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Home My WebLink AboutPermit Correspondence 2002-1-15 225 5th Street, Springfield, OR 177 Ph, 541,726-3623 Fax 541,726-3676 " City of Springfield Fax To: Allstate Insurance - Tiffany From: Don Moore Fax: 342-5483 Pages: /5 Phone: 341-4979 Date: 15 January 2002 Re: 2580 Hayden Br. Rd, CC: Basic Flood Elevation DUrgent DFor Review DPlease Comment DPlease Reply 0 Please Recycle . Comments: The City Surveyor has determined that the 100 yr. basic flood elevation (BFE) for the subject property is 454.5 ft. above mean sea level. The accompanying information will document that determination, The determination is based on the 1 999 Firm map, however, a review of the 1994 firm map confirmed the same base flood elevation for the property. A copy of the FEMA Elevation Certificate form is also included with instructions for completing the form. When completed, a copy of the Certificate shall be submitted to this office for our records. 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YOLANa.tt= -€-I&& q. w > NORTH -:;:; c:o CORRAL ' I I IL...> ,~ ,... ., ,..., '" ,II ,II 019-00 ~ .SEE MAP , , J . .~ ~cp \~ \Iob -1-. :::.-1: . 12- ~~ MW l'J)~ 4-I03~ Cl 1531-' J 0 NE:. "2., ) 9.9' " " ZONE X ~f=-E:. 454 . z:s t:.... T + 83 ) - 'lIetJ ~ '" r CANlEABUA, Y STREET "nl ....I""... . . FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE O.M.B. No. 3067-0077 Expires July 31,2002 ImDortant: Read the Instructions on Dages 1 .7. SECTION A. PROPERTY OWNER INFORMATION CITY STATE "F.OIliiSiiiiiiice'€iiffi-.iWSS3i~"""','""'. ~~.."".,...-"."c"'_''''''''''''''''''''~ ~ ~Pol, 1"".Numbe<~'~iIIIII' ,0 "~.,';:'..'.' .... :~: ."".... .~.. -, .,. ....'.,'.. "- '~'.. ,",,', '.....:...... :""..~ 'eo-.", "'".'NAl. ,C!,'NUrii. _" .".,~- , ~-llJI!!'.!)Yj!~"", . ~~.1;~':"'_:'t-_:'_. - - ZlPCODE . BUILDING OWNER'S NAME BUILDING STREET ADDRESS (Including Apl. Unit, Suita, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. PROPERTY DESCRIPTION (Lot and BIOd< NUmller.l, fax Pan:eI NUmller, LegaJ DBSalpllOn, etc.) BUILDING USI: (e.g.. ResI<lOlltial, NC<HOSl<let1tIaI, A<ldibon, PoJ::;cesstJry, ete. Usa a c:omments area, n ..._-'Y.) LA TITUDElLONGITUDE (OPTIONAL) ( #If. #If - ##M or ##.tI#II#If) HORIZONTAL DATUM: U NAD 1927 U NAD 1983 SOURCE: 1-1 GPS (Typer U USGS Quad Map U Olhar. SECTION B. FLOOD INSURANCE RATE_~ (FIRM) INFORMATION ,I B1. NFIP COMMUNItY NAME & COMMUNItY NUMBER I B2. COUNTY NAME '~ I 83. STATE I 84., MAP AND PANEL I ~ SUFFIX I' 86. FIRM INDEX B7. FIRM PANEL I 88. FLOOD I B9, BASE FLoooEi1,VATlON(S) NUMBER, CATE, EFFECTlVEJREVISEDCATE ZONE(S) , (ZcneAO,usadeptholflcodlng) , , Bl0. Indicate the source of the Base Flood El,evation (BFE) data or base flood depth entered In B9. l-I FIS Profile' l-I FIRM l-I Community Detennined 1-1 Other (Describe): ' Bll.lndicate the elevation datum used for the BFE In B9: l-I NGVD 1929 l-I NAVD 1988 l-IOther(Describe): B12. Is the buildin910cated in a Coastal Barrier Resources'System (CBRS) area or Otherwise Protected Area (OPA)? 1-1 Yes 1-1 No Designation Dale: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 1_IConstruction Drawings' l-IBulldlng Under Construction" 1_IFinished Construction' 'A new Elevation Certificate will be required when construction of the hullding is complete. C2. Building Diagram' Number _ (Select the building diagram most similar to the huilding for which this certificate is helng completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) , C3. Elevations -Zones Al-A30, AE. AH. A (with BFE), VE. Vl-V3O, V (with BFE), AR, ARiA, ARJAE. ARJA1-A30, ARJAH, ARJAO Complete Items C3.a-1 below according to the building diagram specified in Item C2. State the datum used. If the datum Is differant from , the datum used for the BFE in Section B, convert the datum to that used for the BFE.' Show fleld measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Eievation reference mark used Does the elevation relerence mark used appear on the FIRM? l-I Yes l-I No Q a) Top of bottom floor (Including basement or enclosure) ; _ fl(m) -: Q b) Top of next higher floor . _ ft.(m) ] . Q c) Bottom of lowest horizontal structural member r:v zones only) . ~ ft.(m) = ~ Q d) Attached garage (top of slab) . _ 1I.(m) ~ '!! Q e) Lowest elevation of maChinery and/or equipment W . servicing the building (Describe in a Comments area.) . --'- ft.(m) ~ i ' Q f) Lowest adjacent (finished) grade (LAG) . _ ft.(m) ~ 9 Q g) Highest adjacent (finished) grade (HAG) . _ ft.(m) 11 lIJ Q h) No. of pennanent openings (flood vents) within 1 fl ahove adjacent grade ~ Q I) Total area of ail pennanent openings (flood vents) In C3.h sq. In. (sq, cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor. engineer, or architect authorized hy law to certify elevation Infonnatlon. I certify that the Information in Sections A, 8, and C on this certificate represents my best efforts to interprat the data availeb/e. I understand that anv false statement mav be oun/shable bv fine or imorisonment under 18 U.S. Code. Section 1001. CERTIFIER'S NAME LICENSE NUMBER TITLE COMPANY NAME ADDRESS :SIGNA iURE: CflY STATE ZIP CODE DATI: TELEPHONE I=I=AAA I=nrm A1.:l1 ,lIn nn . .._- ...... ~F'~ R~I=R~F ~Inl= I=nR ~nNT1N1IATU1N RI=PI Ar.I=~ All PRr=vlnIIR I=nITlnN~ . . IEiiilli1Sijranc:8iCom---;tJse:~""! .....t"".......r....'....,.;__.........P.!..'1X~,_;~J _.!!:i'"""..~,_.-"'. .... ,y.;;;,..-" I" . '--clt" :. .., , ' ' _' lI'ili ZlPCOOE ~,j!;!AI~"%-~.-~... "'._'~ ~-r-i'<"'i1l'\I.lil'l.;"",,lll SECTION 0 . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (COt. TlNUED) . , Copy boih sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. COMMENTS IMPORTANT: In these spaces, copy tha corresponding Information from Section A. BUILDING STREET ADDRESS ~ncludlng Apt.. Unit, Suite, anc1lor Bldg. No.) OR P.O. ROUTE AND BOX NO. CITY STATE I-l Check here If attachments SECTION E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E 1. through E4. If the Elevation Cerlificate is Intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. ' E 1. Building Diagram Number --'-- (Select the building diagram most similar to the building for which this cerlificate Is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)' E2. The top of the hottom floor Oncludlng hasement or enclosure) of the hulldlng is LLI fl.(m) LLlln.(cm) LI ahove or LI beiow , (check one) the highest adjacent grade. (Use natural grade, If available.) . E3. For Building Diagrams 6-8 with' openings (see page 7), the next higher floor or elevated floor (elevation b) ot'the building Is I-:LI fl.(m) LLlln.(cm) above the highest adjacent grade. Complete Items C3.h and C3.1 on front offom.. E4. For 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 manaQement ordinance? 1.-1 Yes l...:...1 No 1_1 Unknown. The local official must ce.r1if\: this Information In Section G. SECTION F. PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owne(s authorized representative who completes Sections A, B, C (Items C3.h and C3,i only), and E for Zone A , (without a FEMA-issued or community-Issued BFE) or Zone AO must sign here. The statements In SecJJons A, S, C, and E ara correct to' the best of my know/edfle. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REP~ENlATIVcS NAME ADDRESS "SIGNA lURE CITY, SlATE LIP CODE DAIC: TELEPHONE: COMMENTS I_I 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 slgn,below. G 1. LI The Information In Section C was taken from other doCumentation that has been signed and embossed by a licensed surveyor, engineer, or architect who Is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. LI 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. LI The following information (Items G4-Gg) is provided for community floodplain management purposes. G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPUANCEIOCCUPANCY , 'ISSUED ' , G7. This permij has been Issued for: LI New Constroctlon LI Substantial Improvement Ga. Elevation of as-built lowest floor (including basement) of the hulldlng Is: 'G9. BFE or (In Zone AO) depth of flooding at the hulldlng sije is: . _ It(m) Datum: . _ fl.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME SIGNAlURE "COMMENTS TELEPHONE DATE I I Check here If attachments FI=MA Fnrm A1_":t1 .1111 nn RFPI 6.r;:~ All PRr::vanll~ FnITlnN~ . . IMPORTANT: In these spaces, copy the correspondIng Information from Section A. BUILDING STREET ADDRESS (Including Apt" Unit, Sulta, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. rft~ttt~~[~~9&$R~~1~_,~~~Ji~J' :rRoR9':;NLimber..~~':~'+;;:'"~:<~~~~ 'We,;"'n~~~~~~~..,,::=;-.-,;:~:r~ ;. ~""'~~~~~~~;,;~ ZJPCOOE ~~~4~~';t~~ .!!~~~~~'1~~~~,~~!ii SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy boih sides of this Elevation Certificate for (1) community officiai, (2) insurance agent/company. and (3) building owner. COMMENTS STATE CITY I-l Check here if attachments _ SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AD AND ZONE A (WITHOUT BFE) For Zorie AD and Zone A (without BFE), complete Items El, through E4. If the Elevation Certificate is Intended for use as supporting Information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number --'- (Select the huilding diagram most similar to the huilding for which this certificate is being completed- see pages 6 and 7. If no diagram accurately represents the building. provide a sketch or photograph.)' E2, The top of the hottom noor Oncluding hasement or enclosure) of the building Is 1-1-1 ft.(m) 1-1-lin.(cm) 1-1 above or 1-1 below (check one) the highest adjacent grade. (Use natural grade, if available,) , , 'E3. For Building Diagrams &-8 with openings (see page 7), the next higher noor or elevated noor (elevation b) of the huilding is ,. ~I'-:'I ft.(ml'L-1-lin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.1 on front of form. E4. For Zone AD only. If no nood depth numher Is available, Is the top olthe bottom noor elevated In accordance with the community's noodolain manaGement ordinance? 1;;-1 Yes 1..:..1 No I_I Unknown. The local official must certify this Information in Section G, SECTION F. PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owne~s authorized representative who completes Sections A. B, C (Items C3,h and C3.1 only), and E for Zone A , (without a FEMA-Issued or community-Issued BFE) or Zone AD must sign here. The statements in Sections A. B, C. and E are correct to' the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZEO REPRESENTATIVE'S NAME ADDRESS . ,SIGNATURE CITY STATE .l1PCODE DATE TELEPHONE COMMENTS I_I Check here If attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by law or ordinance to administer the community's noodplain management ordinance can complete Sections A, B, C (or E). and G of this Elevation Certificate. Complete the applicable Item(s) and slgn,below. G1.I_1 The Information in Section C was taken from other documentation that has been signed and embossed hya licensed surveyor, engineer, or architect who Is authorized by state or local law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 1-1 A community official completed Section E for a building located in Zone A (without a FEMA-Issued or community~ssued BFE) or Zone AD, ' G3.1_1 The following information (Items G4.G9) is provided for community noodplaln management purposes. G4, PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPLlANCE:JOCCUPANCY ,ISSUED ' G7. This permit has been Issued for. 1-1 New Construction 1-1 Substantial Improvement G8. Elevation or as-built lowest noor (Including basement) of the building is: G9. BFE or (in Zone AD) depth or nooding at the building site Is: LOCAl. OFFICIAL'S NAME ,_ ft.(m)Datum: . _ ft.(m) Datum: TIlLE COMMUNITY NAME SIGNA lURE TELEPHONE DATE COMMENTS '-_I Check here If attachments r=~MA I=nrm A1.:l.1 .1111 on RI=PI A(';:.~ All PRl=Vlnll~ ~nITlnl\J~ . " . " . . . FEDERAL EMERGENCY MANAGEMENT AGENCY . NATIONAL FLOOD INSURANCE PROGRAM ELEV A TION CERTIFICATE AND INSTRUCTIONS . . NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PAPERWORK REDUCTION ACT NOTICE Public reporting burden for the Elevation Certificate is estimated to average 2.25 hours per response. Burden means the time, effort, or financial resources expended by persons to generate, maintain, retain, disclose, or provide infonnation to the Federal Emergency Management Agency (FEMA). You are not required to respond to the collection of infonnation unless a valid OMB control number is displayed in the' upper right comer of each fonn. You may send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Infonnation Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (3067-0077). Do not send completed fonn(s) to the above address. To obtain or retain benefits under the National Flood Insurance Program (NFIP), you must respond to this collection of infonnation. ' PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation infonnation necessary to ensure compliance with community floodplain management ordinances, to detennine the proper insurance premium rate, and to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR-F). The Elevation Certificate is required in order to properly rate post-FIRM buildings, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), for flood insurarice ZonesAI-A30, AE, AH, A (with BFE), VE, VI-V30. V (with BFE), AR, ARIA, ARiAE, ARlAI-A30, ARiAH, and ARiAO. The Elevation Certificate is not required for pre-FIRM buildings unless the building is being rated under the optional post-FIRM flood insurance rules. ' As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt a floodplain management ordinance that specifies minimum requirements for reducing flood losses. One such requirement is that the community obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and, maintain a record of such infonnation. The Elevation Certificate provides a way for a community to comply with this requirement. , Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMNLOMR-F has been issued by FEMA. ,The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent ground elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMR-F request. This certificate is used only to certify building elevations. A separate certificate is required for flood proofing. Under the NFIP, non-residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed building is a building that has been designed and constructed to be watertight (substantially impenneable to floodwaters) below the BFE. Floodproofing of residential buildings is not pennitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non- residential buildings and residential flood proofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate is required. '-t . . INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by law to certify elevation infonnation when elevation infonnation is required for Zones AI-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR. ARiA, ARIAE, ARIAI-A30, ARIAH, or ARIAO. Community officials who are authorized by law or ordinance to provide floodplain management infonnation may also complete this fonn. For Zones AO and A (without BFE), a community official, a property owner, or an owner's representative may provide infonnation on this certificate, unless the elevations are , intended for use in supporting a LOMA or LOMR-F. Certified elevations must be included if the purpose of completing the Elevation Certificate is to obtain a LOMA or LOMR-F. In Puerto Rico only, elevations for building infonriation and flood hazard infonnation may be entered in meters. SECTION A - PROPERTY OWNER INFORMATION This section identifies the building, its location, and its owner. Enter the name(s) of the building owner{s), the building's complete street address, and the lot and block number. If the building's address is different from the owner's address, enter the address of the building being certified. If the address is a rural route or a Post Office box number, enter the lot and block numbers, the tax parcel number, the legal description, or an abbreviated location description based on distance and direction from a fixed point of reference. For the purposes of this certificate, "building" means both a building and a manufactured (mobile) , home. A map may be attached to this certificate to show the location of the building on the property. A tax map, FIRM, or detailed community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the b,uilding on the property. Include ayy.vy.:ate landmarks such as nearby roads, intersections, and bodies of water. For building use, indicate whether the building is residential, non'residential, an' addition to an existing residential or non-residential building, an accessory building (e.g., garage), or other type of structure. Use the Comments area of Section F if needed. If latitude and longitude data are available, enter them in degrees, minutes, and seconds, or in decimal degrees, taken at the center of the front pf the building. Enter arc seconds to two decimal places. Indicate the horizontal datum and the source of 'the measurement data (for example, taken with GPS, scaled from a USGS Quad Map, etc.). SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMA nON Complete the Elevation Certificate on the basis of the FIRM in effect at the time of the certification. The infonnation for Section B is obtained by reviewing the FIRM panel that includes the building's location. .Information about the current FIRM, and a pamphlettitled'''Guide to Flood Maps," are available from the Federal Emergency Management Agency (FEMA) website at http://www.fema.gov or by calling 1-800-427-4661., If a Letter of Map Amendment (LOMA) or Leiter of Map Revision (LOMR-F) has been issued by FEMA, please provide the letter date and case number in the Comments area. Item B1. NFlP Community Name & Community Number. Enter the complete name of the community in which the building is located and the associated 6-digit community number. For a building that is in an area that has been annexed by one community but is shown on another community's FIRM, enter the community name and 6-digit number of the annexing community, For a newly incorporated community, use the name and 6-digitnumber of the new community. Under the NFIP, a ;'community" is any State or area or pOlitical subdivision thereof, or any Indian tribe or authorized native organization. that has authority to adopt and enforce floodplain management regulations for the areas within its jurisdiction. To determine the current community number, see the NFlP Community Status Book, available on FEMA's website at http://www.fema.gov or by calling 1-800-427-4661. Item 82. County Name. Enter the name of the county or counties in which the community is located. For an unincorporated area ofa county, enter "unincorporated area." For an independent city, enter "independent city." Item 83. State. Enter the 2-leller state abbreviation (for ex~ple, VA, TX, CA). Instructions - Page I . . Item B4. Map and Panel Number. Enter the 10-digit number shown on the FIRM panel where the building or manufactured (mobile) home is located. The first sil> digits will not match the NFIP community number: I) when the sixth digit is a "C" in which case the FIRM panel is in a countywide format; or 2) when one community has annexed land from another community but the FIRM panel has not been updated to reflect this annexation. If the sixth digit is a "C," it is followed by a four-digit map number. For maps not in countywide format, enter the "community panel number" shown on the FIRM. ' Item B5. Suffix. Enter the suffix letter shown on the FIRM panel that includes the building's location. Item B6. FIRM Index Date. Enter the effective date or map revised date shown on the FIRM Index. Item B7. FIRM Panel Effective/Revised Date. Enter the map effective date or the map revised date shown on the FIRM panel. This will be the latest of all dates shown on the map. The current FIRM panel effective date can be determined by calling 1-800-427-4661. ' Item B8. Flood Zone(s). Enter the flood zone, or flood zones, in which the building is located. All flood zones containing the letter "A" or "V" are considered Special Flood Hazard Areas. The flood zones are A, AE, A1-A30, V, VE, VI-V30, AH. AO, AR, ARIA; AR/AE, AR/AI-A30, AR/AH, and ARlAO. Each flood zone is defined in the legend of the FIRM panel on which : it appears. Item B9. Base Flood Elevation(s). Using the appropriate Flood Insurance Study (FIS) Profile, Flood Elevation Table, or, FIRM panel, locate the property and enter the BFE (or base flood depth) of the building site. If the building is located in more than one flood zone in Item B8, list all appropriate BFEs in Item B9. BFEs are shown on a FIRM or FIS Profile for Zones A 1- A30, AE, AH, VI-V30, VE, AR, ARIA, AR/AE, ARlAI-A30,'ARlAH, and AR/AO; flood depth numbers are shown for Zone AO. Use the AR BFE if the building is located in any of Zones ARIA, ARlAE, ARlAI-A30, ARlAH, or ARlAO. In A or V zones where BFEs are not provided on the FIRM, the community may have established BFEs or obtained BFE data from other sources. For subdivisions and other developments of more than 50 lots or 5 acres, establishment of BFEs is required by the community's floodplain management ordinance. If the BFE is obtained from another source, enter the BFE in Item B9. Item BI0. Indicate the source of the BFE that you entered in Item B9. Item Bll. Indicate the elevation datum to which the elevations on the applicable FIRM are referenced. Item 812. Indicate whether the building is located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA). Federal flood insurance is prohibited in designated CBRS areas for buildings or manufactured (mobile) homes built or substantially improved after the date of the CBRS designation. An information sheet explaining CBRS areas may be obtained on FEMA's website at htlp:/lwww.fema.gov or by calling 1-800-427-4661. SECTION C - BUILDING ELEVATION INFORMATION (SlJIU u' REQUIRED) Complete Section C if the building is located in any of Zones AI-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE). AR, ARIA, AR/AE, ARlAI-A30, ARlAH, or ARlAO, or if this certificate is being used to support a LOMA or LOMR-F, If the building is located in Zone AO or Zone A (without BFE), complete Section E instead. Item' Cl. Indicate whether the elevations to be entered in this section are based on construction drawings, a building under construction, or finished construction. For either of the first two choices, a post-construction Elevation Certificate will be required when construction is complete. ItemC2. Select the diagram on pages 6 and 7 that best represents the building. Then enter the diagram number and use the diagram to identify and determine the appropriate elevations requested in Items C3a-g. If you are unsure of the correct diagram, select the diagram that most closely resembles the building being certified, or provide a sketch or photograph of the building and enter all elevations in Items C3a-g. ' Item C3. Indicate whether the elevation referencc mark (benchmark) used during the field survey is an elevation mark on the FIRM. If it is not, indicate thc source and datum for the elcvation. Vertical control benchmarks other than those shown on the FIRM are acceptable for elevation determinations. Show the conversion from the field survey datum used to the datum used for the BFE(s) entered in Item B9. All elcvations for thc certificate must be referenccd to the datum on which the BFE is Instructions - Page 2 c. . . based. Show the datum conversion, if applicable, in this section or in the Comments area of Section D. For property experiencing ground subsidence, the most recently adjusted reference mark elevations must be used for determining building elevations. Enter elevations in Items C3a-g to the nearest tenth of a foot (in Puerto Rico, nearest tenth of a meter). Items C3a-d. Enter the building elevations indicated by the selected building diagram (Item C2) in Items C3a-e. Elevation for top of attached garage slab (d) is self-explanatory and is not illustrated in the diagrams. If the building is located in a V zone on the FIRM, complete Item C3c. If the flood zone cannot be determined, enter elevations for all. of Items 'C3a-g. For buildings in A zones, elevations a, b, d, and e should be measured at the top of the floor. For buildings in V zones, elevation c must be measured at the bollom of the lowest horizontal structural member of the floor (see drawing below). If any item does not apply to the building, enter "N/A "for not applicable. A ZONES V ZONES BUILDING WITH BASEMENT ,fr.~ ,,' A ZONES o BUILDING ON PILES, I PIERS. OR COLUMNS A ZONES b-J V ZONES '--:=-- r-"":::=---:::;;: ( BUILDING ON SLAB .~,-, ~ ii 'V'i~ jJ V I o ~~~;"'r;~ ~~:~g~D~:;:. :"":',~,.':; ':~;:;; BASE FLOOD ELEVA nON ,',' . ~', . ," ~ ' ""'0' s ~ S ~ '~~~~T :...;....::::.' :::.;..... .......;........ Item C3e. Enter the lowest elevation of machinery or equipment in an attached garage, enclosure, or open utility platform that provides utility services for the' building. If the machinery or equipment is mounted to a wall, pile, etc., enter the platform ' elevation of the machinery andlor equipment. If this item does not apply to the building, enter _"N/A "for not applicab/e, , Items C3f-g. Adjacent grade is defined as the elevation of the ground, sidewalk, patio, or deck support immediately next to the building. Use the natural grade elevation, if available. This measurement must be to the nearest tenth of a foot if this certificate is being used to support a request for a LOMA or LOMR-F. Items C3b-i. Enter the number of permanent openings (flood vents)' in the walls supporting the building that are no higher than 1,0 foot above the adjacent grade. Determine the total area of all such openings in square inches (square cm, in Puerto Rico), and enter the total iri Item C3i. If the building has no permanent openings (flood vents) within 1.0 foot above adjacent grade, enter "0" (zero) for each ofItems C3h and C3i. SECTION D - SURVEYOR, ENGINEER, OR ARClDTECT CERTIFICA nON . Complete as indicated. This section of the Elevation Certificate may be signed by only a land surveyor, engineer, or architect who is authorized by law to certify elevation information. Place embossed seal and signature in the box next to elevations in Section C. A flat stamp is acceptable only in states that do not authorize use of an embossed seal over the signature of a professional. You are certifying that the information in Sections A, B, and C on this certificate represents your best efforts to interpret the data available and that you understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Use the Comments area 'of Section D, on the back of the certificate, to provide datum, elevation, or other relevant information not specified on the front. Insttuctions - Page 3 . . SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO & ZONE A (WITHOUT BFE) Complete Section E if the building is located in Zone AO or Zone A (without BFE). Otherwise, complete Section C instead. Item Ei. Select the diagram on pages 6 and 7 that best represents' the building; then enter the diagram number. If you are unsure of the correct diagram, select the diagram that most closely resembles the building, or provide a sketch or photograph.. Item E2. Enter the height in feet and inches (meters and centimeters, in Puerto Rico) of the top of the bottom floor (as indicated in the applicable diagram) above or below the highest adjacent grade (HAG). For post-FIRM buildings in Zone AO, the community's floodplain management ordinance requires ihat this value equal or exceed the base flood depth on the FIRM. Buildings in Zone A (without BFE) may qualify for a lower insurance rate if an engineered BFE is developed at the site. Item E3. For Building Diagrams 6-8 with "proper openings" (see page 7), enter the height in feet and inches (meters and centimeters, in Puerto Rico) of the next higher floor or elevated floor (as indicated in the applicable diagram) above the highest adjacent grade (HAG). Item E4. For those communities where this base flood depth is not available, the community will need to detennine whether the top of the bottom floor is elevated in accordance with the community's floodplain management ordinance. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFTCATION Complete as indicated. This section is provided for certification of measurements taken by a property owner or property owner's, representative when responding to Sections A, B, and E. The address entered in this section must be the actual' mailing address of the property owner or property owner's representative who provided the information on the certificate. SECTION G - COMMUNITY INFORMATION (OPTIONAL) Complete as indicated. The community 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. If the authorized community official completes Sections C, E, or G,complete the appropriate item(s) and sign this section. Check Item Gl if Section C is completed with elevation data from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by law to ceitify elevation information. Indicate the source of the elevation data and the date obtained in the Comments area of Section G. If you are both a community official and a licensed land surveyor, engineer, or architect authorized by law to certify elevation infonnation, and you perfonned the actual survey for a building in Zones Al-A30, AE, AH, A (with BFE), Vl-V30, V, AR, ARIA, ARlAl-A30, ARlAE, ARlAH, or ARlAO, you must also complete Section D. Check Item G2 if infonnation is entered in Section E by the community for a building in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. Check Item GJ if the infonnation in Items G4-G9 has been completed for community floodplain management purposes to document the as-built lowest floor elevation of the building. Section C of the Elevation Certificate records the elevation of various building components but does not detennine the lowest floor of the building or whether the building, as constructed, complies with the community's floodplain management ordinance. This must be done by the community. Items G4-G9 provide a way to document these detenninations. Item G4. Pennit Number. Enter the penn it number or other identifier to key the Elevation Certificate to the penn it issued for the building. Item G5.' Date Pennit Issued. Enter the date the penn it was issued for the building. Instructions - Page 4 . , I . . Item G6. Date Certificate of Co.:npliarice Issued. Enter the date thai the Certificate of Compliance or Occupancy or similar written official documentation of as-built lowest floor elevation was issued by the community as evidence that all work authorized by the floodplain development permit has been completed in accordance with the community's floodplain management laws or ordinances. Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement" means any , reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50' percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage, regardless of the actual repair work performed. Item G8. As-built lowest floor elevation. Enter the elevation of the lo~est floor (including basement) ~lien the construction of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum used. Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property and enter the BFE (or base flood depth) of the building site. Indicate the elevation datum used. Enter your name, title, and telephone number, and the name of the community. Sign and' enter the date in the appropriate blanks. . Instructions - Page' . . BUILDING DIAGRAMS The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram number in Item C2 and the elevations in Items C3a-C3g. ' In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for Section C). , , :(b) 8 NEXT HIGHER,:i GRAD;\ 3\E I FLOOR /." \ f~i~~~111~ti!lllifill DIAGRAM 1 All alab-on-grade alngle- and multiple-floor buildings (other than spllt~evel) and high-rise buildings, either detached or row type (e.g., townhouaes); wtth or without attached garage. ' Dlstlngullhlng Feature - The bottom ncor is at or above ground level (grade) on at least one side. . :\' a , GRADE ' , ~ NEXT HIGHER , FLOOR BOTTOM FLOOR :,',/.;:h;;~;-:-: . .""~ . DIAGRAM 3 All split-level buildings that are slab-on-grade, either detached or row type (e.g., townhouses); wtth or without attached garage. DlaUngullihlng Feature - The bottom ftoor (exdudinO garage) is at or above ground level (grade) on at leut one side .. ~ HIGHER FLOORS 00 (determined by existing grade) DIAGRAM 2 All single- end multiple-floor buildings wtth basement (other than spllt~evel) and high-rise buildings wtth baaement, either detached or row type (e.g., townhouses); with or wtthout attached garage. Distinguishing Featu,.. - The bottom "oor (basement or underground garage) Is bekM ground level (grade) on aU sides. Buildings constructed above crawl spaces that are betow grade on all sides snould also use this diagram.- NEXT HIGHER FLOOR o AI. . GRADE \ BOTTOM FLOOR (BASEMENT) 'i~~-i~~lti:~~~!t;I~~!11~;1~fJ)lij~~~~~"i~CL;;:,:;'~':: 00 (determined by existing grade) DIAGRAM 4 All spllt~evel buildings (other than slab-on-grade), either detached or row type (e.g., townhouses); wtth or wtthout attached garage. DlItIngullhlng Feature - The bottom "oor (basement or underground garage) is bekM ground level (grade) on all sides. Buildings constructed above cr8WIspaces that 8re below grade on all sides should also use this diagram. . HIGHER FLOORS f) NEXT HIGHER A FLOOR I I 00 (determined by existing grade) . A floor that is below ground level (grade) on all sides is considered a'basement even i.fthe floor is used for living purposes. or as an office. garage. workshop. etc. ' Instructions - Page 6 . " DIAGRAM 5 All buildings elevated on plel1l, posts, piles, columns, or parallel shear wailS. No obstructions IleJow the elevated floor. ' Dlstlngullhlng Feature - For aU zones, the area betow the elevated noor is open, with no obstruction to flow of ftood waters (open lattice work and/or readily removable insect screening is permissible). NEXT HIGHER FLOOR ~ , , ~' ~. GRADE '" ""'," '" ~ , jl\;t;~N);'~~"N;Z\&'%\@i~~~&%>>{;J':~~;A~i~i;.j:10i:;:,J;t; ffV';\ (determined by existing grade) c' ~ . (For V zones only) ELEVATED FLOOR DIAGRAM 7 All buildings elevated on full-elory foundation walls wlth a partially or fully enclosed area llelow the elevated floor. this Includes walkout levels, where at least one side Is at or above grade. The principal use of this building is located in the elevated flool1l of the building. Dlstlngulahlng F..ture - For ,11 zones, the area below the 8Mrted noar is endoaed. eitner partially or tully. In A Zones, the partially or tully enc:toled area below the elevated ftoor is with or without opening.- present in the walls of tI'le enclosure. Indicate information about openings in Section C, Building Elevation Information (Survey Required). 0. NEXT HIGHER ~ . '" n~ / ' '''',:::'. ;~. ;'; ;~, '.; ,", ," -'';'Co'-' . DIAGRAM 6 All buildings elevated on piel1l, posts, plies, columna, or parallsl ahear walls,with full or partial enclosure below the elevated floor. Dlstlngullhlng Feature - For all zones, the area below the elevated noar is enclosed, either partially or fully. In A ZOnes, U'le partially or fully endosed area below the elevated noor is with or without openings" present in the wails of the enclosure. Indicate infomlation about openin~ in Section C, Building Elevation Infonnation (Survey Required). , , , NEXT HIGHER FLOOR 'j) I{' ~ ELEVATED FLOOR OM" ~ ~ ~ ' , (~::~:i:. ;~:,~.~~..~..~~:;'~.'f:..;~.'~:;;~K~;Fi.:~?:;.i;l(i:~~" ffY';\ (determined by .., , , ~ existing grade) ENCLOSURE DIAGRAM 8 All buildings elevsted on a crawl space, with the floor of the crawl space at or above grade on at least one side. Dtatlngulahlng Feaiu,.. - For all zones, the area below the ftt'1t IIoor is endosed by solid or partial perimeter wall.. In all A zones, the crawl space is with or without openings" present in the wall, of the crawl space. Indate information about the openings in Section C, Building Elevation Information (Survey ~eqUired). ~ :8 NEXT HIGHER /- FLOOR / ~"~ p,_4 ';~;::,.:',. : :;:.:;:<:~;: :.:;..~;:::~ .:~ks;~~ '. ': .. An "opening" (flood vent) is defined as a pennanenl opening in a wall that allows for the free passage of water automatically in both directions without human intervention. Under the NFIP, a minimum of two openings is required for enclosures or crawl spaces with a total net area of not less than one square inch for every square foot of area enclosed. Each opening must be on different sides of the enclosed area. If a building has more than one enclosed area. each area must have openings on exterior walls to allow floodwater to directly enter. The bonom of .the openings must be no higher than one foot above the grade underneath the flood vents. Alternatively, you may submit a certification by a registered professional engineer or architect that the design will allow for the automatic equalization of hydrostatic flood forces on exterior walls. A window, a door, or a garage door is n~t considered an opening. Instructions - Page 7 01/16/02 WED 10:15 FAX 5417263689 CITY OF SPRINGFIELD @JOOl . ********************* *** TX REPORT *** ********************* . TRANSMISSION OK TX/RX NO CONNECTION TEL CONNECTION ID ST, TIME USAGE T PGS, SENT RESULT 2432 93425483 01116 10:09 06'06 15 OK '~0 ~ B \ 0'\CJo(1- \ '~ FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS