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Home My WebLink AboutE-ELEVATION CERTIFICATE - 838 EAST MYRTLE STREET - OLD TOWN (5)U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program OMB No. 1660-0008 Expiration Date: November 30, 2018 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. FEMA Form 086-0-33 (7/15) Replaces all previous editions.Form Page 1 of 6 A1. Building Owner's Name A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City State ZIP Code Policy Number: Company NAIC Number: A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) A5. Latitude/Longitude:Lat. Long. Horizontal Datum:NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings?Yes No A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in d) Engineered flood openings?Yes No B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?Yes No Designation Date:CBRS OPA SECTION B – FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ Revised Date B8. Flood Zone(s)B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: FIS Profile FIRM Community Determined Other/Source: NGVD 1929 NAVD 1988 Other/B11. Indicate elevation datum used for BFE in Item B9:Source: FOR INSURANCE COMPANY USESECTION A – PROPERTY INFORMATION 838 Myrtle LLC 838 East Myrtle Street Fort Collins Colorado 80524 Comm at SE Corner Block 195, City of Fort Collins, Thence West 50', North 95', East 50', South 95' to beginning Residential 40.580316 -105.062879 9 815 4 420 327 2 210 City of Fort Collins / 080102 Larimer Colorado 08069C0979/Sht 8 H 05/02/2012 05/02/2012/05-15-2003 X / 100-year 4964.00 Old Town North Master Plan ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE FEMA Form 086-0-33 (7/15) 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 80524Fort Collins 838 East Myrtle Street Derek Barnes 3784 Whitetail Court Mead Colorado 80542-8817 (303) 718-3484 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE FEMA Form 086-0-33 (7/15) 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 80524ColoradoFort Collins 838 East Myrtle Street ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE FEMA Form 086-0-33 (7/15) 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 80524ColoradoFort Collins 838 East Myrtle Street Front view Left side view ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE FEMA Form 086-0-33 (7/15) 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 One Photo One Caption Photo Two Photo Two Caption 838 East Myrtle Street 80524ColoradoFort Collins Right side view Rear view Flood Vent (No Cover) One-piece vent plate with easy to insert vermin screen and fixed louver. Made of durable PVC/ABS plastic (no rust or rot) with a UV retardant treatment. FEMA compliant, engineered certified. No cover to allow the automatic entry and exit of floodwaters. Quick and easy to install. flood protection Engineered Flood Vent Durable Plastic – No Rust or Rot Founded on great products, principles and customer service 5741 Bayside Road Unit 105 Virginia Beach, VA 23455 757.363.0005 1.800.230.9598 www.crawlspacedoors.com Surface Mount 11” H x 19” W (1 ½” Frame)8” H x 16” W816CS TOTAL DIMENSION DOOR OPENINGMODEL NET AREA (in2)ENCLOSED AREA (ft2) 105 205 How To Become FEMA / NFIP Compliant When Installing Engineered Flood Vents: • The bottom of the flood vent opening cannot be higher than 12 inches above grade. • A minimum of two vents for each enclosed area (crawlspace, garage, or rooms within a garage), and each flood vent must be on at least two different sides exterior walls. • A minimum of one engineered square inch of opening for each square foot of enclosed area for an engineered flood vent. Or a minimum of one square inch of net open area for each square foot of enclosed area for non-engineered openings. • An engineered certificate of flood openings is required for all engineered flood vents without ICC-ES certification. Plastic Crawlspace Doors & Vents Plastic Crawlspace Louvers/Screens Engineered FEMA Flood Vents 5741 Bayside Road, Unit 105, Virginia Beach, VA 23455 | 757.363.0005 | 1.800.230.9598 | www.crawlspacedoors.com Flood Vent (No Cover) One-piece ventplate with easy to insert vermin screen and fixed louver. Made of durable PVC/ ABS plastic (no rust or rot) with a UV retardant treatment. FEMA compliant, engineered certified. No cover to allow the automatic entry and exit of floodwaters. Quick and easy to install. flood protection Plastic – No Rust or Rot Crawlspace Flood Vent for Homes (New Construction & Replacement) Easy Access • Modular Use • Can Be Painted Plastic Crawlspace Doors & Vents Plastic Crawlspace Louvers/Screens Engineered FEMA Flood Vents 205 500 645 395 670 835 1240 1230 1765 105 235 305 180 310 405 630 570 850 8 x 16 12 x 20 12 x 32 16 x 16 16 x 24 16 x 32 20 x 32 24 x 24 24 x 36 816CS 1220CS 1232CS 1616CS 1624CS 1632CS 2032CS 2424CS 2436CS Enclosed Area ( ft 2) Net Area (in2) HxW (in)MODEL lllllllll 5741 Bayside Road, Unit 105, Virginia Beach, VA 23455 | 757.363.0005 | 1.800.230.9598 | www.crawlspacedoors.com • The bottom of the flood vent opening cannot be higher than 12 inches above grade. • A minimum of two vents for each enclosed area (crawlspace, garage, or rooms within a garage), and each flood vent must be on at least two different sides exterior walls. • A minimum of one engineered square inch of opening for each square foot of enclosed area for an engineered flood vent. Or a minimum of one square inch of net open area for each square foot of enclosed area for non-engineered openings. • An engineered certificate of flood openings is required for all engineered flood vents without ICC-ES certification. • All Flood Vents are surface mount – meaning they mount over the foundation opening • All Flood Vents are paintable with a plastic adherent paint. We suggest Krylon Spray Paint and wait an hour then use Krylon Clear Coat for a lasting finish • The frame / flange can be trimmed if needed since our Flood Vents are made of durable ABS Plastic • All Flood Vents come with mounting hardware, frame, screen and louver • To remove the louver just pull the pins out of the left and right side if you need access to the crawlspace 1 ½” Frame 11” H x 19” W 17 ¾” H x 26” W 17 ¾” H x 37 1/2” W 21 ¾” H x 21 3/4” W 21 ¾” H x 30” W 21 ¾” H x 37 1/2” W 25 1/2” H x 37 3/4” W 29 3/4” H x 30” W 29 ¾” H x 41 ¾” W 8” H x16” W 12” H x 20” W 12” H x 32” W 16” H x 16” W 16” H x 24” W 16” H x 32” W 20” H x 32” W 24” H x 24” W 24” H x 36” W 816CS 1220CS 1232CS 1616CS 1624CS 1632CS 2032CS 2424CS 2436CS TOTAL DIMENSION wth APPROXIMATE 3” FRAMEDOOR OPENING - H x WMODEL SECTION A-A A A PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCTPRODUCED BY AN AUTODESK EDUCATIONAL PRODUCTB A C D FEMA Flood Vent