Flood Control - Elevation Certificate - 250 S Riverview Street - Sierra Sub - 6/25/2012U.S.` DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 16W -coos
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION For insurance.Company Use:
Al. Building Owner's Nana KENNETH ANDERSON and JULIE A DAHL Policy Number
A2. Budding Street Address (ir"iding Apt., Unit, Suite, ardlor Bldg. No.) or P.O. Route and Bout No. Company NAIC Number
250 S. RIVEWIEW STREET
City EAGLE State ID ZIP Code 83616
A3. Property Description (Let and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 12, SIERRA SUBDMSION No. 1 DATED 1972,117896010061
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. LatitudeA orhgitude: Lau 43 41' 34.115' N Long. 11622' 11.884 W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at bast 2 photographs of the building If the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 2
A8. For a building with a aawispace or ertdosure(s): A9. For a building with an attached garage:
a) Square footage of crawl pace or enclosure(s) 1349.6 sq It a) Square ft tage of attached garage M sq ft
b) No. of permanent flood openings in the crawlspaee or b) No of permanent Hood openings in the attached gage
enclosure(s) wittm 1.0 foot above adjacent grade NONE within 1.0 foot above sdlacent grade Ngf E
c) Trial net area of flood openings in A8b WA sq in c) Total net area of flood openings in A9.b WA sq in
d) Engineered flood openings? ❑ Yes ONO d) Engineered flood openings? ❑ Yes' ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number 82. County Name 83. State
EAGLE, CITY OF 160003 ADA COUNTY IDAHO
B4. MaplPanel Number
85. Suffix
86. FIRM Indsu
137. FIRM Panel
B8. Flood
GO. Base Flood Elevation(s) (Zone
1600100153
H
Date
1
Effective/Revised tiv�evised Date
1
Zane(s)
AO, use base flood depth)
SEPT 22, 1999
FEBRUARY 19, 2003
AE
2548
B10. Indicate the source of the Base Flood Elevation (BFE) data i base flood depth entered in item B9.
❑ FIS Profile ® FIRM ❑ Cornmmmily Determined ❑ Other (Describe)
B11. Indicate elevation datum used for SFE In Item B9: ❑ NM 1929 ® NAVD 1986 ❑ Other (Describe)
B12. 1s the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPAV ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BWL.DING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are Lased on: ❑ Construction Drawings- ❑ Building Under Construction` ® Rnis W Conatrukxim
•A new Elevation Certificate will be required when construction of the building a complete.
C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 V30, V {with BFEI AR AR/A, AR/AE, AR/Al -A30, AR/AH, AR/AO. Complete Items C2.a -h
below according to the building diagram specified in item A7. Ilse the same datum as the BFE.
Benchmark Utiltwd JUVertical Datum N
SOME RNfER FLOOD PLAIN STUDY REPORT
a) Top of bottom floor (including basement, crawlepace, or enclosure floor) 2551.9
b) Top of the next higher floor 2,555.7
c) Bottom of the lowest horizontal alludural member (V Zones only) N A•
d) Attached garage (top of Web) 2W6.2
e) Lowest elevation of machinery or equipment servicing the building 2556.7
( Describe hips of egkriprnent and location in Comments)
I) Lowest edjaoant (flntahed) grads next to bull ft (LAG) 25M-$
g) Highest adjacent (finished) grade next to building (HAG) =-Q
h) lowest adjacent grade at lowest elevation of deck or stairs, kx*x ug =1
Structural WAVW
Check the measurement used-
0
feet ❑ meters (Puerto Rim only)
® feet ❑ meters (Puerto Rico only)
❑ test ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rioo only)
® feet ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and seabd by a Mud surveyor, engineer, or architect authorized by law to cer* elevation
information. I o&AW flraf pre k0bansticn an Ors Cartdllrate represents my beat eHbrls to kdwpvet the data available I
understand drat any false aftionent may be pcallsfrabb by 9W or krafsarwIent under IS U. S. Code, Secdan 1001.
Check here if comments are provided on bade of form. Were latitude and kmgitude in Section A provided by a
licensed Mud surveyor? ® Yes ❑ No
Cert4iees Name DEAN W. BRIGGS License Number PLS 3619
TWe DENT Company Name BRIGGS ENGINEERING, INC.
AIJ
Signature - Date , Telephone 208-344.9700
FEMA Form 81-31, Mar 09 See reverse side for confinuabon. Replaces all previous editions
11
IMPORTANT: In these span, copy the cmespondtn9 m%nnation from Socbon A- For Iflsumnce Cofnpany Use:
Binding Street Address Oickudirg Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
250 S. RIVERVIEW STREET
City BOISEShft ID ZIP Code 63616 -.r_- -- _
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUEDI
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentfcompany, and (3) binding owner.
Comm C2.e -GAS FURENCE IN THE GARAGE.
Signature late
g 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 learns E1-E5. If the Certificate is intended to supports LOMA or LOMR -F request, cornplets Sections A, B,
and C. Fortier, E1-E4, use natwa l grade, tf available. Check the meaaurememt used. in Puerto Rico only, enter meters.
E1. Provide elevation i dbr n djon fox the t ilowi g and check the appropriate boxes to show whether the elevation is above or below the highest ad}acerd
grade (FIAG) and the lowest adpoerR grade (LAG).
a) Top of botiorn floor (Including basement„ crawispaoe, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (Including basement, c awlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 64 wkh peYn=n tt flood openitgs piovidedW'Suction A -items 8 andlor9 (see 8 9�of Irons), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ fast ❑ misters ❑ above or [below the HAG.
E3. Attached garage (top of sab) is ❑ fast ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the budding is ❑ feet ❑ meters ❑ above or ❑ below the W.
E5. Lone AO only: M no food depth number is avatiaba, is the top of the bottom boor elevated in accordance with the community's tioocipain management
ordinance? ❑ Yea ❑ No ❑ Unknown. The local official must certify this info rnation in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The properly owner or ownees autlworized representative who completes Sections A, % and E for Zone A (without a FEMA- issued or commundt4asusd SFE)
or Zone AO most sign here. The statements in Sections A, Q and E are oared lb the best of nW knowAedge.
Property Owner's or Owner's Authorized RepresentaUve's Name
Adder City State ZIP Code
Signature late Telephone
Comments
or
and G of this Elevation Certificate.
❑ - �s here if Mumma
SECTION G - COMMUNITY INFORMATION (OPTIONAL) —
prance to administer the conrmuriy's floodplam management ordinance can complete 6
the applicable items) and sign below. Check the maxisurement used in items G8 and G9.
G1. ❑ The inforation 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 cominunity official completed Section E for a building located in Zane A (wiMxxd a FEMA- issued or Community- issued BFE) or Zone AO.
G3. ❑ The following iMormation (Items G4-G9) is provided fer-commundy lloodpiain_managernent purpom.- -
G4. Permit Number G5. Dale Permit issued G6. Date Certlfx*e Of CompfiancelOccupancy Issued
G7. This permit has teen issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of asbuilt lowest floor (incudMo basement) of the bonding: ❑ feet ❑ meters (PR) Datum
G9. BFE or (i Zone AO) depth of flooding at the building sue: ❑ feet ❑ metsrs (PR) Datum
G10. Commwnilyy s design flood elevation ❑ feet ❑ meters (PR) Dattun
Local Otficars Name Title
Community Name Telephone
Signature Date
[i Check here if attechmems
FEMA Form 81 -31, Mar 09 Replaces all previous editioris