Flood Control - Elevation Certificate - 1729 S Whitby Lane - Lakeland Estates - 10/28/2010U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
Al.
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION
Name Chase Home Finance LLC
A2 Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.,
1729 S Whitby Lane
City Eagle State ID ZIP Code 83816
OMB No, 1B6D -OD08
Expires March 31, 2012
For Insurance Company Use:
Policy Number
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc,)
Lot 13, Block 1, Lakeland !=stales Subdivision
A4. Building Use (e.g, Residential, Non - Residential, Addition, Accessory, etc) Residential
AS. LatiiludelLongitude- Lat. 4.3_R -A2.03 Long -06.81 Horizontal Datum. ❑ NAD 1927 ® NAD 1983
A8. 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 crawispace or enclasure(s)- A9. For a building with an attached garage
a) Square footage of crawispace ar enclosure(s) ,�j}j) sq It a) Square footage of attached garage 1444 sq g
b) No, of permanent /food openings In the crawlapace at b) No. of permanent flood openings In the attached garage
enclosure(s) within 1.0 foot above adjacent grade 14 within 1.0 fool above adjacent grade 2
Q Total net area of flood openings in A8,b 1194 sq In Q Total net area of flood openings In A9.b 2 sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? Q Yes ® No
SECTION S - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
City of Eagle 160003 - -- ".••, ••° W. state
Ada Idaho
B4. Map/Panel Number B5. Suffix Be. FIRM Index 87. FIRM Panel Be. Flood 89 Base Flood Elevation {s) (Z
Dale EHecilve/Revised Date zonne($) AO, use base flood depth)
21192003 2119/2003 AE 25830
810, Indicate the source of the Base Flood Elevation (BFE) data or base load depth entered in Item 89
4C- ® FIS Profile ® FIRM ❑ Community Detarmined ❑ Other (Describe)
811. Indicate elevation datum used for SFE In Item Be. ❑ NGVD 1929 ® NAVD 1908 ❑ Other (Describe)
812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No
Designation Data ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction
'A new Eievallon Certificate will be required when construction of the building Is complete
C2. Elevations— Zones At -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/A1 -A30, ARIAH, AR/AO Complele llerns C2 a -h
below according to the building diagram specified in Item A7, Use the same datum as the BFE.
Benchmark Utilized DjftVerllcal Datum NALVp go
Conversion/Comments SEE COMMENTS
Check the measurement used.
e} Top of botlom floor (including basement, crowlspace, or enclosure Boar) 2582.2
® reel ❑ molars (Puerto Rico only)
b) Top of the next higher floor 2
® feet ❑ meters (Puerto Rica only)
-e
c) Bottom of the lowest horizontal structural member (V Zones only)
❑ 1001 ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) M-2
® feet Q meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 2; 8�.1
(Describe type of equipment and location in Comments)
® feet ❑ meters (Puerto Rico only)
0 Lowest adjacent (Finished) grade next to building (LAG) 2551Q
® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (Finished) grade next to building (HAG) 2M.3
® feel ❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevatlon of deck or stairs, including M.9
structural su
® feet ❑ meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certrflcation is to be signed and sealed by a land surveyor, engineer, or archilect authorized by law to certify elevation
Information. l certify that the hrrormetion on this Cedlrrcala represents my best elrods to interpret the data evaNable.l
understand that any false statement may be punishable by fire orlmpdsonment under 18 U.S. Code, Section 1001.®
Check here H comments are proWded on back of form. Were datilude and longitude in Section A provided by a
licensed land surveyor? ® Yes ❑ No
Certifiers Name Gregory G. Carter, PLS License Number 7729 per. r77kg Title Project Manager Company Name Idaho Survey Group
• . -.� �.., .., n. -. , ..nor . ,•. 400 rmsoma riA. rnr r•wr,iinuelinn 0 -1 -- -,II ..r.......u,• *"#; e
:rdPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:
Btn)dmg Street Address (including Apt.. Unit Suole and/or Bldg. No.) or P O. Route and Box No Policy Number
1729 S Whitby Lane
City EagleStale ID ZIP Code 83616 Company NAIC Number
SECTION 0 - 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.
CGmmenis 1) Station "BLUE" is a local private GPS station tied to the local f1ARN network (NAVDBB)
2) The vents are a standard louvre vent
3) The equipment is the HVAC unit
"'a " ° ""W Dale 1088/10
❑ Ghetto here if attachments
SECTION - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT 8FE)
For Zones AO and A (without BFE), complete Items E1 E5 It the Certificate is intended to support a LOMA or LOMB -F request, complete Sections A, B.
and C For Items Ei -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, crowlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is 13 feet 13 motors [3 above or ❑ below the LAG.
E2. For 8uixilnQ Diagrams S.9 with permanent flood openings provided In Section A Items 5 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 AD 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 cerlity 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 AD must sign here The statements In Sections A, B, end E are cwnict fo the hest of my knowledge.
Property Owner's or Ownees Authorized Representative's Name
Address City State ZIP Code
Signature Dale -
Telephone
Comments
❑ Check hone it 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. S. C (or E),
Ind G of this Elevation Certificate. Complete the appkable flem(s) and sign below, Check the measurement used in Items GB and Gg
31_ ❑ The Infon alion 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 codify elevation Infonnallon. (Indicate the source and dale of the elevation dais In the Comments area below )
32, ❑ A community official completed Section E for a building located In Zone A (without a FEMA - Issued or communily- issued BFE) or zone AO
33_ ❑ The following information {Items G4-G9) is provided for community floodplain management purposes.
Permit Number I G5. Dale Permit
Date Certificate Of Compliance0mupancy
37. This permit has been issued for ❑ New Construction ❑ Substantial Improvement
38. Elevation of as -built lowest floor(Inciuding basement) of the building: ❑ feet ❑ meters (PR) Datum
39. GFE or (m Zone AO) depth of flooding at the building site: ❑ feel ❑ meters (PR) Datum
310. Community's design Flood elevation ❑ feet ❑ meters (PR) Datum
Loral Official's Name — Tips
Community !Yams Telephone
Signalure - Date A
Comments "`
❑ Check here If attachments
: EMA Farm 81,11 Mar 114 - r~ _�i_ _ "T -h - 1. . - ',.
Building Photographs
See Instructions for Item A6.
For Insurance Company Use
Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number
1729 S. Whitby Lane
City Eagle State ID ZIP Code 83616 Company NAIL 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
Building Photographs
Continuation Page
For Insurance Company Use
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P,Q_ Route and Box No. Pol cy Number
1729 S. Whitby Lane
City Eagle State ID ZIP Code 83846 Company NMC Number
If submitting more photographs than will fit on the preceding page, . affix the additional photographs below. Identify all
photographs with: date takeng "Front View" and Rear View "; and, if required„ "Right Side View" and "Left Side View."
REAR