7725 LARIMER RD 2016-01-01 MF Import

( ( o.M.a. ra. aoe�-oon '� ELEVATION CERTIFICATE E�ir.sMay31,,�6 FEDE9AL EMERGENCY MANAGEMENT AGENCY �7ATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of ihis certificate doee not provide a waiver of ihe flood insurance purchase requtrement. Thfs form is used only to provide elevation inlormation nececsary to ensure compliance with applicable community tloodplain management ordinances, to determine the proper insurance premium rate, and/or to support 3 request lor a Letter ol Map Amendment or Revislon I! � NA or LOMR). Instruetions tor completing lhls form can be found on lhe 1ollowing pages. SECTION A PROPERTY INFORMATION BUILDING OWNER'S NAME Jeffrey A. Shank STFEET ADDRESS (Includinp Api., Unil.Suile �nd/or Bldp. Num6ar) OR P.O. ROUTE AND BO%NUMBER 777.5 Larimer Road FORINSURANCECOMPANVUSE POLICV' NUt.18'cq COMPANY NAIC NUMBER OTHER DESCRIPTION (lol and Block Num6en, etc.) i�portion of NE�, SE}, Section A, T28N, R5E, W.M. _ CITY ' . WAE `j�PBLUtl Everett SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFQRMATION Provide Ihe following from the oroper FIRM (See �nstructians): 1. COMlAI:NITV NUMBER 2. PANEL NUMBEH �, •3. SUFFI% �. �ATE OF FIRM INDE% 5. fIPM 20NE e. BASE FLOOD ELEVATION V 530169 0002 A ept. 5�1,390 AS `InAO�Z9.��7+%°�� 7. Indicate the eievalion dalum system used on the FIRM lor Base Flood Eievations (BFE): � NGVD'29 ❑ Other (describe on back) 8. For Zones A or V, where no BFE is providad on ihe FIRM, and the community has established a BFE tor this hullding site, indicate the communitys BFE: �.J.0 feet NGVD (or other FIRM datum—see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, Indicale ihs diagram number from the diagrams found on Pages 5 and 6 that besl describes the subject building's reference level � . 2(a). FIRM Zones At-A30, AE, AH, and A(with BFE). The top of the re(erence level Iloor Irom the selected diagram is at an elevation of �_�i2fi �.�3 feet NGVD (or other FIRM dalum—see SecNon B, Item 7). (b). FIRM Zones V1-V30, VE, and V(wilh BFE). The botlom of the lowest horizon�a! structural member ol the reference level lrom the selected diagram, is at an elevation of �iJ.0 taet NGVD (or olher FIRM datum—see Section B, Item 7). (c). FIRM Zone A(without BFE), The Iloor used as the r�ference level from Ihe salected diagram is W.0 leet above 0 or below ❑(check one� the highest grade adjacent to ihe building. (d�. FIRM Zone A0. The Iloor used as the relerence level Irom Ihe selected diagram is U.L1 feet above � or below [I (check one) the highest grade adjaceN to ihe building. II no Ilood depth number Is available, is ihe building's lowest floor (reforence level) elevated in accordance vvith the community's tloodplain management ordinance? 0 Yes � No ❑ Unknown 3. Indicate the elevation da�um system used In delermining the above reference level elevations: ❑ NGVD'29 � Other (dt+scribe under Comments on Page 2). (NOTE; If the elevafion datum used in measuring the elevations is diflerent than fhat used on the FIRM (see Section B, Item 7J, fhon convert the elevations to fhe datum system used on the FIRM and show the conversion equafion undar Comments on Page 2.) 4. Elevation relerence mark used appears on FIRM: ❑ Yes � No (See Instructions on Page 4) 5. The relerence level elevation is based on: ❑ actual construction � construction drawings (NOTE: Use ol construction drawings is only valid il the building does nof yet have the reference level lloorin place, in which case this certificate will only be valid for Ihe building during the course of consfrucfion. A posf•consfruction Elevation Certflicafe will be required once construcfion is comp/ete.) 6. The elevalion ol the lowest grade immediately adjacent to ihe building is: ��.0 .leel NGVD (or other FIRM datum•see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. It �he community official responsible for verilying building elevations specilies tha� the reference level indicated in Section C, Item 1 is not the "lowest floor" as delined in the comm�nity's tloodplain manaaement ordinance, the elevation ol the building's "lowest Iloor" as o�fined by thu ordinance is: ��.0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the stait �{ consiruclion or substential Improvemant _. FEMA Fcrm 81 •31, MAY 93 REPlACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CUtJTIM1AT10fd