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Home My WebLink AboutE-ELEVATION CERTIFICATE - 2705 SOUTHWEST FRONTAGE ROAD - POUDRE RIVER (3)FEDERAL EMERGENCY MANAGEMENT AGENC'.' I NATIONAL FLOOD INSURANCE PROGRZI �.?.f.3. Nc. 3CE7tiCT7 txPlres July 31, 2CC2 ELEVATION CERTIFICATE Important: Read the instructions on paqes 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:" 3LILDI^:G O`rINER'S .NAME _ I Pcliq NumCer 3ULDING S7RE� II ADDRESS( g Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Numoer - 7 S AirA&U EOAV C;Tr T_ _ _— STATE Z!P CCCE L area, —,_. ••— •-/ rrvn,<vn l n�Ur IUM: SOURCE: LJ GPS (Type): (' - xx - #7.rY• or ##.Z") W PIAp 1927 LJ NAD 19a3 LJ USGS Quad Map U Other - SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION . .,��r�n Co. rUV'A INUtA 57. FIRM PANEL I B8_ FLOOD I B9. BASE FLOOD EL FJATION(S) NUMBER 0)QAr- DATE EFFECTNEiREVISED CATS 20NE(S) (Lone AO, use depth ct flooding) nv nnu /' _ ._ .__. 310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In 89. LJ FIS Profile L)Sj FIRM LJ Community Determined LJ Other (Describe): 311, Indicate the elevation datum used for the BFE in B9: L4 NGVD 1929 LJ NAVD 1988 LJ Other (Describe): 312. Is the building located in a Coastal Barrier Resources System (CSRS) area or Otherwise Protected Area (OPA)? LJ Yes W No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) ;1. Buildirg elevations are based on: LJConstrucion Drawings' (,JBuilding Under Construction' LXJFinished Construction A new Elevation Certificate will be required when construction of the building is complete. .2. Building Diagram Number J— (Select the building diagram most similar to the building for which this certificate is being completed. sea pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) :3. Elevations - Zones Al-A3O, AE, AH, A (with BFE), VIE, Vt-V30, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, ARIAO Complete Items C3.a-i below according to the building diagram specified in kem C2. State the datum used. If the datum is different from the datum used for the BF-E in Section B, convert the datum to that used for the SF-E. 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 N Co V D Conversion/Comments Elevation reference mark used Lizy as. , X 407 Does the elevation reference mark used appear on the FIRM? LJ Yes No ❑ a) Top of bottom floor (Including basement or enclosure) 4 8 —, (Z ft.(m) ' ❑ b) Top of next higher floor _4 pub , 2L fL(m) N f kuT� ❑ c) Bottom of lowest horizontal structural member (V zones only) _ N A —ft.(mj „ m t ✓✓GtgT - ❑ d) Attached garage (top of stab) q �5 ft (m) S g :' V ; CO e) Lowest elevation of machinery and/or equipmgnt w m —It �02 i servicing the building (Describe in a Comments area.) 4- ( FaR6 2 ft. m) 8' £ 3 (r � — ❑ 0Lowest adjacent (finished) grade (LAG) _ ¢ 9�¢ fb / 03 , � ft.(m) z._ s_ ❑ g) Highest adjacent (finished) grade (HAG) Q g g4, ft.(m) " k F. & i ❑ h) No. of permanent openings (flood vents) within 1 ft above adjacent grade —13 3 ❑ ) Total area of all permanent openings (flood vents) in C3.h _ ) sq. in. (sq. cm) J SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by land surveyor, engineer, or architect authorized by law. to certify elevation information. I cerliPy that the information in Sections A, B. and C on this certificate represents my best efforts to interpret the data available. or S. 18U.S. Cade, Section 1001. 'EMA Form 81-31. JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALLPREVIOUS MPCRTANT: In these scaces, copy the com_sponding information from Section A. Use:- , - 4 I IV b J • W. t O A/ TAG E - - . ,,�.,.� ,.urn�er .. _ G i f A bSTATE ZP CCCE ComPany NAIC Number , - _ 1 (o r.tur C BOs SECTION D SURVEYOR, ENGINE_R, OR ARCHITECT CERTIFICATION (CONTINUED) Copy bath sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner, Or 4973-te- —r_ T E B.F. E. /S /.S Tars E tA-rt0AJ OF BE 61 .r1AB X 40 - 48B7 --- u t. AUD THE WA? NFATF/� ao� �. .J TIiF SEcobofio„ I I 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 Et. through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. Et. Building Diagram Number_ (Select the building diagram most similar to the building forwhich this Certificate is being ctrt;pleted— see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The too of the bottom floor (including basement or enclosure) of the building is I I I fL(m) l I lin.(cm) Lj above or LJ below (check one) the highest adjacent grade. (Use natural grade, if available.) E3. For Euilding Diagrams &8 with openings (see page 7). the next higher floor or elevated floor (elevation b) of the building is I_ —I fl (m) I I lin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of forth. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community: flocdolain management ordinance? I —I Yes I I No ( I Unknown The local official must certify this information in Section G. SECTION F -PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes 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, A C, and E are correct to _the best al my fcnowledge. PROP RTY OWNERS OR OWNERS AUTHORIZzD RcPRESE 4iATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Check 'he 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. 21. Lj 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 elevation information. (Indicate the source and date of the elevation data in the Comments area below.) :2. Lj A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. i3. The following information (Items G4-G9) is provided for community floodplain management purposes. BF b 2 rP R -a 3 -o a I ISSUED 7. This permit has been issued for. WNew Construction L Substantial Improvement 3. Elevation of as -built lowest floor Qnc!uding basement) of the building is: O ft.(m) Datum: A./61110 t4a 9 i9. BFE or Qn Zone AO) depth of flooding at the building site is: , �'ft.(m) Datum: AJA 1/0 /9a�' _Q`Sfr-c� care ✓ r ( Check here if attachments :MA Form 81-31. JUL 00 REPLACES ALLPREVIOUS EDITIONS t �eQCy- I�<<I63