Flood Control - Elevation Certificate - 2230 N Vizcaya Way - Vizcaya Sub - 2/11/2016U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Floadlrrstrrarr u c Proraur important: Read the instructions on pages 1--9,
A1. Building Owner's Name Timothy Paventy SECTION A - PROPERTY INFORMATION
A2. Building Street Address (including Apt.. Unit, Suite, and/or Bldg. No,) or P.0- Route and Box No,
2230 N Vizcaya Way
City Eagle
State iD ZIP Cade 83616
O661 -0008
July 31, 2015
FOR INSURANCE COMPANY USE
Policy Number.
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description. etc,)
Lot 12, Block 1 of Vizcaya Subdivision
A4. Building Use (e,g., Residential, Non- Residentlel, Addition, Accessory. i
A5. LatitudeRongilude; Lat. 43' 2' 0" Long. Wi ry' ) n la
L`i -Y12IL ' g 0' 6 " Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6- Attach at least 2 photographs of the building if the Certificate 's being used to obtain flood insurance.
AT Building Diagram Number 1 B
A8. For a building with a crawlspace or enclosure(s):
A9. For a building with an attached garage
a) Square footage of crawlspace or enclosures) Z"R sq It a) Square footage of attached garage 11,8 s ft
b) Number of permanent flood openings In the crawlspace q
or enclosures) within 1.0 fool above adjacent grade nla b} Number of permanent adjacent openings in the attached garage
c) Total net area of flood openings In AB b Na s In within 1.0 loot above adjacent grade -9
d) Engineered flood openings? ❑Yes q c) Total net area of flood openings in A9,b Q sq In
® Na d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B�1N FIP Com munity Name 8 Community Number B2. County Name Cof Eagle 1600003 Ada 83. State
- ID
84. Map/Panel Number 85. Suffix B6. FIRM Index Date 87. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
Oct. 2, 2003 Effective/Revised Date Zone s) AO, use base flood depth)
February 19, 2003 2612.9
810 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9-
® FIS Profile ❑ FIRM ❑ Community Determined
❑ Other/Source,
811, Indicate elevation datum used far BFE in Item B9: ❑ NGVD 1929 NAVD 1988
B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected rea (OPA�
Designation Date: 13 CBRS 11 ❑Yes OPA ® No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on.- ❑ Construction Drawings*
`A new Elevation Certificate will be required when construction of the building Is❑comp eita Under Construction ®Finished Construction
C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, ARiAH, AR/AO. Complete Items C2.a -h
below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: BRS 134 Vertical Datum: VD 8B
Indicate elevation datum used for the elevations in items a} through h) below- ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source:
Datum used for building elevatons must be the same as that used for the BFE,
a) Top of bottom Boor (including basement, crawlspace, or enclosure floor)
b) Tap of 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
(Describe type of equipment and location in Comments)
0 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 su on
Check the measurement used
2616•±A
® feet
❑ meters
N/A•
❑ feet
❑ meters
`L
❑ feet
❑ meters
2616•17
® feet
❑ meters
26116.2§
® feet
❑ meters
2615•2
® feet
❑ meters
gul •1
® feel
❑ meters
I.F. 1J9- ❑ feet ❑ meters
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be s °fined and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
Information, l 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 foot.
❑ Check here if comments are provided on back of farm. Were latitude and longitude In Section A provided b a `�`, - L .IQ `S
p
❑ Check here if attachments. g p Y ir'.st�t,��j�
licensed land surveyor? 6a Yee r-1 u., °/' '- U \ !;
Cer fier's Name Steven J. Frtst
Title Project Manger
Hvaress 2471
Signature
r-tmA Form 086 -0-33 (7112)
License Number 8961
Company Name TO Engineers, Inc.
City Meridian State ID ZIP Code 83642
Date 1-16 =Telephone 208- 323 -2288
See reverse side for continuation.
9,51
Replaces all previous editions.
aV&"W�-{I IVl•va_1% ago wet a", IJ0!JG A.
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite and /or Bldg. No.) or P.O. Route and Box No Policy Number,
2230 N. Vizcaya Way
City Eagie State ID ZIP Code 83618 Company NAIC 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 C2e) AC unit on west side house.
r
Signature
Date
2
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT SFE)
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 ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ 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 _ . ❑ feel ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4, Top of platform of machinery and /or equipment servicing the building is ❑ feel ❑ meters ❑ above or ❑ 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? ❑ Yes ❑ No ❑ 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 community4ssued 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 Authadzed Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ 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-Gi 0. In Puerto Rico only, enter meters,
G1. ❑ 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. ❑ 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. ❑ The following Information (Items G4 -G10) Is provided for community floodpiain management purposes.
G4. Permit Number G5. Dale Permit Issued
G7. This permit has been issued for: ❑ New Construction
G6. Date Certificate Of Compliance /Occupancy Issued
❑ Substantial Improvement
G8, Elevation of as -built lowest floor (including basement) of the building. e _ ❑ feet
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet
❑ feet
Title
Telephone
G10. Community's design flood elevation:
Local Official's Name
Community Name
Signature
Comments
Dale
❑ meters
Datum
❑ meters
Datum
❑ meters
Datum
❑ Check here if attachments.
FEMA Form 086 -0 -33 (7112) Replaces all previous editions
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit. Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number-
2230 N_ V'ucaya Way
City Eagle State ID ZIP Code 83616 Company NAIL Number.
If using the Elevation Certificate to obtain NFiP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
Indicated In Section AB. If submitting more photographs than will fit on this page, use the Continuation Page.
Front Elevation, HAG at comer where ladder is.
FEMA Form 1386-0.33 (7112) Replaces all previous editions.
ELEVATION CERTIFICATE, page 4 Building Photographs
Continuation Page
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg too.) or P.O. Route and Box No. Polley Number.
2230 N. Vizcaya Way
City Eagle State ID ZIP Code 83616 Company NAIC Number.
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identity all photographs
with: date taken; "Front View" and 'Rear View"; and, if required, "Right Side View' and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
East Elevation, LAG at foundation comer with orange
FEMA Form 086 -0-33 (7112) Replaces all previous editions.