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Home My WebLink AboutE-ELEVATION CERTIFICATE - 1645 ROBERTSON STREET NUMBER B - SPRING CREEK (3)U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency. Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 1645Roberson Street #1-pj City CO ZIP A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 37, Pinnacle. Townhomes P.D.P. - A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 40d34m0ls Long. 105d04m07s Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 2 A8. 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) 576 sq it a) Square footage of attached garage 240 sq it b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) 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 (FIRMI INFORMATION Larimer Counly 08069C (r4. Coljft5 VTO)Da) I Larimer CO 84. Map/Panel Number B5. Suffix B6. FIRM Index 67. FIRM Panel B8. Flood BI Base Flood Elevations) (Zone Date Effective/Revised Date Zones) AO, use base flood depth) 979 F 12/19/06 12/19/06 AE 4956.25 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ Bl 1. Indicate elevation datum used for BFE in Item B9: ❑ 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 ®No Designation Date [I CBRS El OPA Cl. SECTION C - BUILDING ELEVATION INFORMATION MIRVFV orni uocro 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. Elevations - Zones At-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized Fort Collins T402 Vertical Datum NGVD 1929 Conversion/Comments 3.0-foot conversion Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)- 4954.70 ® feet ❑ meters (Puerto Rico only) - b) Top of the next higher floor 4963.30 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A ._❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 4960.30 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building - 4961.90 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 4961.40 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 4961.92 ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION 1,ns ceruucauon is to oe signed and sealed by a land surveyor, engineer, or architect authc information. I certify that the information on this Certificate represents my best efforts to inl I understand that any false statement may be punishable by fine or imprisonment under 18 t the data available. Code, Section 1001.. Certifiier's Name Aaron Cvar License Number 36271 Title Senior Engineer Company Name Northern Engineering Services, Inc. FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces allprevious editions 'A IMPORTANT: In these spaces, copy the correspondin 1645 Robertson St. If 6g 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 City Fort Collins State CO ZIP Code 80525 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION fcoNTINUFn1 Copy both sides of this Elevation Certificate for (1). community official, (2) insurance ag6micompany, and (3) building owner. Comments. C2 e) Air conditioning unit - SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEI For Zones AO and A (without BFE), complete Items El-E5. If the Certificate is intended to supporta LOMA or LOMR-F request, complete Sections A, B, and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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, drawl 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 nat. T.a....,.,...,. Comments ❑Check here if attachments SECTION G.- COMMUNITY INFORMATION (OPTIONAL) 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. 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. ❑ The following information (Items G4.-G9.) is provided for community floodplain management purposes. G4. G5. Date Permit Issued G6. Date G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum _ G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name - Title - Name ❑ Check here if attachments FEMA Form 8131, February 2006 Replaces all previous editions l +" Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Pokcy Number 1645 Robertson St, * 6 City FortCollins State co ZIP Code 80525 Company NAIL Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT VIEW 9/&/ 07 E, ! Instructions — Page 3