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Home My WebLink AboutElevation Certificate U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. 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 Al. Building Owner's Name Policy Number: Joseph Gilmore A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 150 South Street City State ZIP Code South Yarmouth Massachusetts 02664 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Map 34 Parcel 292.2 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 41°39'0.96" Long. 70°11'56.98" Horizontal Datum: ❑ NAD 1927 ❑x 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 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 3140.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 20 c) Total net area of flood openings in A8.b 4000.00 sq in d) Engineered flood openings? x❑Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 1086.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑Yes ❑ No SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3. State Yarmouth 250015 Barnstable Massachusetts B4.Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 25001C0589J J 07-16-2014 07-16-2014 AE EL 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑X No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2022 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. Policy Number: 150 South Street City State ZIP Code Company NAIC Number South Yarmouth Massachusetts 02664 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *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,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—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. Benchmark Utilized: RTK GPS PER MTS NETWORK Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ❑x NAVD 1988 ❑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) 6.7 ❑x feet ❑ meters b) Top of the next higher floor 13.2 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A x❑ feet ❑meters d) Attached garage(top of slab) 11.7 x❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 13.2 ❑ feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 6.5 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 11.5 El feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 6.5 x feet ❑ meters structural support 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 provided by a licensed land surveyor? N Yes ❑No ❑Check here if attachments. Certifier's Name License Number Daniel A.Ojala 40980 Title Prof. Civil Engineer, Prof. Land Surveyor Place Company Name Down Cape Engineering Inc. Seal Address Here 939 Main Street City State ZIP Code Yarmouthport Massachusetts 02675 Si Date Telephone Ext. ( �C 10/)- v__ (508)362-4541 Copy all pages of this Elevation Certifi9te and all attachments for(1)community official,(2)insurance agent/company, and(3)building owner. Comments(including type of equipment and location,per C2(e), if applicable) Vertical datum is NAVD88 from MTS RTK GPS.All equipment is to be located at or above the first floor elevation of 13.2. 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