HomeMy WebLinkAboutElevation Certificate exp. 11-30-2018 I
DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
ELEVATION CERTIFICATE Date Control Number 1660-0008
IMPORTANT:FOLLOW THE INSTRUCTIONS ON PAGES 9-16 Expirasoa:ltrjonota
Copy ad pages et this Elevation Certificate and all attachments for(1)communly official(2)lnsunnceagenticmnpany.and(3)building owner.
SECTION A•PROPERTY INFORMATION FORM INSURANCE COMPANY USE
Al. Building Owner's Name
VIRGINIA WATT Policy Number:
A2. Building Street Address(Including Apt.Unit.Suite,and/or Bldg.No.)or P.O.Route and
Company NAIC
Box No._..-.- Number.
8 CEDAR STREET
City SOUTH YARMOUTH Slate MA Zip Code 02684
A3. Property Description(Lot and Block Numbers.Tax Parcel Number.Legal Description,etc.)
ASSESSORS MAP 34.PARCEL 152.DEED 13877.PAGE 48 •
A4. Building Use(e.g.,Residential.Non-Residential.Addition,Accessory.etc.) RESIDENTIAL
AS. Latitude/ongitude: Lat.41.85118 Long.-70.20384 Horizontal Datum:
r NAD 1827 l:NAD 1963
A6. Attach at least 2 photographs of the budding if the Certificate Is being used to obtain flood insurance.
A7. Budding Diagram Number 8
At For a building with a crawlspace or enclosure(s): A9. Fora building with an attached garage:
a)Square footage of crawlspace or enclosure(s)918 sq fl a)Square footage of attached garage N/A • W fl
b)Number of permanent flood openings In the 5 b)Number of permanent flood openings
crawlspace or endosure(s)within It foot in the attached garage within 1.0 bot N/A
above adjacent grade above adjacent grade
c)Total net area of flood openings in Allt 1.000 ' sq in c)Total net area of flood openings in A9.b N/A sq in
d) Engineered Hood openings? G Yes r No d) Engineered flood openings? r r No
SECTION 8-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Bt. NFIP Community Name&Community Number 52. County Name
83.State
YARMOUTH 250015 BARNSTABLE MA
64. Map/Panel Number 65. Suffix 56. FIRM Index Date 67. FIRM Panel Effective/ B8. Flood Zone(s) 59.Base Flood Elevation(s)
25001C0589 J Revised Dale (Zone AO,use base flood
7-16-14 7-18.14 AE "' depth
11
610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered WI Item B9:
r FIS Profile It FIRM r Community Determined r Other/Source:
B11.Indicate elevation datum used for BFE in Item 69: r NGVD 1929 (:NAVD 1986 r Other/Source:
812.1s the building bated in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ('Yes (7 No
Designation Date: r CORS r OPA
• SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl.Building elevations are based on: r Construction Drawings' r Building Under Construction' (i Finlahed Construction
C2.Elevations •Zones Al-A30,AE,AH,A(with BFE),VE.VI-V30,V(with BFE),AR,AR/A,ARAE,AR/AI•A30.AR/AH,AR/AO.
Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters.
'A new Elevation Certificate will be required when construction of the building Is complete.
Benchmark Utilized:GPS RECEIVER Vertical Datum:NAVD 1986
Indicate elevation datum used for the elevations in horns a)through h)below. r NGVD 1929 (NAVD 1988
r Other/Source:
Datum used for budding elevations must be the same as that used for the BFE. Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 9 • 0 (:Met r meters
b) Top of the next higher floor 13 - 2 (7 feel r meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A - N/A r feet ('meters
d) Attached garage(top of slab) N/A • N/A 'feet r meters
a) Lowest elevation of machinery or equipment servicing the building-.
(Describe type of equipment and location in Comments) t t - 2 `- feel ('meters
Q Lowell-adjacent(finished)grade-next to building(LAG) (:rest ('meters
9) Highest adjacent(finished)grade next to building(HAG) 11 • 3 (:bet C meters
h) Lowest adjacent grade al lowest elevation of deck orstairs,including
structural support 6 - 6 /:feet C meters
FEMA Form 086-0-33(7/15) Replaces as previous editions. Page 3 of 15
4 iir ,` ELEVATION CERTIFICATE
DM8 Conael Number.1680-0008
Expiratlon:1 1/30/2018
6 CEDAR STREET .SOUTH YARMOUTH MA 02684
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 available.I understand that any false statement maybe:.
punishable by fine or imprisonment under 18 U.S Code,Section 1001,
Were latitude and longitude in Section A
0 Check here if attachments: provided by a li�ce1land surveyor? of
nsed
(+.Yes 4„No ,rte
Certifiers Name License Number
CRAIG A FIELD 38039 i COIAAI es
Title Company Name /1111081.030
SURVEY MANAGER THE BSC GROUP,INC,
Address City State `Zip Code ,-
349ROUTE 28,UNIT 0 WEST YARMOUTH MA. 02873: 11
Signature Date, Telephone
ti(506)776.8919
Copy both sides of this Elevation Certificate for(1)community official;(2)insurance agent/company,and(3)building owner.
Comments(including type of equipment end location,par 02(e).if applicable)` '
THE LOWEST UTILITY IS THE HEATING DUCT WITH THE BOTTOM OF THE DUCT AT ELEVATION 11.2 AND IS HANGING FROM THE
CRAWL SPACE CEILING,THE REAR DECK IS UNDER CONSTRUCTION AND ITEM(C-2-h)IS.ESTIMATED BASED ON THE EXISTING
GRADE.SEE REAV VIEW PICTURE ATTACHED.THERE ARE 5 MECHANICAL FLOOD OPENINGS IN THE FOUNDATION WALL THAT
ARE SEPARATE FROM THE REAR ACCESS HATCH
G('. e....e. /S.LO/ e
Signature. Date
SECTION E•BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For.Zones AO and A(without BEE),complete Items El-ES.II the Certificate is intended to supporta LOMA or LOMR-F request,complete.
Sections A,Band C,For Items El-E4,use natural grade,If available.Check the measurement used.In Puerto Rita only;enter meters.
El.Provide elevation information for the following and check the appropriate boxes to show whether the elevation Is above orbekiwthe
highest adjacent grade(HAG)and the lowest adjacent grade(LAG),
a)Top of bottom floor(including basement etawispace, ('feet('meters 0 above or 0below the RAG.
or enclosure)Is --
b)Top of bottom floor(including basement,crawlspace, (tees ('meters 0 above or 0 below the LAG„
or enddsure)Is — —^ -
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 M the diagrams)of the building Is C.feet('meters 0 above or 0:below the HAG,.
E3.Attached garage(top of slab)is .^•_ r feat r meters Q above or 0 below the HAG.;
E4.Top of platform of machinery and for equipment
servicing the building is 'feet C meters 0 above or ❑below the HAG..
E5,Zone AO 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? r Yes: 'No C Unknown, The local official must certify this information In Section G.
SECTION F -PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners 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,B.and E are correct to the best of my knowledge,
Property Owner or Owners Authorized Represnntatfves Name;
Address City State ZIP Code
Signature Date. Telephone
Comments . . .....
0 Check here if attachments,
FEMA Form 086-0.33.(7/1 S) Replaces all previous editions: Page 4 of 15
•
d
OMB Control Rumen 18600008
Expiration 11/DO/201a
•
SECTION O -COMMUNITY INFORMATION(OPTIONAL)
The local official who Is authorized by law or ordinance to administer the communitye floodplain management ordinance can complete Sections
A.B,C(or E).and Got this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used In Items G8•
010.In Puerto Rico only,enter meters.
St, O 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
Continents area below.)
G2 0 A community official completed Section E fora building located in Zone A(without a FEMA•issued or community-issued BFE)or Zone
AO.
03. 0 The following intonation(Items G4 410)is provided for community floodplain management purposes.
G4. Permit Number G5.Date Permit Issued 06.Date Certificate of Compliance/Occupancy Issued
G7. This permit Ms been issued for r New Construction r Substantial Improvement
08. Elevation of as•buitt lowest floor(including basement) - (`feet C meters Datum
of the building: —
G9.BFE or(in Zone AO)depth of flooding at the building (^feet (-meters Datum
site:
010.Community's design flood elevation: _•_ [feet r meters Datum
Local OKrciars Name Title
Community Name Telephone
Signature Dale
Comments
0 Check here if attachments.
FEMA Form 086-0-33(7/1S) Replaces all previous editions. Page S of IS
BUILDING PHOTOGRAPHS
See Instructions for Item A6 OMB Central Number.1880-0008
Fiplrabom tine/2018
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 P,O.Route and Box No.
8 Policy Number.
CEDAR STREET
Gy SOUTH YARMOUTH. Slate MA Zip Code Company NAIC,•
02884 Number::
If using the Elevation Certificate to obtain NFIP flood insurance,affix at lent 2 building photographs below according to the instructions for
Item A6. Identify all photographs with date taken:"Front vier"and Rear vier";and,8 required.'Right Side Vievf and"Left Side View' Flim
applicable,photographs must show the foundation with representative examples of the flood Openings or vents,as indicated in Section A8, It
Submitting more photographs than will fit on Nis page,use the Continuation Page.
FRONT ELEVATION
March 4,2016
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FEMA Form 088-0.73(7115) - - Replaces at previous editions. . -'Page 8 of 15 '
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4
BUILDING PHOTOGRAPHS
Continuation Page Expiration:
Coned Number,16604000
Expintion:11A0/2018
IMPORTANT: In these spaces,copy the corresponding information from Section A. FORM INSURANCE COMPANY USE
Building Street Address precluding Apt.,Unit.Suite,and/or Bldg.No,)or P.O.Route and Boa No,
Policy Number.
0 CEDAR STREET
City State - Zip Code - - Company MAIC Number:SOUTH YARMOUTH MA 02684
II subrrvllag mon photographs than will fit on the preceding page,al/ia the additional photographs below. Identityas photographs with:date
taken.'Front View' nd'Rear View'and,it required,'Right Side View and'Lett Side View.' careen app8oable,photographs must show the
loundabon with representative examples of the flood openings or vanes,as Indicated In Section AS,
REAR ELEVATION
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