HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 612 LUPINE DRIVE - DRY CREEK (7)ty ,� r F PO TCOLLINS PUBLIC 1-.-OP:, 1
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POST C011IMPt71i EIEVATION C13i?TIFICNr' /FLO011- a.X)Fir CE11TIFICATE
PROPETZ91''Y ADDPESS: _ f
TYPE OF USE (COf-ifMCIAL, OP. RE.SID2ZTIr'1L) : `� & na .
DATE CONSTRUCiIOr1, COI•:PLETED:
Pn.'E OF FjMD. PLAIII BUILDIfdG IS =7\TED IT': Y -
(Spring Creek, Dry Creek or Poudre Fiver)
BASE FLOOD ELEVATION AT THE SITE: �l
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ADDRESS, PHONE OF O:v' M:
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INSTRUCTIONS
Complete 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 professicnal
engineer or architect.
ET,EVATI011 CEIRTIFICATIOi]
I certify that the building at the property location described above has the
-lowest floor (including basement) a5 an elevation of:
17 Zr feet C i fY f cC c//:cis //fC /� 's'o If
F=D-PFOOFIVQ CERTIFIUTIO,,
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 hydrodynar":ic loads and effects.of
buoyancy that would be caused by the flood depth, pressures, velocities, i„vact
and uplift forces associated with the base flood and that the structure is
water -tight to an elevation of:
feet NGVD (Mean. Sea Level)
In. the event of flooding, will this degree of flood -proofing be achieved with
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CERTIFIER' S M-T, : -4
TITLE:
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Euiluing Irs_pection
Construction Inspection
Storm Drainage
Affix Seal or [-'rite
Professional License
NLPtber Delow:
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