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Flood Control - Elevation Certificate - 916 S Heron Pointe Way - Mace River Ranch Sub No 05 - 6/12/2017
U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 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, (2) insurance agent/company, and (3) building owner SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: DOWNEY CONSTRUCTION INC A2 Building Street Address (including Apt , Unit. Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number Box No 916 S. HERON POINTE WAY City State ZIP Code EAGLE Idaho 83616 A3 Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 18, BLOCK 7 MACE RIVER RANCH SUBDIVISION NO. 5, TAX # R5421240580 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5 Latitude/Longitude- Lat. 43-41-13.11 Long. -116-22-02.69 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. A7 Building Diagram Number 9 A8 For a building with a crawlspace or enclosure(s). a) Square footage of crawlspace or enclosure(s) 2,975 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑ Yes © No A9. For a budding with an attached garage a) Square footage of attached garage 905 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.b 0 sq in 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 CITY OF EAGLE, 160003 ADA Idaho B4. Map/Panel B5. Suffix B6 FIRM Index B7 FIRM Panel B8. Flood Zone(s) 69. Base Flood Elevation(s) Number Date Effective/ (Zone A0, use Base Revised Date Flood Depth) 1600100161 H 09/22/1999 04/28/2009 SHADED X 2548.8 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/Source: CASE NO. 17-10-0133A, DECEMBER 06, 2016 B11. Indicate elevation datum used for BFE in Item B9 ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [1 Yes © No Designation Date ❑ CBRS ❑ OPA FEMA 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 916 S. HERON POINTE WAY 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` © 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, AR/AE, AR/A1–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: SEE NOTE #1, SECTION D Vertical Datum: NAVD1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 n NAVD 1988 ❑ Other/Source Datum used for budding 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) 2549 4 ❑X feet ❑ meters b) Top of the next higher floor 2552 75 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) ❑x feet ❑ meters d) Attached garage (top of slab) 2551 95 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 2551 6 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to budding (LAG) 2551 5 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 2551 7 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 2552 1 ❑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. l 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? 0 Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number PATRICK SCHEFFLER IDAHO PLS 7015 LAIV� `oNp►L G Title LAND SURVEYOR Company Name IDAHO SURVEY GROUP e Aar Her fZ �F Address 1450 E WATERTOWER ST. #130 F J. SCH City State ZIP Code MERIDIAN Idaho 83642 Signature Date Telephone 1— 06/12/2017 (208)846-8570 Copy all pages ofi ElfivatiJn - icate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner Comments (incl d' g type of aui ment and location, per C2(e), if applicable) 1) STATION BLUE IS A LOCA PRIVATE GPS STATION TIED TO THE LOCAL HARN NETWORK (NAVD88) 2) FEMA LOMR-F CASE NO 17-10-0133A, DECEMBER 06, 2016 CLASSIFIES THIS LOT IN SHADED ZONE X 3) Lowest machinery serving property is AC pump on concrete pad outside building, elev=2551.6 4) Bottom of HVAC ductwork in crawlspace is at elev=2550.75 5) Furnace and water heater are elevated in garage at elev=2552.7 6) Rear patio concrete not yet constructed Assumed -0.65 ft below living space finish floor elevation per plans FEMA Form 086-0-33 (7/15) Replaces all previous editions Form Page 2 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 US Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 916 S HERON POINTE WAY City State ZIP Code Company NAIC Number EAGLE Idaho 83616 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—E5 If the Certificate is intended to support a LOMA or LOMR- request complete Sections A, Band C. For Items E1—E4, use natural grade, if available. Check the measurement used. In P erto Rico only, enter meters. E1 Provide elevation information for the following and check the appropriate boxes to show whether the eleva , n 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 ❑ meter ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and r 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet eters ❑ 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 eet ❑ meters ❑ above or ❑ below the HAG. E5 Zone AO only- If no flood depth number is available, is the top of the bottom or elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. T local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S EPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who complete Sections A, B, and E for Zone A (without aFEMA-issued or community -issued BFE) or Zone AO must sign here. The statements i Sections A, B, and E are correct to the best of my knowledge Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 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 US Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P O. Route and Box No. Policy Number: 71 916 S HERON POINTE WAY City State ZIP Code Company NAIC Number EAGLE Idaho 83616 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinan can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) an/purposes heck th measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1 [] The information in Section C was taken from other documentation that has been siga licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicnd 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 or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain manoses G4 Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substanti Improvement G8 Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters of the building: Datum G9 BFE or (in Zone AO) depth of flooding at the building site, ❑ feet ❑ meters Datum G10 Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment a location, per C2(e), if applicable) ❑ Check here if attachments FEMA Form 086-0-33 (7/15) Replaces all previous editions Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No- 1660-0008 ELEVATION 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 Budding Street Address (including Apt., Unit, Suite, and/or Bldg No ) or P 0 Route and Box No. Policy Number 916 S. HERON POINTE WAY 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 to Section A8 If submitting more photographs than will fit on this page, use the Continuation Page. t. 1 t 'DC7 Photo On Photo One Caption FRONT VIEW Photo Two Photo Two Caption REAR VIEW FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No 1660-0008 ELEVATION CERTIFICATE Continuation Page 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: 916 S. HERON POINTE WAY City State ZIP Code Company NAIC Number EAGLE Idaho 83616 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 A8. ift • - "•-' •�' s^ A o.,i. ' n i� �n�-Ll`21:,�4�4}4c1�✓'+: �lAVi. .. ii`Tt .�""l� Y .:-.tir...� ,q'•Y`, .. .. + +t �s.e �•r,AT• \ y `. ~'. + 'L• • y' ,x[:55' ����,_,..,. , _ y. �, ,, �t� .�• Photo One Photo One Caption RIGHT SIDE VIEW _v; _ Vl? rs' -•� .. , �'. '��L � '-'fir �f — .. - - �,'�� Pholo Two Photo Two Caption LEFT SIDE VIEW FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6