HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 601 LUPINE DRIVE - DRY CREEK (3)` CITY ;X FORT COLLINS PUBLIC WORKS DEPAF
POST CONSTRUCTI01 EVATION CER'I'IFICnTFE/FLnOD-PROS. ,. CERTIFICATE
PROPERTY ADDRESS:
TYPE OF USE (CO!`4ERCIAL OR RESIDENTIAL): i' l
DATE CONSTRUCTION COLLETED:_ f ��
(2� r
ME OF FLOODPLAIN BUILDING IS LOCATED IN: Q/ v C`' e c- L
(Spring Creek, Dry Creek or Poudre Fiver)
RASE FLOOD ELEVATION AT THE SITE:
NAI<;E, ADDRESS, PHONE OF 0101ER:
63 l L�.,:,�:
INSTRUCTIONS
Con-gplete only the Elevation Certification unless the building has been flood -
proofed at least to the base flood elevation. If flood -proofing has been used,
complete only the Flood -Proofing Certification. The Elevation Certification may
be completed by a registered professional engineer, architect, or surveyor. The
Flood -Proofing Certification may only be completed by a registered professional
engineer or architect.
ELEVATION CERTI,FFICATION
I certify that the building at the property location described above has the
lowest floor (including, basement) at an elevation.of:
/ � (� qr d Z feet NGVD (Dean Sea Level)
FLOOD -PROOFING CERTIFICATION
I certify to the best of my knowledge, and belief, that the structure at the
property location described above is designed with walls substantially
impermeable to the passage of water and contains structural components having
the capability of resisting hydrostatic and hydrodynamic loads and effects of
buoyancy that would be caused by the flood depth, pressures, velocities, impact
and uplift forces associated with the. base flood and that the structure is.
water -tight to an elevation of:
feet Nm (Mean Sea Level)
In the event of flooding, will this degree of flood -proofing be achieved with
human intervention'>
CERTIFIERR''S NME: IKW4 14. 41AISO J
TITLE: C:/d!LUi�lc'�7L
ADDRESS: S/�jiPul
Ole
(Signature)
c :Owner
Building Inspection
Construction Inspection
Storm Drainage.
m
Affix Seal or Write
Professional License