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Home My WebLink AboutE-ELEVATION CERTIFICATE - 300 SOUTH WHITCOMB STREET - OLD TOWN (3)0MB No. 1660-0008 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency Expiration Date: November 30, 2022 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 agent/company, and (3) building owner. SECTION A -PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Policy Number: Thomas and Susan Viney A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 300 S. Whitcomb Street City State ZJP Code Fort Collins Colorado 80521 A3. Property Description (Lot a.nd Block Numbers, Tax Parcel Number. Legal Description. etc.) West 1/2 of the North 1/2 of Lot 9, Block 73, City of Fort ColHns (Larimer County, Colorado) A4. Building Use (e.g., Residential, Non-Residential. Addition, Accessory, etc.) Garage A5. Latitude/Longitude: Lat. 40.584054989 Long. -105.085605492 Horizontal Datum: 0 NAO 1927 IZJ NAO 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. A8. Building Diagram Number 1A For a building with a crawlspace or enclosure(s): a)Square footage of crawlspace or enclosure(s)240.00 sq ft b)Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8.b 250.00 sq in d) Engineered flood openings? IZI Yes 0No A9. For a building with an attached garage: a)Square footage of attached garage N/A 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? OYes D No SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81.NFIP Community Name & Community Number 82. County Name B3. State City of Fort Collins-----080102 Larimer County Colorado B4. Map/Panel 85.Suffix B6. FIRM Index 87.FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date / 08069C0979/SH: 2 H 02-06-2013 o'S • o;;z • -z.� l 2. X/100-YEAR 5003.50 D1-/'?-z�o,3 810.Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89:D FIS Profile D FIRM D Community Determined � other/Source: OLD TOWN MASTER PLAN B11. Indicate elevation datum used for BFE in Item 89: D NGVD 1929 IZJ NAVO 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (C8RS) area or Otherwise Protected Area (OPA)? D Yes IZJ No Designation Date: D CBRS DOPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE 0MB No. 1660-0008 Expiration Date: November 30, 2022 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: 300 S. Whitcomb Street City State ZIP Code Company NAIC Number Fort Collins Colorado 80521 SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: D Construction Drawings* D Building Under Cons truction* jg] Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. CZ. Etevations-Zones A1-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: City of Fort Collins BM 1-11 Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a} through h) below. 0 NGVD 1929 [21 NAVO 1988 D Other/Source: 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)5002.7 jg] feet D meters b) Top of the next higher floor N/A D feet D meters c) Bottom of the lowest horizontal structural member 01 Zones only)N/A D feet D meters d) Attached garage (top of slab)N/A D feet D meters e) Lowest elevation of machinery or equipment seNicing the building(Describe type of equipment and location in Comments) 5005.2 lg] feet D meters f)Lowest adjacent (finished) grade next to building (LAG)5002.1 lg] feet O meters g)Highest adjacent (finished) grade next to building (HAG)5002.7 [g] feet D meters h)Lowest adjacent grade at lowest elevation of deck or stairs, includingstructural support N/A D feet D meters SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTiFICATION This certification is to be signed and sealed by a land suNeyor, engineer. or architect au thorized 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. Were latitude and longitude in Section A provided by a licensed land suNeyor? �Yes DNo Certifier's Name License Number Steven John Stencel CO PLS 30462 Title Owner (Professional Land Sur veyor) Company Name Intermill Land Surveying, Inc. Address 1301 N. Cleveland Avenue City State ZIP CodeLovelandColorado80537 Signatur C: ·2-� J-c;. ·1..r-}Date Telephone 01-28-2021 (970) 669-0516 [g] Check here if attachments. �\\\\\\\\\!l!//11//Uf!h 0 \ � tJO R� 0. ��"' ······· -@ c;.�N. if o"./<.; t=> .>-�·· •• � � :� 1c,-._o � !�0462 �) =, � ' .. 0 I _, � � \I 'Z-i w�� % ·-. _ .. · @-��/�·····A\-0 � � ll � W/,lffff//11/IJI\\\\\\\\\\\� Sign / Seal Ext. N/A Copy all pages of this Elevation Certific{3te 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 Benchmark: City of Fort Collins 1-11. Elevation = 5008. 62 (NAVD 88) Per C2.e -an electrical outlet is located on the West side of the building at 5005.2 (NAVO 88).A breaker box is located on the West side of the building at 5007.4 (NAVO 88). See attached flood vent certification. See attached letter confirming installation of flood resistant materials. FEMA Form 086-0-33 (12/19)Replaces all previous editions.Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE FEMA Form 086-0-33 (12/19) Replaces all previous editions. State ZIP CodeCity Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number Policy Number: 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 E1–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). b) Top of bottom floor (including basement, crawlspace, or enclosure) is a) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the HAG. metersfeet below the LAG.above or SECTION F – PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION 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 feet meters above or below the HAG. feet meters above or below the HAG.E3. Attached garage (top of slab) is 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 Unknown.No The local official must certify this information in Section G. 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 Telephone Comments DateSignature Check here if attachments. Form Page 3 of 6 Colorado 80521Fort Collins 300 S. Whitcomb Street ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE FEMA Form 086-0-33 (12/19) Replaces all previous editions. ZIP CodeStateCity Company NAIC Number Policy Number:Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 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 Comments (including type of equipment and location, per C2(e), if applicable) Local Official's Name Title TelephoneCommunity Name Date Check here if attachments. Signature Form Page 4 of 6 80521ColoradoFort Collins 300 S. Whitcomb Street ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE FEMA Form 086-0-33 (12/19) Replaces all previous editions. BUILDING PHOTOGRAPHS See Instructions for Item A6. Policy Number: Company NAIC NumberZIP CodeStateCity Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 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. Form Page 5 of 6 Photo One Photo One Caption Photo Two Photo Two Caption 80521ColoradoFort Collins 300 S. Whitcomb Street West side of Garage North side of Garage Clear Photo One Clear Photo Two ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE FEMA Form 086-0-33 (12/19) Replaces all previous editions. BUILDING PHOTOGRAPHS Continuation Page Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.Policy Number: Company NAIC NumberZIP CodeStateCity 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. Form Page 6 of 6 Photo Three Photo Three Caption Photo Four Photo Four Caption 300 S. Whitcomb Street 80521ColoradoFort Collins East side of Garage South side of Garage Clear Photo Three Clear Photo Four ATTACHEMENT FOR COMMENTS ON ITEM C2.(a) • Top of slab for detached garage = 5002.7 feet. • Top of foundation wall (see pictures) = 5004.7 feet. • The base flood elevation as establish (City of Fort Collins) is 5003.5 feet. The Regulatory Base Protection Elevation (12” freeboard) as established (City of Fort Collins) is 5004.5 feet. P.O. Box 330 • La Porte, CO 80535 Office (970) 472-1113 • Fax (970) 472-8313 www.armsteadconstruction.com 2/2/2021 RE: Flood resistant materials To Whom it May Concern, We are writing this letter to confirm that all the materials used in the construction of the detached garage at 300 S. Whitcomb meet the flood resistant material requirement from the FEMA Technical Bulletin 2-08. Please let us know if you have any questions. Sincerely, Dustin Tomlinson Armstead Construction Project Coordinator Office # 970-472-1113 Cell # 970-213-8611