Flood Control - Elevation Certificate - 1109 S Renovare Ln - Renovare Sub No 01 - 3/13/2017RECEIVED & FILED
CITY OF EAGLE
MAR 13 1011
File:
Route to:
U.S. DEPARTMENT OF HOMELAND SECURITY [OMB 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community official. (91 insi irnnna annnr(rmmp.ny izi K,m,r.... ..........
SECTION A— PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
Policy Number:
Nikolas Buich
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
Company NAIC Number:
1109 South Renovare Lane
City State ZIP Code
Eagle Idaho 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 12 Block 1 Renovare Subdivision Phase 1
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. N43°41'06.29" Long. W116°19'55.73" Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to flood
obtain insurance.
AT Building Diagram Number 1B
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 0 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes Z No
A9. For a building with an attached garage:
a) Square footage of attached garage 672 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.15 0 sq in
d) Engineered flood openings? [—]Yes x❑ No
SECTION B—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
Eagle, City of 160003
Ada
Idaho
64. Map/Panel
Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood Zone(s)
B9. Base Flood Elevation(s)
Date
Effective/
(Zone AO, use Base
16001CO162
H
10/02/2003
Revised Date
02/19/2003
Flood Depth)
2571.9
X
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69:
❑ FIS Profile x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x❑ No
Designation Date: ❑ CBRS ❑ OPA
EMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
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:
1109 South Renovare Lane
City State ZIP Code
Company NAIC Number
Eagle Idaho 83616
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ❑x 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, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO.
Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: Project Benchmark -OPUS Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 rx-1 NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 2574, 91 0 feet ❑ meters
b) Top of the next higher floor . �� ❑X feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) h 0 feet ❑ meters
d) Attached garage (top of slab) _ 2574. 43 0 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 2574. 56 0 feet ❑ meters
(Describe type of equipment and location in Comments)
I) Lowest adjacent (finished) grade next to building (LAG) 2574. 17 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 2574. 81 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including . Na ❑x feet ❑ meters
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. 1 understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? x❑ Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
Aaron L. Ballard 12459
t�4,
Title
PLS
CX
459
Company Name
KM Engineering, LLP
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Address
9233 W. State Street
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City State ZIP Code
Boise Idaho 83714
Signature
Date Telephone
03/13/2017 (208)639-6939
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
Elevation listed on line C2 e, is an A/C unit on the north side of structure. Prior to LOMR-F Case No. 15-10-0296A the subject property
was within Zone AE.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
FI FVATI0N CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018
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:
1109 South Renovare Lane
City State ZIP Code
Company NAIC Number
Eagle Idaho 83616
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 ft on this page, use the Continuation Page.
Photo One
Photo One Caption Front and North Side
Y+S`3C. f ✓ . � K
Photo Two
Photo Two Caption Back and South Side.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of b