Loading...
Flood Control - Elevation Certificate - 1497 E Lone Shore Drive - Lonesome Dove Sub - 7/18/2013U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY �olional rhod htst,rntce Yrogruru Important: Read the instructions on pages 1 -9 owner's Name Taunton Properties, 15- 0 - D o OMB No. 1660 -0008 Expiration Date: July 31, 2015 SECTION A — PROPERTY INFORMATION I FOR INSURANCE COMPANY USE A2 Building Street Address (including Apt., Unit, Suite, and/or Bldg No ) or P.O. Route and Box No Company NAIC Number 1497 E Lone Shore Dr. city Eagle State ID ZIP Code 83616 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 24 Block 9 Lonsome Dove Subdivision A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5 LalitudefLongitude: Lat, N43 °41'07.49" Long. W 116 °20'07.17" 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 18 AS 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) NIA sq It a) Square footage of attached garage 642 sq ft b) Number of permanent flood openings in the craw space b) Number of permanent flood openings in the attached garage or enclosuW's) within 1.0 foot above adjacent grade NIA within 1 0 foot above adjacent grade N/A C) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings in A9.b NIA sq in d) Engineered flood openings? ❑ Yes (0 No d) Engineered flood openings? ❑ Yes ® No SECTION B -- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 8 Community Number B2. County Name B3 State Eagle, City of 160003 Ada ID B4. MaplPanel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel 68. Flood B9. Base Flood Elevation(s) (Zone 16001CO162 H October 2, 2003 Effective /Revised Date Zone(s) A0. use base flood depth) February 19, 2003 AE 2570.00 610 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 B11 Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherw se Protected Area (OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA 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 comp'ele C2. Elevations - Zones Al -A30, AE, AH, A (with BFE) VE, V1 -V30 V (with BFE), AR, ARIA, ARIAE. AR/Al-A30 ARIAH. AR/AO Complete Items C2 a -h below according to the building diagram spec fled in Item A7 In Puerto Rico only enter meters Benchmark Utilized Proiect Benchmark Vertical Datum NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below ❑ NGVD 1929 EI NAVD 1988 ❑ OtheriSource _ Datum used for building elevations must be the same as that used for the BFE Check the measurement used a) Top of bottom floor ( ncluding basement, crawlspace: or enctosure fl:: or) 257330 ® feet ❑ meters b) Top of the next higher floor NIA _.. ❑feet El meters c) Bottom of the lowest horizontal structural member (V Zones only) NIA ❑ feet ❑ meters d) Attached garage (top of slab) 2572.83 ❑ feet ❑meters e) Lowest elevation of machinery or equipment servic ng the building 257321 ® feet ❑ meters (Describe type of equipment and location in Comments) Q Lowest adjacent (finished) grade next to building (LAG) 257235 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 2572 78 ® feel ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs includ ng structural support NIA __ ❑ feel ❑ 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 l 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 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? ® Yes ❑ No Certifier's Name Aaron L. Ballard License Number 12459 ~� Title PLS Address 9233 W. State Street Signature Company Name KM Engineering, LLP City Boise State ID ZIP Code 83714 Date July 18, 2013 Telephone 208- 639.6939 FEMA Form 086 -0 -33 (7112) See reverse side for continuation Replaces all previous editions. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or B'dg No.) or P.O. Route and Box No Policy Number. 1497 E. Lone Shore Dr. City Eagle Stale 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 Per C2e) the elevation shown is for an AC pad on the west side of building Signature Date 7 -18 -2013 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 -F request, complete Sections A B. and C. For Items E1 -E4, use natural grade, if available. Check the measurement used In Puerto fto only, enter meters E1. Prov;de 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 ( ncluding basement, crawlspace, or enc'osure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG b) Top of bottom Poor (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 cl agrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG E3. Attached garage (top of slab) is ❑ feel ❑ 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 floodplain 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, 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 — - ❑ 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 appl cab°e item(s) and sign below Check the 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 signed and sealed by a licensed surveyor, eng-neer, or architect who is authorized by law to certify e'evat;on information, ;;Indicate the source and date of the elevat:on data in the Comments area below i 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 -G10) is provided for community floodplain management purposes G4. Pernit N­ ber v G5. Date Permit Issued G7. This permit has been issued for: ❑ New Construction G6 Date Certificate Of Comptiance /Occupancy Issued ❑ Substantial Improvement G8 Elevation of as -built lowest floor (including basement) of the building _ ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum Gi 0 Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone - Signature Date Comments Check here if attachments. FEMA Form 086 -0 -33 (7112) Replaces all previous editions i 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 1497 E tone Shore Dr City Eagle State ID ZIP Code 83616 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 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 fit on this page, use the Continuation Page. FEMA Form 086.0 -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 1447 E Lone Shore Dr. City Eagle State ID ZIP Code 83616 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 View June 1 -w FEMA Form 086 -0 -33 (7112) Replaces all previous editions.