Flood Control - Elevation Certificate - 214 E Grove Creek Ln - Lakemoor Sub 3 - 4/7/2015U.S. DEPARTMENT OF HOMELAND SECURRY
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Flood lnrumnce Program Important: Read the Instructions on pages 1-9.
ELEVATION CERTIFICATE
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name Asbury Construction, LLC
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
214 E. Grove Creek Lane
City Eagte State ID ZIP Code 83616
A3. Property Description (Lot and Blocc Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 119, Block 7 of Lakemoor Subdivision No.3
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 43°40'22.0rN Long. 116°21'05.59j( Horizontal Datum: 0 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 j:!
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) ],
b) Number of permanent flood openings in the crawlspace
or enclosure(s) within 1.0 foot above adjacent grade mg
c) Total net area of flood openings in A8.b NIA
d) Engineered flood openings? 0 Yes ® No
OMB No. 1660-0008
Expiration Date: July 31, 2015
FOR INSURANCE COMPANY USE
Policy Number:
sq ft
sq in
Company NAIC Number.
A9. For a building with an attached garage:
a) Square footage of attached garage Oa sq ft
b) Number of permanent flood openings in the attached garage
within 1.0 foot above adjacent grade N &
c) Total net area of flood openings in A9.b jy[g
d) Engineered flood openings? 0 Yes
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name
Ada County, Idaho 160003 Ma
B4.Map/Panel Number 65. BebruaryIndex
16001C0161Suffix F 9, 2003 Effective/Revised Feb 19,2Date
133. State
Idaho
sq in
No
B8. Flood B9 Base Flood Elevation(s) (Zone
Zone(s) AO, use base flood depth)
X 2560.6
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
0 FIS Profile ❑ FIRM ❑ Community Determined ® Other/Source: LOMF-Fill Case No. 12-10-15118
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 0 Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date: mg CBRS 0 OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl . Building elevations are based on: 0 Construction Drawings' 0 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, ARAA1-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: Towill BRS 131 Vertical Datum: NAVD88
Indicate elevation datum used for the elevations In items a) through h) below. 0 NGVD 1929 El 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, crawispace, 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 dedc or stairs, including structural
z563.4
6.4
22121
4,1
2565,1
support N
❑ Yes ®No
Check the measurement used.
® feet 0 meters
® feet 0 meters
0 feet 0 meters
® feet ❑ meters
® feet ❑ meters
® feet ❑ meters
® feet 0 meters
❑ feet ❑ 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.
® Check here U comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here 11 attachments. licensed land surveyor? ® Yes 0 No
Certifiers Name Steven J. Friable License Number 8961
Title Project Manager
Address 9777 Chinden Blvd
Signature
Company Name T-0 Engineers, Inc.
City Boise State ID ZIP Code 83714
Date April 7, 2015 Telephone 208 323-2288
FEMA Form 086-0-33 (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
214 E. Grove Creek Lane
City Eagle State ID ZIP Code 83616 Company NAIC Number.
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 Lowest elevation of machinery servicing the building is the HVAC ductwork within the crawlspace.
Signature
Date April 7, 2015
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 El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items El-E4, use natural grade, if available. Ched( 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 (I-IAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (seepages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building Is ❑ feet 0 meters 0 above or 0 below the HAG.
E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building Is 0 feet 0 meters 0 above or 0 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 floodplain management
ordinance? 0 Yes 0 No 0 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, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
fl 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. 0 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. 0 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-G10) is provided for community floodplain management purposes.
G4. Permit Number I G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters Datum
G10. Community's design flood elevation: 0 feet 0 meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
l Check here it attachments
FEMA Form 086-0-33 (7/12) 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.
Building Street Address (including Apt., Unit Suite, and/or Bldg. No.) or P.O. Route and Box No.
214 E. Grove Creek Lane
C.ity Eagle
State ID ZIP Code 83616
FOR INSURANCE COMPANY USE
Policy Number.
Company NAIC Number.
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions
for Item A8. 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 fit on this page, use the Continuation Page.
Front of House (southwest side)
FEMA Form 086-0-33 (7/12)
Replaces all previous editions.
ELEVATION CERTIFICATE, page 4
Building Photographs
Continuation Page
IMPORTANT: In these spaces, copy the corresponding information from Section A.
Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
214 E. Grove Creek Lane
City Eagle
State ID
ZIP Code 83816
FOR INSURANCE COMPANY USE
Policy Number.
Company NAIC 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 A8.
Back of house (northeast side)
FEMA Form 086-0-33 (7/12)
Replaces all previous editions.