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HomeMy WebLinkAbout1409 Oregon StU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 Natiorid, Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A — PROPERTY INFORMATION FOR 1NSUkIANCE COMPANY USE Al. Building Owner's Name Bayway Homes Policy Number— A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAICNumb&. 1409 OREGON City LA PORTE State TX ZIP Code 77571 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 1 of the Replat of Sylvan Beach 1 st Addition A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 29°38'52.4"N Long. 95°00'59.2"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage WA sq it b) Number of permanent flood openings in the crawispace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade WA c) Total net area of flood openings in A8.b WA sq in c) Total net area of flood openings In A9.b WA sq In d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State CITY OF LA PORTE 485487 HARRIS TX 89. Base Flood Elevation(s) (Zone AO, use base flood depth) 13.0 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: N/A B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 198E ❑ Other/Source: WA B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: N/A ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl, Building elevations are based on: ❑ Construction Drawings' ® Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al-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-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: RM: 060020 = 12.97' Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 O Other/Source: NONE Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 14.8 ® feet ❑ meters N/A ® feet ❑ meters WA ® feet ❑ meters WA ® feet ❑ meters WA ® feet ❑ meters 11.9 ® feet ❑ meters 13.5 ® feet ❑ meters N/A ® feet ❑ meters 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 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here If comments are provided on back of form. Were latitude and longitude In Section A provided by a ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No Certifiers Name ROBERT D. ELLIS License Number 4006 Title REGISTERED PROFESSIONAL LAND SURVEYOR Company Name ELLIS SURVEYING SERVICES, LLC Address 2805 25T" A City TEXAS CITY State TX ZIP Code 77590 Sign Date 1/13/2016 Telephone 409-938-8700 :Z OE TE ,`� , ;• �c�T E R F'o ..•S /� :4Z �>0 SV�y' FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. IMPORTANT: In these spaces, copy the corresponding information from Section A. I FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Policy Number, 1409 OREGON City LA PORTE State TX ZIP Code 77571 I Company NAIC 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 BUILDING UNDER CONSTRUCTION Signature Date 1/13/2016 CTION 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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 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 ❑ feel ❑ 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 Iloodplain 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, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code 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- G10. In Puerto Rico only, enter meters. 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—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 086-0-33 (7/12) Replaces all previous editions. U.S DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance OMB No. 1660-0008 Expiratio Date: Noveember 30, 2018 EI V E JUL 2 1-2016 SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: ELOISE AND JAMES ALTHOFF A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) Or P.O. Route and Company NAIC Number Box No. 1409 OREGON City State ZIP Code LA PORTE TX 77571 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 1 of the Replat of Sylvan Beach 1st Addition A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat: 29'38'52.4"N Long. 95°00'59.2"W Horizontal Datum:❑ NAD 1927 Z NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq. ft. b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b. N/A sq. in d) Engineered flood openings? ❑ Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage 400 sq. ft. b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq. in d) Engineered flood openings? ❑ Yes Z No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State CITY OF LA PORTE 485487 HARRIS TX B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base L Revised Date Flood Depth) 48201 CO945 06/18/2007 AE 06/18/2007 13.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile Z FIRM ❑ Community Determined ❑ Other/Source: N/A B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 Z Other/Source: NAVD 1988 W/2001 ADJ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Z No Designation Date: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Pagel of 6 ELEVATION CERTIFICATE C jv t.: VMB No. Expiration 1660-0008 Date: November 30, 2018 IMPORTANT: 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. Rcule and Box No. Policy Number: 1409 OREGON City State ZIP Code Company NAIC Number LA PORTE TX 77571 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations — Zones Al—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—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: RM: 060020 = 12,97' Vertical Datum: NAVD 1988 W/2001 ADJ Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑ NAVD 1988 ® Other/Source: VD 1 AD Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawispace, or enclosure floor) 14.8 N feet [:J meters b) Top of the next higher floor N/A N feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A Z feet O meters d) Attached garage (top of slab) 14.3 N feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N feet ❑ meters (Describe type of equipment and location in Comments) 13.8 f) Lowest adjacent (finished) grade next to building (LAG) 13.7 N feet O meters g) Highest adjacent (finished) grade next to building (HAG) 14.6 N feet O meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N feet O meters structural support 13.7 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. ! certify that the Information on this Certificate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by fine or imprisonment under i8 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? NYes O No ❑Check here if attachments. Certifier's Name License Number ROBERT D. ELLIS 4006 OF F Title REGISISTERED PROFESSIONAL LAND SURVEYOR �c : •�g1Eq••�y r.�Q��' Fo'••T co. ,, • •'"" Company Name ELLIS SURVEYING SERVICES, LLC AogERT .....LEIS .•A 4006 aP?Q Address 2805 251^ AVE N ' • 9OFFSS" .•AO 9ti0 City State ZIP Code TX 77590 TEXAS CITY� z�5 I/ Signatur Date Telephone 07/18/2016 (409) 938 - 8700 C y ail pages of thl Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) ELEVATION OF LOWEST MACHINERY SHOWN IS OUTSIDE A/C UNIT FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) Or P.O. Route and Box No. Policy Number: 1409 OREGON City State ZIP Code Company NAIC Number LA PORTE TX 77571 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 El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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 Z feet ❑ meters ❑above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is Z feet ❑ meters ❑above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is Z feet ❑ meters ❑above or ❑ below the HAG. E3. Attached garage (top of slab) is Z feet ❑ 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 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, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Ece-I've JUL 2 1 2016 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: 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: 1409 OREGON City State ZIP Code Company NAIC Number LA PORTE TX 77571 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-G10. In Puerto Rico only, enter meters. 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-G10) is provided for community flood plain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) �G ❑Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE-- 4� No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ) ;.E ration Date: July 31, 2015 x Important: Read the instructions o pN ges' 1=9 i, i. SECTION A - PROPERTY INFORMATION FOFLINSURANCE`COMPANYUSE Al. Building Owner's Name Bayway Homes otigy Number.- A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg, No:) or P.O. Route and Box No. Company NAICsNumber. 306 Willow Ave City LA PORTE State TX ZIP Code 77571 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 1 of the Replat of Sylvan Beach 1st Addition A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 29°38'52.4"N Long. 95000'59.2"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) WA sq It a) Square footage of attached garage WA sq it b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosures within 1.0 foot above adjacent grade, �, /� �j � �j 11oot above adjacent grade NIA c) Total net area of flood openings in A8.b g VITa/A' ' ' png��n i T tnnrea of flood openings in A9.b WA sq in d) Engineered flood openings? ❑ Yes ® No W 2 I l C 4 h a l l hP rcOh Mope -ed flood openings? ❑ Yes ® No SECTION B - FLOOQ MVRAVF PrATAf L%FAFTWLtf)IFORMATION B1. NFIP Community Name & Community Number RRIS If f qe: l q 4 i' : I B3. State IA l CITY OF LA PORTE 48201C "" �r ���f! � � � � ?' 4 TX ` 134. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Effective/Revised Date Zone(s) AO, use base flood depth) 48201C 0945 L 06/18/2007 06/18/2007 AE 13.0 810. Indicate the source of the Base Rood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: WA B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: WA B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: NIA ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, Vi-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified In Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: RM: 060020=12.97' Vertical Datum: NAVD 1988(/- Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 192"14� 988 ❑ Other/Source: NONE Datum used for building elevations must be the same as that used for the BFE. - - i Check the measurement used. a) Top of bottom ftooT-0ncluding base�rr�err w�$posure floor) b) Top of the ne4t hi1*rlflboE) j p p 1 D " � c) Bottom of the lowest hpr4i�°gt�1. t ii9l Jqi**i s only) d) Attached garage (topjOf $tdby ' " t Ti l� ����/ [) e) Lowest elevation of ippty'pr� (J r"1I ;"id the building (Describe type of eq ipment and lgpationlaCorflments)- f) Lowest adjacent (ffrr e_d_) 6 de next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support p r 4 �)' ® feet ❑ meters WA ® feet ❑ meters N/A ® feet ❑ meters WA ® feet ❑ meters WA ® feet ❑ meters 11.9 ® feet ❑ meters 12.0 ® feet ❑ meters WA ® feet ❑ meters 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 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. OF T E X t S ® Check here it comments are provided on back of forth. Were latitude and longitude in Section A provided by a `�.��5i ER Ep ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No Certifier's Name ROBERT D. ELLIS License Number 4006 it Title REGISTERED PROFESSIONAL LAND SURVEYOR Company Name ELLIS SURVEYING SERVICES, LLC t� Address 2805 25T" AVE N City TEXAS CITY State TX ZIP Code 77590 Signature Date 10/06/2015 Telephone 409 938 8700 �qIV SVPJD/ FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE Page 2 IMPORTANT: 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; 306 Willow Ave City LA PORTE State TX ZIP Code 77571 Company NAIC 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 C2A ELEVATION BASED ON ONE FT Date 10/06/2015 '-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 Et -ES. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Ei-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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, crawlspac�e, or enclosure) J ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanentpp twr+uu 1t�rS>s d and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the bult rng is-- f�e ❑ above or ❑ below the HAG. biE3. Attached garage (top of slab) is _ I II.�9 R�9t 1 UJII s a below the HAG. E4. Top of platform of machinery and/or equipme t seerrviccing thaet i!c(iQg,ig� L, e, feet ❑meters El above or ❑below the HAG. E5. Zone AO only: If no flood depth number is e,�s�{ iAitl�i c� l5i f oor a evated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. rff l M0?dn ce,111S JFtG) ir(1r)nation 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, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. SECTION G -COMMUNITY INFORMATION (OPT It) The local official who is authorized by law or ordinance to administer the community's floodplain manageroemb complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable 0em(s) and sign below. Check the measurement 1 10. In Puerto Rico only, enter meters. 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-Sectioa E oor atuffdlhg foceted In Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following informatioA(I"�,ITC itI**e(d or munity floodplain management purposes. G4. Permit Number .12's- 1ttvio"V11 G6. Date Certificate Of Compliance/Occupancy Issued FAST- LK G7. This permit has been i;nrp d.W-1 t c son b Substantial Improvement G8. Elevation of as -built lowest _fJ=#nck ding-baSeCen[) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments E C-E W ❑Check here if attachments. f 7ti1~ FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008 See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1409 OREGON City State ZIP Code Company NAIC Number LA PORTE TX 77571 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FRONT VIEW `S 3R t ee'i•, 1 F w ��y x r FEMA Form 086-0-33 (7/15) Replaces all previous editions. ` �� Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTANT: 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: 1409 OREGON City State ZIP Code Company NAIC Number LA PORTE TX 77571 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. REAR VIEW �p R6/f�jjN0F R s s 6 ter" �� 6 So 1 F N F FNp ,\� (GyP Hp �PfD OO PtD /q fSAr/. (R. ,i`� h0• ?•tJ O <c/ w 0 6• tOT � .h � � J= 02 •• y 7 h tvC9� 2FNp ( / o 00 PPp ! q 5.0 9 V EH£ h T H h0 'vim 26.0 v S 6 t OT Jr� h 50, ? $v o• 6gS• S• / �• ) / J / _ FNp GPPfp O Z7 �o @(4)c CO C/,yf.f F Fp fiN� r S 5.0' SZ / H tOT r`� p S0• 0 66 S0 0 • 00 � 4H f 3g •h / ' N@ <pT > 40p �0• � h 6 FNp �N GPPEp /q (aT s SO, p. CaT 9 SOa Qp0• PURCHASER: Eloise Althoff and James Martin Althoff PROPERTY ADDRESS: 1409 Oregon Avenue La Porte, Texas Lot One (1). of the Replat of Lots 1 thru 6, Block 14, of Sylvan Beach, First Addition, a subdivision in Harris County, Texas, according to the map or plat thereof recorded under Film Code No. 675823, of the Map Records of Harris County, Texas. Basis of Bearing: Grid North, Texas State Plane Coordinate System NAD83, Texas South Central Zone. I, the undersigned, a Registered Professional Land Surveyor of the State of Texas, do hereby certify that this survey was made on the ground of the property legally described hereon and is true and correct to the best of my knowledge and belief. NOTE: Surveyor has made search for easements, encumbrances, restrictive covenants, zoning ordinances, building codes, ownership title evidence, Robert D. Ellis, R.P. L.S. mineral owner rights, or mineral interest rights that may affect this property. Tx. Reg. No. 4006 OF TF Date: 07-18-16 LLLIS ,`P:rEgFo _�9 Scale: 1" = 30' SURVEYING SERVICESrij; N Texas American Title File No. 7210-16-1265 ROBERT D. ELLIS 8419 Emmett F. Lowry Expwy. ', q 4006 Texas City, TX 77590 9,y O! es .... Lo Tel: (409) 938-8700 Fax (866) 678-7685 S U o�` Texas Firm Reg. No. 100340-00 J4v , CO Q- o°' ov 2 C'PpFO 5.0' SO 0 4or ;' O ho� \uU o� F °0' OpF� N \� 10. S � 2 '2� \ S° 0? •.� zor 3 F m� \ s• e e�0� U N �D� NF C7 \ vNf so0 h h 4Or Vr kDo s 9� VNf N VNf �2 704• Or ' S ZI f / <OT 9 -k0 FHD�L PROPERTY ADDRESS: 1409 Oregon Avenue La Porte, Texas Lot 1 of the Replat of Lots 1 thru 6, Block 14, of Sylvan Beach, First Addition, a subdivision in Harris County, Texas, according to the map or plat thereof recorded in Volume 675, Page 823, of the Map Records of Harris County, Texas. Basis of Bearing: Grid North, Texas State Plane Coordinate System NAD83, Texas South Central Zone. I, the undersigned, a Registered Professional Land Surveyor of the State of Texas, do hereby certify that this survey was made on the ground of the property legally described hereon and is true and correct to the best of my knowledge and belief. ' NOTE: Surveyor has made no search for easements, encumbrances, restrictive covenants, zoning ordinances, building codes, ownership title evidence, Robert D. Ellis, R.P.L.S. mineral owner rights, or mineral interest rights that may affect this property. Tx. Reg. No. 4006 0 F T Date: 01-13-15 ,gyp ,_4�i'srF;p;,_• -f_ City of La Porte . 1W Phone: 281.470.5073 604'vV. rair;nont Pkwy� Planning & Development Department Fax: 281.470.5005 Porte,''X77571 FLOOD PLAIN DEVELOPMENT PERMIT APPLICATION www•laportetx.gov 1. PROPERTY OWNER CONTACT INFORMATION: OWNER NAME: Pajyy ay W I —S. I n PHONE 1: Z—Qu f Lo J 2-42G x IZ PHONE 2: FAX #: 2 ) (A ' A(y 2- E-MAIL: (�{WIf�/G II/UG�I i IC�YVIQ�_ Ldm PO �30)G �_44 fzriif'l.d;w/ J, -rK 7-754to MAILING ADDRESS: I 2. AGENT/CONTRACTOR REPRESENTING PROPERTY OWNER (If Applicable): AGENT NAME: PHONE 1: PHONE 2: FAX #: A - r E' E-MAIL: U cop)�MAILING ADDRESS: 3. PROPERTY DESCRIPTION: `' PARCEL NO(s) (13-digit HCAD Tax ID #): � Z �Zo 14 0CC) SUBJECT PROPERTY ADDRESS (If existing): 3 0LO Y V i t l Dw T I V V 4; ! E nyf SUBJECT PROPERTY LEGAL DESCRIPTION 4. PROJECT DESCRIPTION (Check Applicable): ® RESIDENTIAL ® NON-RESIDENTIAL ® BUILDING ADDITION ® ACCESSORY STRUCTURE ® FILL DIRT / 8 3a 9 2e; 9409 �`��"' AUTHORIZED SIGNATURE ( .��lI�LW`S Jk,04WS' DATE: 1h S. APPLICATION CHECKLIST & SUPPORTING DOCUMENTATION: Ef"COMPLETE ITEMS 1 THRU 4 OF APPLICATION SUBMIT SUPPORTING DOCUMENTATION (AS REQUIRED) REFER TO "CONDITIONS OF PERMIT" ATTACHED (STAFF USE ONLY): DATE RECEIVED: d RECEIVED BY: �/ /�� o, c f l �/ Z PERMIT NUMBER: The subject property is located within: ® 100-Year Flood Plain ® Coastal High -Hazard Area in Flood Zone The Base Flood Elevation (BFE)�of the subject property is feet above mean sea level VD 1988, 2001 ADJ.) fl((NA PERMITAPPROVEDBy-' DATE: :.ONDITIONS OF FLOOD PLAIN DEVELOPMENT PERMIT NO. - Note: Checked box(es) below Indicate Applicable Permit Conditions: *n*" The above -described residential structure in an "AE" Flood Zone shall have its first floor constructed at least one (1) foot above the Base Flood Elevation (BFE) as indicated above. The Finished Floor Elevation (FFE) must be constructed at or above -`/ feet (mean sea level, based on the NAVD 1988, 2001 Adjustment). ❑ The above -described non-residential structure in an "AE" Flood Zone shall have its first floor constructed at or above (or Flood- proofed below) the BFE. FEMA Form 81-31 (Elevation Certificate) shall be completed and submitted if the structure is to be flood -proofed. ❑ The above -described residential or non-residential structure (located in a "VE" Flood Zone) shall have the bottom of its lowest horizontal member located at least one (1) foot above the BFE and breakaway walls shall be constructed below that level. /All structures must be situated as shown on the approved Site Plan and constructed as designed in the approved building plans so as to minimize potential flood damage. Submit FEMA Form 81-31 (Elevation Certificate) upon completion of construction. Water supply and sanitary sewage collection systems must be constructed as d approved plans to prevent intrusion of or contamination to flood waters. ❑ The above -described mobile home shall have its first floor situated at or above the BFE. Submit completed FEMA Form 81-31 (Elevation Certificate) after mobile home has been placed. ❑ This permit is approved for the above -named mobile home situated only at the existing Mobile Home Park listed below: ❑ Special Permit Condition(s): Notice to Applicant: .GPI OCT 13 2015 Proposed updates to FEMA's Flood Insurance Rate Map (FIRM) may affect your property. It is the City's desire to provide you with sufficient notification prior to the formal adoption of these updates to allow you the opportunity to plan, design and construct improvements accordingly. Applicants are encouraged to review FEMA's "Preliminary" FIRMs as they relate to their specific property. The FIRMs are posted on the Planning & Development Department's website at: La Porte Website - Ma