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HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 1016 WEST MOUNTAIN AVENUE - OLD TOWN (6)0MB No. 1660-0008 U.S. DEPARTMENT OF HOMELAND SECURITY Feder~l 1;:mergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATIO.N CERTIFICATE Important: Follow the instructions oil pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1} community official, (2) ins1.Jrance agent/company, and (3) building owner. --- SECTION A -PROPERTY INFOR\MATION --. FOR INSURANCE COMPANY USE I I A1. Building Owner's Name --·-Policy Number: -- Darryl M. Austin and Brenda M. Bluestone - A;2.. Building ·street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 1016 West Mountain Avenue City State ZIP Code Fort Collins Colorado 80521 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, l,.egal Description, etc.} Parcel 9711302016, SW 1/4 Section 11, Township 7 N, Range 69 West of the 6th P.M. A4. Building Use (e.g., Residential, Non°Residential, Addition, Accessory, etc.) Addition A5. Latitude/Longitude: Lat40 35' 14.7"N Long.-105 05' 42.1''W Horizontal Datum: 0 NAD 1927 181 NAO 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood insurance. A?. Building Diagram Number 9 AB. Fo~ a building with a crawlspac~ or enclosure(s}: I a) Square footage of crawlspace or enclosure(s) 765.00 SQ ft b) Number of permanent flood openings in the crawlspace or enclosure(s} within 1.0 foot above adjacent grade 6 ----- c} Total net area of flood openings in AB.b 770.00 sq in d) Engineered flood openings? !Bl Yes D No A9. For a building With an attached garage: a} Square footage of attached garage 0.00 sq ft b} Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade O c) Total net area of flood openings in A9.b 0.00 sq in d) Engineered flood openings? OYes [8J No -- - SECTION B"." FLOOD l~SURANCE RATE MAP (FIRM) INFORMATION .. -. .. ... B1. NFIP Community Name & Community Number B2. County Name B3. State City of Fort Collins/ 080102 Larimer Colorado --- B4. Map/Panel BS. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 08069C0978/sht 5 G 02-06-2013 5/2/2012/7 /15/200 X/100-Year 5022.0 B10. 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 Deterrriined [8J Other/Source: Qld Town Master plan B 11. Indicate elevation datum used for BFE in Item 89: D NGVD 1929 181 NAVD 1988 D Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS} area or Otherwise Protected Area (OPA)? D Yes 181 No Designation Date: D CBRS [J OPA ----- FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATI: IMPORTANT: In these spaces, copy t_h~ co_r~spon_di_!lg Information from Section A, Building Street Address (fncTud.ing Apt., Unit, Suite, a:nd/or Bldg. No.) or P.O. Route and Box No. 1016 West Mountain Avenue City Fort Collins State Colorado ZIP Code 80521 0MB No. 1660-0008 Expiration Date: November 30, 2018 ---- FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number Sl;CTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: D Construction Drawings* D Building Under Constructiori* ~ Finished Construction *A new Elevation Certificate wiU be required when construction of the building is complete. C2. Elevations-Zones A1-A30, AE, AH, A (with BFI;), 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. Benchni~rk Utilized: Fort Collins Benctimart 31~W Vertical Datum: NAVD 88 ----------- 1 n di cat e elevation datum used for the elevations in items a) through h) below. D NGVO 1929 [81 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) _____ ...;;5...;;0.;;;2..;..l.;.;..7 !RI feet D meters b) Top of the next higher floor 5023.9 !&I feet O meters c) ~ottom of the lowest horizontal structural member (V Zones only) N/A O feet D meters d) Attached garage (top of slab) N/A D feet D meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 5023.2 l&J feet [] meters f) Lowest adjacent {finished) grade next to building (LAG) 5_021.9 [RI feet D meters g) Highest adjacent {finished) grade next to building {HAG) 5022.7 [El feet O meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support . N/A o f~t. D meters SECTION D..., ~URVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION . This certification is to be.signed and sealed by a l~nd !>urveyor, engineer, or architect authorized by Jaw to certify elevation information. I certifY that tfle 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 surveyor? D Yes [81 No tJ Check here if attachments. certifiersNafne Dennis H. Koch Title ' Professional Land Surveyor Company Name Stewart & Assoc:iates, Inc. Address 204 North Link Lane Unit A-8 License Number PLS 23503 State Colorado Date 11-18-2019 ZIP Code .. 80524 Telephone (970) 482-9331 Ext 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) Fort Collins Benchmark 31-97 Elevation= 5023.65 NAVD88. Per C2.e -Air conditioner unit is 1.ocated on a pad on the north side of the building at elevation 5023.2. A sump pump. is located in the crawl space. Vent Certification is attached. FEMA Form 086--0-33 (7/15) Replaces aU previous editions. Form Page 2 of6 ELEVAtlON CERTIFICATE 0MB No. 1660-0008 Expiration Date: November 30, 2018 ----·· IMPORTANT: In these spaces, copy the corresponding lnfonnation from Section A. FOR INSURANCE COMPANY USE ~uilding Street Address (incl~ding Apt., Unit, Suite, and/qr Bldg. No.) or P.O. Route a.nd Box No. Policy Numper: 1016 West Mountain Avenue City State ZIP Code Company NAIC Number Fort Co.llins Colorado 80521 SECTION E -BUILDING E:~VATION-INFORMATION (SllRVEY NOT REQOIRED) ·--- I FOR ZON AO AND ZONE A (WITHOUT BFE) I 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 measurernent 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). a) Top of bottom floor (including basement, crawlspace, or enclosure) Is Dteet D rneters D a_bove or D below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is Dteet Ometers D above or D below the LAG. E~. For Bu_tlding Diagra_rils s.,.9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1.,..2 of lnstru~ions), the next higher floor (elevation C2.b, in Ofeet D meters D above or D below the HAG. the diagrams) oHhe building is E3. Attc1ched gc1rage (top of slab) is Oteet D meters D above or D below the HAG. E4. Top of platform of machinery and/or equipment I servicing the building is I 0feet D meters D above or D below the HAG. ES. 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? D Yes D No D Unknown. The local official must certify this information in Section G. .. ------·---~ECTION_ F-}~RO~ERTY OWN_ER (OR OWNER'S_REPRESENTATIVE) CERTIFICA~ON . -··--. . --. ... ... ·-··· 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 13FE) or lone AO must sign here. The statements in Sections A, B, and E are cc>rreci to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comment~ D Check here if attachments . . . . . .. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE 0MB No. 1660-0008 Expiration Date: November 30 , 2018 IMPORTANT: In these spaces , copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Bu ild in g S~reet Address (including Apt., Unit. Suite , and/or Bldg . Nq.) or P .0. Route and Box Nq . Policy Number: 1016 West Mountain Avenue City State ZIP Code Company NAIC Number Fort Collins Colorado 80521 SECTIONj G -COMMUNITY l1NFORMATION (OPTIONAL) I 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 R ico only, enter meters. G1 . 0 The information in Section C was taken from other documentation that has been s igned and sealed by a licensed surveyor, engineer, or architect who is autho ri zed by law to certify elevation information . (Indicate the source and date of the elevation data in the Comments area below .) G2. 0 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. Perm it Number G5 . Date Permit Issued G6. Date Certificate of ·irn-0 tl.\bl 9--~\-2.or? 'B? Compliance/Occupancy Issued Ff> \\\a\\ €-s--ao,-, Ff I \ . '2-l . io 1 'l G7. This permit has been issued for : I _g New Construction D Substantial Improvement I GB. Elevati on of as-built lowest floor (includ ing basement) So:rs."l ~ feet D meters (\)AvQ ~~ of the building : Datum G9. BFE or (in Zone AO) depth offloading at the bu il d ing site : 5'QJ,Q, .o ~ feet D meters Datum ~~Qb G10. Community's design flood elevation : soi 3.. o ~ feet D meters Datum t,..lAvQ g~ Local Official's Name Title 1M a...r-s hA, 1-\-'d ~.s-~n\..e,v\.~ov\.. J=t ood.~la...\ ~ AJwul\..l~'t'f'cd-Or Community Name Telephone Cl~ of-F+ r Co lft V\S, w '1-10-l~t.{~ bO~b ~~-~ Date I l r 'J...l -'c}....D \G\ Comments (including type of equ ipm ent and location , per C2(e), if applicable) 1l,,t1 s a.dd.t,+-tan C..€>1"-+0L~ n.S IL c...,a. w l 9 pea .. -e.-~ fl/\.~~ a..(( of!~ C!'awls~ re~,rie~. D Check here if attachments. FEMA Form 086-0-33 (7 /15) Replaces all previous editions . Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6 . IMPORTANT: In these spaces, copy the corresponding information from Section A. Build ing Street Address (including Apt., Unit , Suite , and /or Bldg . No .) or P .O. Route and Box No. 1016 West Mounta in Avenue City Fort Coll ins St ate Colorado ZIP Code 80521 0MB No. 1660-0008 Expiration Date : November 30, 2018 FOR INSURANCE COMPANY USE Po licy Number: Company NAIC Number If us ing the Elevation Certificate to obtain NFIP flood insurance , affix at least 2 bui lding photographs below according to i e instructions for Item A6. Identify all photographs with date taken ; ffFront View" and "Rear View"; and , if required , "Right Side View • and "Left Side View." VVhen applicable , photographs must show the foundation with rep resentative examples of the flood openings or vents , as ind icated in Section AB. If submitting more photographs than will fit on this page, use the Continuation Page . Photo One Caption West Side vents Clear Photo One Photo Two Caption North side -Air Cond itioner Clea r Photo Two FEMA Fann 086-0-33 (7/15 ) Replaces all prev ious ed itions . Form Page 5 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE Continuation Page IMPORTANT: In these spaces, copy the corresponding Information from Section A. Bu ild ing Street Add ress (includ ing Apt., Un it, Suite , and/or Bldg . No.) or P.O. Route and Box No. 1016 West Mountain Avenue City Fort Collins State Colorado ZIP Code 80521 0MB No.1660-0008 Expiration Date : November 30, 2018 FOR INSURANCE COMPANY USE Po licy Number: Company NAIC Number If submitting more photog raphs than will fit on the preced ing page , affix the add itio nal photographs be low. Identify all photographs with : date taken ; "Front View' and "Rear View'; and , if requi red , "Right Side View" and "Left Side View." When appl icable , photographs must show the foundation with representative examp les of the flood open ings or vents , as indicated in Section AS . Pl"*> Three Pho to Three Caption East side vents Clea r Photo Th r.ee Photo Four Caption East si de -with vents Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces an previous ed itions . Form Page 6 of 6 DIVISION : 08 00 00-0PENINGS SECT ION: 08 95 43 -VENTS/FOUNDATION FLOOD VENTS REPORT HOLDER: FLOOD SOLUTIONS, LLC ONE INDUSTRIAL PARK DR IVE, BUILDING 27 PELHAM, NEW HAMPSHIRE 03076 EVALUATION SUBJECT: STATIC FLOOD VENTS ICC ICC ICC @@@ C PMG C LISTED Look for the trusted marks of Conformity! "2014 Recip i ent of Presti gi ous Western States Se ismic Po licy Co uncil (WSSPC) Award in Excellence " ICC-ES Eva luation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or oth er matter in this report, or as to any product covered by the report. Copyri ght ID 2018 ICC Eva l uation Se rvi ce , LLC . A ll rig hts reserved . -~ lllW ••• A Subs idiary of ~ EVALLl,\TIO', ~ ICC SERVICE . . -~ _. C!...:~":: Most Widely Accepted and Trusted ICC -ES Evaluation Repo rt ..lww.i cc -es .o rg f 1 (800) 423-6587 I (562) 699-0543 DIVISION: 08 00 O~PENINGS Section : 08 95 43-Vents/Foundation Flood Vents REPORT HOLDER: FLOOD SOLUTIONS, LLC ONE INDUSTRIAL PARK DRIVE BUILDING 27 PELHAM, NEW HAMPSHIRE 03076 (800) 325-9775 www.floodsol uti ons .co m info@floodso lu tio ns.c o m EVALUATION SUBJECT: ST A TIC FLOOD '{ENTS 1.0 EVALUATION SCOPE Compliance with the following codes: • 2018 , 2015 , 2012 and 2009 lntemationa f Building Code® • 2018 , 2015 , 2012 and 2009 fn temationaf Residential Code® Property evaluated: Water flow 2.0 USES Flood So lutions' stat ic flood vents are used to prov ide fo r the equal ization of hydrostat ic flood fo rces on exte ri o r walls . 3.0 DESCRIPTION 3.1 General: Flood Solutions' static flood vents are enginee red , permanently open flood vents with no moving parts that automat ically allow flood waters to enter and exit enclosed areas . The vents are co nstructed of aluminum and ava ilable in four models. See Table 1 for model designations and sizes . See Figu re 1 for illustrations of t he flood ven t s. 3.2 Engineered Opening: The Flood So lutions sta ti c flood vents comply with the design principle noted in Section 2 .6 .2.2 of ASCE/SEI 24 for a rate of rise and fall of 5 feet per hou r (0.423 mm/s). In order to comply with t he engineered open ing requ irement of ASCE/SEI 24 , the static flood vents must be installed in accordance with Sect ion 4 .0 of this report . ESR-3760 Re issued March 2018 This report is subject to renewal March 2020 . A f Subsidiary of thel lntemational Code Council® 3.3 Ventilation : Flood Solutions ' static flood vents may be used to supply na tural ventilation for under-floor ven t ilation . See Table 1 fo r net free area for under-floor vent ilation prov ided by each of Flood So lutions' static flood vents . 4.0 DESIGN AND INSTALLATION T he Flood So lutions static flood vents are des igned to be installed into walls or doors of existing or new construction from the exte ri or side . Installation of the ven ts must be in accordance with the manufacture r's ins tructions , the appl icable code and th is report . In order to comp ly with the engineered open ing des ign principle noted in Section 2 .6 .2.2 of ASCE/SEI 24 , the vents must be installed as follows : I • With a mini mum of two opening on diffe rent sides of each enclosed area . • Wi t h a minimum of one ven t for the square footage of enclosed area noted in Table 1. • Below the base flood eleva ti on . • Wit h th e bottom of the vent located a max imum of 12 inches (305 mm ) above grade . 5.0 CONDITIONS OF USE T he sta ti c flood vents described in th is report comply with , or are a suitable alternati ve to what is spec ified in , those codes list ed in Section 1.0 of thi s repo rt, subject to the follow in g cond it ions: 5.1 The stat ic flood vents must be installed in accordance with th is report , the applicable code and the manufacturer's installation instructions . In the event of a conflict , the instructions in this report govern. 5.2 The stat ic flood ven ts must not be used in the place of "breakaway walls " in coastal high hazard areas , but are perm itted for use in conjunction with breakaway walls in other areas . 6.0 EVIDENCE SUBMIITED 6.1 Manufacturer's descri pti ve literature and insta llation inst ructions . 6 .2 Detai l drawings . 6.3 Eng ineering calculat ions in acco rdance with ASCE/SEI 24 . 6 .4 Quality documentation in accordance with the ICC-ES Acceptance Criteria for Qual ity Documentat ion (AC10), dated June 2014 . ICC -ES £va/ua11 on Repon s are not to be CDnstru ed as representing aesthell cs or any oth er atlnbutes nOJ specifically addressed. nor are they to be constru ed as an endorsement of th e su bject of the repon or a recomm endall on fo r 11 s use Th ere ls 11 0 wa"o111y hy f('C £,·aluat wn Serv ice. LL(', express or1mpl,ed, a.v to any fi ndin g or other mat/er 111 t/11 s repo rt, or as to any produ ct covered by th e repo rt . •• -·---- Copy ri ght~ 20 18 ICC Evalu ati on Se rvi ce . LLC . All ri ghts rese rv ed . Page 1 of 3 .ESR -3760 I Most Widely Accepted and Trusted 7.0 IDENTIFICATION The Flood So lutions static flood vents recogn ized in this report must be identified by a label bea ring the Page 2 of 3 manufacturer's name (Flood Solutions), the model number, and the evaluation report number (ESR-3760). TABLE 1-FLOOD SOLUTIONS STATIC FLOOD VENTS VENT SIZE MODEL (Width x Height) I (in) FS-1608 181/2 X 101/2 FS-1616 181/2 X 181/2 FS-1412 17 )( 141/2 FS-1608-Hex 18 1/2 X 101/2 For SI : 1 inch = 25.4 mm; 1 ft = 304 .8 mm 'Available for use as under-floor ventilati on . FS-1412 FS-1616 ROUGH OPENING ENCLOSED SIZE (Width X H~i ght) AREA f OVERAGE (in) (ft21 16 X 8 97 16 X 16 191 14 1/2 X 12 129 16 X 8 110 FS-1608 FS-1608-HEX FIGURE 1-FLOOD SOLUTIONS STATIC FLOOD VENTS NET FREE AREA 1 (in 2) 80 .7 158.2 106.7 91 .4 ~ ICC E'1ALIJAftON SERVICE ·---·· (!;.:-=~'.':: Most Widely Accepted and Trusted ICC-ES Evaluation Report ESR-3760 FBC Supplement Reissued March 2018 This report is subject to renewal March 2020. www.icc-es.org I (800) 423-6587 I (56~) 699-0543 k Subsidiary of the International Code Couhci!® DIVISION: 08 00 OD-OPENINGS Section: 08 95 43-VentslFoundation Flood Vents REPORT HOLDER: FLOOD SOLUTIONS, LLC ONE INDUSTRIAL PARK DRIVE BUILDING 27 PELHAM, NEW HAMPSHIRE 03076 (800) 325-9775 www.floodsolutions.com info@floodsolutions.com EVALUATION SUBJECT: STATIC FLOOD VENTS 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Flood Solutions' flood vents , recognized in ICC-ES master evaluation report ESR-3760 , have also been evaluated for compliance with the codes noted below. Applicable code editions: • 2017 Florida Building Code-Building • 2017 Florida Building Code-Residential 2.0 CONCLUSIONS The Flood Solutions flood vents , described in Sections 2.0 through 7.0 of the master evaluation report ESR-3760 , comply with the Florida Building Code-Building and the Florida Building Code-Residential, provided the design and installation are in accordance with the 2015 lntemational Building Code® provisions noted in the master report . Use of the Flood Solutions' flood vents has also been found to be in compliance with the High-Velocity Hurricane Zone prov isions of the Florida Building Code-Building and the Florida Building Code-Residential. For products falling under Florida Rule 9N-3 , verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). • I Th is supplement expires concurrently with the master report , reissued March 2018. ICC-ES Eva /ua tr on Reports ore not to be constru ed as represenring aesthetics or any ocher allnbu tes no/ specrftca /ly addressed, nor are they to be cu nstnied as an endorsement of the subject of 1he repo rt or a recvmm enda11 on fo r rts use. 11rere is 11 0 worranrJ, hy /('C Evaluation Service , l LC. express or rmplied. as to any fi ndi ng or olher mailer m th is report , or as /0 any produ ct covered bf /he report. Copyright© 2018 ICC Evaluation Service , LLC . All rights reserved . Page 3 of 3