HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 1206 ALAMEDA STREET - WEST VINE (3)ELEVATION CERTIFICATE O.MB. No May
Expires May 31, 199;
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
�'►�, rs 1 ti Cons.
STREET ADDRESS (Including Apt., Unit. Suite and/or Slog. Number) OR P.O. ROUTE AND SOX NUMBER COMPANY NAIC NUMBER
1 Z o G AI Ct" o" S+
OTHER DESCRIPTION (Lot and Block Numbers. etc.)
Lot 9-3 13,ej>1a7' cr- 144s 8 +hry Z 9 Grae" 9etah41 PUD
CITY STATE ZIP CODE
Fa r+ C-01R n s co 6OS21
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE CF FiRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
080)02
(in AO Zones, use dep(h)
5007.5
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): X NGVD '29 ❑ Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I 1 1 I . _1 feet NGVD (or other FIRM datum —see Section B, Item 7)
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level 8) .
2(a). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I 1510 01 1 L! feet NGVD (or other FIRM datum —see Section B, Item 7).
(b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I I ! ! J feet NGVD (or other FIRM datum —see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is 1.Ll feet above ❑ or
below ❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is feet above ❑ or below ❑ (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see Section B, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: X Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: 9 actual construction ❑ construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: 1 15101016.0 feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I.1-1 feet NGVD (or other FIRM datum —see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features —If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.nI*ripb`_
I certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,
CERTIFIER'S NAME LICENSE NUMBER or Affix Seal) gyp -T J v &=
Ehljh;obi son Goo c.S W q-SOZ. r
TITLE COMPANY NAME
ADDRESS CITY ZIP
pox 4-2 '1 r-o rt Co/1) 7 f C�J �sZZ
SIG JH , AT RJ A n �j r DRTE PHONE n __ A
Copies should%e made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES.
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
LEVEL
REFERENCE BASE
LEVEL FLOOD
ELEVATION
REFERENCE
LEVEL
w:
BASE
BASE. . ADJACENT:. x REFERENCE
FLOOD '.':.:: GRADE ..^ry: LEVEL
ELEVATION REFERENCE I ADJACENT'
ELEVATION
LEVEL GRADE -
:::•:;/:`f=i';:';.:i!Sii..
ADJACENT
::•
GRADE
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
INSTRUCTIONS
The following 8 diagrams contain descriptions of various types of buildings. Compare the features of your building with those shown in
the diagrams and select the diagram most applicable. Indicate the diagram number on the Elevation Certificate (Section C, Item 1) and
complete the Certificate. The reference level floor is that level of the building used for underwriting purposes.
NOTE: In all A Zones, the reference level is the top of the lowest floor; in V Zones the reference level Is the bottom of the lowest horizontal
structural member (see diagram on page 2). Agents should refer to the Flood Insurance Manual for instruction on lowest floor definition.
DIAGRAM NUMBER 1
ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER
THAN SPLIT LEVEL), INCLUDING MANUFACTURED (MOBILE)
HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR
ROW TYPE (E.G., TOWNHOUSE, ETC.); WITH OR WITHOUT
ATTACHED GARAGE.
Distinguishing Feature - The first floor is not below ground level (grade) on
all sides'. This includes "walkout" basements, where at least one side is at or
above grade. (Not illustrated)
HIGHER FLOORS
' (IFANY) ,
' 1
FIRST FLOOR GRADE
REFERENCE
LEVEL
(TOP OF FLOOR)
DIAGRAM NUMBER 3
ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW
TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT
ATTACHED GARAGE.
Distinguishing Feature - The lower level is not below ground level (grade) on
all sides". This includes "walkout" basements, where at least one side is at or
above grade.
HIGHER FLOORS HIGHER FLOORS
(IFANY) (IFANY)
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1
UPPER LEVEL GRADE
GRADE INTERMEDIATE
LEVEL
LOWER LEVEL
REFERENCE
LEVEL
. TCP OF =LOOR1
DIAGRAM NUMBER 2
ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER THAN
SPLIT LEVEL), INCLUDING MANUFACTURED (MOBILE)
HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR
ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT
ATTACHED GARAGE.
Distinguishing Feature - The first floor or basement (including an
underground garage') is below ground level (grade) on all sides'.
' HIGHER FLOORS
' (IF ANY)
1
GRADE
FIRST FLOOR
BASEMENT (INCLUDING
UNDERGROUND GARAGE)
REFERENCE
LEVEL
ITCP OF BASEMENT FLOOR')
DIAGRAM NUMBER 4
ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW
TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT
ATTACHED GARAGE.
Distinguishing Feature - The lower level (or intermediate level) is below
ground level (grade) on all sides'.
HIGHER FLOORS HIGHER FLOORS
(IFANY) (IFANY)
I I 1
1 1 I
1 1 I
I I I
I I I
1
I
UPPER LEVEL GRADE
GRADE INTERMEDIATE
LEVEL
LOWER LEVEL
REFERENCE
LEVEL
Fop OF BASEMENT FLOOR')
Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level
(grade) on all sides is considered a basement even though the floor is used for living purposes, or as an office. garage,
workshop, etc.
Note: In all A Zones, the reference level is the top of the lowest floor; In V Zones the reference level is the bottom of the lowest
horizontal structural member (see diagram on page 2). Agents should refer to the Flood Insurance Manual for instruction on lowest
floor definition.
DIAGRAM NUMBER 5
ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE)
HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR
WALLS, WITH OR WITHOUT PARKING AREA BELOW
ELEVATED FLOOR.
Distinguishing Feature - For all zones. the area below the elevated floor
is open; with no obstruction to the flow of flood waters (open wood lattice
work or readily removable insect screening Is permissible).
HIGHER FLCCRS
(IF ANY1
ELEVATE?
FIRS' F(COR
REFEVENCE
LEVEL
DIAGRAM NUMBER 7
ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE)
HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR
WALLS, SOLID NON -BREAKAWAY WALLS, WITH OR
WITHOUT PARKING AREA BELOW ELEVATED FLOOR.
Distinguishing Feature - For all zones. the area below the elevated floor is
enclosed. either partially or fully, by solid non -breakaway walls, tY contains
equipment servicing the building. For V Zones only, the area is enclosed,
either partially or fully, by solid breakaway walls" having an enclosed area
greater than 300 square feet. For A Zones only, with an area enclosed by
solid walls having proper openings.— and used only for parking, building
access• or limited storage, use Diagram Number 8 to determine the
reference level.
HIGHER FLOORS
(IF ANY(
,
DIAGRAM NUMBER 6
ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE)
HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR
WALLS, WITH OR WITHOUT PARKING AREA BELOW
ELEVATED FLOOR.
Distinguishing Feature - For V Zones only, the area below the elevated
floor is enclosed, either partially or fully, by solid breakaway walls." When
enclosed area is greater than 300 square feet or contains equipment
servicing the building, use Diagram Number 7: this will result in a higher
insurance rate. The enclosed area can be used for parking, building access
or limited storage.
HIGHER FLOORS
(1F ANY)
DIAGRAM NUMBER 8
ALL BUILDINGS CONSTRUCTED ABOVE AN UNFINISHED
SPACE, INCLUDING CRAWL SPACE.
Distinguishing Feature - For A Zones only, the area below the first floor is
enclosed by solid or partial perimeter walls, is unfinished, and contains no
equipment servicing the structure. The area can be used for parking,
building access, or limited storage.
HIGHER FLOORS
(IF ANY)
Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level (grade) on
all sides is considered a basement even though the floor is used for living purposes, or as an office, garage, workshop, etc.
Solid breakaway walls are walls that are not an integral part of the structural support of a building and are intended through their design
and construction to collapse under specific lateral loading forces, without causing damage to the elevated portion of the building or
supporting foundation. An area so enclosed is not secure against forceable entry.
If the area below the lowest floor is fully enclosed, then a minimum of two openings are required with a total net area of at least one
square inch for every square fcot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively,
certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic
flood forces on exterior walls. It neither of these criteria are met, then the reference level is the lowest grade adjacent to the structure.
Pay . Ii
O u. S. GOVERNMENT PRINTING OFFICE 1990 �llt5•:02tiI)