Flood Control - Elevation Certificate - 2542 N Vizcaya Way - Vizcaya Sub - 6/16/2010
u.s. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
Federal Emergency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1-9.
OMS No. 1660-0008
Expires March 31, 2012
SECTION A - PROPERTY INFORMATION For l",uranc:eCompanyUse:
A1. Building Owner's Name Matthew Howarth Policy Number
A2. Building Street Address (including Apt., Unit. Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAlC Number
2542 N. Vizcaya Way
City Eagle
State ID ZIP Code 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 6, Block 1, Vizcaya Subdivision
A4. Building Use (e.g., Residential, Non-Residential, Addition. Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 43.71750N Long. 116.33740W Horizontal Datum: D NAD 1927 181 NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number ~
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 3500 sq ft a) Square footage of attached garage 960 sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade 25 within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b Q sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? 0 Yes 181 No d) Engineered flood openings? 0 Yes ~ No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
CITY OF EAGLE, 160003
B2. County Name
ADA
B3. State
ID
B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
16001 C0154 H Date Effective/Revised Date Zone(s) AO, use base flood depth)
FEB 19, 2003 FEB 19, 2003 AE 2614.0
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
181 FIS Profile 0 FIRM 0 Community Determined D Other (Describe) _
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 181 NAVD 1988 0 Other (Describe)_
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes
Designation Date _ 0 CBRS DOPA
181 No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings' D Building Under Construction' 181 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, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized BONNEVILLE BLUEPRINT RTN Vertical Datum NAVD88
Conversion/Comments N/A
a)
b)
c)
d)
e)
Top of the next higher floor
Bottom of the lowest horizontal structural member (V Zones only)
Attached garage (top of slab)
Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
Lowest adjacent (finished) grade next to building (LAG)
Highest adjacent (finished) grade next to building (HAG)
Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support
2620.Q
N/A._
2619..2
2619.1
Check the measurement used.
181 feet 0 meters (Puerto Rico only)
181 feet D meters (Puerto Rico only)
D feet 0 meters (Puerto Rico only)
181 feet 0 meters (Puerto Rico only)
181 feet D meters (Puerto Rico only)
Top of bottom floor (including basement, crawlspace, or enclosure floor) 2616.~
f)
g)
h)
2618.~
2619.~
2618.~
18I feet 0 meters (Puerto Rico only)
181 feet D meters (Puerto Rico only)
181 feet 0 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 law to certify elevation
information. / 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.
181 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? 181 Yes 0 No
City BOISE
Date 06-16-2010
State ID
ZIP Code 83705
Certifier's Name TIMOTHY J. FOX
License Number PLS 7612
Title PRESIDENT
Company Name FOX LAND SURVEYS, INC.
Telephone 208-342-7957
See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Col'nppyUse:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
2542 N. Vizcaya Way
City EagleState ID ZIP Code 83616 Company NAlC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner.
Comments A5. THE GEOGRAPHIC COORDINATES SHOWN HEREON WERE OBTAINED BY SCALING FROM GEOREFERENCED MAPS ON FILE
WITH FOX LAND SURVEYS, INC. THESE MAPS ARE REFERENCED TO NAD83 DATUM. C2.e THE LOWEST EQUIPMENT SERVICING THE BUILDING
IS THE EXTERNAL AIR CONDITIONER UNIT. B1. THE SUBJECT STRUCTURE FOR THIS CERTIFICATE IS SHOWN ON THE FIRM PANEL AS "ADA
COUNTY UNINCORPORATED AREAS". THE PROPERTY WAS ANNEXED INTO THE CITY OF EAGLE AFTER THE MAP WAS PUBLISHED. AIR AND
HEATING DUCTS, SEWER, AND WATER HANGING FROM FLOOR JOISTS MORE THAN 1 FOOT ABOVE THE CRAWL SPACE FLOOR.
Date 06-16-2010
Signature
o 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 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 _'_ 0 feet 0 meters 0 above or 0 below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is _'_ D feet 0 meters 0 above or 0 below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is _'_ 0 feet D meters 0 above or D below the HAG.
E3. Attached garage (top of slab) is _'_ 0 feet 0 meters 0 above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is _'_ D feet 0 meters 0 above or 0 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? 0 Yes 0 No 0 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's or Owner's Authorized Representative's Name
Address
City
State
ZIP Code
Signature
Date
Telephone
Comments
o 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. Check the measurement used in Items G8 and G9.
G1. 0 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. D 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. 0 The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: 0 New Construction D Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building: _'_ 0 feet D meters (PR) Datum _
G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ 0 feet 0 meters (PR) Datum _
G10. Community's design flood elevation _ _ 0 feet D meters (PR) Datum _
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
FEMA Form 81-31, Mar 09
D Check here if attachments
Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
2542 N. Vizcaya Way
City Eagle State ID ZIP Code 83616 Company NAlCN\mber
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page on the
reverse.
Front View
Right View
For I",uranc:e Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. poncy Nwnber
2542 N. Vizcaya Way
City Eagle State ID ZI P Code 83616 CompanyNAlCN\mber
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."
Building Photographs
Continuation Page
Rear View
Left View