HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 1251 EAST MAGNOLIA STREET - POUDRE RIVER (3)FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200E
ELEVATION CERTIFICATE
Important: Read the instructions on pages I - 7.
BUILDING OWNER'S NAME I Policy Number
The Home Depot
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number
1251 E. Magnolia
CITY STATE ZIP CODE
Fort Collins CO 80524
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Mulberry and Lemay Crossings PUD, Filing No. 2, Major Amendment, Lot 2, and Part of Lot 6 P.D.P.
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, it necessary.)
Non-residential -Commercial Hone Improvement Retail Stare _
( ffif '-##.#Ir or ##.t# ) ❑ NAD 1927 ® NAD 1983 ❑ USGS Quad Map ❑ Other.
40°34'59.67729' N/105°03'16.58
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
CdyofFatCbftffi0102 I Larber I Cobrado
B4. MAPAND PANEL
BT FIRM PANEL
B9. BASE FLOOD ELEVATIONS)
NUMBER
135. SUFFIX
86. FIRM INDEX DATE
EFFECTIVER2EVISED DATE
138. FLOOD ZONE(S)
(ZoneAO, xedeplh offloading)
0801020004
C
3-18e6
1220M
X
NA
B10. Indicatethe sourced the Base Flood Elevation (BFE) data or base flood depth entered in B9.
ElFISProfile [I FIRM ❑ Community Ddemrined ❑ Other (Desal'be):_
911. Indicate the elevaalion datum used forthe BFE in 39: ® NGVD 1929 ❑ NAVD 19BB ❑ Otlrer(Dssaibe): _
B12, Is the bukling located in a Coastal Bata Resources System (CBRS) am orOtherwise Protected Area (OPA)? ❑Yes ®No DesignalbnDate_
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Draw[W ❑ Bllil ling Under Construction' 0 Finished Construction
A new Elevation Certificate will be required when construction of the bulking is compete.
C2.BuildingDiagramNumber1(Selectthebuildirgdiagrammostsimlartothebuildingforwhlchthiscertificateisbeirgcanpleled-seepages6and7. Hnodagram
acaxatelymprewtsttrebuidng, prowdeasketchorptrotograph.)
C3. Elevations —Zones Al-A30, AE, AH, A (with BFE), VE, WNW, V (with BFE), AR ARIA, AR/AE, AR/Al-AX, AR/AH, AR/AO
Complete Items C3.-a4 below amording tote buiming dagram spe65ed in Item C2. State the datum used. fithe datum is difiaeMGom the datum used forthe BFE in
Section B, convert thiedaturn to that used fibirthe BFE Showfield measurements and datum oonvasion calculation. Use the space provided orthe Comments area of
Section D orSection G, as appropiate, to document the datum conversion.
Datum NGVD 1929 Convers n/Carur ents
Elevation reference mark used 8022Does the elevation reference mark used appearonthe FIRM? ❑Yes ®No
o a)Topofbottom floor (indudingbasementorendosure)
4935, Oft(m)
2
o b)Topofnedhigherfloor
WA._ft(m)
a
oc) Bottom oflowest horizontal structural member (VZones only)
WA._fl.(m)
o IAttachedgarage (top ofslab)
WA. _fl.(m)
E g
o e) Lowest elevation of machinery and/aequipment
m "
servicing the buikling Describe inaComments area)
4935.Oft.(m)
E
o f) Lowest a4acent (finished) grade (LAG)
4932.5ft(m)
z' m
o g) Highest adjacent (finished) grade (HAG)
4934. 9 ft(m)
N
`t
o h) No. of pennanenlopenings (flood vents) within 1 ft above adjacent grade WA
o I) Total area Ball pem>anent openings (flood vents) in C3.h WA sq. in. (sq. an)
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 certily 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 maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME Earl B. Lambert UCENSE NUMBER 10735
TRLEPresident COMPANY NAME Alpha & Omega Consultants, Inc.
ADDRESS CITY STATE ZIP CODE
12050 W 52n° Ave Wheat Ridge CO 80033
1f25f05
3Oa467-1700
FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previoug editions
f.n9 2//A1A<'
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community officid, (2) insurance agerWoompany, and (3) building owner.
A LOMR-Fill was issued on 4(,1102, Case#02-M189A removing property from thefloodplain.
TRASH COMPACTOR PAD ELEVATION=4932.6 FT
CITY OF Fr. COLLINS BENCHMRK8.02ELEVATION =4936.08Fr
Lowest Equipment is hot water heater in mechanical room at southwest comer of building=4936.00 ❑ Check here if attachments
SECTION E BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEI
ForZoneAO and ZoneA (mtaA BFE), cornplete items El throuM E4. If the Elevation Certificale is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
El. Building Diagram Number_(SeIW the building diagram most similarto the builkling forwhich this cafficateisbeingcompleted—seepages6and7. flnodiagramaocurately
repnesenls the buikfing, provide a sketch or photograph)
E2. The top of the bottom floor (including basernerrt or mclosure) of the buildng is _fiL(m)_in.(cm)Ej above or F-1 below (check one) the highest adjacent grade. (Use
natural grade, I available),
E3. For BuildngDiagrams 68with openings (seepage, the nedhigherfloororelevatedtloor(elevaionb)ofthebuikfingis_fL(m)_in.(cn)above the highest adjarent
grade. Complete items C3.hand C3.ionfront ofform.
E4.Thetopoftheplatfamofmachineryandorequipmentservicigthebuildngis _fL(m)_in.(an)❑aboveor ❑ below (check one) the highestadjaceMgrade.(Use
natural grade, Ifavailable).
E6. ForZone AO only: If no flood depth number is available, is the top of the bottom floorelevated in accordance with theoanmunflys tlood0ain managernentadinance?
❑ Yes ❑ No ❑ Unkrno wn. The" official must car ilythis information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The p operly owner oromWs aNho zBd representative who completes Sections A, B, C (Items C3.h and C3.f only), and E for Zone A (without a FEMA4ssued orcommunity-
Issued BFE)orZoneAOmust sip here ThestaternentsinSecbbmA,a,C,andEarecwwtofhebestofrWmowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIPCODE
SIGNATURE DATE TELEPHONE
G-
The local official who is authorized by law or ordinance to administer the community's floodplan management ordinance can complete Sections A, B, C (or E), and G of this Elevation
Cetiliate. Complete the applicable items) and sign below.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engine, or architect who is authorized by stale
or local law to catify elevation information. (Indicate the source and date of to elevation data in the Comments area belay.)
G2. ❑ A community official completed Section E for a building located in Zane A (without a FEMA4ssued orcorumunity-issued BFE) or Zone AO.
G3. ® The following information (Items G4-G9) is provided for community flcodplain management purposes.
G7. This permit has been issued far. O New Construct o n ❑ Substantial Improvement
G8.Elevaficnofas-IWikbNest0m(indudingbasernent)otthebuildrgis: 4`1 G-E)fL(m) Datum: N�^vAl9c�q
G9. BFE or(in ZoneAO) depth of flooding at Me building Me is: r-(cla—a._LR(m) Datum: yr�vk0 tc i-A
LOCAL OFFICIAL'S NAME jtiiacs4 i�i� S- �b�n5on TITLE Rood. W., Xck*&zo.UkaAQc
�o c�- cz m( s I Co
DATE
COMMENTS
TLuiS nrooa- rIy`wc,& rc'ey"%jea. �,-laorle�V to U WkP-t�'1) TWk.L ce-tV1�4c0.j
iS Scec cow.r.�\ wnce r •ic4n A -he.. GDr'xy"Qet .1 +Ir• Lx�MiL P;It yiwi' ` WL %1- LkL+L&M- skiII 6r__
c&��z¢- Ak-� tic+ T4 "a PVV-Ve ,c++t ❑ Check here if attachments
FEMA Form 81-31, January 2003 Replaces all previous editions