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Home My WebLink AboutE-ELEVATION CERTIFICATE - 514 SOUTH HOWES STREET - OLD TOWN (3)FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE s Read the instructions on oases 1- 7. SECTION A- PROPERTY OWNER INFORMATION ( FatisaanoeC WnyUsm: ) BUILDING OWNER'S NAME Policy Number Howes Street Holdings, LLC BUILDING STREET ADDRESS (Including Apt, Unit Suits, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 514 S. Howes Street CITY STATE ZIP CODE Fort Collins CO 80525 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc Use a Commends area, if necessary.) Residential Addition LATTTUDELONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):_ ( ##° - #9 - ##.##- or ##. ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. _ SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 82 COUNTY NAME B3. STATE FortCoffm 080102 law" Colorado B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) B5. SUFFIX B6, FIRM INDB(DKM EFFECTIVEIREVISED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of fioodlog) cetrNUMBER OW102m= C OUr g.l 7-,r 3,6ss ,00yn - � 2NA B10. Indicate the source of the Base Float Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other (Describe): OI J To 0 r1 Maste r � (a n B11. Indicate the elevation datum used for the BFE in 89: ® NGVD 1929 ❑ NAVD 1988 [I Other (Describe): _ B12. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Ct. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Constucton" ® Finished Construction A new Elevation Certificate will be required when co nst uciJim of the building is cornplete. C2 Building Diagram Number 2 (Select the building diagram most sintilarto the building for which this certificate is being competed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations -Zones At -AM, AE, AH, A (with BFE), VE, V11430, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, ARIAO Compete Items C3.a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. 4 Datum NGVD 1929 Conversion/Comments Elevator reference mark hied &W Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No •. o a) Top of bottom floor (ulduding basement or enclosure) 499;i. Aft(m) 0 REt,/ floor o ) Bottom lowest horizontal structural member (V zones only) NA ?_5) ft(m)S o ) Attaded garage (top of slab) NA. _ff.(m) E (� w: o e) Lowest elevation of maddnery ardor equipment • servicing the building (Describe in a Comments area) NA . 8.(m) a B C Ezz ;r o 0Lowell adacert (finished) grade (LAG) 4994.5 ft(m) z' y ; —I` o g) Highest adacerd (finished) grade (HAG) 4994. 9 ft(m) fit o h) No. of permanent openings (flood veils) within 1 It. above adlacert grade 4 zj o i) Total area of all permanent openings (flood vents) in C3.h 544 sq. in. (sq. cm) `✓/ A i, I p%v o SECTION D - SURVEYOR, 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 informafon in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Ricky J. Lewis LICENSE NUMBER 25372 TrflEPmiessioral Land Sump COMPANY NAME RJL Surveys ADDRESS CITY STATE ZIP CODE 113 Cameron Drive, Suite B Fat Collins CO 80525 SIGNATURE DATE TELEPHONE " )e �� 7-19-05 (970)226-3007 FFMA Fnrm Al-11 .loniia 11. Cap. ravamA ship fnr Mn}inimtinn Ranlarvc all nmvimie P.ditinnc Dg IMPORTANT: In these spaces, copy the corresponding inforrnation from Section A For lrmrmm CaTa y Use: BUti.DING STREET ADDRESS (IndudN Apt, Unk Sure, ardor Bldg. No.) OR P.O. ROUTE AND BOX N0. Polcy Nmbw 514 S. Howes Street CITY STATE ZIP CODE Canp" NAIC Nunter Fat Coft CO 80521 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. COMMENTS Project benchmark is City of Fort Collins BM f16-00, on a catch basin at the Northwest comer of Mulberry St and College Ave. (Elev.=4990.68) There was no evidence of mechanical equip wt in the crawl space of the addition. ❑ Check here if attachments SECTION E -, BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number_(Selsol the building dagram most similar to the building for which this certificate is being completed -see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cn) ❑ above or ❑ below (check one) the highest adjacent grade. Use natural grade, if available). B. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cn) above the highest a4aoent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery andlor equipment servicing the building is _ ft(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zane AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must ox r* this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or amWs authcized mpresentative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAassued or community - issued BFE) or Zone AO must sign here The dalamenls in Sections A, B, G and E are oared to the best ofmyknowfedga 4Of ADDRESS CITY STATE ZJP CODE SIGNATURE DATE ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who's authored by law or ordinance to administer the oommunitjls ffa* ain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Gt. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is aulha zed by state or local law to o:ertify 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 FEMA4sssued or oommunityissued BFE) or Zane AO. G3. )$The following information (hems G4 G9) is provided for community floodplain management purposes. G4. PERMIT NUMIDER I G5. DATE PERMITISSUED I G6. DATE CERTIFICATE OF COMP.LMA �' FP 4-ab-oS G7. This permit has been issued fox: gNew Construction" ❑ Substantial Improvement Add t G8. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in Zone AD) depth of fkxxting at the building site is: Os05-so o rl q k R7. 0.(m) Datum: IV6 V D f 9 a 9 �•J2fL(0- y9y6.9 Datum:tj&UO )q'a-9 LOCAL OFFICIAL'S NAME Ma.rSha Yt1rnps/2o lo- TITLE t �t s o n �looe/ /.aj' t UJMMUNI I Y NAME GJ i• / y o n FO r� L-n / �r oi S ' Go TELEPHONE T- r n 9 70 - 9,3 l - (0 70a DATE W.9.11 / / A < i