HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 710 WEST MULBERRY STREET - OLD TOWN (3)0MB No. 1660-0008 U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program Expiration Date: November 30, 2022
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:
Struckhoff
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No.
710 West mulberry Street
City State ZIP Code
Fort Collins Colorado 80522
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
west 82 feet lots 13 & 16 north of road block 277 Loomis Addition
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) residential addition
A5. Latitude/Longitude: Lat. 39-34-54. 72 Long. 105-05-19.16 Horizontal Datum: O NAO 1927 � NAO 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1A
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 NIA
c)Total net area of flood openings in A8.b NIA sq in
d)Engineered flood openings? 0Yes �No
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? □Yes �No
SECTION 8 ~ FLOOD INSURANCE RA TE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
Fort Collins, City of 080102 Larimer Colorado
B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
.
Number Date Effective/ Zone(s) (Zone AO, use Base Flood D�pth) RevisedD
� 08069C0979/SH:3 H 02-06-2013 oo/-o?..-2.ol X/100-YEAR 5010.4
0,-1'5"-'Zo 3
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: O FIS Profile O FIRM D Community Determined � Other/Source: Old Town Master Plan
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 � NAVO 1988 0 Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? O Yes �No
Designation Date: D CBRS DOPA
FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6