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HomeMy WebLinkAbout06120082 Cert of Elevation U.S. D~~>ARTMENT or HOMl::;LANO SC;CURITY Fl'dl:rClII:l1Il'1gcrlL::/ MCllmgl'lIwlll Agfmcy ELEVATION CERTIFICATE N.'"It'O:)i)1 FllIlJU hl~;tII,lflO::I.: PIL:\I;am lmDonant: eod the in$tructions on Daacs 1 - 8_ - .. - -~ - ~._. SECTION A - PROPERTY OWNER INFORMATION For ln5ur;::f\ce Cc.n;pJny Use: I\i. Built.!in~ OWller's NCJIIlt.' Policy Numbp.r __Y~~L.:rE HOMF.S OF IN,DII,'I.N.A___ - ---~._._._'.....'"----~_. ~.__.-----..,-_._.-,-- /\',2., BUilding ~lroelAddross lincliJding ApI.. UnIt, !ilJiIA, ilndlor OIrf]1, Nn.) OR P.O. RotHa ,~r.rj 60x No Comp,~ny NAle NllmbP.r -- 139/0 !;ALMON DRIVE - - ~--'--'--'-------- - - - -- R 01,16 No_ 1660-0008 e.xnires ~etHuarv:dH 2U[)~ I Ci~y State CARMEL INDIANA i\:i~' PH:F~lly lJ~~<.:rlpliol1 (Lot and I:Hoc;<. Numbers. Tax Parcel Number. Le-g'al Description, .elc.) LOTI?::! INOH::rmY Cnr:~K I:!lTATr::S SI:CTION-1 Zip Code l.f1a:1~ li4 Duilr,Hna Use i~,9.. Rp.!>idenlinl, Ncn-rnsiden1i.11, ^ddition, ^cC~~5ef'1. etc,) .Ji!i,SIDENDIJ\L_ l\t1. LilliludclLon!:iilud~. L..1. :.J.9LJ 5~' 28" N Long. _SeD o:r 4;:' W Horizcnlal Da1um: 0 NAD 1927 X NAil 1983 Aii, ,Attach ill le;;~; 2 [1hc1c-[Jraphs of the h\!i1cing if the Cflrtific3:e is hoing llsod :0 (}~1;'lin floml insllr:Jn(';o /\7 Bl:ildil19 Di.tl91~lIn Numbc'r ~ II'd, rur U lJ~lh.:-il1Y '.....itl1 H <':ll:Iwl :-ipa(;e 01 e:H:lo::;tJle(s.), IHOVI:'iP,: A.9. F:1t a huHdin[l with ;:In AltAr.hfld HitfHfjP.. pm'lidp,: ".1 -Squ..r;:: fvJt.Jge vf cr\lwl !.pJce or enclo&ure(s] 182, sq;t a) SquDfC.' fuotage- of ElLlc::cIK:cl 9ilfiJgC 6n ~'Q ft' b:1 Nt), of p:':f111tHK.'nl f10LJ1J upL'nillY JII L1lL' l.:liJwJ :iFJiJ<':~ :.i1 ":..1;. N:.L cl p-cHn~nL'nlll:.Jud ':':PCllIlI;';:i III Ihl.: <J1L..n.:hL.:'u 'ji.J;U;:l'-'- enclOSure(s) walis .."it!1in 1.0 foal ahcvp. adjacenl grarlfl :1 v.'i'lllswithi.. 1.0 foot .,ho'~~ :id)riCf!llt ~lf;;llr. ,_)~_ 1':.) 10t:11 ;'IC'!t .lra:l of fJo.:lcJ openingr. ill 1\8J1 -::;1l1~L r,q in c) T~'l;,:)lllct ;He',; ()ffl(l:;lcl (I:JQnjnH~,1I1 N) b ___L ~:l ill SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ~ip (:cm;n~mty NiHil!.: & CUlIlr:1:.JI1lly N~lfllJl,;r L CITY OF CARr,,'.!::!. - (;1(') - '1 A(:-:'lA1 r~. rvl:'1!J:i lil:lel N;.Jrnb';- I i. B2, Goun:y Narr.e HAMILTON I 6'3. ~talc ._______._INril~\:\J\ -I HI,;). Un. FIHM Ir\(j~x 07. F1HM PR.n~---i UH.I:loo:J WJ.l3<lSO !'lo{id"Eie:m["(onl:S) ILolle-1 11.:iIA F.Hf!::tivp../Rp.vi!'.p"r: [");1fp. l- 70'"(':' AO_ '''A tJ"," flon-' dHP:I;" JI FEn -19, 200:1 ~I;H HI 7.00:1 AI: Pk X 7GI.5 + Indir.;:;te thf::' f,O\lOCt"! (If the- BClW Flood Elevation (BFE) d..ll..l or bO::,;Q flOOd depm c~r'lC:'("d il: !tQm si--'-- ------..-----!- - , I] FIS 11rofik: [I Flf~M 0 C<.Jrlllllllllity LldL'flllifJL'U 0 OthL'1 (UL:':;t:Ill.;~) !_OM!{ CI\bC 4fJ~-US"11<:1.',LL2 Indj~ale elevatior, c';)tum used ;or OFE in Item 09; X NGVD 1929 0 NAVD '1908 0 01ner (Ocs::ribcl __ l!',thF. t:\lildin~ lo(.ate<i in ~1 COCl::.t<l1 B.:lrfier Re~.ouf(;C!> SystenllCBRS: OfO~1 1)( Ot!1Crwi.:;o Protect('c1Ne<J ,:OP/\)? Oc:s.il)llvlkm D;;;tc' 0 C~I<S 0 01'1\ H:iO~TC!}23~ U5.tJlItilX-j I f 811, B12. LJ Ye" X No 'SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building ('l~'v'Jtio;")$ ore bJ!>cc on: X Con::.lfuclio;l Dfawings' 0 B'Jih.iing UI~t.:'C'1 Cun~lrL,ctior:' 'M. ne'/I' t:lev3tior. Cer;iticate viii I be required '.vr,en cons.truction of ~:'lc:)tJilding is complete. !,-:lm",l:ir:n!, -7.(lnfl~. ^',.I',;.O, /\1:. (11'1, Ii (with GFrE:. VE, V'l-VJO, V (wilh 8FE), ^R. ^RfA AR1fIE. ^R.'^'I-A:lO. !xlI::;'.\' .:lcccrding lC th-c t>uildir'lg di~g[~lIn s.pccificc in It('(n A'I. Benchmark U:ilizec CONSTRUCTION PLANS VCr1ical Datum NGVD 'i929 Cl')nvF.rsion.'CcmrnF:nts [1 Fini<:>hc--:.i Con'::tr'.lction c~ /IRi/\lt, Mi/AO c./)mrJi(~:" 11'~I~',~. :.....? .~I'(I I Check tt~e mc~o;;ufC-lnc.'nt l15C::l tl) rnp oj hO,iom lIonr (indlldir.o h.1~~:np.nt. i.r,1wJ ~r'l,1(;P., or enclMalrA floN~' b) TDp tif nell! hjgh~f floor 0..:) Bollolll ()f 1':;',\'L':)IIIC.IL:()nt~l Str!"!C1U1E!1 :n~rnbel (V ;:ones onl)') l:) ,,'\t!fJd.!t:J !lHI~fW ,:lop of :-il::ib) L'i L<.J.....<:~l d~vi;llion oj f11i;lt;ilinl;'!IY i:ln.jiol eq'.Ji~ment servicing :he ':;Iuildln'i] ,:D~sr.ribp. lype o! flq:Jir;r:1P.:n, in r.nmn-lfmt5:' a I.flwe!il .:ldj:lccnt (fini:=.hcd) or;Jdc iL^G) ~) Higll~~l otlJocen1 (:mh::itll;'!j) grade ,:HA,G) 7S~ 0 X ff~~t 0 n1r,t;:,rf,('Pui=:rtof1ir:(\(I."lI'/1 76& . @ X feet [J meter~, (puerto Rlc;(\ only) - -- 0 leel 0 rnl;ters (I 'lIB'lt:.! I'k:o \ml'y) 7r-,7 0 X fflf';t 0 rn..tt'!r!'. O'UHrjO I{icn n:ll{1 L6.Z.. ~ X feet [I meters lflue:\", Hie',) \,.1!lI/1 IfK. Q X fc'c,t I] mC'tc:~ (P\I,,;,rIQ Rir;.c ronl/I 767 -Q X fee. 0 meters I,Pueltf) Riel; C1I1/1 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION '1111''; t.:(:rIJlil;..\Il)1i i~; It) bLo' ~lym,'LJ .md ~~..I~(.: by i:llan:.i ::;ulve)'Of, l;;r:yineef, or archi;ect cn:thofli':etllJy I""" \0 Cp.lht~.. ~Il:!v<<ho;l IllllJ1tllC:l\\:.J11. i ~;r:I!!/,! JJr,1f {flu i,'l}WI//;.:/i'UfI WI fil!s Ctuli!,;:;/-HH (Hl1!~sH..i1.<; my ilffSJ AIIl:,r!,': In irl,li-!(ptfl.' !.IIt-! di-Jla aVfl}l/-J,lJh~ ,I :mikl,',<;,.tnrl(j /IN/I flf)'! fcl},~H 1-:/;:J/f.'!nJAn/ nli-lV /Hi pl;r~ish;:'ItJ.'H IIY I.info nr ,imlJr.'~;n(l!m~nt IJlJrifi'!r II? Ii.', Cc:r!H. 'fl~;..ic:!1 rO~)1. X Clwdl, Il(,'ll: if I.:UIllf1I~lIb; :.lrt! pIO'oJI(JLo'!.:' on lJi;i.ck 01 IOIIll, C:)mp811'y N,lIl'~e L.1nrl SUl'\i'eyor COQR CONSULTING & LJ\ND SERVICES, CORPORATION -P.,tltlre;;----=:---.- -------CliY---- ----.. -"B:ri:e'---'._' ZIP Code 2,((1 \lIl1 ~..1.1jll 5rre{l1 /] KnhJh~SIO"wn Illdi;'ll~;) -ICd <10 '-q~ - S;~,n"L;r iY- ~n. +--- -- ,-- -- ._------!-----~ FEMA Furrll 81-31, Febru::tl~. 20U6 \\\\\lllllll1fJI .", M-:!1J. ~~i'i;S1, .~;-l:o"", '0~':.<,~.Tiii;;'.o.;~ --...J..:. ~ O\~';. :::(1) )';P~ ~ . No. ~~O~57 ~~ --?i \ ~Jf,r~ or- /1 ~ ~ .... ~ ~( ......(A.rDIAHr.......11. ~ -------1 >:- -14: -....."......::-.0"'_'- -"",,,,,,;> SUR\,tt:. \\.\",..... 111I'''IlI\~n\\ RI;::jJI8ces (III pr(.'vious ccJilioll;. CGrtiliL.'I''$ Nilmc S,eptlen M. Ccoper Lic<i::nsC' NUlIIlJUI SOS57 rille UCJtc Nm:p.r.1har!=i, :worl --- . See rAverse side f(u c;ontJnll<ilIOn , WpcfRTANT: In lI10se s~aces, copy tKe corresponding information frolll Soctioll A. . Fo.r-lnsur.:'lr"lCo 'Comp;Jl1yUr.e:: BiJilding,Slreei Addif.'ss. (including Api., lJflit, Suile, Mdior Oldg. No.) OR P.O. Route AND nox Nc>. Po!i.cy.Nlimbef ,.- .0 . .1 :)!.rtQ S^LrvlON DRIVe --..--.....---. - .---_.. _._" --. City' . St<lte Zip C:Oc1fl Company NAIC.,NutrllH!( ., C/IHMI:::L . INDIANA ~t::J:fj .. . SECTION D. SURVEYOR, ENGINEER, OR ARCH[TECT CERTIFICATION (CONTINUED) (OOy b::ltil'~id'C:o;,; or tl1i:; t:lovation Corlifictltc. for (Ii CQr"nrt111nity officinl, (2) iIl511,'DIlCO .olgonticcmprInY. nn::! (::l} hllilclin-o I1w'nf'lf.. _____,_,............__~.._~,--..-~-A.-.- (:(J11I:1I('llb; , L~A~r: n;...O()(Jf.fj~!AT!ON PI:R LOM~E #J05.0~.119t1 A DATED JAN 27 :H10~ _ nENCfW1A~K.PER.~ONSTnu~ r1~N PU\NU fOH CH~HHY ( ReEK "'lEr.TI~N.1) ^ PART OF TH:r. ;~U7.JF.:CT LOT IS IN ZDNE I\F.:, I IDWF-RVER TI IF. PROPO~1!:.D RI:.,lnr:Nc.r; I" IN ZONE X ::, .~ ' SI9n,){ur~-C:=..J' V-; . Dolc' NOYC'l1lccr9,Z005 --~--~~--- o C!IL'ck IlL'l'_' If .[fl[,chm('nt~ SECTION E. BUILDING ELEVATION INFORMATiON (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE ^ (WITHOUT BFEI r\Jl Z:::nu (\0 iJlIU ,,-I.me- ^ (wilhol..:l 8fE~. (;ull)~h'::ll..: lIums 1:.1. 1:.0, If U1(..' Ct::rlifICU\L' is intcn::lcod Ie '&uppor;.J lOM^ or 1.01,,1R-F rQqL1~st, comp:~tfJ r;o(:ti()r~~, f\. f\ and C, For lUl:T15i E~-E"', use 1l81ural prado. if a...ailablo. c')oc~ th("~ maasurement used. I;') Puerto Rico onl~'_ enter l0eters ;;2. 11lovid~ l-l1t!\iHlltlTt info;1I1~tiull 11.;.r 111t! Idbwing nnd t:l1~H..:f'. 111~ n:Jplopr liill.'~ bo~:~';j II.) ::;il':Jw wll(.'lll~; ltll: eIL"hlli:::11 is 8buv<:.: ':.J( below LIl.:' hiGfv~'&1 >:1di;1r;er.i ~1:;I;j(~ (l lAG) And the !owel>\ <:idj<lf..Anl ~rAd~ ':LA.G), : H) T{I>J 01 bottom 1It.:,or lHI:.:ludil1J.:; Ua::H.'III';'::11. :':"lwl~pi:!I;(:, 0: cl:d~~Uf(.') I::; _' _ r::::l fl.'ct [J IYI0[0I"S 0 (d>v';8 or 0 hfll(l'.... ttlfl I !:,\<';. L:) Tup of btlUmn tll,mr l.iIl,:.:ludin;.l bi:J~t!'IICIII, t:liJwl ~fJi::tt:t!, 01 er:c!u::;UiL') I::; _' _ 0 f.::t::, [1 mct.('(~ I] ,'lIK,ye or [I helll"" Ihl'lo L.f\G f7er Ouil(;ii'p Oiaprruns 13-8 wi!n j)Q(lnancnt f1:::::Jd (l:Jcnings pr:Jvidcd in Section ,\ Items,3 nnd ior 9 (see [)ClJe B c1 lf1s:wc:ion:.o, lhl~ next hi',)/II':"r' !Iocr 1 {elC",'ation C2.b if! cJiL1;jf.:lnv::: of the building i5 __' _ 0 feet 0 meter5 0 abovp. 0, 0 ;,e!nw 1I1fl I lAG /\\lDcll<..:(1 yi.1liJiJ'-' !yJp of ...liJv) i-::; _' _ 0 fo('[ 0 me'le'ls [::] .JJQ'v.:' cr [I below ttle J-j/\(; Top of platform cf machinery and/or equipment servicing 1he buildint1 is. 0 te~l 0 :1liw!1=1~ 0 il:J:Jve 01 n bal.:l'I.' the H!\G. 1:'__ . I ZC>I1'~ AO onl)': If I\C' floo,j .jc~th numbor i5 iJviJilil'OIC', is the:- lOI:> e,f tile bottor'rl f1c,(lI' e-Iev.Jted in C1C(".{Hri,lf1(.fl '...'i:h lhe (:ornmlJ:lit,~,.:::. ftr:::::.::lp!alri m211E1-gerni::!ni u:uini:Jl1t:l.''t 0 'fl...'S 0 Nv 0 Un...,r\IJ....'r1. Till: 1:J~iJl 01flcial f1lu~l c~rtif~'l.hl$ LllfCH1)i.ltion 'In Sc.;lion G, \ 101 EJ. E4. E.~1. SECTION F - PROPERTY OWNER lOR OWNER'S REPRESENTATIVE) CERTIFICATION lh? pnp€rtv O'.vr.fH or n......ner"s ."l'u,'hc1ri7€:1 rep.-~sent,,,ti,,'e who \.omDletr.~ Sectimls'A. H. ~r1(1 E for Zone A ('with:::-ut a r-l::rvl/'..-issued or cornrnr.:nitY~I:;;::'~.'f,;'~Jj8n:; :,]1 Lvlle ,\(j 11tu~?1 ::i1~lIlli,:J(! --properlY-O-;;..nc:'s or'O\;;:te":"s-'iwtfioriZedReprese~~'s'Ntlme---"----'--;' -. --~----~---~..'--.""----''"--'-'--'~_.'_.~--- -'-".c'ity-'- Date ~ia1€ Zip C':.Jdt! .. Xd~';;SS' -'sTq;l~-~~J:-e - ~ --Teleprlorie---.--.-----~_._- "'C;;'Il;r~r.f!nll> D r.hr.d; hefH if ?tliir:iumml:.i SECTION G . COMMUNITY INFORMATION (OPTIONAL) n)(~ \(J':';ii! olfld:il who I!'. .'ilJthorizf!.:1 by la',\' o( ordinCln"e 10 adminis:l~r Ule comfil'.mil'{':::' flx...jplain manageme(,t ordinance :an ccmplete ~;.cclio"'I::; A, 1:.. c.: ~.cl E}. and :3 of illiG Eh.:.'~'~1111)1l (;cltifiC:iJLc-. Compldc tile ~lppliCJl;IQ itcnl(S) ;Ind $i'J111:1t~IO,'i. Ci),~ck the m.eJ~,lIrelfJen: 1I~.e,1 in Ilt'!m!'. (.,fl. (ind (::,n I CI. [J "!t.L' i!]luflr\tlLiolllll :SL'dIO,1 C Vo'i:t::; 1l:ll<.Cll fl\,J:11 :.;.lIrCI UU";UIII(.:llli:tlivn ;llul II~I:> LoL'L'rl t;ilJllt:tl illlJ ~mbC[.5Qd WI!;; liccn$.Cd !:,,'.lr'ic:,":1I, C'1~~iiJelu. (I( nrl"fiiw.l \',no Lo; 8lilhorizc;d by la".' to cCll1ir,' elevation infcrmalion. (IndlccHe the source and date of ~he elevation data 111 HIe G:JrTlIfHitll~ ;-JIL'<ll;.;Jlo\'/,: G'!. D l\ CCJIllI\l~Jnil:; offll...:iol cornplC'K'd SL'c!ion c. fOr" il building IOCilt<:{1 in ZCIIK- ^ ':V..jttKI~lt ~ FEr,,'l.I\.i5!':.lle'~! (..r (.:)nln1IJJ-.i:y-i!',SIIF.d l1r-r:.:) -r:( L:)n~J ,6,0 G3. [] lh.: !ulll.}\'I'llIY it\[urllli::lll:Jll. (ltl.llll:i G4.G~1 i,:> \.Jl'.J'fiuo.:u rut '..:oll\nIUllil'j {luuu\.Jlui\\ HKI1)".)\}(:mC:Ill plJl:;K.I~0~', 1-';;'--1'";',,:, Num:'.. __ _______J (;, DRt" rmn,' '''U"rl L:)"H C"~~' (;":'~";;c-~':U;:~~",;Z;;I'~-_ _~ ----] G-i, '1 hi:; pl..'lfltil hr.l:;> Ul.'l.'!\ t::;::;uo(,!,J 11)1: [I N;,-!w CQf\~:IU~:i1,)l1 CJ Suu~!iUTliaIIJl1fJr:JWlTlL'l)l ('~8 F.lr.\llr;ir:n nl (1!>,!llJili IO\'l",f"t Uam {ind:Jdinl1 hn",efl1f~nt; r.f tht! ht:ildirJn~ ___...._ ___ 0 Ilwt (.~9. HFE or (in 7..n-n.;:: Ani df:pth offlc::dir<[l at thE>. h'.Iil~(l"lg ~.(toR: __ . ,. 0 feel o nlt!!~I:> :,I'JH) ,:Ji:tLUII~ _ o rn(:t<:-rs (PR~, c'atun"l --L(;C81 O(I'I(;Ta~~-N~~:--'-"- lilf(.' - cornrn\Jrlit~r;N(3rne TeIL'pt:llllt:' .-.-.----..--.- Sigmllurc Dale ~l"i71L:rII~---- ._~__bJ_Ci)~~t."!.~lLJttJct1f)lr)n,~', 1:I~MA Form l\1-,) 1. February ~OOf) RelJlaces ClII pfcviollG c{]1tion~