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HomeMy WebLinkAbout1921 Marlin Dr ' I.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 'ederal Emergency Management Agency Exoires February 28. 2009 lational Flood Insurance Program , „iportant: Read the instructions on pages 1 -0. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owners Name Mary E. Broderick Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 1921 Marlin Drive City Ocean City State MD ZIP Code 21842 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Tax Map 111, Parcel 3294 A4. Building Use (e.g., Residential, Non - Residential. Addition, Accessory. etc.) Residential A5. Latitude/Longitude: Lat. N 38' 21.018 Long. W 075 04.824 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number ¢ A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage. provide: a) Square footage of crawl space or enclosure(s) ¢,?I sq ft a) Square footage of attached garage Q sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade 2 walls within 1.0 foot above adjacent grade if c) Total net area of flood openings in A8.b ?,QQ sq In c) Total net area of flood openings in A9.b Agg sq in i SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number 82. County Name 83. State Town of Ocean City 245207 Worcester MD B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 245207 0001 G 2/4/88 2/4/88 A6 6.0 310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) 311. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ®No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) ;1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. :2. 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/A0. Complete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized RM3 USCGS Disk C104 Reset Vertical Datum NGVD 1929 Conversion/Comments None Check the measurement used. ) Top of bottom floor (including basement, crawl space, or enclosure Moor)_ ¢.1 ❑ feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 9.Q ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) j j/,8,. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) Al ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building j).1 ❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) 1) Lowest adjacent (finished) grade (LAG) 4.¢ ❑ feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) ti ❑ feet ❑ meters (Puerto Rico only) 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 . intonation. 1 certify that the information on this Certificate represents my best efforts to Interpret the date evadable. .ui-rf. I understand that any false statement may be punishable by fine or imprisonment under 1811S. Code, Section 1001. -4° OF , � ;; , 6 ® Check here if comments are provided on back of form. .� ~� �� 7 ' r { {; • , Certifier's Name William Bruce Wagner License Number 470 ;;, i i. Title Professional Land Surveyor Company Name Soule b Associates, P.C. S&A 05-235 = 'a : s r yea 1 7 0 ' t,. ' Address 122 Arlington Road City Salisbury State MD ZIP Code 21801 '�� . ,��S TE•�` Q . y "; Sig r Date 7/26/06 Telephone 410. 742 -7797 � jaril� ° %% ' y ..p EM Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the cr 'sponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, nor Bldg. No.) or P.O. Route and Box No. Policy Number 1921 Marlin Drive City Ocean City State MD ZIP Code 21842 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner." Comments Mechanical Room FFE = 5.5 Ductwork = 7.5 Heat Pump = 8.1 Elec. Heater = 9.0 Heating Unit = 9.0 1" Floor Living Space = 9.0 Signature Date 7126/06 ® Check here if attachments 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 E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following end 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG, E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ 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: 11 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. 8. and E ere correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ chec h ere if atta 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 Rem(s) and sign below. Check the measurement used in Items GB. and G9. G1 _ ❑ 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 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. -G9.) is provided for community floodplain management purposes. G4. Permut Number G5. Date Permit Issued 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) of the building: n feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feel ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here it attachments FEMA Form 81 -31, February 2006 Replaces all previous editions