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Home My WebLink AboutIMG_20210210_0002U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood lnsurance Program ELEVATION GERTIFICATE lmportant: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenUcompany, and (3) building owner. OMB No. 1660-0008 Expiration Date: November 3O,2022 SECTION A. PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Sidney K. Horton, lll Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 51 Bayberry Road Company NAIC Number: City West Yarmouth State Massachusetts ZIP Code # 02673 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 3, Block A on Land Court Plan No. 1 1435A(at Barnstable Co. Registry of Deeds), AKA AM 22lparcel 236 A4. Building Use (e.9., Residential, Non-Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: 1s1. 41-38 -33.9" N Long. 70-14'-41.1'W HorizontalDatum: f] NAD 1927 E] NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance A7. Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1443 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adiacent grade 0 c) Totalnet area of flood openings in A8.b sq in d) Engineered flood openings? n y"" E No A9. For a building with an aftached garage: a) Squarefootageofattachedgarage 264 sqft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Totalnet area of flood openings in A9.b sq in d) Engineered flood openings? [ Yes I No sEcroN B - FLOOD INSURANCE RATE MAP (F|RM) TNFORMATION 81. NFIP Community Name & Community Number Yarmouth 250015 82. County Name Barnstable 83. State &Massachusett5 &# 84. Map/Panel Number 25001 C0588 85. Suffix J 86. FIRM lndex Date 7t16t2020 87. FIRM Panel Effective/ Revised Date 7t16t2020 88. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11 B10. lndicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in ltem 89: X FIS Profile x] FIRM I Community Determined E Other/Source: 811" lndicate elevation datum used for BFE in ltem 89: I NGVD 1929 EI NAVD 1988 [ other/Source: B12. ls the building located in a Coastal Banier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [ Ves fi tto Designation Date;n CBRS I Oen qL- FEMA Form 086-0-33 (419)Replaces all previous editions.Form 1 of6 IMPORTANT: ln these spaces, copy the corresponding information from Section A.FOR INSURANCE COI\'PANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 5 t Bxqb.na. H Poliry Number: Company NAIC Number WesT" Vnrrnou rll-ZIP Code D2-b73 J J StateCity Ir\A sEcTroN c - BUTLDTNG ELEVATTON INFORMATION (SURVEY REQUTRED) C1. Building elevations are based on: fl Construction Drawings* fl Building Under Construction" fi finisfreU 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, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete ltems C2.a-h below according to the building diagram specified in ltem A7. ln Puerto Rico only, enter meters. Benchmark Utilized: Yarmouth Monument 28 Vertical Datum; NGVD29 converted by VERTCON lndicate elevation datum used for the elevations in items a) through h) below fl NGVD 1929 E NAVD 1988 n Other/Source Datum used for building 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) b) Top of the next higherfloor c) Boftom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) L_owest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) - f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 12.75 I feet ffi feet I feet [] feet ffi feet ffi feet [] feet I meters I meters I meters I meters f] meters ! meters I meters 11 .6 15.0 10.2 11 .9 11 .9 I feet I meters 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 ceftify that the information on this Ceftificate represenfs my best effortsto interpretthe data avail-able. I underCtand that any false statement may be punishable by fine or impisonment under 18 U.S. Code, Section 10A1. Were latitude and longitude in Section A provided by a licensed land surveyorZ E]yes E ruo I Cneck here if attachments. License Number 35779 Certifiefs Name Ronald J. Cadillac Tifle Professional Land Surveyor Company Name R.J. Cadillac, PLS, RS Address P.O. Box 258 RONALD $:dAMES.'bAffiLLFb lc ZIZlI City West Yarmouth State Massachusetts ZIP Code # 02673 Date 2t10t21 Telephone 508-775-9700 Ext. Copy all pages of this Elevation and all attachments for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) Main house slab=12.75 House has radient heat pipes in slab. Bottom pump for heat 15.5. Bottom Boiler 15.0. Garage slab=11.3 at door and 11.6 at rear. PAGES 3 & 4 OF THIS FORM NOT USEDAND INTENTIONALLY LEFT OUT. ELEVATION CERTIFICATE OMB No. 166G.0008 Expiration Date: November 3O, 2A22 FEMA Form 086-0-33 (12119)Replaces all previous editions.Form Page 2 of 6 IMPORTANT: ln 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. 5 t BA,4 ha rr-u R.rr+d Poliry Number: Company NAIC Numbert'* vry Y^r-J*h ZIP Codeo"zb73n{+State lf using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for ltem A6. ldentify all photographs with date taken; "Front Vie#' and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. lf submitting more photographs than will fit on this page, use the Continuation Page. F.r*l Photo One Photo One Caption K;rI* Photo Two Photo Two Caption Clear Photo Two ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See lnstructions for ltem 46.OMB No. 1660-0008 Expiration Date: November 3O, 2022 FEMA Form 086-0-33 (12119)Replaces all previous editions.Form Page 5 ofG .'.: ,... . i r:.l!iii1l.Ir't:li *".', .','*&',,e,.:- Clear Photo One * . ;!trl", IMPORTANT: ln 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.5 I Bulxrn-i K"nd Policy Number: Company NAIC Numbercit, vtrsr '\o.ilo"rA tnl Q ZIP Code oAL13 State lf submitting more photographs than will fit on the preceding page, affix the additional photographs below. ldentify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." \Mren applicable,photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Panr Photo Three Photo Three Caption Photo Four ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30,2022 FEMA Form 086-0-33 (12l19)Replaces all previous editions.Form Page 6 of 6 t Clear Photo Three LETt" Clear Photo