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Home My WebLink AboutE-ELEVATION CERTIFICATE - 1221 EAST PROSPECT ROAD BUILDING C - SPRING CREEK (12)FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE the instructions on pages I.7. SECTION A - BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number 1221 East Prospect Road Building C (Building 3 in Utility Plans) CITY STATE ZIP CODE Fort Collins CO 80525 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 3, Block 1, The Lofts at Park Central Subdivision, City of Fort Collins, County of Ladmer, State of Colorado BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):_ ( ##' - #9 - ##.1#' or ##.f#✓#W) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME& COMMUNITY NUMBER B2.000NTYNAME B3, STATE City of Fort Collins 080102 Larimer Cobrado B4. MAP AND PANEL BT FIRM PANEL 39. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVErREMSED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of flooding) 08010 C 3-18-96 3-18-96-City ACE2-1502 X-City100Year Chy4940.2 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other (Describe): Hydraulic Model Sorino Ck-ACE-2-15-02 B11. Indicate the elevation datum used for the BFE in 59: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): _ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPAP F-IYes R No Designation Data SECTION C - BUILDING C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Conshcbon* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building forwhich this certificate is being completed -seepages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, APJA, AR/AE, AR/A1-A30, APJAH, AR/AO Complete Items C3.-a4 below according to the building diagram spsdfled in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion/Comments _ Bevation reference mark used U 402 Does the elevation reference mark used appear on the FIRM? [-]Yes ®No ► a) Top of bottom floor (including basement orendosure) 4942.56ft(m) ► b) Top of next higher floor 4952.3 ft.(m) d a ► c) Bottom of lowest horizontal structural member (V zones only) NA ft(m) ,r• ••* • ' - ► d) Attached garage (top of slab) 4942.56 ft.(m) E a t, ► e) Lowest elevation of machinery and/or equipment u servidng the building (Describe in a Comments area) 4941.8 ft(m) ► f) Lowest adjacent (finished) (LAG) 4942.1 tt.(m) D grade ► Highest Z' �N �p •'••••••••.. g) adjacent (finished) grade (HAG) 4942.8ft.(m) ► h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 AL ENG ► i) Total area of all permanent openings (flood vents) in C3.h 0 sq. in. (sq. cm) OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C 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 CERTIFIERS NAME- Michael Paul Obertandef LICENSE NUMBER- CO 34288 TITLE -Civil Engineer COMPANY NAME -North Star Design, Inc. ADDRESS CITY STATE ZIP CODE 700 Automation Drive, Unit I Windsor CO 80550 SIGNATURE DATE j TELEPHONE e f 970-686-6939 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions W. ORTAN R J1n 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 1221 East Prospect Road Building C (Building 3 in Utility Plans) CITY STATE ZIP CODE CompanyNAIC Number Fort Collins CO 80525 SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentloompany, and (3) building owner. COMMENTS Benchmark U 402=4944.98 C3.e— HVAC Units Located between driveways (adjacent to garage side of building). ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number —(Select the building diagram most similar to the building forwhich this certificate is being completed —see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ft.(m)_in.(cm)❑above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 68with openings (seepage 7), the next higher floor orelevated floor (elevation b)ofthe building is_ft.(m)_in.(cm)above the highest adjacent grade. Complete /ems C3.h and C3.1 on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, If available). E6. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who mnpletes Sections A, B, C (Items C3.h and C3.i only), 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,C, and Ears comecttothe best ofmyknowledge. PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G -COMMUNITY INFORMATION (OPTIONAL) The local offidal who is authorized by law or ordinance to administer the oommunitys 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. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevationinfonnation. (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 (without a FEMAassued orcommunityissued BFE) or Zone AO. G3. C;The following information (Items G4-G9) is provided for community floodplain management purposes. G4.PERMITNUMBER G5. DATE PERMIT ISSUED G6. DATE CERT ICATE OF COMPLIANCE/OCCUPANCY ISSUED bPoo36(-26 * i3o 3�ro /6/0l� -rc(3 -78 6 G7. This permit has been issued for. t<New Construction ❑ Substantial Improvement G8.Elevaionofas4wiltlowestfloor(inductingbasement)ofthebuildingis: Datum:NLCYIi2? G9.BFEor(in Zone AO) depth offloodngatthe building site is: t9jQV.(m) Datum:�VO29 ❑ Check here if attachments FEMA Form 81-31, January 2003 Replaces N I j Z N W O Y E PROSPECT RD