Flood Control - Elevation Certificate - 1096 W Windbreaker Ln - Mace River Ranch Sub No 04 - 9/13/2019U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION
Important: Follow the
Copy all pages of this Elevation Certificate and all attachments for (1)
SECTION A — PRDPFPTv avrncun
Gardner Mace Ranch LC
1096 W Windbreaker Ln.
Eagle curve
Idaho
Lot 44, Block 1 of Mace River Ranch Subdivision No. 4. Parcel No. R542
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessary
A5. Lathude/Longitude: Let. N 43.68618° Long. W 116.36841
A8. Attach at least 2 photographs of the building if the Certificate is being
AT Building Diagram Number 2a
AS. For a building with a crawlspace or enclosure(,):
a) Square footage of crawlspace or enclosure(s) 3.095
b) Number of permanent flood openings in the crawlspace, or endo,,
C) Total net area of flood openings in ABI 0 sq in
d) Engineered flood openings? ❑ Yes ❑X No
A9. Fora building with an attached garage:
a) Square footage of attached garage 877 sqft
b) Number of permanent flood openings in the attached garage within
c) Total net area of flood openings in A9.1P 0 sq in
d) Engineered flood openings? ❑ Yes ❑ik No
SECTION B—FLOOD INSURANCE
81. NFIP Community Name 8 Community Number 82.
City of Eagle, 160003 Ada
84. Number
el B5. Suffix 86. FFIIRRM Index 87. FIRM F
Effectiv
1B001C0161 I H 110/022003 IO2HR92rNew
B10. Indicate the source of the Base Flood Elevation (BFE) data or base fl,
❑ FIS Profile ❑ FIRM ❑ Community Determined ❑X 011ier/Sow
811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929
B12. Is the building located in a Coastal Barrer Resources System (CBRS)
Designation Date. ❑ CBRS
❑ OPA
OMB No. 1660-0008
Expiration Date; November 30, 2018
.TIFICATE
is on pages 1-9.
Y o8kial. (2) insurance agent/ompany, and (3) building owner
FOR INSURANCE COMPANY USE
Polley Number
P.O. Rote and CwnPany NAIC Number.
ZIP Code
83616
rl Description, etc.)
0020.
c) Residential
Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
W to obtain flood insurance.
ft
s) within 1.0 foot above adjacent grade 0
) foot above adjacent grade g
""` B3. State
Idaho
JBe. Flood Zones) 89. Baso Flood Elevation(,)
Food Deeptlh) Base
X (Shaded) 2548.6
I depth entered in Item B9:
c LOMR-F-16-10-0423A8CLOMR-F-15-1D-0721C
NAVE)1988 ❑ Olhensource:
ea or Otherwise Protected Area (OPA)? ❑ ye, ❑ No
FEMA Form 086-0-33 (7/15) Replaces all
previous ed ions. Form Page 7 offi
FI FVATION CERTIFICATE
OMB No. 1650 -MB
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the eonespondi
g Information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt, Unit, Suite, and/
x Bldg. No.) or P.O. Route and Bax No.
Policy Number.
1096 W Windbreaker Ln.
City S
te ZIP Code
Company NAIC Number
Eagle k
sho 83616
SECTION C -BUILDING E
LEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construc
lion 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),
Complete Items C2.a-h below according to the Its
VE, VI -V30, V (with BFE), AR, ARIA ARAE, AR/A1-A30, AR/AH, AR/AD.
Ikting diagram specified in Item A7. In Puerto Rica only, enter meters.
Benchmark Utilized: IDTD PID AJ3346
Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations u
i items a) through h) below.
❑ NGVD 1929 ❑X NAV01988 ❑ Offie
r/Souroe:
me as that used for the BFE.
Check the measurement used.
Datum used for building elevations must be the s
a) Top of bottom floor (including basement, craw
space, or enclosure floor) 2549.7 ❑X feet ❑ meters
b) Top of the next higher floor
2553.3 ❑X feel ❑ meters
o) Bottom of the lowest horizontal structural man
bar (V Zones only) n/a. ❑X feet ❑ meters
d) Attached garage (top of slab)
2552.6 ❑X feel ❑ meters
e) Lowest
2550 8
rviclng me building ❑x feet E] meters
escrib typeofequip eneryorequipment
(Describetype of equipment and location in
mments)
f) Lowen adjacent (finished) grade next to build
ng (LAG) 2552.3 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to bulk
ing (HAG) 2552, 8 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of
or stairs, including 2552, 6 ❑x feet ❑ meters
structural support
SECTION D -SURVEYOR,
ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and eased by a land
surveyor, engineer, or architect authorized by law to certify elevation information.
I certify Nat the information on this Cedificale mpresi
nts my best efforts to interpret the data available. I understand that any false
statement may be punishable by finis or/mprisonmen
under IS U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by
i licensed land surveyor! ❑X Yes ❑ No ❑ Check here if attachments.
Certifiers Name
License Number
Michael Byms
11334
(/wD
Title
PLS
4 y
Company Name�
J -U -B Engineers, Incl
�)� Q
Address
250 S. Beechwood Dr, Ste. 201
Ctly
Stab ZIP Cada
Bome
Idaho 83709
Sgnolp
Dab Telephone
j//j// p (208)376-7330
Copy a pages is lavation Cori feats and all atlac
vnents for (1) community official, (2) insurance agenticompamy, and (3) building owner.
Comments Including type of equipment and location
per C2(e), 8 applicable)
C2(e) = Ducts under house. Garage mechanical par=
2553.2.
C2(h) = Front column
FEMA Farm 086-0-33 (7/15) eplaws all previous editions. rem, Paye 2 o u
ELEVATION CERTIFICATE
OMB No, 1680-0008
IMPORTANT: In these spaces, copy the corresponding Information /
2018
Expiration Date: November 30=Policy
(including Apt., Unit, Suite, and/or Bldg. No.) or P.
Street AddreWindbreaker
.
FOR INSU CE COMPANY USE1098
1096 W L
W Windbreaker lnityEagle
r
Sfete
IC Number
SECTION E - BUILDING ELEVATION INFOR
TION (SURVEY NOT REQUIRED)
FOR ZONE AOAND ZONE
(WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E7 -E5. If the Cer ificat
Complete Sections A, B,and C. For Items E1 -E4,
is intended to support a LOMA or LOMR-F request,
use natural grade, if availi
enter meters.
ble. Check the measurement Used. In Puerta Rim only,
E7. Provide elevation information for the fallowing and check the appropriar
the highest adjacent grade (HAG) and the lowest adjacent
a boxes to show whether the elevation is above or below
grade (LAG;
a) Top of bottom floor (including basement,
crawlspace, Cr enclosure) is
b) Top of bottom floor (including basement,
❑ feet ❑ meters ❑above or [I below the HAG.
crawlspace, or enclosure) is
❑ feet ❑ meters ❑above or ❑below the LAG.
E2 For Building Diagrams 6-9 with permanent flood openings provided in f
the next higher floor (elevation C2 Id in
action A Items 8 and/or 9ase pages 1-
( P g 2 of Instructions),
the diagrams) of the building is
❑ feet ❑ mature ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is
❑ lest ❑ meters ❑ above or ❑ below the HAG.
E4. Tap 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 bu
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown.
torn floor elevated in accordance with the community's
The
local official must certify this information in Section G.
SECTION F- PROPERTY OWNER (OR -OWNERS I
tEPRESENTATIVE) CERTIFICATION
The Property owner or owners authorized representa iWho completes
community -Issued BFE) or Zone AO must sign here. The statements in Sect
'ons A S, and E for Zone A (without a FEMA -issued or
ns A, B. and E aro cerrect to the best knowledge.
Property Owner or Owner's Authorized Representative'. Name
of my
Atltlress
City
State ZIP Code
Signature Date
Telephone
Comments
El here if attachments.
FEMA Form om.rt_aa nr4sr
Replaces all previous ed Irons. Forth Page 3 off;
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the correspondil
I information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Und, Suite, and/
r Bldg. No.) or P.O. Route and Boz No.
Policy Number.
1096 W Windbreaker Ln.
City S
to ZIP Code
Company NAIC Number
Eagle Id
no 83616
SECTION G- C
MMUNITy INFORMATION (OPTIONAL)
The local official who Is authorized bylaw or ordinance
administer the community's floodplain management ordinance can complete
Sections A. B, C (or E), and G of this Elevation Certfica
1. Complete the applicable flem(s) and sign below. Check the measurement
used in Items GB -G10. In Puerto Rico only, enter mete
.
G7, ❑ The informatlon in Section C was taken from
her documentation that has been signed and sealed by a licensed surveyor,
engineer, or architect who Is authorized by lay
to certify elevation information (Indicate the source and date of the elevation
data in the Comments area below.)
G2 ❑ A community official completed Section E for
i building located in Zone A (without a FEMA -issued or community -issued BFE)
or Zone AO.
G3. ❑ The following information (Items G4 -G10) is I
rovided for community, floodplain management purposes.
G4. Permit Number
G5. Dh
te Permit Issued
G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for. ❑ New C
nstrudion ❑ Substantial Improvement
G8. Elevation of as -built lowest floc (Induding bamm
m) El feet El meters Datum
ofthe building:
G9. BFE or (in Zone AO) depth of flooding at the build
ng site: ❑ feet ❑ neters Datum
G10. Community's design flood elevation:
❑ feet ❑ meters Datum
Local Official's Name
Tim
Community Name
Telephone
Signature
Date
Comments (including type of equipment and location,
r C2(e), 'd applicable)
EI Check here if attachments.
FEMA Form 086-0-33 (7/15) eplaces all previous editions. Form rage 4 of 6
BUILDING PHOTOGRAPHS
ELEVATION CERTIFICATEOMB No. 1660-0008
See Instructionsf m A6 ExP atio Dat ve
N mber 30 2018
IMPORTAWr. In these spaees. enm x............._..__
1096 W Windbreaker Ln.
Eagle
Idaho I 83816
"If using the Elevation Cerflficete to obtain NFIP floptl insurance, a at least 2 building Photographs babes according to me
Left Side ie Item A6. Identify all Photographs s m Date taken; "Front Y and "Rear Vie W'; and, if required, "Right Side Viev!' and
"Left Side View." When appliceble, photographs must show the (ountla
vents, as indicated with representative examples of the flood openings or
d in Section A8. ((submitting more photographs man will on this page, use the Continuation Page.
Photo
FEMA Form 086-0.33 (7115) Replaces all previous ed' ns.
Form Papa 5 of 6
ELEVATION CERTIFICATE
SUI DING PHOTOGRAPHS
Continuation Page
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the comespondl
mg information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Und, Suite, an
or Bldg. No.) or P.O. Route and Box No.
Policy Number.
1096 W Windbreaker Ln.
CRY I
tate ZIP Code
Company NAIC Number
Eagle I Who 83618
If submitting more photographs than will fit on the p
eceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View' and "Rear View"; j
ind, if required, "Right Side View" and "Leg Side View." When applicable,
photographs must show the foundation with mpmwnl
ifive examples of the good openings or vents, as indicated in Section AS
r
room ae
Photo One Caption Rear View -9-12-2017
A
n
n
rF -
vinu T.
Photo Two Caption Lett-frontv'lew-9-12-2017
FEMA Form 088-0-33 (7115)
Replaces all previous ediliorm.
roan retie a pro