Flood Control - Elevation Certificate - 1415 S Hidden Island Place - Nestled Island Sub - 7/26/2012/I- /roll
U.S DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No 1660 -0008
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 Comaarn Use:
Name Creekside Custom Homes
A2 Building Street Address (including Apt. Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
1415 S Hidden Island
City Eagle State ID ZIP Code 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 9, Block 1, Nestled Island Subdivision, Tax No. R6039740090
A4. Building Use (e g, Residential, Non - Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude- Lat. 43 °40'56.78831 N Long. 116 °20'34.53729 W 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.
AT 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 enclosures) 3514 sq ft a) Square footage of attached garage 1127 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 NIA within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in AS b N/A sq in c) Total net area of flood openings in A9.b NIA sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3 State
Eagle, City of, Comm Number 160003 Ada ID
B4. Map/Panel Number
B5. Suffix
B6 FIRM Index
B7. FIRM Panel
BS Flood
B9. Base Flood Elevations) (Zone
16001 C0162 H
H
Date
Effective/Revised Date
Zone(s)
AO use base flood depth)
f) Lowest adjacent (finished) grade next to building (LAG) 2568.2 ® feet ❑ meters (Puerto Rico only)
February 19 2003
Sept 22 1999
AE
2565.3
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 (Describe)
B11. Indicate elevation datum used for BFE in Item B9' ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date N/A ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1 Building elevations are based on: ❑ Construction Drawings' ❑ Bui ding Under Construction' ® Finished Construction
"A new Elevation Certificate will be required when construction of the building is complete
C2. Elevations —zones Al -A30. AE, AH, A (with BFE), VE, V1430, V (with BFE), AR. ARIA. ARIAS. AR/A1 A30, AR/AH, AR/AO Complete Items C2 a -h
below according to the building diagram specified in Item AT Use the same datum as the BFE.
Benchmark Utilized Boise River Study 134 Vertical Datum NAVD 88
Conversion /Comments N/A
Check the measurement used
a) Top of bottom floor (including basement, crawlspaca, or enclosure floor) 2566 5 ® feel ❑ meters (Puerto Rico only)
b) Top of the next higher floor 2569.8 ® feet ❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) NIA _ ❑ feet ❑ meters (Puerto Rico only)
d) Attached garage (lop of slab) 25681 0 feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 2569.2 ❑ feet ❑ meters (Puerto Rico only)
(Describe type of equipment and locahon in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 2568.2 ® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 25686 ® feet ❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA ❑ feel ❑ meters (Puerto Rico only)
_
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 l certify that the information on this Cer9ficate represents my best efforts to Interpret the data ava +table.1
understand that any false statement maybe punishable by hne or imprisonment under 18 U. S Code, Section 1001.10
ENO
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? 0 Yes ❑ No
i'
ti Fn 'pG
Certifier's Name Clinton W Hansen License Number PLS 11118 G L 338 0
Title President Company Name Land Solutions, Land Surveying and Consulting, PC Q 1 ;a
Address 231 E F St Ste A City Meridian State ID ZIP Code 83642 •O
Signature Date 7/26/12 Telephone 208 - 288 -2040
W.
FEMA Form 81 -31, Mar 09 See reverse side for continuation, Replaces all previous editions
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 dumber
1415 S Hidden Island
City EagieState ID ZIP Code 83616
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner.
Comments Ttem C2 a - Elevation is the bottom crawl space floor
Item C2 e - AC Unit servicing the house
Signature Date
❑ 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 El-E5. If the Certificate is intended to support a LOMA or LOMR -F request. complete Sections A, B.
and C For Items EII-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters
El 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 stab) is ❑ feet ❑ 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 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, 8, 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 items) and sign below Check the measurement used in Items G8 and G9
Gi. ❑ 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-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: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -buiit lowest floor (including basement) of the building ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site ❑ feet ❑ meters (PR) Datum
G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name Title ��-
Community Name Telephone
Signature Date
Check here if attachments
FEMA Form 81 -31, Mar 09 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
, Unit, Suite, and/or Bldg
1415 S Hidden Island
City Eage, State ib ZIP Code 83616
For Insurance Company Use
No) or P.O Route and Box No, Policy Number
Company NAIC Number
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,
following.
Front View — 7125112
Building Photographs
Continuation Page
For Insurance Company Use
Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.Q. Route and Box No. Policy Number
1415 S Hidden Island
Eagle State ID ZIP Code 83816
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."
AW
Rear view — 7125112