HomeMy WebLinkAboutSite Certifications - 01/19/2001$TEWAr<r&kSSOGATE$
Consulting Engineers and Surveyors
January 16, 2001
Mr. Jay Barber
Stormwater Utility
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522-0580
Dear Jay,
re: 218 West Magnolia - Edwards Residence
Builder - Dohn Construction
All of the curbs, paving and storm drainage facilities have been constructed. We have
surveyed the grades of the "AS BUILT" construction and they are shown in red on the attached print
of the utility, grading and drainage plan.
The restriction plate has been installed over the outlet from the detention pond in the concrete
driveway and the concrete drain pan and sidewalk and curb chase have been installed.
All of the drainage facilities and grades are constructed in substantial compliance with the
approved plan.
There remains some grading and landscaping to be done on the bare ground along the drain
pan and driveway. This grading is hand work and will be completed as soon as the ground thaws.
Please call if you have any questions about this project.
Sincerely,
` %. test'
Phillip I. Robinson, P.E. & L.S.
PMJmeh e 4 5 0 2
a
James H. Stewart and Associates, Inc.
103 S. Meldrum Street • P.O. Box 429 a Ft. Collins, CO 80522
970/482-9331 • Fax 970/482-9382
- FEDERAL EMERGENCY MANAGEMENT AGENCY'• O.M B. No. 3067-0077,;
- - NATIONAL"FLOOD INSURANCE PROGRAM Expires July 31, 2002 w -t;_-
ELEVATION CERTIFICATE .v- -
Im octant: Read the instructions on pages 1 - 7: ~
_. SECTION A - PROPERTY OWNER INFORMATION -
For Insurance Company Use:"- ",, "
+'
BUILDING.NE(•WME -'•, ,- - ^
Policy Number--- - -• +
..:,
00VI ••
S
�.
BUILDING STREET ADDRESS (Including Apt, Unit, Suite; and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
Company NAIC Number
Z/ 8 \A/e S A4 o rr o f • S
CITY STATE_ ZIP. CODE
Fort Collins Color crdo "' =T _ •,. ". 8051Z I
PROPERTY DESCRIPTION (L t and Block Numbers, Tax Parcel Number, Legal Description, eta) ,•; -•
Lot Z0 0� F J Spencer Svbd . o� LofS' 14- )5 �, l6 C3lock 103 C%4y o� Forf lollinsr -'
BUILDING USE (e.g., Residentia , Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) �c - �',�„ .• > 2j ,r! �r ss'i
Residentierl' and in=i,or+e o41ce
LATITUDEILONGITUDE (OPTIONAL)., HORIZONTAL DATUM:,, , .r.. SOURCE: U GPS (Type) -
( or ##.> ' : I_ I NAD.1927 I LJ NAD 1983 j USGS Quad Map 'L_I Other.' =
,,. w �.
d 4
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION '•' '_r •s+ .
1
B1. NFIP COMMUNITY NAME & COMM NITY NUMBER
B2. COUNTY NAME
B3. STATE
Fort 6011in 08010'OM 7_~`t2A1.F1
r1rjer
B4. MAP AND PANEL
B5. SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
89.,BASE FLOOD ELEVATION(S)
NUMBER
I
DA
EFF CTN/eREV SED DATE
ZONE(S) `_
' (Zone AO,'use depth of flooding)
5
G
03 l e
0
000 i
B10. Indicate the source of the Base rlooa wevatlon (tart) data or base trooa aeptn enterea mrota.
FIS Profile FIRM Communi Determined' . Ohef escnbe)i
U... _ LJ L?S ... _ - . b. . _.- LJ (D... - __.
811. Indicate the elevation datum used for the BFE in 69: j�_4 NGVD 1929:.LJ NAVD 1988' LJ Other (Describe): -
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? U Yes i Qg No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: UConstruction Drawings' UBuiiding Under Construction* Winished Construction
*Anew Elevation Certificate will be required when construction of the building is complete:
C2. Building Diagram Number 8 ' (Select the building diagram most similar to the building for which this certificate is being 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, V1-V30, V (with BFE), ARi ARIA, AR/AE,-AR/A1-A30, AR/AH, AR/AO - -
Complete Items C3a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from -
the datum used for the BFE in Section B; convert the datum to that used for the BFE. Show field measurements and datum conversion'
calculation. Use the space provided or�the Comments area of Section D or Section G.-as•appropnate', to do—aunenfthe datum conveiV
Datum • Conversion%Co_mments" - --= _
Elevation reference mark used A�/0 .• 2 8 - 9 7 Does the; elevation reference mark use"ppear,on the,FiRM?Lj Yes N No d;
n are >ry ld.ti}>alf ,'"' 7f .•� x
❑ a) Top of bottom floor (including basement or enclosure) s f m ��...+ �•�,<<;,,r ,
11 fj.f:1 -iw f�.`?L` fd! ::»..7J y, `�� t. kt�t#/`€ 1:
❑ b)Top'of`nexthigherfloor ZQft(m);.o . ��\Q �.....�'� s a,,,
❑ c) Bottom N zones only) R(m) of lowest horizontal structural member - . _ -.-a
GtgTERFti. n t . y
❑ d) Attached garage (top of slab) 4- 994- Q fit(m) E P
•
❑ e) Lowest elevation of machinery and/or egwpment . ,; :+ w m �( O 2 * w
't
servicing the building
.'. 9 ¢- . 3-0- ft.(m) . E * r
_ ..J. -.,.. -.'t
O f)'Lowest adjacent grade (LAG)
❑ g) Highest adjacent"grade (HAG)--. `' _ 4-9 4 4- R(m) f, g V CP
❑ h) No. of permanent openings (tood vents)'wtthin 1 fL above adjacent grade 1�. q ;
aaM : r
❑ )Total area of all permanent openings (flood vents) in C311hL D ` '` ` sq in. (sq cm) F , r ` ~hu..•�.��" i „ ; ; a {
SECTION D.=,SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ?' __ . •;>r- x; "`
This certification is to be signed and seated by a land surveyorengineer, or'architectauthorized by Iaw certify elevation infortnatior r
ra e .. pit-�,r-. ., a. ... � ST: '" kj' •��i,
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available !,
I understand that any false statement may be punishable by fine ocimprisonment�tinder18 U.S. Code; Section 1001; ''"�-` " ,r1U1.
CERTIFIER'S NAME ILLCENSENJUMBER,
PHrNIe-•-1—Re6in�on---=% '� ^"'"''""'''"`'' Go/arcaldo�`d o �= ¢502 = :F��
TITLE r _ r COMPANY, NAME �, ,3, L
ADDRESS v CITY„�,, siAit uruuut
- -.•_ �'_ •Y„�.�,�.5 -w�.,. :.... -2,v'�• 'iris '"...n .-0� Z��
SIGNATU! f DikTE , r TELEPHONE . _
FEMA Form 81-31. AUG AJ9 -jA wJ;1=r SEE REVERSE SIDE FOR CONTINUATION' _ r ; REPLACES ALL PREVIOUS EDITI(
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:
BUILDING STRE(Including/ET Apt., Unit Suite, and/or, Bldg., No.) OR P.O. ROUTE AND NO. Policy Number.
L-A 01cr Tt
Z ) arev,
CITY
STATE ....ZIP CODE Company NAIC Number 7
r Goo I-OL a1(1 0 -5 Z,/
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
a e- r7 Q
0 fi e-T7 I n Cr S
7 A'."OO- e 0 f2 en
-42!1 rio 91
"" 5-6 7?
eeLz.
"Ibhec k 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 El through E3., If the Elevation Certificate is intended for use as sqppordng;-
:
information for a LOMA or LOMR-F, Section C Must be'c6rripleted..
El. Building Diagram Number (Select the building diagram most similar to the building 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 bottom floor (including basement or enclosure) of the building isI ft.(m) L_: above or`,L�
_Uin.(=) LJ I below, -7*7,
(check one) the highest adjacent grade.,
E3. 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 management ordinance? _L1 es JNo'"J Unknown: local official must- certify- this '-informati
on inSection 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 (with —out a FEMA-issued or:
community -issued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME.
ADDRESS CITY .,.,I _:STATE ZIP CODE
i2! j
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 floodolain management ordinance can complete
•
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable Rem(s) and sign below.
.. �` I I "" ,
G1. "The information in'Sec1116ni C'wa-s't'ake--h'fromo Ither documentation that Kali* been signed and embossed by 'a licensed surveyor
engineer, or architect who is authorizid by state or local law to certi1yeleVationinformation. (indicate the source and date of the I I ; . LT
elevation data in the Comments area belo!W',.-
G2. LJ A community offclal corn T,
pleted Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or
Zone AO.-
% ?
"n
'3. L _J The following information (Items 64-G9) Is provided for commu ity Ill n oodplain management purposes .`,',-'
—' I n �i,,
1 1W.PERMIT NUMB G5.DATE PERMIT ISSUED ATE OF COMPLtANCE/OccUPANCY, 1-77. This permit has been issued fqr...-j LJ�rNew Construdtioh.-..'� LJ Substantial Improvern en
VT
38. Elevation of as -buiift lowest hoor'(jncluding- basement) -of the building Is'*
'29. BFE or fin Zone AO) d-6pih of ffo'otiin'
building site Is:,,ft.(m) Datum:
g alffie
4-1
Nno-fS
�A
eq
COMMUNITY Y NAIVIE�
TELEPHONE Av
SI�GNATUREi
COMMENTS Y
RW
•
lw IN, 410
InL`
Check here if attachments
-tMA Form 81-31, AUG -------
TfA�,, REPLACES ALL PREVIOUS EDITIONS'
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