The URL can be used to link to this page

Home My WebLink AboutELEVATION CERTIFICATE 1650 Brook Ct 20121—_•I--’Jun’28 2010 7:58AM HP LASERJET FAX p.? uk DCPAATMENT OF HOMELAND SECURITY Federal !mergsncy Management Agency National Flood Insurance Program SECTION A -PROPERTY INFORMATION 1 For Insurance Company Lisa: Al -Building Owner’s Name Judy Shea Policy Number A2.BuDding Street Address (including Apt.,Unit,Suite,and/or Bldg.No,)or P.O.Route and Box No.ompaty NAtO1090BrookCourt City Balsa Park State CO ZiP Code 80517 A3.Property Descflption (Lot and Block Numbers,Tax Parcel Nurnbe r,Legal DesciipNdn,ilc-) LotS,Brookaide Subdivision1 Fates Paric Coicwaclo A4.Building Use (e.g.,Residential,Non-Residenlisi.Addition,Accessory,etc.)Aesldenlffij AS.lStituda/LongiWde:tat.41’10.31N tong.1O5a29I5BVW Horizontal Datum:C NA()1927 NAD lOSS AG.Attach at least 2 photographs of the building ii the Certificate Is being used to obtain flood Insurance. A7.Building Diagram Number AS.For a building with a crawlapace or enclosure(s):AS.Fore building with an attached garage: a)Square footage of cc’av4spece or enclosure(s)1347A sq ft a)Square footage of attached garage 41 sq Nb)No.of permanent flood openings in the crawispace or b)NO.of permanent flood openings in ta ellachad garageenclosure(s)withIn 1.0 loot above adjacent grade 2 within lfl foot above adjacent grade 9 c)Total net area of flood openings in AS.b sq In a)Total net area of flood openings In AD.b Q sq In d)Engineered flood openlrrgs?Q Yes 0 No ci)Engineered flood openings?U Yes 0 No j SECTION B -FLOOD INSURANCE RATE MAP (FIRM)INFORMATION Oi.NF1P Community Name &Community Number S2 CdthityNam ---33,State080193-Town of Bates Park terirner Colorado - I B4.Map/Panel rJtiiñ5i E EL Suffix 86.FIRM Index U7.FIRM Panel 58.Flood SD.Base Flood Elevation(s)(Zone0808901301FDataEffeorlue/Revised Date Zone(s)AD,use base flood depth) [i2l9’2O06 12-19-2006 RIO.Indicate tile source of the Base Flood Elevation (HFE)data or base flood depth entered in Item SB. Z P15 PflIe Q FIRM U Community Determined C Other (Describe) DII.Indicate elevation datum used for OFE in item Bet C NGVD 1920 NAVO 1988 C Other (Describe) 512.is the building located in a Coastal Barrier Resources System (CSRS)area or Otherwise Protected Area (CPA)?C]Yes Z NoDesignationOats—C CSRS C OPA -SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)- CI.Building elevations are based ott:C Construction Drawinga ID Building Under Construction’flnished ConstructiontAnewElevationCertificatewillberequiredwhenconstrtctlonofthebuildingIscornlete. 02.Elevations —Zones A1.ASO,AF,AH A (w1h APE),yE V1-V0,V (with BFE),AR,ARIA.AR/A!,AR/Al -A30,AR/AM,AR/AC.Complete Items 02,a-hbelowaccordIngtothebuildingdIagramspecifiedInitemA7.Use the same datum as the SPE. Banchniark Utilized Geodetic BrassSao #8235 Vertical Datum NAV.0 i.99 Convarsio&Commento — a)Top of bottom floor (IncludIng basement,orawispace,or enclosure floor) b)Top ot 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 a__(Describe type of equlprnanl and location in Comments) O Lowest adjacent (fInlshecl)grade next to building (LAG) g)Highest adlaceni (finished)grade ne to building (HAG) h)Lowest adjacent grade at lowest eievatlon of deck or stairs,Including•tp a.t Ira1 C’t,ns’u4 ELEVATION CERTIFICATE Important:Read the instructions on pages 1-9. 0MB No.1660-0008 Expires March 31,2012 Check the measurement used. lest C]meters (Puerto Rico only) teat C meters (Puerto Rico only) C feat C melers (Puerto Rioo only)0 feet C]meters (Puerto Rico only) C feet C meters (Puerto Rico only) feet C meters (Puerto Rico only)0 feet C meters (Puerto Rico only)0 feet C]meters (Puerto Rico only) SECTION 0-SURVEYOR,ENGINEERS OR ARCHITECT This certification Is to be signed and sealed by a anti surveyor,englnSerb or architect authorized bylá InfirnatTon.I tea/fr that the k,Iom,arlomi on rh/s aempicate represents my best st/ens to inferpmt the date avaIlbIt understand that any false stateinasit may be cunisMbte by flue or irrzØristvlmwnt under 18 US.Coda,Section IDOl -ZCheckhersIfcommenlsareprovidedOnbackofform.Were latitude and longitude in Section A provIded by a licensed land surveyor?0 Yes C No deittiet’s Name Lonnle KSheidon -License Number 74 Tlti owner -—.-Company Name Van horn Engineering and Surveying inc. .Ciiy Eates Park -State CO Wtdài 60517 Jun 28 2010 7:58AM HP LASERJET FAX p.3 iPORTANT in these spaces,copy the corresponding information from Sect,on A —For Insurance Company Use Building Skeet Address (including Apt..Unit S1Et,arid/or Bldg.No.)or P.O.Route end Box No.Polloy Mjmber - 1a50 Brook Court Gity Estee Park State CO ZIP Code SO517 boinpany NAItNwnbsr SECTION D SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Ce,-tlficale for (1)communIty official,(2)insurance agent/company,and (3)building owner. Comments .- Signature Date — -.—. ,.,..,.—--Check heffi if aftachn ants SECTIONS BUILDING ELEVATION INrORMATI0N (SURVEY NOT REQUIRED)FOR ZONE AC AND ZONE A (WITHOUT BFE) For Zones AD and A (without SFE),complete Items El-ES.lithe Certificate is intended to support a LOMA or LOMR-F request.complete Sections A,B.and C.For tents E’l-E4,use natural grade.If available.Check the measuremenl used.In Puerto RIco only,enter meters. El.Provide elevation lniorrnatlcn 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 grads (LAS). a)Top of bottom floor (including basement,crawfapac.e.or enclosure)is .Li test meters Q ove or below the HAG. b)Top of bottom floor (Iriclijing basement,orawlspaoe.or enclosure)is ..,_C feet Q meters U above or Li below the LAG. E2.For Building Diagrams 8-9 wIth psm’ianerit flood openings provided in Section A itemns.2 and/orG (see pages 6-9 of Instruotlone),the next higher floor(elevation C2.b In the dlagrams)of the building is 0 feet 0 meters Q above or below the HAG. ES.Attached garage (top of slab)is .Q feet 0 meters J .eove or C below the HAG. P4.Tap of platform of machinery end/or equipment aervicing the buildIng Is .0 feet 0 meters ID above or C below the f-lAG. P5,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?C Yes C No C Unknown.The local official must certify this Information in Section G. —SECTION F -PROPERTY OWNEM (OR OWNER’S REPRESENTAT(VE)CERTIFICATION The property owner or owner’s authorIzed representative who completes Seatlons A,B,end E for Zone A (without a FEMA-lesued or oonvnunity-issued BFE) or Zone AC must sign here,The statements in Secricr,sA,B,arid Eats çonç to the best of my knowledge. Property Owner’s or Owner’s Authorized Repreeentative’s Name Judi,Shea Address 2869 Gnu Ave City Rochester -Stete NV ZIP Code 14824 SIgnature Date Telephone -. Ccmrnsnte .——..Qheck here Ii aachmsnts SECTION 0 -COMMUNiTY INFORMATION (OPTIONAL) he local officIal who is authorIzed by law or ordinance to administer the community’s floodplain management ordinance can complete Sections A,B C (or B),id 0 of this Elevation Certificate.Complete the applicable Item(s)and sIgn below.Check the measurement used In Items G8 and GD. ‘1.0 The information in Section C was taken frown other documentation that has been signed end sealed by a licensed eulveyor,engineer,or architect who is authorized by law to certify elevatIon lnlometion.(Indicate the souroe and date of the elevation data in the Comments area below.) 2.0 A community offlolal completed Section B tore buUdlng located In Zone A (withoul e FEMA-jasued or commurfty-fssuecf BFE)or Zone AD. 3.The followIng Information (Items 34-09)Is provIded fr communIty floodplain management purposes. 34.Permit Number - 05.Date Permit Issued — j Sf3.Date CertificaieOf tompiiañàe/occupancy Issued 7.ThIs permit has been issued for 0 New Const’uctlon C Substantiel Improvement L Elevation of es-built lowest floor (including basement)of the buildIng:.0 feet Li meters (PR)Datum 9.BFE or fin Zone AD)depth of flooding at the building site:.C feet 12 meters (FR)Datum tO.Community’s design flood elevation feet 0 meters (PR)Datum Local Offlcial’e Name Title mm;nity Name -.Telephone Signature Date 5oinments .0 Check here If attachmen; Ju 28 2010 7:58AM HP LASERJET FAX Building Photographs See Inst ruOtions for item A6. ____________________ Par rsLiranceCmjøi1y Use Building Street Address (inciuing Apt,Unit,Suite,snci!or F31c1g.No.)or P.O.Route and BNo.Policy Number - 1050 arok Court City st Park State co ZIP Code 8O17 ___________________ Cf using the Elevation Certificate to obtain NAP flood Insurance,attix at least two building photographs below according totheinstructionsicrItem6.Identity all photographs witli:date taken;“ront View”and “Rear View”;and,if required.“RightSideVI3W?and ‘Left Side View.”Ii submlWng nor photographs than will fit on this page,use the Continuation Page.following, Front View .—Taker 4/26/2010 Jun 28 2010 8:03AM HP LASERJET FAX P..2 ‘U Ui Zsi.U)1L‘Si 0Ph I IC <S tjtI fir