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HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 1221 EAST PROSPECT ROAD BUILDING A - SPRING CREEK (3)FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No.3067-0077 Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. SECTION A- PROPERTY OWNER INFORMATION For lnsuranoeCompany Use: Park Central, LLC BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number 1221 East Prospect Road Building A (Building 2 in Utility Plans) CITY STATE ZIP CODE Fort Collins CO 80525 Lot 2, Block 1, The Lofts at Park Central Subdivision, City of Fort Collins, County of Ladmer, BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):_ ( ##°-##'-##.##' or ##.#####°) El NAD 1927 [1 NAD 1983 ❑ USGS Quad M1ap ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME& COMMUNITY NUMBER B2. COUNTY NAME B3.STATE City of FortCoilns 090102 Ladner Colorado B4. MAPAND PANEL NUMBER 00020012-CAyACEPgA B5. SUFFIX C B6.FIRMINDEXDATE 3-18-96 B7. FIRM PANEL - EFFECTIVEIREVISED DATE 3-18-%-CdyACE2-15-02 B8. FLOOD ZONE(S) X-Cdy100Year I B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of Wing) Cfly4939.6 61U. Indicate the source of the Base Flood Elevafion (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other (Describe): Hydraulic Model Sodng Ck - ACE - 2-15-02 B11. Indicate the elevation datum used for the BFE in 39: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): _ B12. Is the buildinq located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? I-1 Yes N No Designation Date SECTION C - BUILDING ELEVATION C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® 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 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 At-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, AR/AH, AR/AD Complete Items C3: a4 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 Seclion B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculator. 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 U 402 Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No ► a) Top of bottom floor (including basement or enclosure) 4942.06ft(m) ► b) Top of next higher floor 4951.8ft.(m) a ► c) Bottom oflowest horizontal structural member (Vzones only) NAft(m) ► d) Attached garage (top of slab) 4942.06 ft.(m) E o ► e) Lowest elevation ofmachinery and/or equipment w servicing the building (Describe in a Comments area) 4941.9 ft.(m) E ► f)Lowest adjacent (finished) grade (LAG) 4941.9 ft.(m) z' ► g) Highest adjacent (finished) grade (HAG) 4942.3 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 C3.h 0 sq. in. (sq. cm) 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 certificate represents my best efforts to interpret the data available. I understand that anv false statement may be punishable by fine or imprisonment under 1R 11 S Cnde Section 1001 TITLE -Civil Engineer COMPANY NAME -North Star Design, Inc. ADDRESS CITY STATE ZIP CODE 700AutomationDdve,bnitl 14 _ J Windsor CO 80550 (iC�/1- ��/�[01©�i 970-686-6939 FEMA Form 81-31, January 2003 See reverse side for continuation. � Replaces all previous editions ,�n,tntia� .IMPMTArJT: i these spaces, copy the corresponding information from Section A CITY - STATE ZIP CODE I Company NAIC Number FatCdlins CO 80525 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 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FORZONE 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 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 (inducing 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 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ft.(m)_in.(an)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the plaflorm of machinery andlor equipment servicing the building is _ ft.(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. 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 cedify 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 FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, 8, C, and E are comectto the best ofmyknowtedge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME STATE ZIP CODE SIGNATURE DATE TELEPHONE Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administerthe communitys floodp ain management ordnance 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 elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community offdal completed Section E for a building located in Zone A (without a FEMA-issued or communityissued BFE) or Zone A0. G3. ;A The following information (Items G4-G9) is provided for community floodplain management purposes. -/3-6$ 'UAdfs/D-4I I21 ZUl63 G7. This permit has been issued for. X New Constructor ❑ Substantial Improvement G6.Elevation ofas-built lowest floor (including basement) of the building is: &-(m) Datum:.(&YJ) G9. BFE or (in Zone AO) depth of flooding at the building site is: t f 9, . 6 ft.(m) Datum: ✓D LOCAL OFFICIAL'S NAME ) // '// TITLE /. • /Jr, G1ri I. .�:re/1� li//�io< ton lnr C`1.,-,�.r�,.r.r ,La .� �, — A.idat FEMA Form 81-31, January 2003 ] Check here if attachments Replaces all previous editions