HomeMy WebLinkAbout05070213-Elevation Certificate
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
a.M.B. No. 3067-0077
Expires December 31. 200~
ELEVATION CERTIFICATE
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Important: Read the instructions on pages 1 " 7.
SECTION A" PROPERTY OWNER INFORMATION
BUILDING OWNER'S NAME
Curt Curts
BUILDING STREET ADDRESS (Induding Apt. Unit. Suite. and/or Bldg. No.) OR P.O. ROlJTE AND BOX NO.
13697 Goldwater Drive
CITY STATE ZIP CODE
Carmel IN 46032
PROPERTY DESCRIPTION (Lot and Bled< Numbers, Tax Parcel Number, Legal Description, etc.)
rW36'inT6e1Replat of the WocxJs At Williams Creek
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential
LATIT1JDElLONGITUDE (OPTIONAL) HORIZONTAL DAT1JM: SOURCE: 0 GPS (Type):_
( #If - ##' - ##.##" or ##.####If) I8J NAD 1927 0 NAD 1983 I8J USGS Quad Map
3959' 00" N 08610' 00" W
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
OOthec
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
CarJ11Ej 180081
B2. COUNTY NAME
Hamilton
B3 STATE
Indiana
B4.MAPANDPANEL B7. FIRM PANEL B9.-BASE flOOD ELEVA nw(S):
NUMBER 65. SUFFIX 66. FIRM INDEX DATE EFFECTIVDREVISED DATE 58 FLOOD ZONE(S) (ZoneAG, usedep~ offooding)
18057C0206 F 02l19m A C873rl
B10.lndK:atethe SOOJCe of the Base FkxxJ Bevaioo (BFE) data or base fIroj depth entered in B9.
o FIS Profile 0 FIRM 0 Coolmunity Determined [8] OIhE<(Desaibe) I.D.NR LettE<REC-G~15666
B11.lndicatethe~evationdatum usedfocthe BFE in B9: [8] NGVD 1929 0 NAVD 1988 0 OIher(Desaibe):_
B12. Is the buildin910cated in a Coastal BaniE< Resoorces System (CBRS) area or OtherMse Protected Area (OPA)? 0 Yes [8] No Designation Date
SECTION C" BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building ~evatiO/1s are based 0/1: 0 ConstructiO/1 Dr<>Nings' 0 Building Under Construction' [8] Finished Construction
'A ne.v Elevation Certificate..;1i be reguired when constnJctlO/1 of the building is complete.
C2. Building Clagram Number Z (~ect the building diagram most similar to the building focwhK:l1this certificate is oong completed - see pages 6 and 7. W no diagran
<mJrat~y represents the building, prm;de a sketch or photograph.)
C3. Bevations -Zones A1-A30, AE, AH, A (..;th BFE), VE, V1-V30, V (..;th BFE), AR, ARIA. ARlAE, ARIA 1-A30. ARlAH. ARlAO
CO'nplete Iiems C3.-a-i bekJN a:mrding fothe building diagram specttied in Item C2. Slate the datum used. Wthe datum ~ different from the datum used forthe BFE in
SeetO/1 B. convert the datum to that used for the BFE. Show fi~d measurements and datum conve<siO/1 calculation. Use the space the Coolments area of
Seeton D Of Seeton G, as applC?liate, to documenlthe datum conversion.
Datum NGVD 1929 COI1versKlnlComments N/A
Bevaioo reference maJk used KA.M 60 Doos theelevatiO/1 refe<ence mark used appear 0/1 the FIRM? 0 Yes [8] No
02).Top of bottom floor (induding basementocendosure)-- ./ L875..lLff(mL:"
o b) Topofnexlhigherloor B85.Li.(m)
Dc) Bottom of lowest horizO/1ta1 struduraJ me<nber(V zones only) _._ft(m)
o d) Attached garage (fop of slab) 883.l.i.(m)
o e) LoNest elevation of ma::hinery and/or equipment
setYking the buiiding (Desaibe in a Coolments area) 878. f.i.(m)
o D LoNest adja:;ent (finished) grade (LAG) 875 . L i.(m)
o g) H~hesl adjacent (finished) grade (KA.G) _ _i.(m)
o h) No. of permanent openings (1000 vents) ..;thin 1 i. above adjacent grade N/A
o Q Total area of all permanent openings (1000 vents) in C3.h ~ sq. in. (sq. em)
SECTION D - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law 10 certify elevation information.
I certify that the information in Sections A. B, and C on this certificate represents my best efforts to interpret the dafa available.
I underslandthat any false sfatement may be punishable by fine or imprisonment under 18 U.S Code, Section 1001.
CERTiFIER'S NAME DaVid A. York, Reg. L.8. LICENSE NUMBER 20200053
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TiTUE RegistE<ed Land Survey I Prcject Manager
COMPANY NAME Wethe Engineers, Inc.
ADDRESS
10505 North Coliege Avenue
SIG
CITY
Indianapoiis
DATE
02-23-D6
STATE
iN
TEUEPHONE
(317)84<Xi611
/
ZIP CODE
46280
FEMA Form 81-31, January 2003
See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. ,'Forlnsu@@iJaiiYUse
. BUILDIN~ STREET ADDRESS IlrdudiflJ Apt, Unr, Suite, and/or BkIg. No.) OR P.O. ROUTE ANa BOX NO.
13697 Goldwater Drive
CITY STATE ZIPCOCE
Carme IN 46032
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy txJth sides of this Elevation Certilcale for (1) community offidal, (2) Insurance a;rnVoompany, and (3) building CINfler.
COMMENTS
The Highest Adjac8!l1 Gra:Je 10 the siruclure was nol obtaine:! at the time these "evations were deterrrine:!.
The ma:::hinery for this elevation certificate was an air-ronditioning unit.
o Check here if attachments
SECTION E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (v.ithout BFE), oompele Items El through E4. If the Elevation Certiticale is inl€l1de:! for use as supporlng information for a LOMA or LOMRF,
Section C must be oompleted.
E1. Building Diagram Number _(S<Jro the building diagram most similar to the building for which this certificate is oong oompete:! - see pages 6 and 7. if no diagram axurat"y
represenis the buiklng, pro;ide a sketch or photograph.)
E2. The top of the txJttomftoor(indudlng basennentorendosure) of the building is _ ft.(mLin.(an) 0 atxJveor 0 beloo (check one) the highest adjacent gra:Je. (Use
natural grade, if avalalJe).
E3 For BuikJing DagramslXlv.ith openings (see page 7), the next higher ftoor or elevate:! ftoor(elevation b) of the building is _ ft.(m)_in.(an) atxJvetheh~hest adjac8!lt
grade. Compete ITems C3.h and C3.i on front of form.
E4. The top of the platform of maohlnery aneVor equipment servidng the building Is _ ft.(m) _in.(an) 0 atxJve or 0 beloo (check one) the highest adjac8!lt grade. (Use
natural grade, IT avalalJe).
E5. For Zone AO only: IT no fIoorj depth number ~ available, is the top of the txJttom ftoor elevated in acoordance v.ith the oommunITys ftocdpain management ordinance?
Dyes 0 No 0 Unknown. The local ofIidal musl certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property CINfler or CINflelS authorized representative who oompetes Sections A, B, C (~ems C3.h and C3.i only), and E for Zone A (without a FEMAjssue:! or communITy-
issue:! BFE) or Zone AO must sign here The statements in Sections A B, C, and E are conoct to the bes1 01 my knowledge.
PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
o Check here if attachments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The loca offid~ who is authorized by law or ordinance to administer the oommunITy's ftocdplan management ordinance can compele Sections A, B, C (or E), and G of this Elevation
Certificate. Compete the apfJlcable ITem(s) and sign 0000.
G1. 0 The information in Section C was Iaken from otherdooumentation that has been signe:! and emtxJssed by a licensed surveyor, engineer, C< archITe:;twho is authorized by slate
or local law to cerify elevation information. (Indicate the souroe and date of the elevation dala in the Commenis area 0000.)
G2. 0 A communITy otocial oompete:! Section E for a building locate:! in Zone A (",thout a FEMAjssued or oommunityjssued BFE) or Zone AO.
G3. 0 The fcJlov.1ng infonnation (Items G4-G9) is provide:! for oommunity ftocdpan management purposes.
G4. PERMrT NUMBER
GS. DATE PERMrT ISSUED
GO. DATE CERTIFICATE OF COMPUANCEIOCCUPANCY ISSUED
G7. Th~ perrrit has been issued foe 0 New Consiruclioo 0 Subslanti~ Improvemenl
Ga. Elevation of as..bul~ lowest ftoor (induding basement) of the building is:
G9. BFE or IIn Zone AO) deplh of ftocding atlhe building site is:
LOCAL OFFIClI\~S NAME
COMMUNITY NAME
SIGNATURE
COMMENTS
_._ft.(m)
_._ft.(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
o Check here if attachments
FEMA Form 81-31, January 2003
Replaces all previous editions