Flood Control - Elevation Certificate - 2542 N Vizcaya Way - Vizcaya Sub - 6/15/2010
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 Insurance Company Use:
A 1. Building Owner's Name Matthew Howarth Polley Nwnber
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Cornpeny NAtC Nwnber
2542 N. VlZcaya Way (Shop)
City Eagle
State ID ZIP Code 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, ete.)
Lot 6, 810ck 1, VlZcaya Subdivision
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Accessorv (Shoo)
A5. latitude/Longitude: Lat. 43.7175"N Long. 116.3366OW Horizontal Datum: 0 NAD 1927 ~ 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 tli
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) ~ sq ft a) Square footage of attached garage N1A sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enciosure(s) within 1.0 foot above adjacent grade ~ within 1.0 foot above adjacent grade MfA
c) Total net area of flood openings in A8.b tMA sq in c) Total net area of flood openings in A9.b ~ sq in
d) Engineered flood openings? 0 Yes 18' No d) Engineered flood openings? 0 Yes IJI No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name & Community Number
CITY OF EAGLE, 160003
82. County Name
ADA
83. State
ID
84. MaplPanel Number 85. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood 89. 8ase Flood Elevation(s) (Zone
16001C0154 H Date EffectivelRevised Date Zone(s) AO, use base flood depth)
FEB 19, 2003 FEB 19, 2003 AE 2615.7
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 0 Other (Describe) _
811. Indicate elevation datum used for BFE in Item 89: 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* 0 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 tMA
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)
f) Lowest adjacent (finished) grade next to bUilding (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at loweSt elevation of deck or stairs, including
structural support
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) Z21Z.~
b)
c)
d)
e)
tMA._
N1A._
~'-
mz.~
Check the measurement used.
181 feet 0 meters (Puerto Rico only)
o feet 0 meters (Puerto Rico only)
o feet 0 meters (Puerto Rico only)
o feet 0 meters (Puerto Rico only)
o feet 0 meters (Puerto Rico only)
~.~ ~ feet 0 meters (Puerto Rico only)
~.~ 181 feet 0 meters (Puerto Rico only)
~'_ 0 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. I certify that the information on this Certificate represents my best efforts to interpret the data aval1able.
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
Certifier's Name TIMOTHY J. FOX License Number PLS 7612
City BOISE
Date 06-15-2010
State ID
ZIP Code 83705
Title PRESIDENT
Company Name FOX LAND SURVEYS, INC.
Telephone 208-342-7957
See reverse side for continuation.
Replaces all previous editions
IMPORT ANT: In these spaces, copy the conesponding Infonnation from Section A. For Insurance Compeny Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Polley Nwnber
2542 N. VlZcaya Way(Shop)
City EagleState ID ZIP Code 83616 Company NAle Number
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) building owner.
Comments A5. THE GEOGRAPHIC COORDINATES SHONN HEREON WERE OBTAINED BY SCALING FROM GEOREFERENCED MAPS ON FILE
WITH FOX LAND SURVEYS, INC. THESE MAPS ARE REFERENCED TO NAD83 DATUM.
B1. THE SUBJECT STRUCTURE FOR THIS CERTIFICATE IS SHONN ON THE FIRM PANEL AS "ADA COUNTY UNINCORPORATED AREAS". THE
PROPERTY WAS AN ED INTO THE CITY GLE AFTER THE MAP WAS PUBLISHED.
Signature
Date 06.15-2010
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 E 1-ES. 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.
E 1. 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 _'_ 0 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 ~ages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is _'_ 0 feet 0 meters 0 above or 0 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 _'_ 0 feet 0 meters 0 above or 0 below the HAG.
ES. 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 officlal 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 stat9ments in Sections A, 8, and E 818 correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
City
State
ZIP Code
Signature
Comments
Date
Telephone
n 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. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued or communlty-issued BFE) or Zone AO.
G3. 0 The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number
GS. Date Permit Issued
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building: _'_ 0 feet 0 maters (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 0 meters (PR) Datum _
Local Official's Name
Title
Telephone
Community Name
Signature
Date
Comments
FEMA Fonn 81-31, Mar 09
o Check here if attachments
Replaces all previous editions
For Insurance Compeny Use:
Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Polley Nwnber
2542 N. VlZcaya Way(Shop)
City Eagle State ID ZIP Code 83616 CompIny NAIC Nu1tIer
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.
Building Photographs
See Instructions for Item A6.
Front View
Right View
For Insurance Cornpeny Use:
Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Nwnber
2542 N. VlZcsya Way(Shop)
City Eagle State ID ZIP Code 83616 Ccln1lInY IIWC Nlrrtler
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