Flood Control - Elevation Certificate - 248 Connemara Lane - Paddy Row Sub - 6/23/2005
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
1m . Read the Instructions on 1 .7.
SECTION A. PROPERTY OWNER INFORMATION
BUILDING OWNER'S NAME
ROTH HOMES
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
248 CONNEMARA LANE
CITY STATE
EAGLE ID
PROPERTY DESCRIPTION (lot and BIoc:k NumbelS, Tax Parcel Nl.II'rber, Legal Description, etc.)
LOT 19, PADDY RCJN SUBDIVISION
BUILDING USE (e.g., Residential, Non-residential, Addition, Aa;essory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATlTUDElL.ONGITUDE (OPTIONAL)
( #If - #If - ##.t#f' or ##.####If)
a.M.B. No. 3067-0077
Expires December 31, 2005
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For Insurance Coo1>any Use:
Policy Number
Company NAIC Number
ZIP CODE
83616
HORIZONTAL DATUM:
o NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
o Other:
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
I 81. NFli' COf/MJNITY NAM: & cn.t.UN1TY NUM3ER I 82. COONTY NAM:
EAGLE 1600)3 ADA
I ~~ATE
84. M\P AND PANEL 87. FIRM PANEL 89. BASE FLOOD ELEVATION(S)
NUM3ER 65. SUFFIX 86. FIRM INDEX DATE EFFEC'IlVEtREVlSED DATE 88. FLOOD lOOE(S) (Zone AO, use ~ of 1bod~)
100J1C0153 H 2-19-03 2-19-03 AH 2562
B10. Incicate the source d the Base Flood Elevation (BFE) data or base fkxxj deJXh entered in 89.
o FIS Profile ~ FIRM 0 Comrronity Detem1ned 0 Other (Desaibe):_
B11.lncicatetheelevation daum used for the BFE in 89: 0 NGVD 1929 ~ NAVD 1~ 0 Other (Desaibe): _
B12. Is the buiking located in a Coasta Ba1ier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes 0 No Designciion Date
SECTION C - BUILDING B.EVATION INFORMATION (SURVEY REQUIRED)
C1. Building e1evcfuns are based on: 0 Constructial DraNings* 0 Buldng Under Construclion* ~ FinIshed ConstructkJn
* A new E1evcron Certificate will be required when coostruction d the building Is COIllJIele.
C2. Building Diagram Number ~ (Select the building ciagran roost sin1lar to the buiking for which this certificae is being completed - see pages 6 a'ld 7. If no diagram
cmJrctely represents the building, provide a sketch or ~.)
C3. EIevlfuls -Zones A 1-A30, AE, AH, A (with BFE), VE, V1-Vll, V (with BFE), AR. ARJA, ARJAE, ARJA 1-A30, ARJAH, AAJAO
Coo1pIeIe Items C3. -a-i 00k:7N acoortIng kl the blting cia!,'rcm spocified in Item C2. Stae the daum used. If the daum is dfferent froo1 the dcium used for the BFE in
Section B, convert the dctum to that used for the BFE. Show field measurements and daum oowersion calculation. Use the spa:;e provided or the Cornroonts area of
Section D or Section G, as appt'OpIiae, to document the datum conversion.
Datum ConversionlComments
Elevation referenoo mak used _Does the elevation reference mak used appear on the FIRM? 0 Yes ~ No
o a) Top of bottom floor (inducing basement or Ell'ldooure) 2559. ~ft.(m)
o b) Top of next higlerfloor 2562. ~ft.(m)
o c) Bottom of Io.vest horizontal structural rneniJer (V zones only) N/A . _ft.(m)
o d) Attached garage (top of slab) 2561. 1ft.(m)
o e) Lcwest elevation d machinery cncVor equipment
sefVidng the building (Describe in a Conments area) 2562 . ~ft.(m)
o n l..aNest aqa:mt (finished) grOOe (LAG) 2560 . Q.ft.(m)
o g) Highest atjocent (finisred) gOOe (HAG) 2560. Q.ft.(m)
o h) No. d~openings(fkxxj vents)wittin 1 ft. cOOYe aqocent grOOe 18
o i) Tala area d all perTna1ent openings (flood vents) in C3.h ~ sq. in. (sq. an)
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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME DARREN R LEAVITT, PolS. UCENSE NUMBER 7323
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TITLE PROFESSIONAL lAND SURVEYOR
COMPANY NAME ARRfm LAND SURVEYING,INC.
CITY .
EAGLE
DATE
6-23-a5
FEMA Form 81-31, January 2003
See reverse side for continuation.
ZIP CODE
83616
STATE
ID
T8.EPHONE
2J8-939-7373
Replaces all previous editions