Flood Control - Elevation Certificate - 1155 S Renovare Lane - Renovare Sub No 01 - 8/24/2016U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Flood Inswunce Prograny Important: Read the instructions on pages 1-9
SECTION A — PROPERTY INFORMATION
Building Owner's Name
OMB No, 1660-0008
Expiration Date: July 31, 2015
FOR INSURANCE COMPANY USE
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company MAIC Number:
1155 South Renovare Lane I
City Eagle
State ID ZIP Code 83616
A3. Property Description (Lot and Block Numbers, Tax Parcell Number, Legal Description, etc.)
A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Phase Residential
A5. LatitudelLongitude: Lat. N43*41'05.35Long. W11619'56.30" Horizontal Datum: El NAD 1927 EI 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 1B
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) N/A sq It a) Square footage of attached garage 440 sq it
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 NIA within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings mAg.b N/A sq in
d) Engineered flood openings? El Yes 0 No d) Engineered flood openings? El Yes Z! No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
Eagle, City of 160003 1 Ada I ID I
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
F1 FIS Profile 0 FIRM El Community Determined 0 Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: El NGVD 1929 0 NAVD 1988 El Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 El Yes 0 No
Designation Date: El CBRS D OPA
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: El Construction Drawings* El Building 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, VI—V30, V (with BFE), AR, AR/A, AR/AE, AR/Al—A30, AR/AH, AR/AO, Complete Items C2.a—h
below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: Project Benchmark Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 0 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 servicing the building
(Describe type of equipment and location in Comments)
f) 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 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, I 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 1001.
El 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? 9 Yes F1 No
Certifier's Name Aaron L. Ballard
Title PLS
License Number 112459
Company Name KMEngineering, LLP
Address 9233 W. State Street City Boise State ID ZIP Code 83 714
Signature Date August 24, 2016 Telephone 208-639-6939
FEMA Form 0860-33 (7/12)
See reverse side for continuation.
Replaces all previous editions.
Check the measurement used.
2574.45
0 feet
El meters
N/A.
Ell feet
Ometers
N/A.
0 feet
El meters
2574.14
0 feet
El meters
2574.35
0 feet
D meters
2573.93
0 feet
E] meters
2574.10
0 feet
0 meters
N/A,
n feet
E] 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, I 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 1001.
El 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? 9 Yes F1 No
Certifier's Name Aaron L. Ballard
Title PLS
License Number 112459
Company Name KMEngineering, LLP
Address 9233 W. State Street City Boise State ID ZIP Code 83 714
Signature Date August 24, 2016 Telephone 208-639-6939
FEMA Form 0860-33 (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.O. Route and Box No, Policy Number:
1155 South Renovare Lane
City Eagle State ID ZIP Code 83616 Company MAIC Number;
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 Elovation listed C2 line is a concrete AJC pad grade on the south side of structure,
Signature
Date August 24, 2016
5t:(;TIQN E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BEE)
For Zones AO and A (without BFE), complete Items E1—E5. 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,
Ell. 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 0 feet El meters 171 above or 171 below the HAG,
b) Top of bottom floor (including basement, crawlspace, or enclosure) is El feet 171 meters El above or EJ 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 _._ El feet El meters Ej above or [I below the HAG,
E3, Attached garage (top of slab) is _._ EJ feet El meters 1711 above or n below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is —,_ [I feet E] meters 1771 above or [:] below the HAG.
E6. 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"? E] Yes El No El 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, 8, and E for Zone A (without a FEMA -issued or community -issued BEE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
rioperry owner s or Uwner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
L,UI I III IU1 RLS
D �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. El 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. El A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BEE) or Zone AO.
G3. E] The following information (items G4—G10) 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: n New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building'. F1 feet D meters Datum
G9. BEE or (in Zone AO) depth of flooding at the building :site: El feet D meters Datum
G10. Community's design, flood elevation: 171 feet D meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
[I 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:
1155 South Renovare Lane
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 alopkable, 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,
t-t:IAA corm Ubb-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. No,) or P,O, Route and Box No. Policy Number:
1155 South Renova re Lane
City Eagle State ID ZIP Code 83616 Company MAIC Number:
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." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A,8.
Back View August 24, 2016
FEMA. Form 086-0-33 (7/12) Replaces all previous editions.