The URL can be used to link to this page

Home My WebLink About07030197 Elevation Certificate U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management-Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Exoires Februarv 28. 2009 SECTION A -PROPERTY INFORMATION For lnsurance:Company Use: A1. Building Owner's Name David Morton Designer Builder Inc. Policy Number A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. NO;) or P,O, Route and Box No. Company NAIC 'Numbe( 497 Blodervrood Lane City Carmel Stale IN ZIP Code 46032 A3. Property Description (Loland Block Numbers, TaxParcel Number, Legal Description, ete,) Lot #. 10 in theRepla! of The WO'ods at Williams Creek . A4. Building Use (e,9" Residential, Non-Residential, Addition, Accessory, etc.) Residential A5. Latitude/longitude: tat _ Long, _ Horizontal Datum: 0 NAD 1927 0 A6. Attach at least 2 photographs of thebuildihg If the Certificate is being used to obtain flood insurance, A7, Building Diagram Number d A8, For abuilding with a crawlspace or enclosure(s), provide A9, For a building with an'attached garage. provide: . a) Square footage of crawl space or enclosure{s) sq ft a) Square footage'of attached garage 994 lsq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enctosure(s) walls within 1.0 foot above adjacent grade walls within l~O'footabove adjacent grade _ f c) Toial.net area of flood openings in A8.b . sq ,in c) Total netare<:l,of 1109'1 openings in A9.b I sq in SECTIONB - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I I NAD 1983 I B1, NFIP'Communily Name & Community Number B2. County Name 83. State 84. Map/Panel Number 85. Suffix B6. FIRM Index B7. FIRM Panel 88: Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO. use base flood depth) 18057C0206 F Feb. 19, 2003 Feb. 19,2003 X 875.4 See Comments BID. Indicate the source' of the Base Flood Elevation (BFE) data or base flood ~epth entered in Item 89, OFIS Profile o FIRM o Community Determined [8J Other (Describe) loNRStudv B11. l~diC3te elevation datum used for BFEin Item B9: 0 NGVD1929 0 NAVD 1988 0 Other (Describe)_ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? DYes DNo Designation Date - o C8RS DOPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building eievatlonsare based on' [8] Construction Drawings. 0 Building Under Construction- D Finished Construction 'A..new.Elevation Certificate will be'required'when,construction Of the building is complete; C2. Elevations- Zones AI-A30, AE. AH. A (with BFE). VE,V1-V30. V (w;th 8FE). AR..ARlA. ARlAE. ARlA1-A30. ARIAH. ARlAO. Complete. Items C2.a-g below according to the. building diagram sp'ecified in Item A7. Benchmark Utilized Vertical Datum Conversion/Comments a) Top of bottom floor (including basement, crawl space, or enclosure floor). b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery orequjpment servicing the building (Describe type of equipment in Comments) Lowest a.djacent (finished)'grade (LAG) Highest adjacent (finished). grade (HAG) Chec~ the measurement used. 877.80 t81 feet 0 m'eters (Puerto Rico only) 887:80 ~?neet 0 meters (Puerto Rico only) _ _ 0 feet 0 meters (Puerto Rico,only) 886.~ [8J feet 0 meters (Puerto Rico only) _ _ 0 feet 0 meters (Puerto Rico only) Address 433cWest Carmel,Orj City Carmel State IN ZIP Code 46032 I I I .~, J ~-::J~~): ~J ~ ;. ,,~. f> ..f_"'~")'.."::::'/;'~ '} .~~\~'- ,..~:r.;\.0.:t:::'-i',. I' .~~)(' ';;~:-~:Tn"Jl.' '\.\i \. t~ J,:',"C,'i.../'!\,'" ~, Ll,tQt1i.cihrin "c, ~ ,i: 1 'v;~v/h_lh';" tr \ STA'fT " 2' n \~.~. '-./Jl,.,....;.p./. Jt . '''>\';';YLJJ A~~",;f A.. '''i:;-if .~. 4',.;..f,,,,.';"" f{\.;,J ,~ ~~,) &m:r.ltl:,~ 'it1illJ""",;:::,;\','l'.':f.'f I n g) 877,~ 886.1 ~ feet 0 meters (Puerto Rico only) 133 feet 0 meters (Puerto Rico only) SECTION D -SURVEYOR,. ENGINEER. OR ARCHITECT CERTIFICATION This certification is to be signed ands.ealedbya land surveyor, engineer, orarchitect authorized by laVlto certify elevation information. I certify thatlhe information.on,this,Certificate'represents my best efforts to intetpret thecdata available. I understand rhat.any fa/se'statement maybe punishabJeby fme or imprisonment under 18 U.S. Code. Section 1001. ~heck'here ifcommentsafe provided on,back ofform. Certifier's Name Brian R Rismiller License Number LS20200083 Title Registered Land Surveyor Company Name SEA Group Telepho!:'e 317-844-3333 -') See reverse side for continuation, Replaces all previous 'editions I IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Us~: Building Street Address '(including Apt.. Unit, Suite, and/or Bldg. No.) or P.O. Route:andBoxNo, Policy Number ! 497'Bcitderwood Lane City Carmel State IN ZIP Code 46032 Company NAIC ~umber SECTIOND - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany, and (3) building owner. Comments P'openy is in FEMA flOoli,' . 'X" per map. # 18057C0206F. The Base flood elevation was established per IDNR study as depicted on subdovi onstruclion Plac::,::~~ ,bY he Englne.os. Inc. em' [; Signature Dale 3/30/2007 1 o Check here.if.attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONEAO AND ZONE Ii. (WITHOUT B.FE) For Zones AO andA (without ~FEf, complet~ltems.El.E5.lfthe Certificate .is intended to support ~L9MA or ~()MR-F request, complete Sections A~ B, and C, For Items.E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only. enter meters. i E1 Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade(LAG}'"1 a) Top of bottom floor (including basement;crawl space, or enclosure) is _'_ 0 feet o meters 0 above or 0 below the HAG, b) Top of bottom floor (including basement crawl space, or enclosure) is ~.~ 0 feet 0 meters 0 above or 0 below the LAG. E2, For BUl1dingDiagral]1s 6,-8 with permanent ~ood'openings providedhSection A Items 8 and/or 9 (see:page 8 of Instructions), the,next higher floor (elevation C2;bln the diagrams) ofthebuildingjs, ~'--,-- 0 feet 0 meters Dabove or 0 below the HAG. E3. Attached g'arage(top ofsiab) is _'_ D.feet 0 meters o above or [J,below the HAG. E4, Top of platform of machln'ery andlor equipme"f1t servicing the building is ._'_ 0 feet 0 meters D,above or 0 below the' HAG. E5. Zone AO'only: Wno flood depth number'isavailable"is the top of the bottom floor elevated in:accordancewith the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The localoffieial must certify this information inSectionG. I SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION I The property owner or owner's authorized representative who completes Sections A, 8, and E for Zone A (without a FEMA-issued or c'ommunity~issueb8FE) or Zone AO must'sign here, The statements in ,Sections A, 8, and E are correclto the. best of my knowledge. I Property Owner's or Owner's Authorized Representative's.Name I I 1 I 1 City State ZIP Code Address Date Telephone Comments o Check here if-attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The Joeal official who is authoriz,edby, law or ordinance to administer the comm~nity:'s'f1oodplain m~nagement ordinance can complete Sections A, e, e(or E). and G.of this Elevation Certificate, Complete the applicable item(s) and sign below. Check' the measurement used in Items GB. and G9, : G1.D The information in S;e9tion C was taken ~rom other documentation that' has been signed and s~aled ,bY a licensed.s~rveyor, englnE1'er. or architect who is.authorized by law tei.certify elevation information; {Indicate the source and date of the, elevation data in'the Comments area.below.) A community official completed Section E for a'building located'in Zone A (without a,FEMA-issued.or community~issued BFE) or Zone AD. The following information (Items G4:~G9.)is,provided for community f1oodplain,management purpO,ses. G2.0 G30 G4. Peimit Number G5. Date Permit:lssued G6: Date'Certificate Of Compliance/Occupancy"lssued G7, This permit has been issued for: 0 New Construction 0 Substantial Improvement G8 Elevation.of as.built lowestfloor (including b-asement) ofthebulldirig: ~'_ _0 feet 0 meters (PR) Datum _ G9~ BFE or (In Zone AO) depth of flooding at the building site: _'_ 0 feet 0 meters (PR) Datum _ Signature Date i I I I I I o Check Mere if att1achments Replaces all previous' editions I , local Official's.Name Title Community Name Telephone Comments FEMA Form 81-31, February 2006