Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Flood Control - Elevation Certificate - 2282 N Vizcaya Way - Vizcaya Sub - 2/27/2012
U S DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE oMB N 1 �66 t�1.2801 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions oft pages 1 -g, Expires Ma Al. Building Owner s Name Shawn & Ntcole Sorenson SECTION A - PROPERTY INFORMATION For insurance Company Use: Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O Route and Box No. 2282 N_ Vizcaya Way Company NAIC Number City Eagle State ID ZIP Code 83616 A3, Property Description (Lot and Black Numbers, Tax Parcel Number, Legal Description, etc.) Lot 11, Block 1, Vizcaya Subdivision A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessary, etc) Residential A5. Latitude /Longitude: Lat, N4342'55.2- Long. WI 16'20'16.11 A6, Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insura Horizontal Datum: ❑ NAD 1927 0 NAD 1983 AT Building Diagram Number 18 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 A9. Fora care footage with o attached garage: b) No. of permanent flood openings in the crawlspace or sq ft a) Square footage of attached garage 1323 sq ft enclosure(s) within 1.0 foot above adjacent grade 0 b) No, of permanent flood openings In the attached garage c) Total net area of flood openings in A8.b within 1.0 foot above adjacent grade 0 d) Engineered flood openings? sq in c) Total net area of flood Openings in A9.b 0 ❑ Yes ®No sq in d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFiP Community Name 8 Community Number Ada County Unincorporated Areas, 160001 82. County Name Ada I 83. State B4. Map/Panel Number 85. Suffix ID 1600100154 86. FIRM Index B7. FIRM Panel H Dale Effective/Revised Date 88. Flood 69. Base Flood Eievation(s) (Zone October 02, 2403 February 19,2003 Z ne(s) AO, use base flood depth) BID. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. 2613.9 ,9 FIS Profile FIRM ❑ Community Determined 611. Indicate elevation datum used For 8FE in Item B9: ❑Other (describe) ❑ NGVD 1929 ® NAVD 1988 f] Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date _ ❑ ❑ OPA CBRS ❑Yes No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1, Building elevations are based on: 'A new Elevation Certificate will be required when construction of the building is❑comp e+te Under Construction' CZ. Elevations - Zones Ai :430, AE, A: f, A w. [D Finished Construction (with BFE }. Ile V1-V30, a (with BFE), AR, ARIA, ARIAl:: AR/Ai -A30, AR/AH, AR/A0. Complete Items C2. a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE Benchmark Utilized D 438Vertical Datum NAVD 88 Conversion/Comments a) bj Top of bottom floor (including basement, crawlspace, or enclosure floor) 2616.2 heck the measurement used. Top of the next higher floor ❑fee ❑ meters (Puerto Rico only) W Bottom of the lowest horizontal structural member , NZones an.y} N/A._ NIA._ © feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 2617.2 -� - © feet ❑feet ❑ meters (Puerto Rico only) ❑meters {Puerto Rica only) Q 9) Lowest adjacent (finished) grade next to building (LAG) H;ghest adjacent (finished) grade next to building (HAG) 2615.1 ®Feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 2fi15.3 (]x feet ❑meters (Puerto Rico only) structural support 2616.0 © feet ❑ meters (Puerto Rico only) •+-- a I%+lv u - aurcvtYOR, 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. I certify that the information on this Cer6rrcate represents my best efforts to interpret the data aerlify elevation understand that any false statement may be punishable by fine or lrrrprmy &Snt under i U.S. Code, Section i7able❑ Check here if comments are provided on back of farm. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifler's Name Kevin N. Sorensen License Number 11120 Title Profesional Land Surveyor Company Name KM Engineering, LLp FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces al! previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For insufarlce Company Use Buitd°ng Street Address (including Apt, Unit. Suite, and /or Bldg. No) or P.O. Route and Box No. Pol €cy Numbef 2292'14. Vizcaya Way City Eagle State ID ZIP Code 83616 r n.tinn..,• KlAlf' .e.._,. 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 The lowest equipment servicing the building is located inside the attached garage on a platform attached to the back wall. Mae* ham if 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 -ES. If the Certificate is intended to support a LOMA or LOMB -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. 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 slab) 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 floodplaln 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, Q and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City Slate 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 ftem(s) and sign below. Check the measurement used in Items G8 and G9. 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 -G9) is provided for community floodplain management purposes G4. Permit Number G5. Date Permit Issued 56 Date Certificate Of Compliance /Occupancy 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 (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feel ❑ meters (PR) Datum G10. Communitys design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check hen: if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt, Unit, Suite, and/or Bldg No.) or P.O. Route and Box No. policy Number 2282 N. Vizcaya Way City Eagle State ID ZIP Code 83616 Comoanv NA1C Niar*v±r 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 flit on this page, use the Continuation Page, following. Front View Rear View Building Street Address (incl 2282 N. V¢caye Way :4 Eagle State ID ZIP Apt. 83616 Building Photographs Continuation Page te, and/or Bldg. No.) or P.D. Route and Box No. caripany 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." Right Side View r r Left Side View i I' Im .I� J