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HomeMy WebLinkAboutBLD2019-00614 Garage Elevation Cert ADV2019-00070 - BLD Application - 5/30/2019 Qo++ cuiy MASON COUNTY COMMUNITY SERVICES Permit No: i�jd'�f(� !(� �4 TF PERMIT ASSISTANCE CENTER: ' > •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax.(360)427-T798 Phone Beltair.(360)275.4467•Phone Elma:(360)482-5269SUIL !t'1 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: •.Q NAME: t 1 A E�,, w� .&( J o LA- NAME: � f MAILIN AIQDRESS: a_�Zf. MAILING ADDRESS: CITY:_yeti o l STATE: _ ZIP: CITY: STATE: ZIP: PHONE#1:Z 0 C.- O L PHONE: CELL: PHONE#2: EMAIL EMAIL: <rl LA— r^ 4 t,CC,COK L&I REG# EXP. PRIMARY CONT CT: _ OWNER CONTRACTOR❑ OTHER❑ /� NAME. t - w EMAI ti- r- f _ MAILING ADDRESS d 1^ CITY k STATE ZIP PHONE CELL CZ L - PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING LEGAL DESCRIPTION(Abbreviated) t to N Y DISTRICT( SITE ADDRESS ,S SS C) AI U S. H J (b( 'CITY /{d O t1 S t0 O r t DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO[% IS PROPERTY ITHIN 200 FT OF THE FOLLOWING: (Checkall ihatapply): SALTWATER I,LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWi ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Connnercia/Bldg,Ere.) a f IS USE: PRIMARY❑ SEASONAL 4 NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pan[sjq/BIdg1❑ N4 DESCRIBE WORK I r..J SQUARE FOOTAGE:(propose+existing) ~ I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE�U sq.ft. Attached❑ Detached CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEW ElEXISTING[IPLUMBING IN STRUCTURE? YES L^J( NO Ifyes,attach completed Water Adequacy Form PERIMETERNOUNDATION D INS PROPOSED? YES❑ NO� EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null 8 void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) ( 3 17 � � X \. a _. Signature of O R(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 'L PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH PLANNING: RECEIVED ALL SETBACKS ARE MEASURED MAY 3 0 2019 FROM THE FURTHEST PROJECTI OF THE BUILDING 615 W Alder Street r 7 ilU� .r 5LO -I k7 410 , i -AW � � I 1: i �e p TOPOGRAPHY PR{ ! MA30N COUNTY DCD PLANNING MAY 3 0 2-j'19 SITE PLAN REQUIRED TO BE ON SITE l7vtti t3 d ^`7��O r g�p7SUBJEICTTO APP FOV4L sew 615 W. Alder Street By Date ! ' Direction: Scale Approval:forotttce use Building Permit number: 'Building: Planning: Owner/Applicant Date of application: Env. Health: Parcel Number: Q I I i511 ,a 1p tea.. 51!�214 Jfi DALE L.TA A f LiCENS;-rn i?ESiGNER EXPIRES: APPROVED AUG 12 2019 a.r GC, Coum LWIRo M"Mrn ENVIRONMENTAL RECEIVED HEALTH MAY 3 0 2019 615 W Alder Street • ! i 3 n L F } s TOPOGRAPHY PROFILE: FLA T MAY 3 Q 2019 615 W.Alder Street Direction: Scale: "F= -`,..> Approval:forofrce use Building Permit number: Building: Planning: + Owner/Applicant: t t� V�L1 'Date of `�� application: Env.Health: Parcel Number: ► BUILDINGl31� 2vlq -OG(o/ Name„ ic1 ��I,uFJ+cx� Parcel# 'Zy )�Z ( CJO BLD# P. Mason County r V�f: Department of Community Development MAY 30 Small Parcel Stormwater Management Application/Worksheet ( 1 of 2) ?019 er Street Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area * All dimensions in feet Buildings X X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- descri p petty for iew and ins ection as may be required. q 2 X Owner/Agent/Contractor(circle one)Date: If the Total Impe ' s Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. • *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone:(360)-427-9670 EXT.450 Mail:P 0 Box 1850,Shelton WA 98584 Physical:415 N 6th St,Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel. You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone:(360)-427-9670 EXT. 352 Mail:P 0 Box 1666,Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 ... m D Pircra� �dinc�rth cam() 1te; r_ RECEIVED Highway tol from Shelton d 16 miles to"Glen Ayre"Recreational Vehicle MAY 3 0 2019 Park on the left side of Hwy 101.Ttw access driveway f ."... to the Emmerton property is just past the park on w � 5 W. Alder the water side of I Iighway 101. Site's address z �- street is displayed. � - A Plan Set Index; tit 1;Site Vicinity Map& Drawing Index 2;Neightxvhmd Existing Features twtrw+at 3;Existing Site Feature-, 4.Property Plan& Pmfile Views Profile Viewed from the South f; Bulkhead fain Deflection trap L. ; Bulkhead Crack Repair-'peat r sub as.r Eimmerton Project Location: Long.;-123°07 8 W � -123.13(P 1V Lat.; 47*2Y 19' N y � ,E 47.4220 N NOME a-«�Uk iK.eAe ��� `�`,�r_ 1iTRxP �r.♦�k",{f Now vemw m&on awk- At'PLWAW- POW'D; Resin Out&scW Ti HJA ENGINEEMIG hw SCA1 T I"- Rr f !&rt W1**Wp oo lour of flit Oavid&Bwbara I'mmwton crwk-i" Ord A t I ip PO Aclttt 235 DAIM NAVD$9 LOCATION ADMS& dcltecti m rap to t+uT o t tt#ttosd. HoodWort WA 9850 ALOACENT O 151%N US f 1v,,�." 101 ( )$7`7-9St2 AH A rtSUMS C X' (t)4220 1 2-tlitT7 ditch,feisc t IN: I food CmW {2)42"1-52 4 mitts.WkIlum MAIUNG ADDRM. AT t`mat ficad,`1 6&NO i tt 'At c+n R) tax W : 1 t t t ATI : L A _., N�watt,Ctx Pad f4ttt..: �1-#2-G ? tt ttttgct. A Wig tf #)sA'I'"ft V24. 19 SHMP. 1 of .7._.r _ _ _ ... 1 F� ` J p t± � pp ,{ ROM) CANAL 1 00 X 14 VA OAT R PUIM tSE;Seal ovrttcal crack on Butk- APPLWANT: !'( : Rfwn axrt A Ott xcrtwsl TAHJA FNGPVEERJWG 1w GA2 F, p"-. 50 HoW&tw,tall dnp cJgc to trip of Mt Davit&& Bartion E.mmonon taN*in bowwad&j"Mwl drip PO Box 23 DA't'�} :NAVD 9K LOCA 40 to tope of hutkitt f fl WA O tea �r �_ OWNER'. 25550 N ITS liwt 101 All€IisttGatrr is are a�{xe«xrm e AM (t)4 p-S2-�lX17 t wit Donn Hwd W A-99 t 1K pion(' � �3dp)}1�7�-S� 12 (2)422014240004 ttutio,William M tt ttrita ADDRM,, AT CwW Hesch'tracts k&tWJ 5 P() Box 582 COMM M W STATE WA M�4C4 ftd : 42 I- tic"m, WA 9*059 DATA SCV19 $lTRET: 2 of 7 j § {j HOW 63.611 Deck 16A 6 CANAL i t qfa � t "tom Bulkhead - 131 c 62 AN 35' 11 5 Iw Net 1 . I WA tom» Pl.1""U.'IwQ acmcat &*on bulk- APP'T.W- TT, T'AMA ENGMM TCi SCALE*V-219 tleaai&kmait dnT+e!ge to top of 814 David&3artwa Emmtft-,m is bWkhead Nra,x. 5 DA'C'1. -,NAND RA LOCAT +I AI)C3`1LIt:Ms: defitchm OW to top of Ifoodipmt. WA 98548 All s1t s A�EINT OWNM: 2;55iO N ttS IRw} Ittl (360)877-9'5I2 I lcods W A 14954 3 w E (�}41-,'f2-��7 N�aac�r,t)me 'tit Ted t"erne! (2)42201-52-WON Ituilcr,William MARJM - AT Cam)Eiew-h t racts d? malt S # Doms PO Ism �4 5$ W M + STA : WA ���� � M cD,Arrl Ado,. 4=1_5 DAI Is: 5)2411'4 : 3 of? ,, 1 1 -- m _ 0 ----------- w Rrpaix l,cicon rre CANALHOOD , PLAN VIEW West at the Trap S 10MAL I- l.levations Sea Level, tv HHT 13.8 (Union) MH ; 1311 (Union) ball C`MU ulkhead 16A Deck l Pier . ,. 13.8 Top of (.'(-' o�c1 9.0 Top orfRtR.a PCC Stir L4 Too of RipRmp 14#----*� Repair 1..mation 2'Bulkhead trtttt FRONT PROFILE View from the East PURPM.-seal VvywAl UfA 00 aulk- it L ICAN°t; 4ROW)W : Its m#&"vcMcal drip to tap of lilt Dovid& Rartwa F mmit on cnwk,m bulk ea d A ansmll<hap PO 235 DA'TXJM N A V D 94 L.O A't ION A S. a t#ea:son air tar top tit bulkhead H,r adgxrrt, WA ' 54� 0 � to �, appoxansir AM OWNF,S: 25550 N t�l t 11,11 t�3 77- .St All d' are (1)42201-32-OW7 Hick I lrx�ext. WA 549 MAILING A :. (2)422t1I-S2 HutFer,'►�`t44taan AT t° li+rach Tr"6l4ridf3 ,�€ �- P __ ,,. 14) BOA 582 COUNTY-. Mom STAM, WA A**=C t,H#r1W, 42VI-M.,WW Re m %A 9W59 DAM V241 t ai SHEM 4 of? F= nt f1 S f J {1 1 I, F CI) CANAL { I PLAN VIEW South at the Bottom 1 r'F�y! 2 i SIDE PROFILE View from the South PURPOSE:"',seek veMc#J crwkc on Bull- APPUCANT: PROPOSM kcw""ut peak"° TAHJA BNTGNEER11vtC3 tac SCALF: V-AY k1c�d tMMI tc� tsf k kk David,{F Bwb&A F.tYttYtmPkon cfack€t€hW twad&tnkk dnp T!Q 1.EatX 23:5 DAT CN:NAVD M t OCAMN ADOM& dofferrim C-V crs tap of bwkhcad fgt WA MW � . ADJAK" k'I`OVME `'5550 N t IS k# 101 a.tl skirt rtsscwrc are Ptcsxttt (F)422Uk 2 d ?[3ti?Ft [ i t[c►€r�l . Vk'A kt d3i i t<xstt t rl C3flU}8;► 9St A t (2)42201-52 l3ud ,Wdlimi MATIANG A M& AT t anal R Tmu 6&hWf5 Rov# -_ 5fg7 COMM M M 9TA'[�_ V4'A Oil a Cl;x Na.; 42VI- 2-UtkJL►7 Rentm, WA 49059 LATE: Vr,I O : i of 7 ' X°re� ✓ f house Concrete A concrete mortar cep is to be constructed along Foundation the top of the bulkhead,with the back of the "wedgee" Stem Wall s+ l installed against the house stem wall, .a r Top of 8"thick Crete bulkhead. 1.; — 118 4 Install #4 re w dowels on 4'centers in pre-drilled holes. Foundation Slela d Stagger dowel motions so the vertical&horizontal doAcls don't interfere with each other. Coat dowels to be inst:allay in the top of the,bulkhead with construction erxm . i '" 4 A PURPOSE tied veMcal crack k on bulk- A!![,ACAN ' SRC! ROM out&wmd v T AMA 0411300MR11VQ 1wis ALL i" t' �a Had&mu till dtV e4ge to of 11- D"&saitera Emme"aan ciack to tWkhad&►mall dnp PO , x 235 DATUM—NAV1 �.:)89 A sp oeerrcnt to0c� H Ott A ��,� ADJACENTOWt�1S-, 2isso JI}$J'7' t-s l fu-v I M ( -012 �iastc ar��c��� c s�spnaxrnaut� W el (1)42V 1-52~Fack Dcntxt l lot wi' WA 149549 1* i t kaa t" W (2)42201-5 Butki-William MABING IES '' AT camilMach fracts f&hats Uv# na Ptl WN 582 COUN-17y: Mawn STAM- WA Mom CkhdNoo.. 4=1-52-t7WI teen", WA 490ig DA'TR. V24'19 : 6o(? � M ESC ; Erosion& Sediment Control. Area around proposed repair area will be sealed off with a silt fence. Work will he scheduled during periods of � low tide when predicted tides will rmt inundated the work area, 118 MHHT'- Top of Bulkhead 13.21 MNT 6"-8" 4 ., Exposed`� � 8 `t' ic:k x 8`'fall '� 4 *r Portland Ce ment.�onc:tete Q Track to he Sealed Bulkhead (existing)_ <� 4 � 4 4 v+anr C'.t k [twit' track .%,idens from tarp to txittom with — 1/4"at the top of the wall with spalling occurring as wide as T-4"at the lvttom of the wall. Crack will be ground out 3 -4' deep and l to flu"wide.Crack will he filled ` a+c ' with construction onstructio�n adhesive and the completed seal will he"�mcked"`with a ` �`'� ' mortar mix to blend the patch appearance with the existing concrete wall. tuxAt.S a PUPPOSE,sra!ve"Wa:l crack M Bulk- APPLWAt"I't: t IC)POS E, Keats OUt&WAI veMCAl 'AMA aF':NG'1N NG hX- SCAT F E•3"- J'-t " I Icad& inAalt drip edge to top of 1411 L)Avw&Barbara l"'M erton crack in bulkhead A install drip PO BOX 235 taA"um-NA VD tali LOCA"CtON A SS: clCttocttsan car to top of ttaalk heaed lloodWort WA 9854$ a `t' AMACEIN1`C Nt+: 2555ti N t"s 1luv to I (3W)$77.9312 Ott eltttxaa t<atea a o aaxeett�tr IWA Atlii4� tt § (t)4.�t«32 7 ��t5ets � Iltx IN: }tom o' t AILJNG ADt*FS {2�d�2(11-52�i?pl?Sl4 F3taticr.i4'ttlttr AT Canal tlrara::h Irta� kidt"5 Pt I MIX 1#2 COUN1"f°; Mason STATE3 WA AA A i i Co.Prnal X*., 42MI42-01M Resttatt, WA IMM ti DATE 5 24¢3 4 ; 7 of 7 RECEIVED MAY 302019 U' D'NG 615 W. �41de ' 6% r Street —71 _. 33 - 1n ilC d �+1+ ' 1 fxa- V) ..) :. 1 , .2 _. .. 4 , TOPOGRAPHY PROFILE: " MAY 0 20 6155 W.Alder Sheet cl it �Jr r I Direction: Scale: }4)? w�,;> Approval:toroffice use Building Permit number: ,,r�(l� r, Building: Owner/Applicant: Date of Planning: application: Env.Health: Parcel Number: L, 22(3 - S2-600a0 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADV _ ©"j Building,Planning,Environmental Flealth,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd liq Phone:(360)427-9670 ext.352• Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves and gutters. Applicant/Owners: u�c/ Z u— s, ,-✓ / i Mailing Address: ?_ (!2 '30 K 5 6 City: z'- j, State: G Zip: 7 • Telephone: 2 D C - ? 7 4 - l6 0'/0 Email: r m o 40c, RECPI- V� MAY If this reduction is tied to a building permit, please give permit case number. GIs © E\ BLD 1� !a _ CJ4(o i y A/der Str Parcel Number(s): �i 22o j T S2 -00 00(0 Zoning Site Address: 2 S Ss N us i/o Requested setback variance: ft. ❑ Front ❑ Rear Side ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear •❑ Side Front Setbacks—From access easements and road right of ways. Minimum 10 feet. Rear Setbacks—From the rear property line. Minimum 10 feet. Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, and set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): ❑ a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-fourth acre; ❑ e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot (check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; d) lot size of no more than one-half acre; e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. rD Owner/Agent(please indicate) Signature Date Official Use Only Approved by: Date � Denied by: Date Reason for denial: U.S.DEPARTMENT OF HOMELAND SECIIRI 1Y oma ha. lew- 8 Federal Emergency Marragerrwrd Agency PLANNWG W-mbon Date:Noverr\.jw 30,2018 Nabona!Flood lwtrance Program ELEVATION CERTIFICATE Impt -ire:FeIiow t.e .s Auctions On pages 1-9. Copy alt des of this Elevation Cemficcaie and all attachments for (.S)community oftiel,(2)kauranca agent/company,and(3)twiidRtv owner. ! SECTION A-PROPERre INFORMATtONd�� FOR INSVZMrCE COMPANY USE fi.1. guidinig Owne' Ne", Policy N•�rmt+er � AZ Buii+;.irQ Stree4 Addr (indu Apt.,Urit,Suite,arxilo;Bldg.No.)or P.O.Route and � Company NAtC N:.mbar: Box No. fi e (D N_ ' g w y it) I Cry — -- State ZIP Code I F A3. Pnnp"Descria tir-n(Lot and Block Numbers,Tax Paws!NumhPr,Legal Dascripwn,etc.) i .44. Bu;tdi-.V Use(e.g.,Residentlat,Non-Residwifial,Addifiron, Acc-emwy,etc.) A5. l_WWudeA_ongitude: Lat. t_0N. Honzeuetal Datum: [j NAD 1927 WO 1'983 ,�. Altach£t least 2 photorg-mphs of the bu ldi g if*J-,e Gs t:�,*te is being used to obtain food insurance. AT Suiid rig Oiagnarrt Number AS. For a tar-Ming with a crawlspace or sndusu a(g): a.) Square footage of a wwrispaoe or ax:fosure(s) ��� sq ft b`f Number of permaieni flood ope ings in the crawlspaee or smlosure(s)witt+in 1.0 foot aborVe adjacent grade �a el Tctai net area of F=d opaniwjs in AB.b � (p sq In ♦�, d) Erg veered flood onemngs? 0 Yes O No ;49.For a ixu ldin.g with an aitaChaj garage, 8) S=rlare tanwe of Attached garage �� sq 0 t?) Nurnter of perrtanenA hued openings In the aftached garage within 1.0 foot abo%m sadiacen:grade "'d i , ,) Total P.W.a:aa of nood cr,:arings n A9.b sc,ui { d) Eng€rieered fib openings? ❑Yes !:jr SECTION B-FLOOD INSURANCE RATE!dIAP{FIRM)!N FORMATION 61.NFiP Community Name&:^.,;xr munity Number _ f ei Caun.t4#'wove 183. State 94.Mapjftne! B5.Srfc B6. FIf'M Index B7.FIFW Pant 1 78. FIB.� l B9.sm P Elevation(s) Number Cate l=ffrc ivet _at.,s, ict}+t2 AO,nose Bgse FIB Depth) 0 15`'."70 l �So I zo RwAsad Date vidi"-pte the sours*Of the Base Flood Eiavat=or.(9FE)data or bass flood depth entered in ltwn B9: - FIS Pmfile ❑ FIRM C]Coa", unity Deteent:irled [],Other/source: � B11. indicate elevtatdon datum used for BFE in!fern Bn: E] NGVD 1929 PrNAVG 1%k Q 0 Othff/Sourve: 9!2. is the buil,lirx�!dated in a Goastal Ba°rier r�esvr,r�s System(CBRS}are$or C����ise l'ratected Nrpa(OPT}? j;Yes No t Designation Date: CBRS ri CPA ! { t FEMA Fmrm t13.=-0-33(7115) Replam all prevbus edtons. FcrR ?age 1 3f 5 OMB No.16004=8 F LE VATION C 7-7,77 M CA' 7 ExiArallon Dam:Wwarnber 30,20,18 RAPMMKT�In moose;;;a=,copy the ocorrsapond!rng Effarniagan:teeE-oct'l FOR INSUPW%CE COMPAW IUSE Building Street Addms Crk,*jd1rvg Ark,Unk&-its,and/or Bldg-No.)or P.O. Route and Box No. Policy Number city State ZAP Code 7C N.- SECMON C-BUILDNG 8 NATION INFORMATION(SURVEY REQURED) BAidin are be on; comstructinDrawings" C Butting Under Corftruollon* Ftd*-*d Can-- cbion*A rke*Elevation Ce-Wv-s wW be reqttrred when c*nstrucbloi of the buftling is oornplete. C2- E lavaLan&_acts A 1 AE.AH.A'-,V.th B F E It:VE,V 1-V 30,V(Vitt BF-E),AR,AR A,AR NE,ARIA!-AX,-kFL-'A-K NARVA0. Cornp;otehwns C2-&-h below wcording to RietballdhnQ viagrain specified in 116m A7.in Pueirio Rico aniq,enLaraiele-'-S. Renchmarkuumzea- JLiCA'-j- t Ve. r!Jv--.ifDs'hjrn: ULM LqUZQII trid—i-ate,elution datum used for the elev*ions in items at 0irv-igh In)tk3jow. C) W' 314r- I SON N.qkvD 1988 []othellsource: De!-jrr, fix hufldirrj elevations rnumt be 1ha sense as tact used for the EWE, Check the tyveasurement J.'R.Ed. rs a) Top of boftrrs fiorx Cmdudling basernertk,arawl%�.rr ewJosura floor) J2, Li nVAe b) Top of the next higher floor fee x-N, rf'eier-a 6 Bottom of the k)west hn.-Lwrd3.'structjr-.1 member(V Zones only} 6 /A Li feet in rn,--ws d) AUBched gaWe(Lv of rsiab) e) Lmvest ewvatk,>n of rrasc onary or equipment servicing the bu4dng 41 0 %et 0 rnetsm f-Desoibe type of equ.wxw. A and in Cornrnents) f) Lcnvest sc4'soeryi(find}qrWd rw4 W buiidir*CLAG) 17 0 g) Highe-si a4ta0srA(finiarted)grade rteA to building(RAG) feet h) Wmeml adjacent grade ai io�trest elev&'ion of de&of stairs,haiudbV SECTION 0-SURVEYOR.EkGINEER,OR ARCHITECT CERTPR-ATION tis cem - is to be siXied and swied by a iw,;a survey_or,engineer,or aratited autrIorized by raw to certify ete-mbori iniorniaVon. I Corte),that Hv rl'tM78ho"an tFus i>.rYfi--a19 repressnismy bew- efibm b interptst ftte dWa&e-afiWe- I untie standthat any ialse ,mt&-nrVI moy be pwi&wbie by fmv orim,-xisondrient per 18 U.S.Code Secftn 100 1. Secfkoin Aprovided bye licanse-diand surveyor? Dyas ONo othack ha a if atia-chrriailts. CeftWs Nar,,* Ucanse Nuatber 4A, Dav AL/1'K0 -A-S R14 I"I --AL—L-A a i nL-'Lfi4/if'� Company Name L 51v OTS 01 Stow ZIP Code 41 DOW Ext 4-2-1 i C-xnmeriis(indi.King tyfie of equiprnent and Location,per C2(e), N ap; Imble) p 4 AI WS X Replaum alli wfiv:bus wit". tut-m Paps 2 of 6 I-LEVATIQN CE12 TiRCATE - Expiration{date:November 30,2018 i IMPORTANT:Ins OWW spec OZf +,:asp the corresponding Info%rnadon from Section A. F^R INSURANCE COMPAW USE i r::ptiiding Street Address t�incjading ice+L,Urat,Suite, id/Or Bldg.No.)or P.O.R=ts snd Bmm NO, Policy Nurn ber: Cry - t8— ZIP i..C<J-- CA m-pany NAiC;rein-bP! --' � SP_r,MON f=a BU;LCD1NG ELEVATION INFORMATION(SURVEY NOT REQUIRED) F0R ZCD14E AQ AND ZONE A(WITHOUT S;rE) r or Zo7ws AO and A(witrvut cF7E}, ,,crznoate tterris E1-l`5. if the Ces�tlF a is is lntanctad tosuppor`.a L 4PhA or L©!Vlt3_r rs�3st, cornpim Semons A,Sand C. „.u, j L-wis t s E4,use rzatural grade,if a-vairwa)le.:hack fl-,c rr"sur nt used.in Puerto Rico only, i antsr T etaM E e. Provide�euat Lr,,Information f:,r the folloi&ing and cht: k�$p?rnVWe boxes to sh-my Wither�:sfv*vztbn is alcove or below tiw highest adjacent gmde(HAG)and ties Ixvest adjacent grade(LAG). a) `Dap of botto.fl,'nor{including basenen' a t .or cars imire)is fee-, i meters f�above or Letrw the HAG. ; b} a op of twao:n Burt(rtiduding t asament craaw;apace,or enclosure)is V first meta j above or ❑below the LAG. E2. For Ein0irt D iegrarns 6-9 with permanent kvA openings provided to Section A items 9 andlor 9(sea pages 1-2 of Instructions), the rs + .tamer ftoor(elevation C2.b in r, D-1 above or r'i bale 4ht KA•G the wiog arm)of ttta building is ❑fee.. , i E3. Attached aara4-(top of stab)is �feet �izteters L abznra o �bw ti,a;tAG. E4. 1-op of piA oaf machinery an3lor�.(urtr f.'it �trsve or below the HAG. servicing ths,tluiiomg is — iJfeet ❑rT?P.tB 5 E5. Zone AG only.If ru)flood depth number is avalabte,is Ire top of the botirrr,fiaor elevated in accordance with the aommunky`s Roodp:aPn mares smorgf c reance? ❑ Yes FJ1 No [-I Unknown. Tt*local offic ia!roust cer;;'y this irformado n in Section G. SECTION F-PROPERTY OWNER(OFF.OWNER'S REPRESENTATIVE")CERTIFICATION ii he pr pert ��n--_;w ir o wnees autho ized repr ntative who completes Sections A,B.and E€or Zane A(K�`.hout 2 FEMAis ued or cornrmunl-tywed RFE)or Zone AC crvjs4 sign?tire.The statar!", in Sections A,R;and E are correct to the Mast of my knoMeape. t Address Cky state Zip Cv 6 Signature Date Teiephone Commergs, I t s r i I t C%sa here if attachments. 1�41q Form rJss--,D-3a 7! 5s Replaces all previous editions. Form Page 3 of ,.I;.;1�,; ONIE No. 166" W R-F- ATION CERTiF; ATE F-*ajimtion Efate:Novernd�;;0-2048 e4ptRTAN -.its ff?ava spa;; ,copi tha caMr,Pon .t a ir ff�r^z an from IS tior;A. FOR INSURANCE:OMEt � r-- i�;�rding`.greet Ad- dref3s�rr.�!.��;:�„,�^t., U-ii:;Su;'r-.a-:daot Bids.Na.)or P.0.Rr..tta 2rK!Box No, Policy Number: C} Stale 21P Code Comparry NAIC Number SECTION G-CtOMMUW rY iNFC3R11[AMN(f3lPT#014AL) T'ie;aoa!;i'fic ial who is avt)onzed by tavr or ardirraw-e to adafniz-tw the=nnu.ir•#y's floodpiain managerment ard'+nance can complete Sec-bans A,a,C(�r E),ans11 G of this 10mation Ceti ate.C-chmpete the en, licable nemis)ant;sign��.Chock the measurement use d in tterna G&-G r. !.I?uatc RIM a: ,eats.rr.tw s. Ibe information in Section C was taken from oiher dovimentation that has been sdg d ain-d seated by a 1icensed surveyor: areglneer,car a-noNte ct who is authorized try!aw to cazCif�eievation information, (trKfi�ta the wv.rce and tfEte of tt�eleratao. ' dsta in to Comments a—a taw.) A t .:�r �:y official wntp�a'�Salon E for a tot;a:iin;located in Zone A(without a FEY—A;s,�d or co r�rrs:�nity-issue;i ICE; G �_. t✓ or Zone,AG. G3. �i the foftowring Wormabon.(he=G4- G10)is provider far c�rnuniiy fi de a ±rr<anagWile it pu poses. G4. Pernrt!tumber G5. P Issued G6. gate Certifiitate of C=p4 anPWO-cc pancy Issued air. This aei'rtt has been issued far: iv'8ia s ar,WtC$iD► SLbstwitEni lmpraww d i I GS, E►evafiore Qfas°tautlt taweV?poor tirsciuBx t emer+t) _ ��f 4 ��i rrwste t3at::sn !) 1 the building: I ! r'feat �' ,0,tarr I G-3. BFE or fin Zom AY)depth of flooding at lha builo'-N sltb: i_J Li t?s ,m G 3U. C.cxr�mumWs design ftcxxi eievs6on: test rtr3€3.� Cat;:�ri _ I Local N'an-a- Community blame Telephone Signature Data Cam, (i,zciudAg type c4 sWi`p-ria t.and;ou- on, par CZsei,if n�tic:atx) i E f i e t i , f { i i E i C I Chock here if attachments. i a R is ' al, , �irrk, Farris Pia 4 or,-e i�t��,:;Form vS'6-^�-3S i?tt..) i��ace Previous - I- t A- -� � - e k • 1 s � • k _ IMF 1 f�. TV �i.0 044AZARP INF AMATIGN Mn ss To WSERS PAWL LWAICR owl kcy.rsa-m rs_ an n•sas.5..r• �• 1;�sa•:.ea3fn Li:.000 h)< Yt.SL+t� RgsRne!Rs ra».sw•,r�,.."-wv ---_, 7— � '� oa.we n�Rs wia sam r�rsrrrwr�.w � ryt i use b.rus y� atkPaWav, ir�sbrrw ht:rs"uatr•r -"—�-- , Me>rw'+4��1�"e+yr• ' •.sss,.n.r...tr.... � 1 •1{,V� •-l..•fytlO.iaORca:MYtY - i ' I x 1/sa l ss,r.•k.sr.or i unwo� w+.n+k.•....•a....r. i'f:�i�3iti`vtit\ I�o�ru...a.a.r a.w t ! 9'3ffi=973