Incorporated Village
of
Freeport
FLOODPLAIN DEVELOPMENT P
ERMI
T
Date: _ _ _
______
_ _
Application Number:
Property
S/B/L:
____
_ _ _ _ _ _
Perm
it Nu
mber
:
A
dd
ress
of Property: _ _
____
_ _ _ _ _ _ _
______
F
reep
ort
,
NY
11520
I ype of Deyelopmept: (Ch
eck
all th
at
appl
y):
Ex
cav
ation D
Fill
0 Grading 0 Residenti
al
Addit
ion
0
Re
sidential Alteration 0 Pool 0 Bulkhead 0 Deck 0
Utility lnstall
or
Replacement 0 Sewer 0 Road Construction 0 Commercial Addition 0 Commercial Alteration 0
Shed I Stora
ge
Fa
cility (Must be Anchored) 0 Roof 0 Fence 0
Oi
l Tank (Must be Anchored) 0
Driveway 0
Other (Speci
fy
):
OFF
I
CE
USE
ONLY;
F I
RM
Da
ta
; Fl
oo
d Zone: AE 0
VE
0 Map Panel #0238G 0 0239G 0 Map
Pan
el Date:
09-1
1-2009
Base F lood El
eva
t
io
n (NA
VD)
=
80
90
100
110
Qcyelopment Stan
dar
ds D
ata
;
1- Required elevation
of
utilities to be installed
in
cluding but not limited to, air conditioning, electrical equ
ipm
ent,
hot
water
heaters, boilers = Ba
se
Flood Elevation (BFE) + 4feet
of
Freeboard = (NA VD) or Not Applicab
le
0
2- Will garage be used
for
any purpose besides parking
of
vehicles, storage, or building access?
Yes
D
or No 0
(If "Yes", then the garage must
be
us
ed
in
determining the lowest floor elevation)
3-
If an elevation project, what
is
th
e proposed
met
hod
for
elevating the structure?
Fill and Foundation
0 No
Fill
and Foundation 0 Pilings 0 Extend Existing Foundation D Not
Ap
pli
cable D
Ne""
Foundation mu
st
ha
ve
required
Fl
ood Vent openings installed and quantity
of
ve
n
ts
must
be
provided
at
ti
me
of
application
on
submitt
ed
Archi
te
ctural Draw
in
gs. Engineered l
lood
ve
n
ts
must be cert
ifi
ed by a Licensed D
es
ign
Profes
sional
and
noted on
fi
nal Elevation
Ce
rtificate.
Total squ
ar
e
foo
ta
ge
of
first floor Sq
ft
Total Area
of
Peri
met
er Flood Vent
op
enings =
Sq
In
.
(Non - Eng
in
eered = I "per square foot or the use
of
Eng
in
eered vents)
The bottom
of
the openings shall not
be
greater than o
ne
foot above either interior or exterior grade at the perimeter
of
the
foundation wall.
4-
Commercial floodproo
fin
g requires submission of Certified
Fl
oodproofing Certificate. (Not permitted
in
V Zones)
5-
AE Zone - Lowest Floor to
be
at
or above Base
Fl
ood Elevation (BFE) +4 feet : Measurement = (NA VD)
6-
V-Z
on
e - Meas
ur
ement
of
lowest supporting hori
zo
ntal member must
be
at or
ab
ove Base Flood
El
evation (BFE) +4 feet
: Measurement = (NA VD)
7-
R
eg
ulatory Flood Elevation at development s
ite=
Base Flood Elevation (BFE) + 4 feet
of
Freeboard
(N
AVO)
Ap
plic
an
t
acknowledgment:
I t
he
undersigned
understand
that
th
e
issuance
of
a
floodplain
development
permit
is
contingent
upon
the
above
information
be
ing
correct
and
that
the
plan
s
and
su
pporting
dat
a
have
been or
shall
be
p
rovide
d as require
d.
I
also
und
e
rstand
that
prior to
occupancy
of
the
structure
being
permitted, an elevation
and/or
floodproofing certificate
signed
by
a pr
ofessional
engineer or
r
eg
istered l
and
surveyor
must
be
on
file
with
th
e Village
of
Fr
eep
ort
Building
Dep
a
rtment
indicating
th
e
"as
built
"
elevations
in
relation
to
th
e
North
Amer
i
can
Vert
i
ca
l
Datum
of
1
988
(NA
VD)
Print Name
of
Applicant: _ _ _ _ _
______
_ Signature
of
Applicant:
