HomeMy WebLinkAboutElevation Certificate
e
-
e
~7
'I -
[
Land Surveyors
Planners
.?1L\
Valley Surveying Co., P. A.
-,
(612) 447-2570
Suite 120C
16670 Franklin Trail S.E.
Prior Lake, Minnesota 55372
November 14, 1997
McKnight & Associates, Inc.
14092 Commerce Avenue NE
Prior Lake, Mn. 55372
Re: Certification of lowest floor elevation at 14392 Rutgers Street NE
Prior Lake, Minnesota.
CERTIFICATION:
I hereby certify that on November 14, 1997, under my direct supervlslon we did
survey the lowest floor elevation of the slab on grade house at 14392 Rutgers
Street N.E., Prior Lake Minnesota.
I also hereby certify that the lowest living floor elevation (the slab on grade)
is at elevation 909.6 N.G.V.D. 1929 Adj. and that the existing ground elevations
adjacent to the building is at 909.2.
I also hereby certify that the Ordinary High Water Level of Prior Lake, has been
established at 904.0 N.G.V.D. 1929 Adj.
R:nald ~4~Yor -
Minnesota License No. 10183
file no. 8574
ELEVATION CERTIFICATE ~~';~~s'tJa~o;tfgtI
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate d::>9S not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
e
SECTION A PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME
/VI ~ IL /J I?) (,l r 6 .4-550 C Lcd.."..'? f r:,vCi-
STREET ADDRESS (Including Apt., Unit, Suite andlor Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
r/4312- 2ui: q t';,l,S -::;,e<'L'- r N. E-
-.
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
POLICY NUMBER
COMPANY NAIC NUMBER
CITY 7) . STATE
r 2. \ 0 (2.. L.c~ \Lp , l,\/IIL? \
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ZIP CODE
55372-
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
270 432 6ro 5 BOn) /" Q"1Il}~1 Scdl Z1, I ~rl~ 4 - 7
f" -.
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): IZ1 NGVD '29 D Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I I 1<1IOigl. t:lJ feet NGVD (or other FIRM datum-see Section B, Item 7).
'7CJ'7, 0
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level -1- .
e 2(a). FIRM Zones A 1-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I I IJIOlql.~ teet NGVD (or other FIRM datum-see Section B, Item 7).
(b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I I I I I.U feet NGVD (or other FIRM datum-see Section B, Item 7).
(c), FIRM Zone A (without BFE). The floor used as the reference level trom the selected diagram is I 1 I. U feet above D or
below D (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I I I.U feet above D or below D (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? DYes D No D Unknown
3. Indicate the eievation datum system used in determining the above reference level elevations: ~ NGVD '29 0 Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: D Yes ~ No (See Instructions on Page 4)
5. The reference level elevation is based on: 2Q actual construction 0 construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: I 111061. ~ feet NGVD (or other FIRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
_ is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
- floor" as defined by the ordinance is: I I I I 1 I.U feet NGVD (or other FIRM datum-see Section B, Item 7),
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90
REPLACES ALL PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
'.. ..
SECTION E CERTIFICATION
e
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or cDmmunity issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify that the information in Sections Band C on this certificate represents my best efforts to interpret the data available.
f UJ:::;htT f4.s'a's:;~:;;:/~ fine or imp';S;;;:~8 U.S. Code, Section lOot.
C2;IER'S ~E LICENSE NUMBER (or Affix Seal)
'f//y 5:CA tC-U e'1 t1 n (/c-r / /~ c:-..... ~; A e- / / r"-'7 1/""'1'-
TITLE ( COMPANY tb..ME _. { -
(!rY- J
p./J
ADDRESS ~
~6' lecII.'U~~1 'Ie 5E-
SIGN to /" /'// ../
~.....#~~ ~ A A ~~....-...
- - . v
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
T5~/; /2., (j'-f Ii.? ' 4!J'u .
, DATE
//-/41 -7" 7
STATE
ZIP
55372-
4i-~/7-Z.57D
PHONE
?12
COMMENTS: & I 1/h",' :;
OQJ,( JS.:1:::d J L ~/ (..L!',. 0
~11/tJ.~ i
.kUVtl/C&!-I//(.~ av& /-Uc7P1,../
I
e
ON
SLAB
WITH
BASEMENT
ON PILES,
PIERS, OR COLUMNS
A
ZONES
V
ZONES
A
ltrZONES .
~~~ BASE
i FLOOD
. . . ELEVATION
\ :il:: !
~~t~
ADJACENT :( :~;~ C REFERENCE I
GRAOE . ". ~,~~ LEVEL
L~!i.;;~t4'
A V
ZONES ZO:!ES
I REFERENce ~ "
LEVEL..rtr f- -----::31 REFERENCE I
I~ ~ LEVEL
~~I ~
~~' ~
~\ ~
1,~rl~~]I!I.k~'j
BkE
FLOOD
ELEVATION
I REFL~:~~CE ~
f~~
L~ ,
;''''''",",'"'''.i,:')~t/~'.
;r"";'"""rZi~::\'2-i;J8
BASE
FLOOD
ELEV A liON
I REFERENCE I ADJACENT
LEVEL GRADE
e
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
,- '. .'.~ .,.-..-""....:r.~-~...,..~,..,