The URL can be used to link to this page

Home My WebLink AboutE-ELEVATION CERTIFICATE - 1825 WALLENBERG DRIVE - SPRING CREEK (3)`—r--2cm`,A 101 � % ELEVATION CERTIFICATE °PresMayJl,,7993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this 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 acplicable community flocdplain management ordinances, to determine the proper insurance premium rate, and/or to support a recuest 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 I FCR INSURANCE COMPANY USE BUILDING OWNER'S NAME I FCUCY NUMBER STREET ADDRESS (Inclucing Act. Unit. Suite anivor 3:c9. Numoerl OR P.O. ROUTS AND SCX NUMBER COMPANY NAIL NUMBER OTHER DESCRIPTION (Lot and 31ocx Numoere. etc., Lot_ 2, Block 2 Hill Pond on Spring Creek 2nd Filing C.rr STATE ZIP CODE Ft. Collins Colorado 80526 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. CCMMUNITY NUMBER 2. PANEL 3. SUFFIX 4. ,^,ATE OF: FIRM INDEX 6. FIRM ZONE 6. BASE P-COO ELSVATICN (it (b� IN`UMSER QO0 Vt (J,(. u ly I {n r A' (in AC Zones, use deotn) 5005.00 7. Indicate the elevation datum system usea an the FIRM for Base Ficcd Elevations (EFE): NGVD'29 Other (describe on back) 8. For Zones A or V, where no EFE is provided on the FIRM, and the community has established a BFE far this building site, indicate the community's BFE: _ feet NGVD (or other FIRM datum —see Section B. Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Cartificate )nstructicns, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 2 . 2(a). FIRM Zones At-A30, AE, AH, and A (with BFE). The tap of the reference level floor from the selected diagram is at an elevation oil 15 10101191 feet NGVD (or other FIRM datum —see Section 8, Item 7). (b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of ` ' ! ! feet NGVD (or other FIRM datum —see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is I_.I 1! 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 1 1 11.J 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 flocdplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD'29 N Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7J 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: ❑ Yes QI No (See Instructions on Page 4) S. The reference level elevation is based on: I 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.) 6. The elevation of the lowest grade immediately adjacent to the building is: I 15101 Q ,U feet NGVD (or other FIRM datum -see Section S, 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 flocdplain management ordinance, the elevation of the building's "lowest ficor" as defined by the ordinance is: I I ' I : ! .!—I feet NGVD (or other FIRM datum —see Section 8, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31V MAY 90 RE PLAC E S AL. P REVIOU S E D I rIONS SEER=VERSE SIDE FOR CONTINUATiCN SECTION E CERTIFICATION 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 BF=),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide ffoodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), 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 certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the F,{+�taBle(6)t�of included in the certification under Comments below. The diagram number, Section C, Item 1, must still be enter( FZEG.Sj`F / ...... .,< certrty that the information in Sections B and C on this certificate represents my best efforts to interpret the �FtE(Q o I understand that any false statement may be punishable by line or imprisonment under 18 U.S. Code, Secnip .a s� 20262 CERTIFIER'S NAME LICENSE NUMBER (or Atfix Seal) Cv • : < Brian W. 'Shear 20262 TITLE Civil Engineer MPANY bearNAME Enciineering Cor oration Sf.NAi1,r,0\\\\\\` ADORESS STATE LP 4836 South Zolgi��enulir ollins Colorado 80525 SIGNATURE OAT-. PHONE 05/05/92 303 226-5334 Copies should be made of this Certificate f . ) community official, 2) insurance agenticompany, and 3) building owner. COMMENTS. Base Flood Elevation = 5005.00; from City of Fort Collins Storm Drainage Utility 05/04/92. Benchmark (City of Fort Collins Datum) provided by City of Fort Collins Engineering Department 05/01/92 FH at Wallenburg. E South Whitcomb; Bonnet Bolt Elev. = 4998.84 ON WITH ON PILES. SLAB BASEMENT PIERS. OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES PERAENCE REFERENCE RISE LEVEL PEFEPENCE LEVEL 0.000 LEVEL ELEVAliCN t :na:; ,::',;i�. 615E BASE ..o: `:..: .... .. PLGOG •:• �AQIACENT :; h:, DEFERENCE 0.000 ELEVAMN REFERENCE • A EMW G�DE LEVEL REV�AMN LEVEL GRADE ov :•iii' tit• .:�'l:i: �.':i�i.., ':i. .;_'i: . AGIACENTj: '�i.': .. GRADE 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