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HomeMy WebLinkAboutElevation Certificate 062223 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: STEPHEN&MARYELLEN BICKERTON A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg.No.)or P.O.Route and Company NAIC Number: 122 EXETER ROAD City State ZIP Code WEST YARMOUTH Massachusetts 02673 A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) ASSESSORS MAP 23,PARCEL 147-TITLE IN CERTIFICATE 226991 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 41.64597 Long. -70.23519 Horizontal Datum: ❑ NAD 1927 0 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) 1754.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 9 c) Total net area of flood openings in A8.b 1800.00 sq in d) Engineered flood openings? 0 Yes ❑ No A9_For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A 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 25001C0588 J 05-02-1977 07-16-2014 AE 11.1 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 0 NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes 0 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: 122 EXETER ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑Building Under Construction* ❑x Finished 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,ARAA1—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: GPS RECEIVER Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 0 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,crawispace,or enclosure floor) _ 8.5 0 feet ❑ meters b) Top of the next higher floor 15.6 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters d) Attached garage(top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building(Describe type of equipment and location in Comments) 14.4 x❑ feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 8.2 x❑ feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 13.6 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 8.3 x❑ feet ❑ meters SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed end 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 may be punishable by tine or imprisonment under 18 U.S. Code, Section 1001, Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑No ❑Check here if attachments. Certifier's Name License Number KIERAN J.HEALY 48135 t A t Title SURVEY MANAGER s4c Company Name f ' 17*- BSC GROUP, INC KIERAN J. `� HEALY u'! Address NO.48135 349 ROUTE 28, UNIT D City State ZIP Code °. w WEST YARMOUTH Massachusetts 02673 Signet Date Telephone Ext. 06-22-2023 (508)778-8919 4586 Co all pages this Elevatio ertificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(including typ of equipment and location,per C2(e),if applicable) THE CONSTRUCTION OF THE BUILDING IS COMPELTE. HOWEVER THE PACKAGING AROUND THE FLOOD VENTS NEED TO BE REMOVED, SOME OF THE PORCH POSTS NEED TO BE WRAPPED AND THE FINAL GRADING NEEDS TO BE COMPLETED. THE LOWEST UTILITY IS THE EXTERIOR A/C PAD ON THE EXTERIOR OF THE BUILDING. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 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. 122 EXETER ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A,B,and C. For Items El—E4, use natural grade, if available.Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑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 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is El feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is . .,. ❑feet El meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑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? ❑ 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 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 Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2022 VINOMMIWONIINW 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: 122 EXETER ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G1O. In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and seated 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 or community-issued BFE) or Zone AO. G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued i 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) ❑feet ❑ meters Datum of the building: 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(including type of equipment and location,per C2(e),if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. OMB No. 1660 0008 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. 122 EXETER ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken;"Front View"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.If submitting more photographs than will fit on this page,use the Continuation Page. . te„ �", A: •., 4 .0- 1 i 4-tv J.44. , . i 4. *" �- � � 1' z ... . .�r ,- t p ,gam, : ./�# . ,ems .; /* . � yr-vyu zF photo One Photo One Caption FRONT VIEW Clear Photo One '" ,.. ., . q ..z.,,,:,,,,„„.„ _.. „-„,,,,,,, .. i i .-,..,& ;:,,,:p.4.,T;;:-,--- - i'i.:; :i::7:::.,ititili,.;,";."4.: '1,41/11 1111114, , ___ ;'..•r,..,:,,f.....t.-'71*.r.'''',3*..s'''.'l !,,,,,,," '- ...44,..., , ,.,bw ,„;' ,.°>I'', .>4.* •,,,-* - Photo Two Caption REAR VIEW pt, nrw _ Clear Photo Two Replaces all previous editions. FEMA Form 086-0-33(12/1 g) Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page 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: 122 EXETER ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" 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. k :. l' i .. ,' « �' "tea i ,f• Photo Three Photo Three Caption FLOOD VENT Clear Photo Three— S,-° 9 \''t -----„, — ,,,,,,,,,,,„--,, — .-", 41. t ' i ' . , t :. 4 ; . l .... ¢ x .H... a Photo Four �' gear Photo Four Photo Four Caption LOWEST UTILITY Form Page 6 of 6 FEMA Form 086 0 33(12/19) Replaces all previous editions. LOCUS INFORMATION REVISIONS: LOCUS N NO. DATE DESC. iiii‘.. I CURRENT OWNER: STEPHEN BICKERTON SR OVERLAY DISTRICT: NONE MARYELLEN BICKERTON _ TITLE REFERENCE CERT 1226991 OVERLAY SENSITIVE R 13 eckf ELOR0 w ASSESSORS MAP; 23 ZONE DISTRICT: AE-ELi 1',DATED 7/16/2014 PLAN REFERENCE: LAND COURT PLAN#14149-F FEMA FLOOD: NOT IN A ZONE II < — m 4c H PARCEL; 147 PANEL/25N — iC0588J — R-25 MINIMUM LOT SIZE 25,000 S.F. g ZONING DISTRICT SETBACKS: FRONT 30. EXISTING LOT SIZE: 14,134*S.F. I CERTIFY TO THE BEST OF MY R' 8/tVE:R(EA SREAR 25' NOV FOUNDATION COVERAGE PROFESSIONAL KNOWLEDGE, INFORMATION L WITH DECK&Ppag4: 2,614t S.F.(1$.59,) AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS TO THE STRUCTURE AS DETERMINED BY LOCUS MAP INSTRUMENT SURVEY AND AS SHOWN ON NOT TO SCALE THIS PLAN ARE CORRECT. HPALY 6IE0464 r t'sT il i '14`,-,-, / Nir . /� $p K1U1AM s MAUREEt+BERARDIhi K(ERAN J.,°NEALY, ALS B ANASTASIA RD ASSESSOR MAP 23 I FOR THE BSC GROUP INC. PARCEL 145 I i 74 a A PLAN OF LAND / N/F r RICHARD T KXROY AR B KATHLEEN A BATEMAN 76 EXETER RD 122 EXETER RD ASSESSOR MAP 2J KRLARISENNCA PARCEL 145 LUNAN ,j 29 KERRY COURT , ASSESSOR MAP 23 IN .,, � PARCEL 162 a�� WEST YARMOUTH BENCHMARK SET 9N MASSACHUSETTS r BE TOP OF CB/1M4 M)ND.88 `,M��� 1a !� (BARN5TABLE COUNTY) a ELEV...SST'NAM)88 S '±°/ ,'' 12'442'DECK \.'01. f FL000 *, $k >`� ,:a"8.3' y.� .\ BUILDING C8/DN ,^\ ::,, 0. ATANAS DEN OY DK4ov: AS-BUILT FOUND '� 1122 . STEFAM LTA?OA41ROV KRASiE4 FOUNDATION I 2 YMAP 223 ASSESSOR JUNE 26,2023 may' ,ltor.. EEY.e 146' \ ..� PARCEL 761 1 now ��`.> h. LOT>6 '- 14 T34t S.F. ^PROPOSED �„.�� t' - t � SEPTIC AREA Ai 9,1.1 Rt +T1 STEPHEN&MAR NYILEN BICKERTON I`7S„(� te.0 722 EXETER RD=� �- ASSESSOR MAP 23. tN.4'+14f y PARCEL 147 '"..1© , , i A4 h S 337'10'10'E \ 50,40 8.24' N/F .t FOUND & „A.ttKtY1iBAN G MORGAN AALR,R RD g ASSESSOR MAP 23 PARCEL 148 PREPARED FOR: $ / STEVE BICKERTON 179 TRAIN ST. b f$ DORCHESTER, MA 02122 stevebickl®hotmoil,com I i. a 349 Route 28.Unit U W.Yarmouth,Massachusetts 02673 508 778 8919 n. HEL o D A © (}2023 eSE G.RUP.MR. SCALE: 1'.. 20' 1 0 10 20 40 ,ar E FILE:-YAR\5073700\�\50737-ND...d1g DWG. NO:6887-01 JOB. NO: 50737.00 SHEET 1 OF 1 ;w