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Home My WebLink AboutE-ELEVATION CERTIFICATE - 1081 WOODWARD WAY - POUDRE RIVER (3)U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT T AGENCY Nm =1 fbod tomrmm program IMPORTANT: Follow the instructions on pages 1-9. OMB No. 1D6e: July � Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Woodward Inc. Policy Number: A2. Buildingg Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Compairy NAIL Number: 1081 Woodward Way ii City Fort Collins State CO ZIP Code 80524 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) I -4 n 1.11--1...-J A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Non-residential A5. Latitude/Longitude: Lat. N 4o°35'n4 Dq^ Long. VV 105"03'31 AS" Horizontal Datum: [I NAD 1927 (] NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1R AB. 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) N/A sq It a) Square footage of attached garage N/A sq ff b) Number of permanent flood openings In the crawlspace or enclosure(s) within 1.0 foot above adjacent grade WA D) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade �I/A c) Total net area of flood openings in AS.b N/A sq in c) Total net area of flood openings In A9.b NIA s ind) Engineered flood openings? ❑Yes ®No d) Engineered flood openings? ❑Yes ®No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION City of Fort Collins 080102 " uw. state LaNmer CO 84. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zones) B9. Base Flootl Elevation(s) (Zane Revised Date A0, use base flood depth) 0 3069CO983 H 02/06/2013 05/02/2012 AE 4se floc .78 810. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9: ® FlS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: Bll. Indicate elevation datum used for BFE in Item 89: ❑ 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 AS-,A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified In Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: City of Fort Collins BM #3-00 4964.15 Vertical Datum: NGVD 1929 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. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor 0 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) 0 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 1, Check the measurement used. 4944 • 89 N feet ❑ meters 4959 , 93 ® feet ❑ meters N/A , ® feet ❑ meters N/A ® feet ❑ meters 4940 , 83 ® feet ❑ meters 4944 , 01 N feet ❑ meters — 4944 • 88 ® feet ❑ meters N/A ® feet ❑ meters arc I IUn U - 5URVEYOR, 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. 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. Were latitude and longitude in Section A provided by a let DO �:.••••�fOlp ® Check here if attachments. licensed land surveyor? ® Yes ❑ NoFA �pNDRFu.�1s FEMA Form 086.433 (Revised 7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 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. Poll Number: i nod \Ar.._J...-_J 1.,_ - Policy city State ZIP Code Company NAIL 8UDZ4 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 See attached section D notes. �""'"" Date � n„ 05/12/2016 SECTION E — BUILDINGAEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items Ei-ES. 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. El. 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. aet:11uN IF - 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 FEMXissued or community4ssued 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 or Owner's Authorized RepresentatNa's Name ""'""" City State ZIP Code 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. Gl. ❑ 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 loca(ed in Zone A (without a FEMA-issued or community4ssued BFE) or Zone AD. G3. )K The following information (Items G4-G10) Is provided for community floodplain management purposes. G7. This permit has been issued for: ,rNew Construction Substantial Improvement A C G8. Elevation of as -built lowest floor (including basement) of the building: 4�`L , 3�yJ_ ❑ feet ❑ meters Datum AV Q og uT��pt G9. BFE or (in Zone AO) depth of flooding at the building site: - ��t��-1.2R feet ❑ meters Datum �AV1% 8 G10. Community's design flood elevation: "L�� 47� . *0 ❑ feet ❑ meters Datum LAV0 $$ Local Official's Name Title Lharsl.� Iil c- Robin5on �7a�(nl, • a Community Name -i , O (21 (/ • co Telephone RV- baT,& Signature Date Comm` S 20�(0 Sec also ERMA Rraoelo(CW 4JgeAP'0,1�pr' hAQ ❑ Check here if attachments „„ �owoo tnewsea r/tzf 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 Budding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. Policy Number: 1081 Woodward Way City State ZIP Code Company NAIC Number: Fort Collins CO 80524 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. Sump pit in elevator shaft. Elevator machinery. ruvm mrm Sao-uda (Hevisea qi2) Replaces all previous editions. ELEVATION CERTIRCATE, 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, 1081 Woodward Wav Jtaw ZIP Code Company NAIC Number Fort Collins Co 80524 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. View from the Northwest corner of the Headquarters building lookine Southeast View from the Southeast comer of the Headquarters building looking Northwest. 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WIN, Ta IMC L, I®118 lvK MIS IW@M 1.1. I.w Qi31I.; Iy,C NM LtKN3e] 'NMw lielw 1990.b1f1^ L 11 I i I I ,1 I I i i ,I I I I II I I I 11 WOOMARD LINCOLN CAMPUS -HEADQUARTERS - UNDERGROUND DUCTWORK SURVEYAT SURVEYOR STATEMENT: I, Danny R. Mertz, a registered professional land surveyor of the State of Colorado hereby certify that this as -built survey was performed under my direct supervision and the results of said survey are accurately shown on this drawing. (moo VHF 0 I I I i i I I i 'I I I 1!y I i I� III 1 1I an9i ' I j I � I � I I I i 1 I I I I I =nff. Mortenson construction @+1 Mlsfesl. SAS WD MFLm A. DW,er. Law Am fZ@ E,C .L iI&8D 4 P(Ilw rv3(3FI Ii Ft� Fes (!D3) 29-0 F. Pm(e1 Nara: WOODWARD Bum" Nate: LINCOLN CAMPUS • NO Key Plan Field ComnaAa PlooemMt Data ,�(DE91DN NU.6Bt: ANAIR PSPEC: SPEC: _ TgItpCB � VRDFf,EDI) : - RONSORDERED:_ AIR ON 6ITE_ _ - SIZE: Review Status Rdmnced Drewhtaa: NO. OATE moons DESCRFnCN 1 .rzz�n ..�33er lea-E,anIISIRrer Submittal Comments Color Key sL auFSTnNS To AM - (B_ AN:rPSPoxsE ExE Co4NENrs (DK B.; (iL coWA:NTl (MMEN) sOSUanR `rM emm ms (PURPIEI NM DETAILS AE ElED COLOR KEY 'E%TRACTEfT ARE TAI(EN FOR PENETPAROlS MEC pRELTLV FROU THE ,,,E NTS T N FLMFR CAI N TBEEI TIDY HAVF El EC1RMAl I4ADElRAI NOT V,FIRORIGIN IFIED FIRMiANDACMIGMUL PLLR.BR O IGYMR IVIE11M TO BE FIRE PROTELTgN IREDI REFEJ TORE Fgrt Fdiel IVORK (MEN) REFEREM:c OlLv. AS44UILT SURVEY RoNGN:aiOar: hsWey 14O 24 Mortenwn ConeWdbn Qee'sD P•aww� sn@e ewla Dml (Mf22N5 Li a, Survey WHQ-VENT-00 SECTION D NOTES C.1: There is minor site construction still taking place at the site (e.g. interior finishes, landscaping etc.). All structural elements of the building are complete and all elevations surveyed were on currently constructed features. C.2: The Benchmark utilized for this survey was City of Fort Collins Benchmark #3-00 with a NGVD 29 elevation of 4964.15 feet. The conversion used to adjust the elevations to NAVD 1988 was +3.18 feet. C.2e: The elevation is the bottom of the elevator machinery. The elevation of the elevators bottom of slab and the machinery is 4940.83; the elevation of the bottom of the sump pit in the elevator shaft is 4937.75, The elevator pit has been flood proofed. See separate flood proofing certificate by Gafari. C.2f. The elevation is the top of the soil at the Northwest comer of the building. C.2g: The elevation is the top of the concrete slab at the Southeast corner of the building. The elevation of the under slab ductwork is 4942.58. See attached As -Built survey prepared by Mortenson Construction. Point #6049 having a NGVD 1929 elevation of 4939.40 was determined to be the lowest elevation. The elevation was adjusted to NAVD 1988 datum using the previously described adjustment of+ 3.18 feet. �P 0200C.q f✓ v0 0* Po **�^ S+�o ASS �•. �\`�\V ••.•fQ,�4 Po ••,..... yo ti.4 LAND Steve A. Syring Colorado Licensed Professional Land Surveyor #38469