni—se S e C E3, Ite .
- e bo Of the Je.Sha�Lff br f� r ra lai from
(b). FRM Zones 1- and '(wlihEFE j.
+ Item ,
the S i i�: �dj cr- , i t CLl� _(orI --
). F Zone (without � hfl cr usfe= e or
e det anov
b(check cine to i hest =1 d apt to the buildina.
T
eiected
(d). i Zone floor used them referenLCta fel frorn the s `� above r below � (check
�� 1, i the buliin,,lowest floor (reference
one) % r h e ara C. _
F �� '} �+ YL
�o Unknown
l �� i) , �.f � c rc waw i�-+.-�
;- � � -� "
Other(descnc-e
4 lr the i va ri 6 � - used an t -�
�. =��- the �jella n efferent t o that O
un0er, ient a F age )�(NO� I c) tne _
d y �L the " tum ce' `i` a ..� i -ow LN�- �
t F M �S' - r Item , t
a ri n � Z).
m -
A&" .
j a -
4. .r
RM- yes-Na(See ia e 4)crisns on
pp
. ..-.* -d I sot a
1 n e r ever, level a its i based on: ai a F ,
in in(tcn N � E O C 0 C7� C7i Cali Valid it the �..�Ve th& relerunco levei ffCar
this.wiil r 1 w i for the f of cans ruY 0-, k post-cansuvcllan
[W be required ancE canstirucLroncanoes r -
. 1191 1 1(or other M -se
s "Fie ele Baton of the lower ' F e r adia ( d!� �� o the Midi s is.
� �.�--i
tern T).,
ccDMMUNITY INFOR
inakziEd in `eclu4an C, Item 1-
1. If tie o 1 c i r soon ibl far e i ci hulloing .' � w
f "She
r
i Mar the ye t doer"r Gis eiine in C e c� un � mance
trie raigava-u-cn c
du[lalnaSlowest.
'.
....�1(or-f or" defn the r i G, Item
-4- e is: feet 2- [Date afC1 Me S—rT m cons U,
F 131-- 1rj� � C=ALLP
,TIN
��EVE-
A
&01`10 E EW# P.
'fv
Y g4 -a
b state ar lF`,
i s i:s signed land surveyor, end --
�., ' F � j :jo r v and i rp
ar atiwhen i nn inn r � an Twos Zones 0 .
.� ilawdi toprovide� cl c 2r� o llo may iso ion the
r unity a s Who are a tha
., 6 - issued E , - building ' prcpe.rtv r, or an
r;Cn; I a or'Zmrie5and(wiihaut4a
w n r r matt may iso sign t o a iiCS-h o
1[ � 1bte j�y�n�7J i��i+ [,ybf-eakaway/narl-breake-a-way _
k,
Rel"ereri-celevel res and - 0" -Pb * 1 a
Y Y -) not
ape x o imi ne area. Feature(s), then I*s f �
na e i a nt., €
,.�#' <
inciuded in the, * below, The 1a� u Sectionr
- + ;mien r bei c� to I r th dzi�;,
cama the info �� ' i and ren this e '
r a false ak may e res i by fines
Or Impn5anrnent ur7der 1H U.S. �' t Se
W
Z. NAME
�2 / ti , i-.. F iwor
rm) Ix I
P. E_
L.C-A�6^1 1 LIN
. w
F'�
Ly fv a e -/ti tvc c.rr.y S ZIP
ACC R ESS
.. f OAT . ailLONE
,Ai`" _
{ -dbuilding owner.
Copies oui b rrr . this rtifi��t fors 1 c ��
y
COMMENTS:
ri
• Imp" - -_ - W
} B E
SLAa _
f
ZONES ZONES ZONES
if--
C1 CV.
s
d
n
ply FS
pj + OR
Y
ZONES-
YI�I
F; E-FEW.�EI
L.L
-r
+ � y `�
_ ,
moi.
d
n
ply FS
pj + OR
Y
ZONES-
YI�I
F; E-FEW.�EI
F- ejevala r 0L ' _
dimer above jilusTare the ai n. a
F
a�
,.the too Qj the reference leaf floor{
Icr ;ail A Zjonas STIMAd be ME-05uredT' t'
gar aft V Zones.511culd be measured F
I
y
Y
M
L.L
�t
_ ,
41
r
Rimr
-
i
F- ejevala r 0L ' _
dimer above jilusTare the ai n. a
F
a�
,.the too Qj the reference leaf floor{
Icr ;ail A Zjonas STIMAd be ME-05uredT' t'
gar aft V Zones.511culd be measured F
I
y
Y
M
NORTH P
.01NTE P
PERT1ES-,-,--LLC
DEVELOP".M.ENT AGREEMENT REIMBURSEMENTS FOR
WATER, SANITARY SEWER, STORM D RnINS AND STREET
IMPROVEMENTS ON 2ND EAST ST.
Front Foot Waterline Charge on 2`1 East St:
126 1n. ft. x $10.00/ In.ft - ------- ---------------- 260. 00
Front Foot Sanit Sewer Charge on 2"
12 6 In. ft, x $ 1 o. oo/ lu. ft - -----
Front Foot Storm Drain Charge on 2"d East 5i:
12 6 In. ft. x $10. I_U. ft. _� _ ---------_
Front Fant Street Impravez�ent C��.arges on �nd Fast St:
126 In. ft. curb & butter c $8,00/ In. ft.
S(wide) x 126 ft. = 630 sq. ft. @ $3.00/ sq. ft. ----------______
TOTAL REaIEBURSEMIENT DU- EA
1260,00
1260.00
1008.00
1890,00
$6678,00
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1 . 39 W20815 3022
—r I • W R P W
CITY F REXBURG
ELEVAT- ION CERTIFICATE
VMS E`cDERAL EMERGEENCY MANAGEMENT AGENCY
NOT1aNAL FLOOD INSURANCE PROGRAM
-40, -%bf ,.0
r . �F l �F 31067-0077
Expird'i 1 F 1996
..
iver j ureapurchaser ul r r r`i `. This form i u � only o
ION. USO f this certificate dS.not rol'
• A linr� ';-H - fll r f1oO[i Jin t ordc-r t
PrDVPd9 C3�'VatI0f1 !C{TOif�c�IlO1i fiECB55ns�r :u C«U I � L�•,4.o, --
- — --s- -ar.,. �.. ��s,,.,.,.� ...r��+a�i Jnr � 1 ctior of Man Am�rYdm��� �� R��1l514i1 (LOMA or L�Il�R),
r ine t t proper insurance pre rn F r r�
Instruction -S for 'lti this form n be found the lollowingpagest
SEC70NIA PROP EATY]NFORMA7i ION
ILIA OWNER'S NAME
� r
S TP EET A0 O G SS Indudliig Apt.,nito u'l ' Aid c- Nur'-'er) P.
G-THEFt D 5- RIP T ION (Lot and Biecku wl, -e)
TAT Ea
SECTIGN B FLOOD fNSURANCIE RATE MAP (FIRM) }NFORfaIA71C3N
n,,wti; I?Ml fl frnrn t it nre.n r 1 t (
4 7, J 1 Q %r J %,.r IP %WL 1. � W J 4 -%d %.& 4 1r 1 1 P ...o t ... r = - -
a. For Zones A or V, where no BFEis provi'ed on the FIRM, and the commu-nity h,as esiab'11--hed a E3F' for I
I yfeeo,`
' datum -see Section 1� ).w�116the co
SECTION BUILDING ELEVATION INFORMATION
P-
1.0 Using h Elevation rtifi instructions, indicate the diagram number from the dia r l P .
describes the !Sublect buildIng"s r f r r level
Q� � tee f the r f r n IG l floor from the selected l' r 1s
at atl elevation
2(a). FIRM ZonesAl-A30, � �.
44eit*1-71.
(orr� t t' . Item 7)
l t1� Zones 1 + p , n w Bir,). Thef 1 l ri x..r l � rn r f h ref�ren eve ro(b).
' i I fejt(or other FIRMdatuni-see Section , -Item
the selected � rr I t�
or
FIPM Zone A (vvitlout RFS)... The floor used as the: reference level from the
d j a ent t the bu it ina.
below (check ce the [ (c'rleck
!a L
Mn FIRM Zone AO, The floor usea as the refereence le I from the svlected
gradecd*ace n t tbuilding.. I tl c dept
number i available, i a building's 1,0west floor(reference
OnG) the highest level) In aar with the oQmmunfty's. floodplain management
err Unknown
3. Indicate theI us ed in d eterminj n g th a above re tere nce I evel Q I evatic ns: ; NG- V 0 '29 Other (describe elevatfon daturn SYS"6rrl
U nda r Comm e ras on Paq e 2) (NO : 11 Lhe alevaticn daturn us -ed in measuring tj alava tions is 6ifferent tharl th,a t us. ad oil
th S FIRM (5 a S Sac tio a 3, Ile M �7t M e -n co n ve rt th 6 6 /6 V^ 'n. ris to &f a da tum syS tGM U-sa d o n the FIRM a n d s h ON th a e o n versic n
equatton under Common t oge 2.
4. Elevation reference mark Oe2r. on FIRS syes No (See Imsrto n Page 4)
[construction on ru #i n rawirigs
5. The reference
r level
i r based I. lP+ �+
(NOTE: Use of construction . i■r�r. f �F� i to j 1r7&les not yet 6 r f r I floor i Wh
n Plac9p ca.sa this cjw.6fica to will only be valid for the buiiding dU609 the cOufsO Of ccXVrucrion, A po,590- construction 61cvatlon CarTifiCat&
will be ori cry s tr'n is cn J e.
4
St. Tha elevatior, of the lowest grace i edit jent c l*Lfeet NGVD (or other FiRM d
clan 8, Item } j
SECTION D COMMUNITY NFORIMATION
1 In iQn rte
s � � � n specifies thst reference e
� . �� thecommunityofficial�r� ation of the 'ldlr-� '.� � e
is not the pow est floor defined i the c P
IRM daturn—see c t f a n B, Item
v
as � I # (or other F
'floor' definedthe rd.na is:
'Dats of the slarl of construckn arSUbstamial
77. r .� ALL FEMO C
SEE REVERSE 5ioE F0R ca�MNUAncrr
F if ■ 1
a; tz
- T
11 ft IL
■+
w Wk
I 3F
lit
1II L11 F t,
i
F Nom
■ i 111 � �F ,
i ■ i ■� 1 i OI
43 INS
F'mh R F zti " - i 71i -W D sm
J as 06
+ 1 K 7 � 2 F I- -
-
IS F4
Mir w
L16 ph 0
11M. rj
pw
Rp ■ _ r M~ g
p P It
If
■ 11
-%r 1 T 40 16' Xpp--- MIME. IIILIII!FIL--W Alm :-1 4w 311311111� .M
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I
SECTION E CERTIPICATION
f
V #,
9
This rtillcation is to be signed by a lan surveyor, angineer, or arch!tect who is authorized by state or loci jaw to car4ify sievation
inform.mlon when the elevationr r ,�' . (with. BFE). is required.
Communitl
�,
officialsi f r r, -also the
to
ery#� (without FEMA r community issued 6, building iil, pr6 rN"d W% n
op or a
owner's represent-altmay rl lgn thecartficatlIons
Reference level,and
8 o 0.F-,.c.Uncuishng Ish i res—I the rt fl r is u bl to a rte to bran -b r da� wall,
l area use wall . n'Ince r un�fl k h areaFeature(S),then list the Fe --V
ire(s) not
� t size, location s idng t
r c r '� att 1 , The i t number,S flon Item 1, rust still be ril + .
I certifythat the in form- Yon In Secg. 9 O-,nd 0 on thIs certificate represents my best efforts to I1 t .( _r a tol i e.-
R
r t that a take statement rt -.,Cy punishable fine r �y. prt r . t under 18 US. Cocfe, S100 11,
f2
I�
CERTIFIER'S N
E
TME
l.10ENSE NUMSEA ((;r Ph Zeai)
4=w' --a 15?qG L
CO.MFANY NAME
ADDRESS i C�Ty
I
--
5
SIGNATUPE
OATE PHONLE
i
Ccpf4as
a
should be rnade of t ts CerflfirWe for: community oflI 1 1, .Insurance Pap p , and bre [ding Qwner4
COMMENTS. -
opt ,ENTST
.2.00.%ica
opt
A
ZONES
t
+
F
1
,
F F '!
RASEMENT
A
Rr ZONES
ELEVATIOM
F
ON 111.0,
FII, OR COLUMNS
dh
WNES Z0 N ES
REPiAENCF R[�EPIEt�C�B
Is, evEL �F}s1 LAY#t
iz
ADJ. ILIPIA PON
4h G"Oe
a sq AID CL
I
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7he r a iii � i� � elevations should b no r Zones n ones.
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Cle vations 70or all V Zones shouid be measured
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CHECKLIST0
is develo ment site inh Special FKNod Hazard Asea? , C0
Is perms application complete?
pprapnate spaces ars filledout.
0
Permit
N o
U #cached pans adequately describe the Proposed development.
Elevations of the lawest floor of proposed structures are provided. C�k,+ ?W���i��
,� vequired#�certificates (for floodproofing methods ars attached, signed and sealed.
_
Base Flood Elevation data is Provided for barge subdivision Proposals.,
Fie is acid
Does propcs�d deVeiopment require other permits yr.,
..,,rs
They ars attached,
No
4. What is the Base Flood Elevation dor depth number} at the develo men site?
5.
60
How does �� i
floor elevations? -
lk)es prapostc,.,-d development re�eet �iFiP..Generaf .S
Construction materials and
rnethads resistant to flood damage
ET /Anchored property
Utilities safe from flooding
dards?.,.'
iubdivisians designed
a minimize flood damage
4
Encroach menu -p rgposed
actin will not obstruct flood waters
SPecl c Standards?
lowest floor elevatedlfio*dproafed to or abvWe BFE
IS Pro eve r i
R.Ind floodway. Yes
If yes, has applicant demonstrated that devel nt will result ire NUJ increase in flood heights?, Yes � No
RECOM*tNDATION
Grant Permit
f ,
Requestdpi information
Deny Pi.
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