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HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 1139 ELGIN COURT - COOPER SLOUGH (3) .S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION 1 For Insurance Company Use: 1 A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIL Number 1139 ELGIN COURT 'A3. Proppeerty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 45, WATERGLEN, PUD, FORT COLLINS A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) tcc..�iuc,tvL1N1 A5. Latitude/Longitude: Lat.40°36 r 08. 4" Long.-105°00 34.9 Horizontal Datum: ❑ NAO 1927 © NAD 1983 As. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 2 As. For a building with a crawl space or enclosure(s), provide: .l 190• As. For a building with an attached garage' provide* a) Square footage of crawl space or enclosure(s) sq Ifa) Square footage of attached garage 470 sq If b) No. of permanent flood openings in the crawl space or = 0 - b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade U 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 (FIRM) INFORMATION - B1. NFIP Community Name & Community Number B2. County Name B3. State CITY OF FORT COLLINS 080102 1 LARTMFR I COLORADO B4. Map/Panel Number B5. Suffix B6. FIRM Index 67. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone 08069C0982 F Date Effective/Revised Date Zone(s) AO, use base flood depth) 12/19/2006 12/19/2006 AE 1 4976.0 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) 611. 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 ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction* ❑X 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, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized CITY OF FORT COLLINS 5-98 Vertical Datum NGVD 1929 (pre-1984 adjustment) ConversioniComments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) the - 4973..8 ® feet 4978.6 ® feet ❑ meters (Puerto Rico only) Elmeters Rico only) b) Top of next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) N A _❑ feet (Puerto ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 4977,. 0 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 4976.._® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) 4976.. 6 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 4977,.2 ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION , ( / -1/- This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elev information. I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 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. PERKINS LAND COLLINS Number 970)407-9220 SEAL HERE '70L'Ib1 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions 04fkJ ('Ialorl IMPORTANT: In these spaces, copy the corresponding information from Section A. ) For Insurance Company Use: ) or No. 1139 ELGIN COURT gy CityFORT COLLINS StateZIP 80524 de 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. t.ommentsAccess to the crawlspace was through a floor opening inside a closet inside the house. The elevation of the crawlspace floor was determined by measuring from the top of the house floor to the crawlspace floor at the onenind and then verlfvinq that this measurement was 16Lonsistent throughout. �i �E ��`' ` Z 6 Check here if attachments 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. Et. 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 El meters ❑ above or ❑below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Secti¢�,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 El feet L� meters ❑ above or u 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 City Stale ZIP Code Signature Dale Telephone ❑ 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 Sf 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. Permit Number G5. Date Permit Issued G6. Dale 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: ❑ 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 Telephone Date 1.1 &rrMs--�,L>k 4-o 0b4A;o A: LCMA % n jo.Q Ale ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions ELEVATION CERTIFICATE ATTACHMENT # 1 LOT 45 WATERGLEN P.U.D. 1ST FILING ADDRESS: 1139 ELGIN COURT FORT COLLINS, COLORADO 80524 Scale: 1" = 30' Graphic Scale in Feet NOTE: ALL OF LOT LIES IN AE-ZONE EXCEPT SHADED AREA ACCORDING TO FIRM 08069CO982F DATED 12/19/2006 02/07/2007 DRAWING BY TAB SURVEY BY ARP FIELD BOOK 11 PERKINS LAND SURVEYING, INC. 171 NORTH COLLEGE AVENUE FORT COLLINS, COLORADO 80524 PHONE: (970)407-9220 FAX: (970)407-9244 EMAIL: plsOverfnet.com ELEVATION CERTIFICATE ATTACHMENT #2 FOR: 1139 ELGIN COURT FORT COLLINS, CO 80524 SECTION D: ADDITIONAL COMMENTS — The elevation stated in C2.e is at the bottom of the lowest HVAC ductwork in the crawlspace under the house. The next lowest elevation of equipment is 4976.9 feet at the top of the pad supporting the AC unit outside the middle of the northeast wall of the house. As can be seen on the attached sketch, a portion of this house is located in Zone-X according the referenced FIRM. The Zone-X rectangle corresponds roughly to the proposed location for a house shown on the original drainage and gradm& plan for Waterglen, P.U.D. Building Photographs See Instructions for Item A6. For Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 1139 E= COURT City State ZIP Code CompamNaCNumber FMT COMINS COLORADO 80524 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 1139 ELGIN COURT FORT COLLINS, CO 80524 W IN COURT FORT COLONS -.CO 80524 _L{7717 M