HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 1319 EAST PROSPECT ROAD - SPRING CREEK (3)U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
Building
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-8.
OMB No. 1660-00
Expires February 8.2009
SECTION A - PROPERTY INFORMATION I For Insurance Company Use: I
A2. Building Street Address (including Apt., Unit, Suite, andhor Bldg. No.) or P.O. Route and Box No. I Company NAIC Number
1319 East Prospect Road
City Fort Collins State CO ZIP Code 80526
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 4, Fort Collins Club Office Park
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Non-residential
A5. Latitude/Longitude: tat. 40'3Z Long. 1WOT Horizontal Datum: ® NAD 1927 ❑ NAD 1983
As. Attach at least 2 photographs of the building If the Certificate is being wed to obtain flood Insurance.
A7. Building Diagram Number 2
As. For a building with a crawl space or enclosure(s), provide AS For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) 1,800 sq it a) Square footage of attached garage Ng sq it
b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
anclosure(s) walls within 1.0 foot above adjacent grade 1 walls within 1.0 foot above adjacent grade NA
of Total net area of land openings in A8.1a S sq in c) Total not area of flood openings in A9.b NA sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name & Community Number
B2. County Name
B3. State
City of Fort Collins #080102
1 Lorimer I
Colorado
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
87. FIRM Panel
88. Flood
B9. Base Flood Elevations) (Zone
Date
Effective/Revised Date
Zones)
AO, use base flood depth)
08930
C
June 17, 2008
June 17, 2008
AE
4941.7
810. 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) _
all. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe)
B12. Is the building located Ina Coastal Samar Resources System (CSRS) area or Otherwise Protected Area (OPA)9 Dyes ®No
Designation Date _ ❑ CORS ❑ 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, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a.g
below according to the budding diagram specified in Item A7.
Benchmark Utilized UGS U-402 Vertical Datum 1929
Conversion/Comments 3.14
a) Top of boltom floor (including basement, crawl space, or enclosure floor).
b) Top of the next higher floor
of 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 in Comments)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
Check the measurement used.
4930.4
® feet
❑ motors (Puerto Rico only)
444 ,.9
® foot
❑ motors (Puerto Rico only)
IAA._
❑ feet
❑ meters (Puerto Rico only)
NA_
❑ feel
❑ meters (Puerto Rim only)
4M.4
® feet
❑ meters (Puerto Rico only)
44141.0
® feet
❑ meters (Puerto Rico only)
4941..9
® feet
❑ meters (Puerto Rico only)
OR ARCHITECT
This certification is to be signed and sealed by a land surveyor, engineer, or arcnitem aumorizeo by law co cemry ere%
information. I certify that the information on this Certificate represents my best affords to interpret Ilia date available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Sacrlon 1001.
❑ Check here If comments are provided on back of form.
Cenlflers Name Bdant T. Nelson License Number 23513
rM1ci
FEMA Form 81.31. February 2006 See reverse side for continuation.
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Replaces all previous editions