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Home My WebLink AboutE-ELEVATION CERTIFICATE - 733 GILGALAD WAY - SPRING CREEK (3)U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency I Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION ;O Insurance Company UW Al. Building Owner's Name Louis D. Nathanson Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAfC Number 733 Gilgalad Drive City Fort Collins State CO ZIP Code 80526 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 32, Wincitrail at Spring Creek P.U.D. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 40A3371N Long. 10SAOSAW Horizontal Datum: ❑ NAD 1927 ® NAD 19153 AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 2 AS. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage. a) Square footage of crawispace or enclosure(s) 1535 sq ft a) Square footage of attached garage 724 sq It b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 0 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 4 sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name & Community Number B2. County Name 83. State City of Fort Collins 0B0102 Lartmer Colorado 84, MaptPanel Number B5. Suffix B6. FIRM Index 97. FIRM Panel 138. Flood 59. Base Flood Elevations) (Zone 08069c0987 F Date Ertective/Revised Date Zone(s) AO, use base flood depth) 6/17/2008 12/192006 AO 1.0 ft. 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) 811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) _ 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes IR No Designation Date /p_a ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 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. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized FCBM 29-92 Vertical Datum 1929 ConvemioNComments added Y to 1929 datum to equal 1988 datum Check the measurement used. a) certification Top of bottom floor (including basement, crawlspace, or enclosure floor) 5003.1 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 5011.7 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member IV Zones only) N/A ._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 5008.4 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 5003.1 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 5006.1 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 5009.0 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including S008.3 ® feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This is to be si ned and sealed b a land surve or en meer or architect authorized b law to certify elevati n 9 y y 1 9 y o information. I certify that the information on this Certificate represents my best edorts to interpret the data available. I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude In Section A provided by a licensed land surveyor? ❑ Yes ® No Certifiel's Name Dennis H. Koch License Number 23503 Title Licensed Surveyor Company Name Stewart & Associates, Inc. Address 103 S. Meldrum Street City Fort Collins State CO ZIP Code 80521 Signature Date 0729110 Telephone 970482-9331 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. €cr Insurance Company Uso: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. j Number 733 Gilgalad Drive City Fort Collins State CO ZIP Code 80526 =%:ffmpafry Nri10 Number SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agenticompany, and (3) building owner. Comments Benchmark used was City of Fort Collins Aluminum Cap Benchmark 29-92, the elevation is 5022.50 using 1929 datum. Three feet was added to the elevationrrat the residence to be on 1988 datum. The furnace and hot water heater are in the basement at elevation 5003.1. 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 El-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. 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, crawlspace, or enclosure) is — ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.1b 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 Owners Authorized Representative's Name City State ZIP Code Signature Date Telephone 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. G I . ❑ 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. G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: 5703. i ■ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 1 a e feet ❑ meters (PR) Datum G10. Community's design flood elevation Title ❑ feet ❑ meters (PR) Datum _ _ X/A.w Vaf'ftiU'-a� rwOo'-pxovw norwu wv>n-1-N Community Name �,r( /� r ��nTelephone q fir_ y , 2-2 uv'Y GT Tor c.�c Signature r��o Date O� 30AzO y� Comments —/r4s (Ve �G.r4�t4-_ wu Imo/ 4se(.J 4- 41r— C;• y) •e+ /C�1 N 3 4a a c e ,rleay Check here here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions