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Home My WebLink AboutELEVATION CERTIFICATE - 96-00018 - Grease Monkey - New BuildingO.M.B. NO. 3047-0077 ELEVATION CERTIFICATE Expires May 31,,996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONA1. FLaQD INSURANCE PRt�GRA�IIATTENTION; Ilse fl# this cer�ificate does riot prouide a waiver of the flaod insurance purchas� r�quirem��t. T 1s foam is used on1y to pro��de eleWat an 1r�formatio� necessary to ens�,re campiiar�c� with appficable community floodplain management ordinances, to detarmir�e tY�e proper insurance premium gate_ anr�/nr to s��n�nrr a rnn� net fnr ., I .,��„_ ..r �.�._ � __ _ _ _, .� .. - rate and/or ------, _..-- �--�-+-u.. � �y.�u�a� �u1 a LaE�� 09 IV1c3�J H1i1B'f�[]T?�$ilj Qi' I'feI11SlOC1 (LOMA LSP L.DM9jins#ructlans for completlr�g this form can be found an the following pages. SECTION A PROPERTY INFORMATION Bllll.DlNG OWNER'S NAME , STREET ADDRESS (Including Apt., Uj;,It,pulte etntflor Bldg. Number) 0R P.O. RC3l1TE AND BOX NUllABei3 OTHER DESCRIPTION (Lot and SloGic Numbers, etc.) FOR INSURANCE COMPANY USE POLICY NUMBER COMPANY "AIC NUMBER CITY p STATE 21P CODE SECTION 8 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRIA (See Instructions): 7. indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): EK NGVD 429 D Other (describe an back B.,For Zones A or 1!, where no SFE is provided on the FIRM, and the community has established a BFE for this building site, ind�cate the community's BF.E: feet NGVD far other FIRM datum -see Section B, Item 7j, '� SECTION C BUILDING ELEVATION INFORMATION Is Using the Elevation Certificate in'structions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference leve! 2(a). FARM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation OfLj-Ai9jLk;1�)-j.L91 feet NGVD for other FIRS datum--sP.e Sprtinn R Itam 71 (b). FIRM Zones V1 430, VES and V (with SFE). The bottom of the lowest horizontal structural member of the reference leve! from the selected diagram, Is at an elevation of ,� feet NGUD (or other FIRM datum—seg Section B, Item ?). (c), FIRM Zane A (without BFE). Tie floor used as the reference Level from the selected diagram. is U,� . Ll feet above F-1 or , helow ❑ (checkone) the highest grade adjacent to the building. (d),. FIRM Zone AO. The floor used as the reference level from the selected diagrann is ILJ feet above 1:1 or below El (check �. a the highest grade adjacent to the building. If no flood depth number is available, is the building's lower floor (reference level) elevated In accordance with the tommuni� '� floodplain management ordinance Yes Unknown 3 Indicate the elevationdatumstem used In determining the above reference level elevations* 9 N'GVD 29 Other(describe under Comments on Pa a . (NOTE:. Jf the elevation datum used in measvringthe elevations is different than that used on M [see Section B, #lei , thea convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments � Page 2. r . Elevation reference 'sed •gars on FIRM: Yos v&L No ( Instructions Ir Tha reference lna1 elevation I on: actual construction Elconstruction drawings (NOTE: Use f construction drawings is only valid if the building does not t have the reference level floor in place, in whit case this certificate will only be valid for the building duripg the r e f construction. A post -construction Elevation Certificate will be require' once construction is complete.) . The �ef atier� f the lowestti rade f edi ate rpt t the buildingis: lalul U9 . ftFIRM tY Section 131tem 7),. •I li: y d. r SECTION D COMMUNITY 1. if the community off lei respons-lble for verifying buildingelevations specifies that the reference level indicated Is not the "lowest floor" as defined In the community's floodplain management ordnance the le atl of the bu rld' "lowest 4 fi r t o b the � ��a i- test NG (or other FIRM datums see Section B, Iters . * Date'of the start of constr6ction or substantial improvement 2}FEMA r REPLACES ALL PW IQ4 SEE REVERSE SIDE FOR CONTINUATION ff h e ' 1 r+ , . r SECTION E CERTIFICATION dk is authorized state r local N � i elevation I�r�Thi �rtifi t n t be reed {�}f�land ur r, g n r, or � �� . . i �4 information when the elevation informationfor Zones I—(with l3FE),V1—V30,VE, andV (withBFE)'irequireldt YS a 4 Community officials who are authorized by local law or ordinance to provide floodplaln management l` icertification. In the case of Zones AO and A (without a FEMA or community issued 13FE), a building official, a property owner, r , F, owner's r r° e t ti also sign the rl f!cation , 1 ' j � 'd+ � +lye '. 7``k l.rp •'� � •k"O�, II s,. Reference level diagrams 6, 7 and 8, - Distinguishing Features—If the certifier Is unable to certify to breakaway/non-breakaway gall i nIur size, location servicing equipment, r ll rig fili�d area Feature(s), then list the Feature(s) not. Includedin the certification under Comments below. The diagram number, Section C, Item 1 1 tared. r + I ceHify Mat the information in Sections B ani' C on this certificate represents my bestavailable , , . _ h , I 0dot I unders(and that any false statement may be punishable by fine or imprisonment und. 01 I 1 1 a ,y+ + I k tkij 6269 .1�,] A CERTIFIER'S NAME LICENSE NUMB R Seal) L11AL T�Q _M_5ER TITLE- COMPANY NAME 1 FA - a , A !?Doi IDA 0 0 0192 )AiJw . �L(:] SIGNATURE DATE PHONE I I Copies abound be made of this Certificate for: community official, Insurance agenn , and bulldVg own • 1 4 COMMENTS N-9-K—VISED IF 1'IL r ON WITH i ON PILESP �+ •. SLAB BASEMENT PIERS, On COLUMNS ek.y� a REFEERENCE F AEFEF4ENCE BASE LEVEL � AEFE"04CE � LF_VISL LEVEL FLOOD L 1 ELEAIN BASE I e i e e � ■e� i, � i -,� ,b °e. i "■ +7- +-;,�' til' i REFERENCE FLCOV BASE ADJACENT ELEVATION FLOOD GHAM LEVEL ELEVATION ADJACIE14T LEVEL GRADS - FT+-` .�ye�'�F •aT+ • ,-Th }*t.rY�^;i 4T i•+y ■�i}.� jr k F#iii-y��-tiebhi a+++ lrhe�r +7� F.1 `T '�t F F i� T+}*■ j�3 i bF '!4 -t P. „a ffr� ~' f' ` a 7 ,r * ■ # r�T+**jet es �T.■ �# L. 7•i � '1 yIq 1 1� DJACENT GRADE 1 The diagrams above illustrate the points at which the elevations should be measured In Zones and V Zon S. ° T Elevations for all A Zones should be measured at the top ot file reference level floor, a;il,� ; { ■ Elevations for ail V Zones should be measured at the bottom of t o lowest horizontal tru tur l memban- 1 a : 4%'d4 4 , If , _ � x _ a • €.a.'tti 1' I, 1 .. 1 7.. .�+. i�. slj e a _I • .+ k ,ha , • , + PL jqo 1 ON WITH i ON PILESP �+ •. SLAB BASEMENT PIERS, On COLUMNS ek.y� a REFEERENCE F AEFEF4ENCE BASE LEVEL � AEFE"04CE � LF_VISL LEVEL FLOOD L 1 ELEAIN BASE I e i e e � ■e� i, � i -,� ,b °e. i "■ +7- +-;,�' til' i REFERENCE FLCOV BASE ADJACENT ELEVATION FLOOD GHAM LEVEL ELEVATION ADJACIE14T LEVEL GRADS - FT+-` .�ye�'�F •aT+ • ,-Th }*t.rY�^;i 4T i•+y ■�i}.� jr k F#iii-y��-tiebhi a+++ lrhe�r +7� F.1 `T '�t F F i� T+}*■ j�3 i bF '!4 -t P. „a ffr� ~' f' ` a 7 ,r * ■ # r�T+**jet es �T.■ �# L. 7•i � '1 yIq 1 1� DJACENT GRADE 1 The diagrams above illustrate the points at which the elevations should be measured In Zones and V Zon S. ° T Elevations for all A Zones should be measured at the top ot file reference level floor, a;il,� ; { ■ Elevations for ail V Zones should be measured at the bottom of t o lowest horizontal tru tur l memban- 1 a : 4%'d4 4 , If , _ � x _ a • €.a.'tti 1' I, 1 .. 1 7.. .�+. i�. slj e a _I • .+ k ,ha , • , + PL jqo