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Home My WebLink AboutE-ELEVATION CERTIFICATE - 800 EAST LINCOLN AVENUE - POUDRE RIVER (3)J.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION I For Insurance Company Use: I Al. Building Owner's Name Odell Investments, LLC Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 800 East Lincoln Avenue City Fort Collins State CO ZIP Code 80524 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 1 and 2, Odell Brewing Company A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Non-residential addtion A5. Latitude/Longitude: Lat. 40o35'20"N Long. 105o03'30"W Horizontal Datum: ❑ NAD 1927 N 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 1 As. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 0 sq If a) Square footage of attached garage 0 sq It b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosures) walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I City of Fort Collins #080102 _ I_Larimer I Colorado B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 080102 0004 c March 18. 1996 March 18, 1996 AE 4944.1 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile INFIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE in Item B9: JO NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes SNo Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' [I Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized R 402 Vertical Datum NGVD 29 Conversion/Comments NA i4Zc1 a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. 4946.2 J9 feet ❑ meters (Puerto Rico only) NA._ @ feet ❑ meters (Puerto Rico only) NA. feet ❑ meters (Puerto Rico only) NA._ H feet ❑ meters (Puerto Rico only) 4946.2 IN feet ❑ meters (Puerto Rico only) 4945.5 10 feet ❑ meters (Puerto Rico only) 4945..5 K feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elev information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by tine or imprisonment under 18 U.S. Code, Section 1001. W Check here if comments are provided on back of form. Certifier's Name Briant T. Nelson License Number 23513 FEMA Form 81-31, February 2006 See reverse side for continuation,' IRepjaces all previpus eei�ion� I b IMPORTANT: In 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 800 East Lincoln Avenue City Fort Collins State CO ZIP Code 80524 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Item- 2e - Air conditions on concrete pad @ Finish Floor elevation Bench Mark - R-402 NGS 3inch Brass_5: -- lev. 4939.03 ❑ Check here if attachments 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 Et-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Et. 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, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _._ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. 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 ❑ 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 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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments SECTION G - COMMUNITY The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Si and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. 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.o The following information (Items G4.-Gg.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Cute Certifirte Of Compliance/Occupancy Issued 12�gnCnro35 Ca lob y4 (u 3115105 FP s-2o-bb /0IZ3 1 o1,; G7. This permit has been issued for: R New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 4?q&.�2 _E'feet []meters (PR) Datum IINJGV.D 191- G9. BFE or (in Zone AO) depth of flooding at the building site: 44 y .. I ®feet ❑ meters (PR) Datum WG U ID (,-f 9cf Local Official's Name n� Title i Itlfct,r5" i tNiQS- o)pi✓isov� iod.((,J(cci✓t Community Name Telephone pily4- 97D- 991-6700 Date f3 lS D v1 ( Ar 'vim 'Id"64 O'Li ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No.3067-0077 Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on a es 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING STREET ADDRESS (Including AM_ 800 E Lincoln Avenue CITY and/or Bldn. No.) OR P.O. ROUTE AND BOX NO. STATE Fprj- ( 11 ' n ROS7d PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) Microbr w - Nonresidential Addition LATITUDE/LON ITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1J GPS (Type): ( ##° - ##' - ##.It#" or ##.#akNN#°) LI NAD 1927 L1 NAD 1983 1_1 USGS Quad Map 1_1 Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION NUMBER DATE EFFECTIVE/REVISED DATE ZONES) (Zone AO, use depth of flooding) 0801020( C 3-18-96 3-18-96 AE 4944,1 BID. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. 1J FIS Profile 1X1 FIRM 1J Community Determined 1_1 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: 1_X1 NGVD 1929 1_1 NAVD 1988 Li Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes t�L_1 No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I_lConstruction Drawings' 1_113uilding Under Construction' I2L1F)nisbed 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 for which this certificate is being completed - see pages 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, VI-V30, V (with BFE), AR, AR/A, AR/AE, AR/At-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. Slate 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 Elevation reference mark used R-402 Does the elevation reference mark used appear on the FIRM? 1_1 Yes 1 X1 No ❑ a) Top of bottom floor (including basement or enclosure) 4946. 2 ft.(m) `��Stq,.. <••:'?;o;., ❑ b) Top of next higher floor 4956 . 9 ft.(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) NA — ft.(m) o S O�,••' 6 '> ❑ d) Attached garage (top of slab NA ft.(m)a a ' •° , "- ❑ e) Lowest elevation of machinery and/or equipment d + 4946 , 1 ft.(m) 29 89 i Ix servicing the building e A . ❑ 0 Lowest adjacent grade (LAG) 4943 . 5 ft.(m) z' N R { yO '. Cl g) Highest adjacent grade (HAG) 4945 . � IL(m) E �A "1p�S.,IZ-I b'�e �� , ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 9 �fsr��0�~•..... t'°eVQ,?�' ❑ i) Total area of all permanent openings (flood vents) in C3h 0 sq. in. (sq. cm) 7'-+��,1 RR�'` SECTION D - SURVEYOR, ENGINEER, 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 certifrcale 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. 11 � f amaron Dri_ vme, Su eB FortCO] l i nc rn 80524 SIGNATURE DATE TELEPHONE --- FEMA Form 81-31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS For Insurance Company Use: E. CITY Fort Collins, STATE CO $Oj&'CODE I Company NAIC Number I SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. lUmJVR:N I NGS Benchmark R-402 Elevation = 4939.03 .NGVD 1929 Cie Machinery was AC unit here if 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 El through E3. 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 for which 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 LLI IL(m) LLlin.(cm) U above or LI below (check one) the highest adjacent grade. E3. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's flonrinlain management ordinance? I I Yes I I No I 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, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE if attachments INFORMATION the local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete iections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 31. LI 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.) 32. -1 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. 33. W The following information (Items G4-G9) is provided for community floodplain management purposes. S- a1/- 0 a. I ISSUED 37. This permit has been issued for: (�!J, New Construction I I Substantial Improvement 38. Elevation of as -built lowest floor (including basement) of the building is: q94f /. . a ft.(m) Datum: A16VD 190 39. BFE or (in Zone AO) depth of flooding at the building site is: 4/9 N l/ f ft.(m) Datum: "gg,0 /9g22 vordv(ai, Adwv JIVIWi1VRC �/Ul //A �ni 94�/ /. ..,. �//A1 Ai A, Ofn vr••` /IX - %� i�.� Check here if -EMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS ELEVATION CERTIFICATE E presmai,31 1993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PRCGRAM ATTENTION: Use of ;his certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with apolicabie community;loodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME PCUCY NUMBER CAD - �i rJ Cprt� bra N STRE-ADDRESS ilarucing Act.. mt. Suite ardor ?leg. Numoert OR P.O. RO TE AND 3CX NUMBER COMPANY NAIC NUMBER i= S LiL. /�li� OTHER DESCRIPTION (Lot =a 31= Numcers. etc., GT! •� STATE- ZIP CODE T D g7- COL-- LI N) s C-O LOgA-Da 6o 57 Y--- SECTION 8 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instruct ions): 1• COMMUNITY NUMBER 2. PANE! NUM8ER 3. SUFFIX 1, DATE CF FiRM INCEX _. FIRM ZONE 6. BAS'c F' COD ELENATICN D8o1o2 �C»2 D D 7 I 6 � (o Z� A -4g4s.�ceonl 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (EFE): XNGVD'29 _Other (describe on back) 8. For Zones A or V, Where nc BFE is prcvided on the FIRM, and the community has estaciished a BFE for this building site, indicate the community's BFE: N �._ feet NC -VD (or other FIRM datum -see Sec;fcn ?, Item 7). SECTION C BUILDING ELEVATION INFORMATICN 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and "o that best describes the subject building's reference level 2(a). FIRM Zones Al •A30, AE, AH, and A (with BFE). The too of the reference level ficor from the selected diagram is at an elevation of I4 I.C'' feet NGVD (or other FIRM datum -see Section 8, Item 7). (b). FIRM Zones V1430, VE, and V (with EFE). The bottom of the lowest horizontal struc:urai member of the reference level from the selected diagram, is at an elevation of I ' ' 1 ! 1 ii feet NGVD (or other FIRM datum -see Section 8, Item 7). (c). FIRM Zone A (without SFE). The floor used as the reference level from the selected diagram is I_ I_ 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 I! .L 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: Z NGVD'29 Cl Other (describe under Comments on Page 2). (NOTE: ff the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section S, Item 77, 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: CI Yes 9 No (See Instructions on Page 4) S. The reference level elevation is based on: ZII actual construction ❑ construction drawings (NOTE: 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 post -construction Elevation Certificate will be required once construction is complete.) ��,��{{� ,pp�� 6. The elevation of the lowest grade immediately adjacent to the building Is: !.LI feet NGVD (or other FIRM datum -see Section 8, 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 floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I ' ' I : .'—I feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvement MAAC g (qq4-- FEMA Form 81-31r MAY90 REPLACES ALLPREVIOUS EOIT!CNS SEE REVERSE SIDE FOR CONTINUATICN SECTION E CEFITIFICATION 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 At-A30, AE. AH, A (with 8F=-),V1-V30,VE, and V (with EFE) 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 community issued 8FE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features -If the certifier is unable to certity 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 certify that the intormadon in Sections 8 and C an this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine cr imprisonment under 18 U.S. Code, Section 1001. lv1AuyaIG- 4 Lu-rK)tJ NAME NAME NUM=C (Or Amx ti=) A0OHE$S—'1 ,/_ CrrY SiZIP r R SIGNATURE V I . ' 0&-. PHCNE Copies should be mad€ of this Certificate for: 3) community official, 2) insurance agenticompany, and 3) buildingowner. nT» COMMENTS: Fr�O�\C tSTEp' CpTL'�� ON WrrH ON PILES. SLAB BASEMEN PIERS. OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES PEfFPF.VOE PEFEPENCE BiSE LEVEL PEGEE. {EVE{ nOpp LENVEL MEVATK'N :� � ''� "".v � -fix`' ..., .. •'e y" E Ck@'71 AOJACENi AEFFAEHLE RA00 we RGCo BAS Ei_N�TIGN AEFEPENCE AOJ/4FNr G�OE ��• IEVEI EIEV�igN LEVEL GPAOE �Ky Y:�;^� .L., :. 1,.,��r':� •: }i; ADJACENT : J: .• GPAOE 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 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on pages 1 -7 O.M.B. No. 3067-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION I For Insurance Company Use: BUILDING OWNER'S NAME Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number 800 East Lincoln Avenue J CITY STATE ZIP CODE Fort Collins, Colorado 80524 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 1, Subdivision Plat of Odell Brewing Company BUILDING USE (e.g., Residential, Non-residential, Addition Accessory, etc. Use Comments section if necessary.) Gor✓imer,,)at rOnn--floLift or.AA/"\ - ##' - ##.##" or LI NAD 1927 LI NAD 1983 LI GPS (Type) LI USGS Quad Map LI Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME 83. STATE Fort Collins - 080102 Larimer Colorado I� 84. MAP AND PANEL 65. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD 89. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of Flooding) 080102 - 0004 C I March 18, 1996 AE 4944.0 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. --- 1_I FIS Profile 1X�FIRM 1J Community Determined Ll Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: 1X I NGVD 1929 1J NAVD 1988 1_J Other (Describe): 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes 1 XI No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1_1Construction Drawings' 1JBuilding Under Construction' MFinished 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 for which this certificate is being completed - see pages 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, V1-V30, V (with BFE), AR, AR/A, ARME, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified 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 Conversion/Comments Elevation reference mark used 4942.99 Does the elevation reference mark used appear on the FIRM? 1J Yes 12I No ❑ a) Top of bottom floor (including basement or enclosure) 4946 5 ft.(m) w ❑ b) Top of next higher floor NA _ ft.(m) a ❑ c) Bottom of lowest horizontal structural member (V zones only) N A _ ft.(m) ❑ d) Attached garage (top of slab) NA _ ft.(m) 00 E g ❑ e) Lowest elevation of machinery and/or equipment u d servicing the building NA _ ft.(m) g ❑ 0 Lowest adjacent grade (LAG) 4943 9 ft.(m) d. ❑ g) Highest adjacent grade (HAG) 4945 86 ft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 ❑ i) Total area of all permanent openings (flood vents) in C3h 0 sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to igned and sealed by a land sun((pyD'?I yi. , or architect authorized by law to certify elevation information. 1 certify that the in/ at' n in Sections A, B, and Con-,,, I � t Igents my best efforts to interpret the data available. I understand that anv Ise statement may be ounisb)ah� kCd+�ei&i-1' Awent under 18 U.S. Code. Section 1001. 11-12-99 IELEPHONE 970/226-5334 IMPORTANT: In these spaces, copy the corresponding information from Section A. 1. For Insurance Company Use: SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS Ranrhmark Northeast Bonnet Bolt of fire hydrant on the North side of East Lincoln Ave. 70' SE fo the SE corner of the property elevation = 4942.99 feet 1_1 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 E3. 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 1 (Select the building diagram most similar to the building for which 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 L1_1 ft.(m) 1_18 1in.(cdd) 12 �bove or L1 below (check one) the highest adjacent grade. E3. For 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 _1_1 No 11 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 completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME COMMENTS SECTION G - COMMUNITY INFORMATION (OPTIONAL) Check here if attachments 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. G1. 1-1 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.) G2. 1_1 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. l I The following information (Items G4-G9) is provided for community floodplain management purposes. 8 - /to -9✓0 ISSUED /— C,'- G7. This permit has been issued for: fXFNew Construction 1_1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: yqt/ 6 ft.(m) Datum: AA VZ) G9. BFE or (in Zone AO) depth of flooding at the building site is: ±/9 ug _ . _EL ft.(m) Datum: IJ� GOMMUNI I NAMt C;�- D� L011/;AS IELEPHONE97O SIGNATURE 4 /A�0. �.: DATE. / `y �rO.t� - A19, {_{ Check here if attachments FEMA Form 81-31. AUG 99 - REPLACES ALL PREVIOUS EDITIONS