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HomeMy WebLinkAboutB15-2825FEED DEPARTMENT OF HOMELAND SECURITY fEpELEVATION CERTIFICATE OMB No. 1660-00!08 ERAL EMERGENCY MANAGEMENT AGENCY Expiration Date: idly 31, 20V - National Flood Imuronm Pragmro IMPORTANT: Follow the Instructions on pages 1;-9. SECTION A -PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. .Building Owner's Name Mike SOhnrey Policy Number: A2. BuildinStreet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIL Number: 7,620 Cana Hi hway CnyChico State ZIP ZIP Code 95973 A3. Property. Description (Lot and Block Numbers„ Tax Parcel Number,,Legal Description, etc.) Acray Site -D A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) S6187'0enei A5. Latitude/Longitude: Lata Long. Horizontal'Datum ' o NAD. 1927 :Q NAD 1988 A6'. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number NIA +: A8. Fora building with a crawispace or enclosure(s): A9• For a building with an attached garage:; a) Square footage of crawispace or enclosures) N/A sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawispace or b) Number of permanent flood openings In the attached garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade e) Total net area of flood openings, in A8.b sq in c). Total net area of flood openings in A9:b sq to d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM). INFORMATION Bl. NFIP Community Name &Community Number Butte Coun B2. County Name B3. State 060017 Butte' C2 64..Map/Panel Number. B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zones) B9. Base Flood. Elevation(s) (Zone ,. w . Revised Date AD,. use, base: flood depth) 06007CO300 E 01/06/2011. 01/06/201.1 A 174.90 oiv.1nuwaie me sourue oT ine Mase moon tievauon (art) data or base flood depth entered in Item B9: ❑ FiS Profile [:1 FIRM Q Community Determined . ® Other/Source: FIRM, Mao and 'Topographic field survey B11; indicate elevation datum used for BFE in Item 69 ❑ NGVD 1929 . N NAVD 1988 ❑ Other/Source: 612_ is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (DPA)? ❑ Yes ONO Designation Date: ! / i]. CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: Construction Drawings' ❑ Building Under Construction" 0 Finished ConstruCtip4. � w *A new Elevation Certificate will be required when construction of the building is complete. C2_ Elevations -Zones Al -A30, AE, AH, A (with:BFE), VE, Vi -V30, V.(with BFE) AR, AR/A. AR/AE, AR%Ai-A30; AR/AH: AR/AO. Complete Ite Z , C2.a-h below according to the.building diagram specified in Item A7. In Puerto Rico only, enter meters. W Q Benchmark Utilized: Butte County BM #925Vertical Datum: NGVD 1929 Utz LL Indicate elevation datum used for the elevations in items a) through h) below. Q NGVD 1929 N NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. CO check the measurement useil._ a), Top of bottom floor (including basement, crawispace, or enclosure floor) KIA . j ❑ feet " : D me�Ets.. 1 lv to � b) Top of the next higher floor N/A , El feetC p meters (. ti.1 Z C) Bottom of the lowest horizontal structural member (V Zones only) NIA 0 feet � d). Attached garage (top of slab) NIA �] feet ❑ meters O �j 175' 00 ej. Lowest elevation of machinery .,or equipment servicing.the building ®feet ❑meters. v (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 1.71 56 ® feet ❑ meters • m r g) Highest adjacent (finished) grade next to building (HAG) 172. 7 ® feet ❑ meters -`J h) •Lowest adjacent grade at lowest elevation, of deck or stalls, Including N/A- ❑ feet ❑ meters cc structural support a p.: 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 S. information. I certify that the information on this Certificate represents my best efforts to Interpret. the data available. N f.understand'that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. 9 L ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a i� Check here if attachments. licensed land surveyor? ❑ Yes ❑ No LAUr. EN J Certifier's Name Lauren J. McSWain License Number 8754 tv1 IN j YJ J Title Professional Land Surveyor ComDany Name Feeney Engineering &.Surveying, Inc. � NO. $754 �� Address PMB 301 FEMA Formm A Date Q/24 See reverse side for continuation ZlP Code "� 95926 .: TFOF C `\E ine 570-.7..1.7..4 Replaces all,,previous ELEVATION CERTIFICATE, page IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or PO. Route and Box No. Policy Number: 7020 Cana Hi hwa city State ZIP Code Company NAIC Number: Chico Ca 95973 SECTIOND - 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 The.vertical.datum wasconverted from NGVD 1929 to NAVDY1988 using the National `Geodefic Survey W6bsite vertit;W conversion., Ifem C2e refers to the :combiner boxes, inverter box and electrical equipment -for -the solar panels. Signature bate{� j2 . 8 1 # CjJA E LBUIL IN& ELCVAjIOFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AD and A (without BFE). complete Items EI -E5. If the Certificate is intended to support a IOMA 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 aitacerit grade (HAG) and the lowest adjacent grade (LAG).. -a) Top of bottom floor (including basement, crawlspaee, or enclosure) is ❑ feet *[]meters ❑ above or 0- below. the HAG. b) Top of bottom floor (including basements crawlspace, or enclosure) is Q feet ❑ meters ❑above or ' ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A items 8 and/or 9` (see pages 8=9 of Instructions), the next higher, floor (elevation C2.b in the diagrams) of the building is ❑feet ❑meters [I above or ❑below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters.. ❑ above or ❑ below the HAG.. E9. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5, Zone AO onlyr. if no flood depth number is available, is the top of the bottom floor elevated in accordance.with the community's floodplain management , ordinance? ❑ Yes ❑ No ❑ 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.FEMAissued or community -issued Bm-'& Zone AO must sign here, The statements In Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name ~ r Address . State ZIP Code Signature Date Telephone Comments MS Qheck here if attachmeAts. SECTION G - COMMUNITY INFORMATION (OPTIONitil) The local official who is authorized by. law or ordinance to administer the community's flooiipfain:management ordinance can compiete'Sections'A,:a, C:(Ar E`); arld G of this Elevation Certificate. Complete the applicable Item(s) and sign below. Check the measurement used in Items G8 -G10. In Puerto Rico only, enter meters. G1. ❑ 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. ❑ A community official completed Section. E for a building located in Zone A (without a FEMA issued of community -issued BFE) or Zone AD. G3. ❑ The following information (Iterns G4 -G9) is provided for. community fioodpiaidmanagement purposes.; , G4. Permit Number G5. Date Permit Issued. G6:,Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters . Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet. ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title:. Community Name 'Telephone Signature . Date Comments. 1j}E11eck•here if altachmehts. FEMA Form 08&0.33.(7/12) "'Rg(ilaces all,previou5 edifict:'s.