HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 218 WEST MAGNOLIA STREET - OLD TOWN (3)O.M.B. No. r��
Expires July 31,•.._ V2
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
the instructions on pages 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION . I For Insurance Company Use:
Oayid Ed wards
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number I
Z18 IA/eSt Aovno/ig Sf.
CITY STATE ZIP CODE
Fort cairns Go)orgdo 8os2i
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
BUILDING USE (e.g., Residentia(, Non-residential, Addition, Accessory, etc. Use Comments section if neces'sary.)
R si/entia'/ Ond M—�tOr-If' OITiGe
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: LI GPS (Type):
( ##a - #9 - ##.W or ##.#####0) U NAD 1927 U NAD 1983 LJ USGS Quad Map L Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME 8 COMM NITY NUMBER
B2. COUNTY NAME
B3. STATE
Fort 6011h7i 06010Z/ 01el
Tovom.p.1 Town
LQriMer
olnracia
94. MAP AND PANEL
85. SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATION(S)
NUMBER
DA
I
EFF CTNE/REV SED DATE
ZONES)
(Zone AO, use depth of flooding)
000 i 5
G
03 I
o
00
3. ¢O
B10. Indicate the source of the Base Flood Eldvatioh (BFE) data 6r base Aood depth entered m ldv.
" FIS Profile LJ FIRM W Community Determined LJ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: M NGVD 1929 L NAVD 1988 LJ Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LJ Yes ksNo
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: LJConstruction Drawings' "Building Under Construction* DQFinished Construction
•A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number $_ (Select the building diagram 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.)
C3. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO
Complete Items C3a4 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.
Datum Conversion/Comments
Elevation reference mark used AIO Z 8 - 117 'Does the elevation reference mark used appear on the FIRM? LJ Yes t?9 No
❑ a) Top of bottom floor (including basement or enclosure) 4.9 9 4- ft.(m)
❑ b) Top of next higher floor 4-9 9 7 .7 Q ft.(m)
❑ c) Bottom of lowest horizontal structural member (V zones only) 1A . _ ft.(m) o
❑ d) Attached garage (top of slab) 4.9 9 4- . 9-1 ft.(m) W
❑ e) Lowest elevation of machinery and/or equipment
servicing the building 4-94) f- . sQ ft.(m) E
O .f) Lowest adjacent grade (LAG) 4-9 9 3 . " ft.(m) z
❑ g) Highest adjacent grade (HAG) 4-9 9 f- . ja 7 ft.(m)
O h) No. of permanent openings -(flood vents) within 1 ft. above adjacent grade 0 _
Eli) Total area of all permanent openings (flood vents) in C3h (9 sq. in. (sq. cm)
rrrrraru to
4502 *=
m
!0 A g
v"
"%! M�N,��p�
N�rNrrnpAr
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 information in Sections A, B, and C 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.
� f -
FEMA Form 81-31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
these spaces, copy the corresponding information from Section A. For Insurance Company Use:
CITY STATE ZIP CODE I Company NAIC Number
Forollins, G011-)raaia R05Z /
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 ,
L,/
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 E3. 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 (Select the building diagram 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 I I I ft.(m) I I lin.(cm) U above or LJ below
(check one) the highest adjacent grade.
E3. For 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? I 1 Yes I I No I 1 Unknown The local official must certify this information in Section G
SECTION F - 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 FEMA-issued or
community -issued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
LI 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.
G1. L,J 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 authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. LJ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or
Zone AO.
G3. LJ The following information (Items G4-G9) is provided for community floodplain management purposes.
G7. This permit has been issued for. LJ New Construction LJ Substantial Improvement
38. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
I —I Check here if attachments
=EMA Form 01-31. AUG 99 REPLACES ALL PREVIOUS EDITIONS
STMART&ASSOCIATES
Consulting Engineers and Surveyors
January 16, 2001
Mr. Jay Barber
Stormwater Utility
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522-0580
Dear Jay,
re: 218 West Magnolia - Edwards Residence
Builder - Dohn Construction
{
All of the curbs, paving and storm drainage facilities have been constructed. We have
surveyed the grades of the "AS BUILT" construction and they are shown in red on the attached print
of the utility, grading and drainage plan.
The restriction plate has been installed over the outlet from the detention pond in the concrete
driveway and the concrete drain pan and sidewalk and curb chase have been installed.
All of the drainage facilities and grades are constructed in substantial compliance with the
approved plan.
There remains some grading and landscaping to be done on the bare ground along the drain
pan and driveway. This grading is hand work and will be completed as soon as the ground thaws.
Please call if you have any questions about this project.
Sincerely,
ate,
1, '. E'
Phillip I. Robinson, P.E. & L.S. E 4 5 0 2
PIR/meh
)4
•tt�anttM
James H. Stewart and Associates, Inc.
103 S. Meldrum Street • P.O. Box 429 • Ft: Collins, CO 80522 a `
970/482-9331 Fax 970/482-9382
- _ _S- /aTi rw r,eNnl. RnN:r VR•VE UP AREA —
1 1 1OV 3r? amr. 12 MICN am CUR; ALONG N. SEP OE ONEL'RX
W1 RV.lf
Ex ST G VED PRI✓ATC O4NE✓A✓
N
IS.N
_ _._........ _ i SQ�ru lI30 .•
.r
M14x�...............9xcq.-...�P83ri_i�ri2"—_._.—.._.._--_—
L I n3D
❑ I L,nlp ��.
V pp
SCALE /"= to• f 9J
T 30 h GARAGE FLOOR
EL EVFTOO ON
499490
G_. gills' Y
tJ 1
'arage �eer
-
xs"""
5 x I • �' I
2E0 I
vtn.n
n:9E.11
FIDDY ,{911d
499G.3T-
raf ^ 9•195.07
�'w9111) •) S C
j 2vC n ` <OM4ER D4RIN 1%rl
Tk SLOPE
EfPO f):
SA: YN UE! . CO.
•". Si
I I I
Slap AIR CONP ROSE, _Lr�_'wl
I I
I I
I
I
I
C �J
IlV_ I c97007
AROUND 05 IRE: {9SEIprsN�
°+771
I II
—
L— — — — — — — —
CONC rIIRe3NOLD . (774$)
EAST WALK
CXv*W6 CVESO 570P-MOVE I CPTV wA TER
VILL CMEc SEE 1 EAST 'LE Sf R'E /I
jS AOR ANWO•ANO Ic/TK IT CONTRACTOR, AT
pONEo 19 [ [ NT
IN
cr CqY UTILITY PICOT
AT Uzi,
To "OROINATO AMNpp+MeNr. AG_'( II.
DRAIN OE Ur Ll1Y
CMFNw
N9l _
The elevahoris shoMon iry
red were serve ed
�sfl2s I�p
250✓z1=
a W;;,•�
FLOUR EL '}iTI ON -
4997.65
10 d
z.N
` zi2' pa1n"Oe , b 'aN3^• EIE✓.
1997.70 °)
j it
n `e •" 3
c=SCOPE" ".I 1
10
7.10
w O"N,c MFrWEe refmzl J
X LOPE = i.0i M
To C•TV SEw6R
T OACO,RO L ' 4 GOT wAfO AAN I: 0,3
f E..
,N 1995 T
GONE OsREET J NSTALL 0^.n ii rE[
IN EXiST an AOC MAIN
fXlsr WALK It(rpN New s.Nu
® )$So ® LE ; illAV
1i) It.! I
EO VACATED ALLEY
RiaeRvim, AS
A
tli it a SEAT
R GEN CX NCECO V
8? CITY ° OINA�CE
11
RECOROEo%/
RECEo NN rnOv:Mro
icGEND:
?FWPFRTe GONE
-1+IYl.f - cuam> L .i
- 92.i �•N�a.. Corc c:
c XIST:NG SPOT I.et
:3.30 FINK" Spo, etty
�2NERAL NOTES: SECTION C-C
N- 4 MI/II MVO - fl CO":
.Np
TE . MU ROW r l0 a ..OF VI Z
X F r L O ZO O
O
ejItIp
4 "HAIIY.p ,fn !wM sic 9i.B3 RSp 0
_ , i eiP Yj LcVc li.lxi> L 9i 41 IG L _. _. O
1j. W 1 cart IF d i O
s.+ia4 o
' SECTION D-DM TT. S. a
I, r Fyn ._I.SO f o
Q � '1
Fjllt !I� /I)0 r_WS L 92 B3
Vl'iPM^' rOTCSOaId of
p. • ITT Slolrvr1111.05 iF yl . IWKC COOK. PAN?
Om
5ECTION. E-E N.T. s, O h 0
< it
z
x(��x�Z a
FL
—_—. cp roP wINpLJ vi L 93 O4 n..' W p
V LL
E rRr Clc cmCvAr Jac RA e2 i 0
0 L_ Nliro At `WiOLVMT. V p�•
12
CON C.ELPVMT. N
W v
3 •. pv T: 1. I 0 0
— V O
W
5eC710N F-F r"=a-U) �
o i 4
•n•19Oq nRH,e' xFL
RS a98 ....._. SAW OUT
T
e5zw --> --.
,r oe< JJq-WATER TAP
:e.,EK= ar0
s•StWEM: ees .. •"s zv
DE
`ENCM E t Off GO,cS
CVT ANC, REPLACEA Em ENr \
Aa R BYClio
ae AL uG[nat PI.TNs ki
XS rr'' cSAN S Ee —L,
WEST MAGNOLIA STREET NLil•—
IWO RgM-Or-wry
¢ "PIA JI? a 'ter b
clxR NP CVRo r�
O
-------------------------
a•' ola I xpi'gx arervlNe � 4
DIAj pW.9 W
a y 2
-rL SECTION C-G
VET/II POND OUTLETANO OR)F)CE PLATE' /'•Ve 9 0 —
3YO
Q
City o/ Fort Collins, Colorado w °
UTILITY PLAN APP OVAL b -
1
APPROVED: -
r d4' rgvw, Lbl. -f
CHECKED BY.:'�, �
Iva ROSi "�"-�` I.wlw UIa�•.• • 6 e x
CHECKED BY _yiIm
d J ey Iwm.o(er GIi fY LOU,Poh 109 NOMBEP MT[
CHECKED BY.: 21eMAO
A- r i8wGRLT a RVAelryn roe.cn I _I o.:
CHECKED BY
I,eXs Cl:ydRN M—b 41EEf MNg'R
CHECKED BY.: 3 ar $
Lee.