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Home My WebLink AboutE-ELEVATION CERTIFICATE - 806 WEST MAGNOLIA STREET - OLD TOWN (3)U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008 Federal Emergency Management Agency I Exoires February 28. 2009 National Flood Insurance Program Important Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Policy Number Richard and Mona Thornton A2. Building Street Address (including Apt., Unit. Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 806 W. Magnolia City State CO Code Fort Collins CO 80521 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) West 58' of Lots 13.516, Block 288, Loomis Addition A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential As. Latitude/Longitude: Lat. 40 deg 28' 20.6W Long. -104 deg 53' 05.5175" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building 8 the Certificate is being used to obtain flood insurance. AT Building Diagram Number a As. For a building with a crawl space or enclosure(s), provide A9. For a building with an allched garage, provide: a) Square footage of crawl space or enclosure(s) WA sq ft a) Square footage of attached garage NIA sq It b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade 0 walls within 1.0 foct above adjacent grade NIA c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b N/I_ sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 8 Community Number B2. County Name 63. State Fort Collins, CTY 080102 Lar(mer CO B4. Map/Panel Number B5. Suffx ' B5. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date I Effective/Revised Date I Zone(s) AO, use base flood depth) 08069CO979 I Sheet 3 G 08-17-2008 06-17-2008107-15-2003 X / 100-yr 5012.4 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Iterrn B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other (Describe) Old Town Master Plan 811. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _ 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ®No Designation bate _ ❑ 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 Al-A30, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, ARIA, AR/AE, ARIAI-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized SM 28-97 Vertical Datum NGVD 1929 Conversion/Comments None a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top, of the next higher floor c) 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 in Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. 5004.45 ® feet ❑ meters (Puerto Rico only) =.ff ® feet ❑ meters (Puerto Rico only) NIA ._ ❑ feet ❑ meters (Puerto Rico only) NIA ._ ❑ feet ❑ meters (Puerto Rico only) )S0 AS ® feet ❑ meters (Puerto Rico only) 6011.3 ® feet ❑ meters (Puerto Rico only) 5013.3 ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by taw to certify elevation information. I certify that the infomratron on this Certficate represents my best efforts to Interpret the data avallable. I 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 forth. Of a •�1 Ov: LACF Richard B. Thornton PE 329" C13 SEAL Certifiers Name License Number IZ //V FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions 11Wr 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 806 W. Magnolia City State ZIP Code Company NAIC Number Fort Collins CO 80521 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) buikfing owner. Comments Vertical Benchmark Data: ID=28-97, Elev = 6005.58, Location = SE Comer of Mulberry SL and Loomis Ave. Top of Window Well Elevati n (NW) = 6014.0. Top of Window Well Elevation (NE) = 5013.9 e�M i�ioqu/ig�ment in meat includes 1) ground source heat pump (geothermal heating system) �1 �U IZ Ili l0,93 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items Et-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et-E4, use natural grade, if available. Check the measurement used. In Puerto Roo only, enter meters. El. Provide elevation information for the following and check the appropriate bones 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 crawl space, or enclosure) is - _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (uududing basement, crawl space, or enclosure) is - _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent food openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the need higher floor (elevation C2.b in the diagrams) of the building is - _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (op 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 food 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. SECTION F = PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or ownefs authorized representative who completes Sections A, B, and E for Zone A (without.a FEMA4ssued or community -issued 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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 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 S4 and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ 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 located In Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. Jjr The following information (Items G4.-G9.) is provided for community floodplain management purposes. G4. Perm Number G5. Date Permit Issued G6. Date Certificate Co lianoe/Occupancy Issued eg�283 F'P /v 7 � � mil° fi-I - 8 i ^.- I l 10I D $ G7. This permit has been issued for. J$ New Construction ❑ Substantial Improvement Ga. Elevation of as -built lowest floor (including basement) of the buiiding:.52Rk[.-Y-,C _Q feet ❑ meters(PR) Datum G9. BFE or On Zone AO) depth of flooding at the building site: So/ 2. Y__ C& feet ❑ meters (PR) Datum Local Officfars Name Inarsko ; b , RSo n Tice / rl e k l ! r Community Name Telephone [� 7o—aaf-G7con Signature - /A / ... - Date all f laoo g, Comments Jt°,e-Uo-y-Icun[r CAUL �ae-ad(ew'iT6zSP.nn2.1 6P(ocU `fiAO ire ❑Check hererf attachments FEMA Form 81-31, February 2006 Replaces all previous editions