My WebLink
|
Help
|
About
|
Sign Out
Home
2-2-054:055
PublicDocuments
>
Public Works
>
Engineering Division
>
99_Archive
>
01_Forms
>
Floodplain Management
>
Elevation Certificates
>
Completed Elevation Certificates
>
Zone 2 Elevation Certificates
>
2-2-054:055
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/12/2016 10:49:30 AM
Creation date
3/18/2014 2:40:24 PM
Metadata
Fields
Template:
Document Description
Date
1/14/2013
Type
Elevation Certificate
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
U.S. DEPARTMENT OF HoMMMID SECURITY ELEVATION CERTIFICATE OMs No,.186( o -Me <br />PedeM Emaperhey ManepemeMApeeey Expires Maroh 81; 201 <br />NW@r W Rood lnsursnee.Proprem , , .. Importerrt Read OW I ltltruevow 66 Pope I A ---�.— <br />SECTION A . PROPERTY INFORMATION fFormwwaoa -.WK <br />Address <br />At. p �, F <br />A2 Bdldlp Sheet Address (kmk ding Apt. Unit Sufis, andfor Bldg. No.) or P.O. Rade end Box No, aIA1C <br />162 KOLE STREET �^ s iak t "y% _ { <br />Cdly HNA Slate }M. LP Cade 86720 <br />As. Building Use 04, Reekanth , NomReaMedal; AddSon, Accessory. am.) BIRMah - <br />A6. LatlludelLagpbgs: Lot 63107& Laq: W766•alLf9 HoAxatW Dstpmc C: NAD 7927 ® NAD 1966 <br />A6.ApeDhotis,,l2pholapraplhsdlMb�ttlroCerttbdaNb,MgwedtoabWnRoodlneraanas: <br />A7. BWIdbgCtoprsmNwhlDerfl <br />AS, For a building with a asamPeoe ar eihdesure(s); AS. Fare bug Mv& an aftectu d aur g <br />a) Square loamy, of aawleaee a sndosula o) a sqft a) Squers Weals of SWWW osrepa oq R <br />b) Na d pmmenadflood oplaiMpa le t e avadpeos or b) No. ofpsnrroaentflocd oponkW In the etmdred perpe <br />awlosure(a) w0ft 1.0 foot ebwe adjacent grade 11 Weir 1.0 had above ad)ecoM grade N(A <br />Q Tocol mel arse offload opadpe le A&b fl sq In a) Total Trot area ofeood operdoga In A9.D M eq In <br />d) Epdrosed flood opaWpe? 1. C Yes Er No d) Epheersd flood opeskhpe9. C Yee a No <br />I IWIW I HAMI I H1- I <br />-S0.' Mq~ Number <br />BO. SWtkk <br />M. FIRM Index <br />OT.RMPWO. <br />SIL Rood <br />B& <br />0960 <br />C <br />Dem <br />I <br />ES,dMalRaamad Dow <br />I <br />Zonae) <br />I <br />AO, up Des, Rood tlepth) <br />Wh.— <br />C foot C rooters 8•wdo Rio only) <br />APRIL 02,24 <br />SEPT. I8.1966 <br />AE. X <br />2546 R <br />gig. Irlagave=Sam orals Bea, Read owavonRMdate wteseloodd"Iftat-1 0 MgemB9. . <br />C RBProft B RRM, C ComrmrAtyDelembled C otirormasomo)_ <br />811. Indlato amaatal datum used ler BFE In Ilam W B NOVD JM C NAW 1988 C opwMosam,) _ <br />812. � N a cwatW Soutar m Roms sysbm LCEam or Promama Also (OPA)7 C Yee® We <br />CM 0 CPA <br />SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Sudit sNvWlons aro based on: p Construction Or~ C Buldlrhp Under Cormbucdon• ® Fbdehad Comwdton <br />•A new Elevation Car88oam we be "lied when c onwoudon ofthe buBEp Is complete. <br />C& ElovaBam—Zones A1,A60. AS, AN. A (adtr SFS, VB, V1 V60. V (w8m BFE), AR, ARIA. ARAE, ARIAI,4]0. ARIAH. ARm1O. ComplWe Ibuns C2." <br />babes saoordp to the buldlnp diepram specift In Item A7. Use the same deban a the BRE. <br />Senahmedk lNle,d PALALJ MMOMMMIcal Ostum LOCAL TIDY <br />Cvrwwwonrommsro — <br />I Ma wrmhcemn M w ahgnaa ane eeahaa,y a rano survayor, engma, or arennea auomr=a oy raw to cermgr alevemon <br />IMbrma9on. I oemy that fie hdonnamon an We CermRwm rapramnm my bed a6bda to brferpret Poe date avalWo.1 <br />u xbMandmrmf any fMn ateten mt may bib pun/ah" by ens w6uprlwmnw t uoYr IB u.& Coda, Seamon IooI.0 <br />Check (here It comm nts are provbed on book of form. Ware latitudes and IongNude In Sedan A provided by a <br />kcewed land surveyor? B Yes C No <br />CoAftes Name HIM CHRISTENSEN WortseNumber 9077 <br />=0 LAND SURVEYORCompany Nemo 1 dem Hould yors <br />raw _ 877 COY HILO Stam HI ZIPaWe 99721 <br />FEMA Form 81.31, Mar 09 Bee reverse Mde for owrtlnusdiar. Replaces ad previous edgbrls <br />Check Shemeesureme twed. <br />O Top ofbotom Rom OwWng bawmaK erawbpoos, or and000re 1boo &ZZ <br />Bible C macre (Puerto Rico only) <br />b) Top tithe next higher Row <br />L%& <br />B IbM O motors MusRo Rbo **) <br />0) Botan oft the lowest hormadM dRft W member (V Zones orgy) <br />W& <br />C and C meters (Puerto Rico ad» <br />d) Attached grape (top of Web) <br />Wh.— <br />C foot C rooters 8•wdo Rio only) <br />e) Lowest elevation ofmachinery or,qul lmord owWdp the budding <br />2931 <br />Whist C n m— (Puerto Roo orM <br />Mosedbs"of aq "nont and baton In Caronwb) <br />0 Lowest ed(soaht (bddm h Prada nest to bull" (LAO) <br />2W <br />B test C motes (Pomo Rico ably) <br />III Hpheot a*md (11rtolrod) grade next to thYk% MAD) <br />S <br />RIM C meet,, AArodo Rio cx* <br />h) Lowsot ad)eaM grsdo ot bwaM elevatlon d deck or stabs. being <br />2M <br />B mot C motors (Puerto Roo only) <br />I Ma wrmhcemn M w ahgnaa ane eeahaa,y a rano survayor, engma, or arennea auomr=a oy raw to cermgr alevemon <br />IMbrma9on. I oemy that fie hdonnamon an We CermRwm rapramnm my bed a6bda to brferpret Poe date avalWo.1 <br />u xbMandmrmf any fMn ateten mt may bib pun/ah" by ens w6uprlwmnw t uoYr IB u.& Coda, Seamon IooI.0 <br />Check (here It comm nts are provbed on book of form. Ware latitudes and IongNude In Sedan A provided by a <br />kcewed land surveyor? B Yes C No <br />CoAftes Name HIM CHRISTENSEN WortseNumber 9077 <br />=0 LAND SURVEYORCompany Nemo 1 dem Hould yors <br />raw _ 877 COY HILO Stam HI ZIPaWe 99721 <br />FEMA Form 81.31, Mar 09 Bee reverse Mde for owrtlnusdiar. Replaces ad previous edgbrls <br />
The URL can be used to link to this page
Your browser does not support the video tag.