Loading...
HomeMy WebLinkAbout183 Clam Shell Rd - iti.S. DE OF HOMELAND SECURrrf ELEVATION CERTIFICATE I OMB No. 1660 -0008 Expires February 28. 2009 I Federal Emergency Management Agency National Flood Insurance Program Important Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owners Name Louis Jonske Policy Number A2. Buildin ress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number City Ocean City State MD ZIP Code21842 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Montego Bay Mobile Home Park, Lot 523 , Section 5B , • A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) jai ngal A5. LatitudeA.ongitude: Lat. Long. Horizontal Datum: 0 NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. Al. Building Diagram Nurnberg A8. For a building with a crawl space or endosure(s), provide A9. For a building with an attached garage. provide: a) Square footage of crawl space or enclosures) 1 ' sq ft a) Square footage of attached garage NA 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 iZ walls within 1.0 foot above adjacent grade t 1 c) Total net area of flood openings in A8.b 2440 sq in c) Total net area of flood openings in A9.b NA sq in I SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number I B2. Count Name B3. State 245207 0003 Ocean City B4. Map/Panel Number B5. Suffix Be. 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 0003 F 2/4/88 3/4/86 A-6 6 • B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item N. 0 FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 0 NAVD 1988 0 Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Dyes No Designation Date 0 CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* 0 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, AR/A1 -A30, AR/AH, AR/AO. Complete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized RM10Vertldal Datum II= Conversion/Comments None Check the measurement used. a) Top of bottom floor (including basement crawl space, or enclosure floor)_ 5.7 ® feet 0 meters (Puerto Rico only) b) Top of the next higher floor i .4 0 feet 0 meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) 18 0 feet 0 meters (Puerto Rico only) d) Attached garage (top of slab) NA 0 feet 0 meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 1Q.1 0 feet 0 meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) ea 0 feet 0 meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) ¢.Z 0 feet 0 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 information. I I understand that � false statement may be this by Imprisonment n under 18 U S Code, Section 1. .. ; L "'' 0 Check here if comments are provided on bads of form. � ' t o � r ''.. " ii CertNkrs Name Douglas Loewer License Number PLS 10697 Title Company Name ' ; ..: ' "' • ,,V Address 10144 Greenbrier Drive City Berlin State MD ZIP Code 21811 ,r, AC r , 11 ' Signature 8/28/06 Telephone 410-641.4040 ' � 1. O.' e r, ' ,,,,,it, FEMA Form 81 -3 February 2006 See reverse side for continuation. Replaces all previous editions *IMPOANT: 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 183 Clam Shell Road City Ocean City StateMDZIP Code 21842 Company NAIL 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 C2e = Air Conditioner 10 Flood Vents Q 100 = 1000 2 Screened Crawl Doors ei 720 =1440 Total = 2440 Signature -� Date 8/28/06 12:1 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 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, 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 0 feet 0 meters 0 above or 0 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, 8, end E are correct to the best of my knowledge. Property Owner's or Owners Authorized Representative's Name Douglas Loewer Address 10144 Greenbriar Drive CityBerdin StateMD ZIP Code21811 Signature Date 8/28/06 Telephone 410-641 -4040 Comments ❑ Che here if attachments 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. and 09. 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.-09.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued 0647 �� ` G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement 08. Elevation of as -built lowest floor (including basement) of the building: � feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments n Check hero if attac ments FEMA Form 81-31, February 2006 Replaces all previous editions : • A• ' Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P. O. Box No. Policy Number 183 Clam Shell Road City State Zip Code Company NAIC Number Ocean City Maryland 21842 If using the Elevation Certificate to obtain NFIP flood Insurance, affix at least two 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". If submitting more photographs than will fit on this page, use the Continuation Page, following. Rear View August 28, 2006 . r "dr y - yr , ry 'p3C + v� r Front View August 28, 2006 • 11111111,, • ' 1„„- H