HomeMy WebLinkAbout06120008 Certificate of Elevation
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ELEVATION CERTIFICATE
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
Important: Read the instructions on pages 1-8.
OMS No. 1660-0008
Expires February 28, Zoo9
SECTION A - PROPERTY INFORMATION For Insuranoe Company Un:
Al. Building Owner's Name Edward T. and Katherine J. Novak Policy Number
A2. Building Street Address 6inC1Uding APto Unit, Suite, aodiof Bldg. No.) or P.O. Route and Box No. Company NAte Number
58 1 Lost aks Drive
A3.
Clly Carme 1, Slate IN
Property Description (Lot and Block Numbers, Tax Parcel Number, Legal DescrIPtion, etc.)
Lot 99 Lost Oaks at Haverstick, Section Une
M.
AS.
A6.
A7
AS.
ZIP Code 46033
Building Use (e.g., Residential. Non-Ro$idential, Addrtion. Aocessory, etc.)
Latitude/Longitude: lat. long. Horizontal Datum: 0 NAO 1927 0 NAD 1963
Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
Building Diagram Number~
For a building with a crawl space or enclosure(s}, provide: / A9. For a building with an attached garage, provide: 500
a) Square footage of crawl space or enclosure(s) ~ sQ ft 21) Square footage of attached garage sq ft
b) No. of permanent flO.od. openings in the cra:ov' space or n / b) No. of ~er.manent flood openings In the attacheq' garage
endosure(s) walls W'lttun 1.0 foot above adjacent grade a walls wittlln 1.0 foot above adjacent grade n / a
c) Total net area of flood openings in A6.b =:::o:rr. sq in c) Total net area of nood openings in A9.b sq in
,
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name & Community Number I 82. County Name 18~. Stats
Carmel Citvof 180081 Hamilton Indiana
64. Map/Paner Number 55. Suffix 86. FIRM Index 87. FIRM Panel 6a. Flood B9. Base Flood Elevatlon(~) (Zone
Date Effective/Revised Date Zone(s) AO, use base flood depth)
0235 F Februarv 19 20D3 X 751. 0
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89.
o FIS Profile Ii! FIRM OCommunity Delermined 0 Other (Describe)
B11. Indicate elevation datum uad for BFE in Item 89: 0 NGVD 1929 DNAVD 1988 o other (De5Cribe)
612. Is the bu.ilding located in a Coastal Barrier Resou.rces System (CBRS) area or otherwise Protected Area (OPA)?
Design~tion Date 0 CBRS DOPA
I r;::
i'
Check the measurtHnert used. ! /UU11
7 d 0 "~
54..82 l.!J feet meters (Puerto Rico o~l>lj"
-- . 0 feet 0 meters (Puerto Rico oh~""'"
-- . D feet 0 meters {Puerto Rico ~::J
7 S4 .l2..[3"f06' 0 meters (Puerto Rico c1rf~1fl
7 S4 .l2..0 feet 0 meters (Puerto Rico Jnr~~
753..80 gfeet 0 meters (Puerto RiciJKIJ)
/ b4. .U0 feet 0 meters {Puerto Rico bRI9il
I ~-':...:..:J '
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SEC ION C - UILDING ELEVATION INFORMATION (SURVEYREQUIREDj
C1.
Building elevations are based on: 0 u n Drav.;ngs- 0 Building Under Construction-
~A new Elevation Certificate will be ( QU ed when construction of the building is complete.
Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, v (with BFEj, AR, ARIA, ARlAE, AR/A1-A30, AR/AH, P.R1AO.
below according to the building diagram specified in Item A7
C2.
Benchmark Utilized
Convel'$ionlComments
1929
Vertical Datum
aj
b)
c)
d)
.)
Top of bottom floor (including ba5oment, crawl space, or enclosure floor)
Top of the ntilxt higher floor
Bottom of the lowo5t horb::ontaJ structural mombor (V Zones only)
Attached garage (top of slab)
Lo't"IUst elovation of machinery or equipment servicing th@ building
(Describe type of equipment in Comments)
lowest adjacent (finiihed) grade (LAG)
Highest adjacent (finished) grade (HAG)
t)
g)
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 to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
o Check here if comments are provided on back of form.
Certifier's Name
John H. Silnes
LicenseNuS'IJ'3D4 Indiana
Title ~d Surveyor CompanyNeme Site Line, Inc.
Addre"'( 4611w. Main ~reet City Greenwood, IWat'ana
Signatu"" _.I, Lv.- ___ Date December 15el~p~5'b6
/
ZIPCod~6142
317 882-9301
FEMA Form 81-31, February 2006
See reverse side for continuation.
DYes
[MNo
Finiihed Construction
Complete Items C2.a-g
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Replaces 'all previOUS editions
BUILDING DIAGRAMS
Th~ following eight diagrams illusn-ate various lypes of buildings. Compare the features of the building bt:ing
ccnitied with the fearmes shown in the diagrams and select the diagram most applicat,le. EmGr the diagram
number in !rem A7., the square footage of crawl space or enclosure(s) and the area of fkwo openings in square
inches in Hems A8,a-c, the square footage of attached garage and the area of tlood openings in square inches 10
hems A9.a-c, and lhe elevations in Items C2.a-g.
In A zones, the floor e1cvarlon is taken at the top finished surtace of the tlool' indicated; in V zones, the 11001'
elevation is taken at the bonom of the lowest horizomal su'uctural member (see drawing in instrucllons for
Section C).
DIAGRAM I
All siab-on..grade slngle- and multiple-floor buildings
(other than split-level) and high-rIse buildings, either
detached or row type (e.g., townhouses); with or
without attached ara e.
Oi:;:tiogub:hlllg F..w.tu(t! - The bonom floor is at or above ground level
(grade) on alleast one side .
ft
NE--'\T HIGHER
FLOOR
BOHOM FLOOR
GRADE
\
\
\
~':"{detarrriiniid.bY
~, .,,,stingg"d.).
DIAGRAM 3
All spUt-level buildings that are siab-on-grade, eitthu
detached or row type (e.g., townhouses); with or
without attached garage.
OisiinguitOhillg featljr~ - The bottom floor (excluding garage) is ~{Of
Olbove grounJ level (grade) on at lea& one side .
HIGHER
FLCORS
NEXT HIGHER
FLOOR
DIAGRAIU
All slngle- and multiple-floor buildings with basement
(other than spllt..JevQI) and hlgro-rlse buildings with
basement, either detached or r'Ow type (e.g.,
townhouses' with or wltllout attached afa e.
Dh..1jngulshlng Feature - The oottom floer (basement 01' uI1uerground
garage) is below ground level (grade) on al sides Buildings constructed
above crawl spcices that are below grade \:n all sides ~hould also ur:;e thi."
diagram. .
NEXT HIGHI:R
FLOOR
8
DIAGRAI,U
All split~level buildings (other than slalJ-on-grade),
either detached or row type (e.J-, townhouses); with or
without attached garage.
Di1illnguishlng Feature - The oottom fl/X,r (basement or Underground
garage) Is below ground level (grade) on ",It side;; Buildings constructed
above crawl spaces that are below 8rClde on all :>iLiO:'s should alw use thil;
diagram. ~
C2.b
HIGHEf<
FLOORS
NEXT HIGHER
FLOOR
c
p' .
.......ev...:........ .
:' :.,', :::', ',<' ::' "" ')de,te'rrni~Q by:
C2.f-g eXistin'g:gract8)
.. !\ 1lour thaI is bdow ground level (grade) Oil a.U si.de.s i5 COliS\U"-:li.:U i.l basement e.v'Cn irthe Hoor is llsed for 1l\'Lng pmpo:;cs, {)[ us an Ollie..:,
g.u'ugc, worbiwp, eu:.
instructions - Puge 7
Building Photographs
See Instructions for Item A6.
City
Carmel
State IN
46033 ZIP Code
---t For. Insurance Company use.:...._1
I POhcy Number
I Co"","y NAIC Norffier -~
---~ --I
Building Street Address(including Apt.. UnIT, Suite, and/or Bldg. No.) or P.O. Route and Box No.
r' 5861 Lost Oaks Drive
If using the Elevation Certificate 10 obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, "Right
Side View" and "Left Side View." If submitting more photopraphs than will fit nn thic. ..-- -'-,-- r">__~'_,,~t;'"'''''' O-::l(lO::>
following,
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