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HomeMy WebLinkAbout06110060 Certificate of Elevation .~~ .' 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 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION For Insurance Company Use: A1. Building Owne(s Name ~~l'l~lIlI*X Wm. E.Jr & Cheryl J. Wendling Policy Number A2. BUildin~ Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 2622 aust Court CIty Carmel State IN A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Laura Vista Secondary Plat, Lot 49, Inst # 200400014732, Parcel No. 17-10-19-00-09-049.00 ZIP Code 46033 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Residential AS. Latitude/Longitude: Lat. 39 59' 44" N Long. 8607' 11" N Horizontal Datum: KI NAD 1927 0 NAO 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram NumberL- A8. For a building with a crawl space or endosure(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 765 sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade _ walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in AB.b _ sq in c) Total net area of flood openings in A9.b U sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number City of Carmel 180081 B2. County Name Hamilton 83. State IN B4. Map/Panel Number BS. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 18057C0226 F 02/19/&,te 02Trma~e/ReviSed Date AE Zone(s) 8141P' use base flood depth) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. o FIS Profile ~ FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE in Item 89: lRJ NGVD 1929 0 NAVD 1988 o Other (Desc.ribe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date 0 CBRS 0 OPA DYes ~ No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: [Xl Construction Drawings" 0 Building Under Construction" 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1.A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, AR/AE, ARlA1-A30, ARlAH, ARlAO. Complete Items C2.a-g below according to the building di<mram spec::ified in Item A7. Benchmark Utilized HAM G27, Bronze DISk, 817.52 Vertical Datum NGVD 1929 Conversion/Comments a) Top of bottom floor (including basement, crawl space, or enclosure floor) b) Top of the next higher Roor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. 811 .40 IRl feet 0 meters (Puerto Rico only) 820 . 40 ~ feet 0 meters (Puerto Rico only) o feet 0 meters (Puerto Rico only) 819 .90 I8J feet 0 meters (Puerto Rico only) o feet 0 meters (Puerto Rico only) 816 . 50 ~ feet D meters (Puerto Rico only) 818 . 90 ~ feet 0 meters (Puerto Rico only) 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 availab/e. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ~ Check here if comments are provided on back of form. Brandon T. Burke 10000075 ," ~,,, , Date IN 3l1'-'826-6403 Telephone 46032 21 P Code S,\'" .. '/' ,<", , "\,, T . "'/,1. ~-.';'S ~(",\\)\\l . 8/ i"q~ ,<:, ~{',:,:,.\,' ............ (l.J'o) '" <,' ," ....., S T~ ~'" I" ~~ 0...' .,:~, 'rl'~..,'''''r'::. ~ <0' i""lo'LAC '6....0' '" .;; .. S~~ '. '" ii fcr.i'.\ ~ ~; ):;1 , ~ g -0 \ I uuuU70 ! P e ~ ,....,:'\.. : /-!- ::;: \\,;.,)\, STATE OF ..... ':!:' i? ..~. L ;, ". / ~ ... -:"';.:, ~~ o;.;'~"^'^"" tVOlf\'\r.... ""',~' '''{...<0''~;.....:;....~..:...~<,~~, ,,<~ '"';%-''' U I () IiI ,~. l '<~~ :,~}:.., "'11" 1..'L.o ....\.. Certifier's Name Project Manager HI 1'2~21 E. New Market Street Address The Schneider Corporation Company Name Carmel City License Number Signat 11/20/06 "'. .:;: :::~:::;, '. ." FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions , IMPORT ANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUildinF' Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 2622 aust Court 6JlYnel INState 46~ Code Company NAIC Number SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Proposed residence shall have three window wells. The top of the window wells shall have a minimum elevation of 816.9 Signalure ~, S .....,~-- '[;v/ut ate D Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR.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. 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). a) Top of bottom floor (including basement, crawl space, or enclosure) is _' ~ 0 feet D meters D above or 0 below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _' ~ D feet D meters D above or 0 below the LAG. E2. For Building Diagrams 6~8 with permanent flood openings provided in Sectiqn.A Items 8 and/or 9 (see ~e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ~. ~D feet U meters D above or U below the HAG. E3. Attached garage (top of slab) is _' _ 0 feet 0 meters D above or D below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is~. _ 0 feet 0 meters 0 above or 0 below the HAG. E5. Zone AD only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? DYes D No D Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA~issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, e, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name .Tames VJh; tf>.. Pres; (lent Primrose Homes. T.T.r. Address City 1016 Carmel Signatu te I Z 0(, State Indiana Telephone ZIP Code 46032 ;.17- 580- "'173 D Check here if attachments SECTION G. COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. I , G1. D The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA~issued or community-issued BFE) or Zone AD. G3. D The following information (Items G4.-G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: o feel o feet o meters (PR) D meters (PR) Datum Datum Local Official's Name Title Community Name Telephone Signature Date Comments D Check here if attachments FEMA Form 81.31, February 2006 Replaces all previous editions