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Home My WebLink AboutE-ELEVATION CERTIFICATE - 805 Rocky Road - CANAL IMPORTATION0MB No. 1660-0008 U .S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency Expiration Date: November 30 , 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official , (2) insurance agent/company, and (3) building owner. SECTION A -PROPERTY INFORMATION FOR INSURANCE COMPANY USE A 1. Building Owner's Name Policy Number: CHARLES P. and ANN C , RHODE A2 . Building Street Address (including Apt., Unit , Suite , and/or Bldg . No.) or P.O . Route and Box No. Company NAIC Number: 805 ROCKY ROAD City State ZIP Code FORT COLLINS Colorado 80521 A3. Property Description (Lot and Block Numbers , Tax Parcel Number, Legal Description , etc.) LOT 7 RHODES SUBDIVISION , FORT FOLLINS, CO ASSESSORS PARCEL NO. 9716212017 A4 . Building Use (e.g ., Residential , Non-Residential , Addition , Accessory , etc.) Accessory (detached garage) A5. Latitude/Longitude: Lat. 40°34'41 .07244" Long . -105°07'34.96964" Horizontal Datum: D NAO 1927 ~ NAO 1983 A6 . Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7 . Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8 .b N/A sq in d) Engineered flood openings? □Yes ~No A9 . For a building with an attached garage : a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? □Yes ~No SECTION B -FLOOD INSURANCE RA TE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State City of Fort Collins 080102 Larimer Colorado 84 . Map/Panel 85 . Suffix 86 . FIRM Index 87 . FIRM Panel 88. Flood 89 . Base Flood Elevation(s) Number Date Effective/ Zone{s) (Zone AO, use Base Flood Depth) 080669C0960-12fi9Y~oni-0 ate SH ;3 F 01/15/2021 07/22/2014 X/100-year 5104.27 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: □ FIS Profile □ FIRM D Community Determined ~ Other/Source : Canal Importation Basin Master Drainage Plan 811. Indicate elevation datum used for BFE in Item B9 : 0 NGVD 1929 ~ NAVO 1988 O Other/Source : 812 . Is the building located in a Coastal Barrier Re:murces System (CBRS) area or Otherwise Protected Area (OPA)? D Yes ~No Designation Date: □ CBRS □ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions . Form Page 1 of 6 ELEVATION CERTIFICATE 0MB No. 1660-0008 Expiration Date: November 30 , 2022 IMPORT ANT: 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. 805 ROCKY ROAD , Policy Number: City FORT COLLINS State ZIP Code COLORADO 80521 Company NAIC Number SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1 . Building elevations are based on: D Construction Drawings* D Building Under Construction * IX! Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2 . Elevations-Zones A1-A30, AE , AH , A (with BFE), VE , V1-V30 , V (with BFE), AR , AR/A , AR/AE , AR/A1-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 24-97 Vertical Datum : (NAVO 88) ~--~~------- 1 n di cat e elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 IX! NAVO 1988 0 Other/Source : ------------------------Datum used for building elevations must be the same as that used for the BFE . Check the measurement used . 5105.30 a) Top of bottom floor (including basement , crawlspace, or enclosure floor) -----"'--'--'=~ IX! feet D meters b) Top of the next higher floor N/A ~ feet D meters c) Bottom of the lowest horizontal structural member 01 Zones only) N/A IX! feet D meters d) Attached garage (top of slab) _N/A IX! feet D meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) N/A IX! feet D meters f) Lowest adjacent (finished ) grade next to building (LAG) 5103.81 IX! feet D meters g) Highest adjacent (finished) grade next to building (HAG) 5104.00 IX! feet D meters h) Lowest adjacent grade at lowest elevation of deck or stairs , including structural support N/A IXI feet D meters SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or arch itect authorized by law to certify elevation information . I certify that the information 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 . Were latitude and longitude in Section A provided by a licensed land surveyor? IXI Yes D No D Check here if attachments . Certifier's Name MICHAEL J . DEDECKER Title OWNER/PLS Company Name DEDECKER LAND SURVEYING LLC Add ress 4301 FAWN TRAIL City LOVELAND License Numbe r COLO 20676 State Colorado ZIP Code 80537 (4'./q ~.,..,~~ephone ,~~0-663-2013 Ext. Copy ail{pages of this El va I0n Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including typ of equipment and location , per C2(e), if applicable) This Certificate is for a Detached Garage constructed on the West side of the existing residence at 805 Rocky Road . The Elevation of City of Fort Collins Benchmark Number 24-97 is 5102 .71 (NAVO 88) FEMA Form 086-0-33 (12/19) Replaces all previous editions . Form Page 2 of 6 ELEVATION CERTIFICATE 0MB No. 1660-0008 Expiration Date: November 30, 2022 IMPORT ANT: 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: 805 ROCKY City Fort Collins State ZIP Code Company NAIC Number Colorado 80537 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 E1-E5 . If the Certificate is intended to support a LOMA or LOMR-F request , complete Sections A, B,and C . For Items E1-E4, use natural grade , if available . Check the measurement used . In Puerto Rico only, enter meters. E1. 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 D meters D above or D below the HAG. b) Top of bottom floor (including basement , crawlspace , or enclosure) is □feet D meters D above or D below the LAG . E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2 .b in □feet D meters D above or D below the HAG . the diagrams) of the building is E3 . Attached garage (top of slab) is □feet D meters D above or D below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is □feet D meters D above or D 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? D Yes 0 No D 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. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions . Form Page 3 of 6 ELEVATION CERTIFICATE 0MB No. 1660-0008 Expiration Date : November 30 , 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Build ing Street Address (including Apt., Unit, Suite , and/or Bldg. No .) or P .O . Route and Box No . Policy Number: 805 ROCKY ROAD City State ZIP Code Company NAIC Number FORT COLLINS COLORADO 80537 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 appl icable item(s) and sign below. Check the measurement used in Items G8-G10 . In Puerto Rico only , enter meters . G1. □ The info r mation 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. □ The following information (Items G4-G10) is provided for community floodplain management purposes . G4. Permit Number GS . Date Permit Issued G6 . Date Certificate of Compliance/Occupancy Issued G?. This permit has been issued for : D New Construction D Substantial Improvement G8 . Elevation of as-built lowest floor (including basement) D feet D meters of the building : Datum G9. BFE or (in Zone AO) depth of flooding at the building site : D feet D meters Datum G10 . Community 's design flood elevation : D feet D meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location , per C2(e), if applicable) D Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions . Form Page 4 of 6 FP11874/B2104478 07.09.2021/07.15.2021 x x x x x 5105.30 5104.27 5105.27 Claudia Quezada Floodplain Administrator City of Fort Collins 970.416.2494 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit , Suite, and/or Bldg. No.) or P.O. Route and Box No. 805 ROCKY ROAD City FORT COLLINS State COLORADO ZIP Code 80537 0MB No. 1660-0008 Expiration Date: November 30, 2022 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number 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. Photo One Photo One Caption SOUTH SIDE OF GARAGE Clear, Photo One Photo Two Photo Two Caption NORTH SIDE OF GARAGE Clear l"tioto 'rwo FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 805 ROCKY ROAD Cit y FORT COLLINS State COLORADO ZIP Code 80537 0MB No . 1660-0008 Expiration Date: November 30, 2022 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number 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. Photo Three Photo Three Photo Three Caption Photo Four Photo Four Photo Four Caption I e1ear ~ho\9Four, FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6