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Home My WebLink AboutE-ELEVATION CERTIFICATE - 4305 EAST HARMONY ROAD - POUDRE RIVER (6)ELEVATION CERTIFICATE �M.B.No3067-0077 ExpiresMay31, 1993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compiiance with applicable community floodpiain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a �etter of Map Amendment or Revision (LOMA or LOMR). Instructlons for completing this form can be found on the followfng pages. SECTION A PROPERTY INFORMATION I FOF INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER CO .�IL CFS'bNYGQ`� �1'�� I STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AN� BOX NUMBER COMPANY NAIC NUMeER OTHER DESCRIPTION (lot and Block CITY \ 1 S/T�ATE 2(�1PCODE F�rT �V l�i^�S \a7 L7�%52 � SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the tollowing from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD EIEVATION �� (In AO Zanes, use dep�h) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): U NGVD'29 �Other (describe on back) S. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: � ��.0 (eet NGVD (or other FIRM datum-see Section B, Item 7). - SECTION C BUI�DING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level � . 2(a). FIRM Zones A1-A30, AE, AH, and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of �_�4.��.0 teet NGVD (or other FIRM datum-see Section 8, Item 7). (b). FIRM Zones V1-V30, VE, and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of � I I I I I.0 feet NGVD (or other FIRM datum-see Section B, Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is W. U feet above ❑ or below ❑(check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is ��.0 feet above � or below ❑(check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes � No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD'29 �Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is di/lerent than that used on the FIRM (see Section B, ltem 7% then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: � actual construction ❑ construction drawings (N01 E: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A posf-construction Elevation Certilicate will be required once construction is complete.) �� 5 =,. 6. The elevation of the lowest grade immediately adjacent to the building is: ��_�_I_� .I � feet NGVD (or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest tloor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: ��.0 feet NGVD (or other FIRM datum-see Section B, Item 7). 2: Date of the start of construction or substantial improvement fEMA Form 87-37� MAY 90 REPLACES ALL PREVIOUS EDI710NS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones A1-A30, AE, AH, A(with 8FE),V1-V30,VE, and V(with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A(without a FEMA or comm�nity issued BFE), a building of(icial, a property owner, or an owner's representative may also sign the certification. Reterence level diagrams 6, 7 and 8- Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item t, must still be entered. I certity thal ihe information in Sections B and C on this certificate represents my best e/%rts to interpret the data available. I understand that any /a/se statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME / LICENSE NUMBER�(orAHiz Seal) S�7�I�A1 � �yl /¢ N N�E �SO ,� Co i�,o c.o �r}-Ao TITI F nnn�onniv nine.� COMMENTS: LiS C. S �_�s (' .. z Fi �h! C� or � � �-Z �Y ��I w..,,,,��eQ � (j�(.O �'j (e ON SLAB A V ZONES ZONES ELEVATION GPA�E ON PILES, PIERS, Oq COLUMNS The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 Copies should be made of this Certiffcate for: 1) community official, 2) insurance agent/company, and 3) building owner. . WITH BASEMENT A V 06/08/1997 22:29 3039359175 CHATCO DENVER Apr-16-97 07:65A C.R�_Moore �and Survaying 303-423-2190 P.D. 8ox 5153 � April 15, 1997 cMooRE j� LAND SUAVEYING Arvada, Cab�sAoB0005•Ot53 PAGE 02 P.O1 /?�;�.�� '��-��1 ,��,�� ;%=��°��. sos-e22-�s�e TO WHOM IT MAY CONCE:RN' - SUBJECT: FTC HARMON:Y ALT, 1- 4306 MARMONY RD., FT. COLLINB, COIORADO I, Creightan R. Moore, a Protessiona� land SuNeyor regisiered ih the State of Colorado hereoy cer6fy Ihat !he fin(shed floor eievaGon �f the pre-fab building focated at 4305 Harmony Roatl, Fort Collins, Colorado is 48d7.45. I further certify th�pt the above information is true and corcec! to the best of my knowledge and be(ief. Crelghton R. Moore PlS No.10945