Flood Control - Elevation Certificate - 1452 S Hidden Place - Nestled Island Sub - 11/4/2013U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660 -0008
Aaleonal Flood Insruran; Program Important: Read the instructions on pages 1 -9. Expiration Date July 31, 2015
SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al Building Owners Name CREEKSIDE CUSTOM HOMES Policy Number
A2 Building Street Address (including Apt. Unit. Suite and/or Bidg No ) or P.O Route and Box No Company NAIL Number
1452 S HIDDEN ISLAND
City EAGLE State ID ZIP Code 83616
A3 Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc)
LOT 3, BLOCK 1, NESTLED ISLAND SUBDIVISION, TAX NO R6039740030
A4. Building Use (e g, Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL
A5 Latitude/Longitude Lat. 43'40'53.9583N Long 116'20'36.9146W Horizontal Datum ❑ 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 9
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) 2306 sq ft a) Square footage of attached garage 933 sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1 0 foot above adjacent grade within 1,0 foot above adjacent grade
c) Total net area of flood openings in AS b NIA sq in c) Total net area of flood openings in A9 .b N/A sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes —Z No
SECTION B —FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name 8 Community Number B2. County Name B3 State
Ada, Unincorporated, Comm. No 160001 Ada County ID
B4 Map/Panel Number
B5 Suffix
B6 FIRM Index Date
B7. FIRM Panel
B8 Flood
B9_ Base Flood Elevation(s) (Zone
15001 CO162 H
H
February 19 2003
Effective/Revised Date
Zone(s)
AO, use base flood depth)
® feet
❑ meters
2568.96
SEPT 22.1999
AE 1
256450
B10. 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
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on ❑ Construction Drawings" ❑ Building Under Construction" ® Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete
C2. Elevations— Zones Ai —A30, AE, AH, A (with BFE), VE, V1 V30. V (with BFE), AR, AR/A AR/AE. AR/A1 —A30, ARIAH, ARIAO Complete Items C2.a —h
below according to the building diagram specified in Item A7 In Puerto Rico only, enter meters
Benchmark Utilized: BOISE RIVER STUDY 134 Vertical Datum NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source
Datum used for building elevations must be the same as that used for the BFE
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
b) Top 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 servic ;ng the budding
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to budding (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
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. 1 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. 5 Code, Section 1001,
® Check here if comments are provided on back of form Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifiers Name CLINTON W. HANSEN License Number PLS 11118
Title PRESIDENT Company Name LAND SOLUTIONS
Address 231 E 5TH ST STS A City MERIDIAN State ID ZIP Code 83642
Signature %' Date r I 1 pYt Telephone 208- 288 -2040
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FEMA Form 086 -0 -33 (7/12) See reverse side for continuation. - Replaces all previous editions,
Check the measurement used
2566.%
® feet
❑ meters
256983
® feet
❑ meters
❑ feet
❑ meters
2569.01
® feet
❑ meters
2568.96
IS feet
❑ meters
2568.60
® feet
❑ meters
2569.18
® feet
❑ meters
2568 75
® feet
❑ meters
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. 1 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. 5 Code, Section 1001,
® Check here if comments are provided on back of form Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifiers Name CLINTON W. HANSEN License Number PLS 11118
Title PRESIDENT Company Name LAND SOLUTIONS
Address 231 E 5TH ST STS A City MERIDIAN State ID ZIP Code 83642
Signature %' Date r I 1 pYt Telephone 208- 288 -2040
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FEMA Form 086 -0 -33 (7/12) See reverse side for continuation. - Replaces all previous editions,
ELEVATION CERTIFICATE, page 2
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 0 Route and Box No Policy Number.
1452 S HIDDEN ISLAND
City EAGLE State ID ZIP Code 83516 Company NAIL 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
11 D
CM4____ j
1�3
Signature Dale
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 ❑ 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3 Attached garage (top of slab) is ❑ feel [:]meters ❑ above or ❑ below the HAG.
E4 Top of platform of machinery and/or equipment servicing the building is [:]feet ❑ 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 owners 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
❑ 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-G10 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 bylaw 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 floodplain management purposes.
G4 Permit Number
G5 Date Permit Issued
G6 Dale Certificate Of
Issued
G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building _ ❑feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site ❑ feel ❑ meters Datum
G10 Community's design flood elevation ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑ 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
1452 S HIDDEN ISLAND
City EAGLE State ID ZIP Code 83616 Company NAIC 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 A8. If submitting more photographs than will fit on this page, use the Continuation Page
FRONT -- 10129113
FEMA Form 086 -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, andlor Bldg No ) or P,O Route and Box No Policy Number-
1452 S HIDDEN ISLAND
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. Identify all photographs
withc date taken; "Front Views' 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.
REAR 10129113
FEMA Form 066 -0 -33 (7112) Replaces all previous editions.