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HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 321 SOUTH WHITCOMB STREET - OLD TOWN (28)U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1 ate: July Expiration Date: July 31, 2015 Al. Building SECTION A - PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I G. AND TAYLOR S. MORRIS A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number: I 321 S. WHITCOMB STREET City FORT COLLINS State CO ZIP Code 80521 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 12, LESS WEST 10FT., BLOCK 268, LOOMIS ADDITION A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) DETACHED GARAGE A5. Latitude/Longitude: Lat. N40 34 57.8 Long. W105 05 09.1 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 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 0 sq ft a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or 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 0 sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State CITY OF FORT COLLINS 080102 LARIMER COLORADO B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 08069C 0979 H 2-6-2013 1 Effective/Revised Date Zone(s) AO, use base flood depth) Stiffs 4 5-2-2012/7-15-2003 1 X/100 YEAR 2.0' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ AS Profile ❑ FIRM ❑ Community Determined ® Other/Source: OLD TOWN BASIN MASTER PLAN El1. Indicate elevation datum used for BFE in Item B9 ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: FT. COLLINS BM 1-11 Vertical Datum: NGVD 1929 UNADJUSTED Indicate elevation datum used for the elevations in items a) through h) below. ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 5004.37 ® feet ❑ meters N/A._ ❑ feet ❑ meters N/A. ❑ feet ❑ meters N/A. ❑ feet ❑ meters N/A._ ❑ feet ❑ meters 5003.7 ® feet ❑ meters 5004.3 ® feet ❑ meters N/A. ❑ feet ❑ meters 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 on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment 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 6 ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No Certifiets Name STEVEN PARKS License Number 38348 Title PROJECT MANAGER Company Name KING SURVEYORS, INC. Address 650 E. GARDEN DRIV�, City WINDSOR State CO ZIP Code 80550 Date 4-22-2013 Telephone 970-686-5011 DO O 38348 Cr YZZ Zo)3: �O FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. IMPORTANT: In these spaces, copy the corresponding 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: 321 S. WHITCOMB STREET City FORT COLLINS State CO ZIP Code 80521 Company NAIC Number: 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 Entire property at 321 S. Whitcomb St.is within the 100-yr City Designated Old Town Basin Floodplain and must comply with floodplain requirements of Chapter 10, City Code. Refer Floodplain Use Permit #11153. A!o kdnc 56-rm Fc.L T 415 &, LD,ac , - vctwu4,;k -6M I-n EYf'✓Qnoti c,Sc.,rj' N(.vDZ4. '4F $Fi fo+LtHE 441A'f 7�IC N�<kFST v/L�•cow.,T=•wtl"„ 47,Y^Ci'rr H+Cou�+tl FtE.•a71� 5e0:..73) -rNF 2FOE M✓sT $E A M,avnv.w 6 i..Ltr65 460r T9E BP-E !'$'0.,3 ,7$' i t).5 ✓ ZFS \/ AFr64- CxS'T/CDCT)aJ+ -r4f F+N:SNEC �1 SUv""J � ✓UZ GdAt4£ is 50&+'37 wN ieH +5 -7 i,-c+1Es A -r WE FJF>ti=• Signature Date y ZZ-Z-6a3 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 E1-E5. If the Certificate is intended to support a 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. E1. 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.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 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-G10. In Puerto Rico only, enter meters. 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. 9 The following information (Items G4-G10) is provided for community floodplain management purposes. G4. ermit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued 2 0 5 341Coe a13 4.01.2o► G7. This permit has been issued for: New Construction ❑ Substantial Improvement ��/� rn 9 G8. Elevation of as -built lowest floor (including basement) of the building: S�.37 ■ feet ❑ meters Datum 4 yv22 G9. BFE or (in Zon AO) epth of flooding at the building site: 1 , o ® feet ❑ meters Datum G10. Community's design flood elevation: S ❑ feet ❑ meters Datum Local Official's Name eJ , l ` )� Title EQ__ _(d & Community Name r`d �- ' r+.//�� C o Telephone 970 - q 1(o, 2.Z 1 I Signature /%1�.� I Date ng�vs-�7.0/14 Comments 7744s �%wr5�+a�. GA-Gw-4- %g Proves �r w.1 ticcusscr� s ruvrwr��.. 14 e.4vr)Ft� O.G% �F .JCaw - to 44,N4... / D•l( �.-9.,ts ❑ Check here if attachments. a.-,..s�- slwl� ,� b� ,�t,,,Q .-�.. 1�y'z a�+-►«'ft�r-c_1!o vtr� ces.�►,Qy.� ur�1l. �%r�-� n U.. ro s�lw�.vd�s. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding 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 321 S WHITCOMB STREET City FORT COLLINS State CO ZIP Code 80521 Company NAIC Number. If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. LOOKING NORTH FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding 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: 321 S. WHITCOMB STREET City FORT COLLINS State CO ZIP Code 80521 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. LOOKING EAST FEMA Form 086-0-33 (7/12) Replaces all previous editions.