HomeMy WebLinkAboutRS_FEMA_Elevation_Certificate_Hopkins_210301_v1U.S. DEPARTMENT OF HOMELAND SECURI T Y
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important_ Follow the instructions on pages 1—g_
OMB No. 1660-0008
Expiration Date: November 30, 2018
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company. and (3) building owner
SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
1 Al. Building Owner's Name
11
Lys M Policy Number. ►a-rt5n rt � �
A2. Building Street Address (including Apt, Unit_ Suite, and/or Bldg. No.) or P.O. Route and
Box No. Com
City Company NAiC Number -
State ZIP Code
Sens 3 Z � 6 ,�-vE SE
1A44 9�os g
A3. Property Description (Lot and Block Numbers, Tax Parcel Number; Legal Description, etc.)
T44X P/UCZL 91139-7n- o/Zs-
A4_ Building Use (e.g_, Residential, Non -Residential, Addition, Accessory; etc_) _6 6Mn,4 L
A5. Latitude/Longitude: Lat .47 Ito 94 Long. —%ZZ , %1.4-f Horizontal Datum: j N ,D 1927 j NAD 1983
A5_ Attach at leas: 2 Photographs of the building if the Certificate is being used to obtain ,rLod insure ce_
AT Building Diagram Number
A8. For _ b=gilding °with a urav-s pa or _nclosur
S;,uare ice. 3. 3tJ?�ua_ OF C!C-S_r-C _ 97VP
sv
b Jr
1'� um :er e� a ent too : =ninas i i ,. e - =• ,r!s e C.- -, cilcsu -. _ �_. a-Ij _ -..c N
its_ - _ N=--
Square TOC• age of as -a ched a.� rave 1v 14 scift
b Number of permanent flood openings in the al ached garage within 1.0 Too- above adjace^t tirade
c) Total net area of fl od openings in A9_b 4 sq in
d) Engineered flood openings? ! Yes ; No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1_ NFIP Community Name & Community Number E B2_ County Name
s B3. Sate
VN I/t4 C ktiv G Co 53nn71 �J Nt
. Lcl�
134_ Map/Panel B5. Suffix ! B6. FIRM Index I B7. FIRM Panel B8. Flood Zones) i B9. Base Flood Elevaiion(s)
Number Date i
Sib 33 i / Revised Date X PEQ i (Zone AO, use Base
F. 3 Flood/ o
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
Y4-FIS Profile ! j FIRM Community Determined [j Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: M� NC -VD 1929 � NAVD 1988 0,1 OthertSource:
B12_ Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPAP j Yes LW No
Designation Date: 1_1 CBRS F, OPA
FEMA Form 086-0-33 (7115) Replaces all previous editions,
ror.Tn Page 1 of 6
ELEVATION CERTIFICATE
IMPORTANT: In these spaces, copy the corresponding information from Section A_
Building Street Address (including Apt, Unit, Suite, and/or Bldg_ No-) or P_O. Route and Box No_
Cry /Sd S 3 Z Ajb 1,9-vE _5
State ZIP Code
rn
nsje
OMB No. 1$60-0008
Expiration Date: November 30, 2018
FOR INSURANCE COMPANY USE
Policy Number.
Company NAIL Number
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
L:;. building elevations are based on: ` Construction Drawings= I[] Building Under Construction*
IX 'A new Elevation Certificate will be required when construction of the building is completeFinished Construction
_
C2. Elevations -Zones Al-a,30, AE, AH, A (with BFE), VE, Vl V30, V (with BFE), AR, ARIA-- AR/AE- AP,A1-430, Ar,/AH- ARlAO.
Complete Items C2_a-h below according to the building diagram spec fled in Item A1. In Puero Rim only, enter meters.
Benchma:'K Utilized- s� C , P . Vertical Datum: &AVA g$ 3
Indicate elevation datum used for the elevations in items a) Through h) below.
NOVD 1929 NAVD 1988 _ Other(Source-
Daum used for building
dlLva_-Tsons ,must be the same as that used =or;he BFI=_
a j Top of bottom floor -i_ � �� Check the me asumcmei e+ used. (incluLing basement. Cfa JVlSpw�. Or nn �OSiire �G��^.fa � i
np ;
(� �`"� a meters
b) Top of the next higher floor 3 � _
�j BOL! Of thie law - - - > Te25 I met�fs
Est orizor 41 s iur al r em— er s'v ZD c �P _ —
ly - -
di -Aached garage (trot; o Slab-' e _ aTi_iers
14
LJV'IeS- -: -V= F - r ._. �_ - _ feat m _=
Desc-nbe :J°• - _ _ - __ _ _ _ -
JL'1ri317�.__,�1Q `... .. ,j'C�."'rF?En_S in 7 ?�.._.;
.owes/ �L�,�a.r._.'3 --n7 rCL gra-_ men_ 0L.`zi.'�-i-%'v _ �'..-`. / - -
- 47
Ira rig _
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
C�-=_ - _'Yc- _r,. -;-, - - -ate by a _�.-.., S Fveyoren- __ _ ---f:.�f:._� - - - - b - _ _ -
y _ ,..- the in,�,:rm =7'S C , - _; c_n7 c - _ _ rZv �V lJ O'Y l va e; ir:;n;—
.vt8-r!5O _ i%3✓ b ,Ju nish blo - - or - - u_- - - Y L- _� �''-13..E✓ic_ Linda! - - - _
\ -Y (la!v J_ tr ^ iS`� irr rL;rros r I Li Ida! af. ja
iude and longitude in Section Aprovided — —
b GwnS=_d land surveyor? _� Yes _ No .
Certine N — Check here if at-ac,;,:,en-s_
r� Name License Number
Title � 3 Z Sp �
DEL C. R iZe P£ssla >qz L� A svRVEyoR �. Z' � - Company Name�
Address
to e tp, X
ciy j� ( 'j'�<J =�
I `�! � � < t ���� State 3vi?w4s-
N_� C�deSignature Date IAW - _
Telephone -
Copy all pages of this Elevation Certificate and all attachments for (1) mmunity official, -_- insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
4). FLone ZOA4C /S X PF_k klAIG CO. j c,fy old REN%vt►I 4
r3ckPoivc,k-bcA 13Y A Al
* (3F E
is A" /N/ E2!'v 4,+7-i di/ vF kw t- Co. Fl-nv b 1W.
F EMA Form (711 L 7 P epla=. eas all previous editions_
Form Page 2 t 0