DCPZP-2008-00871 - Laserfiche WebLink

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IMPORTANT: In these spaces,copy the corresponding information from Section A. For uanoeCostpar y Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. pq y Number, 395 Lake Shore Drive City Edgerton State WI ZIP Code Company NAIC Number 53534 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 Benchmark is elevation of Lake Koshkonong as published by the USGS for 08/06/2008 of 777.28(NGVD29).The high water mark from the USGS 0621/08 flood was recorded by the USGS as 785.13.The elevation was verified from evidence on building structures,pavement, and testimony from area residents.This certification does not certify the(lesion will allow for automatic eaualization of hydrostatic forces on exterior walls. Lo est elevation of equipment servicing building is gas meter at north side of building. Signature Date 7 /j ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQU RED)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 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,crawlspace,or enclosure)is _ ❑feet ❑meters ❑above or [below the HAG. b)Top of bottom floor(including basement,crawispace,or enclosure)is _ ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Sectier A Items 8 and/or 9(see mes 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is _❑feet LI meters ❑above or U below the HAG. E3. Attached garage(top of slab)is ❑feet 0 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 properly 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's or Owner's Authorized Representative's Name Nellie Jaskewycz Address 3846 N.Bernard Street City Chicago State IL ZIP Code 60618 Signature Date Telephone Comments ❑Check 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. 01. ❑ 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. G3.1% The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued Z0oFg dB-1 l 14ov 10 , ?_oo% Ste'• t'. j ?..c\0 G7. This permit has been issued for: ❑ New Construction 'Substantial Improvement 08. Elevation of as-built lowest floor(including basement)of the building . ❑feet 0 meters(PR) Datum G9. BFE or(in Zone AO)depth of flooding at the building site ❑feet ❑meters(PR) Datum G10.Community's design flood elevation . ❑feet ❑meters(PR) Datum Local Official's Name Title ■ L za-se Zerk..3ls�t. A VIV si�%SKAnT4et, Community Name -1 QN Co V Telephone �`i.c,$ Z«_ c10-74e, Signature Date L-r `-B 13 SEAT 1 CO Comments ❑Check here if attachments FEMA Form 81-31,Mar 09 Replaces all previous editions