Flood Control - Elevation Certificate - 755 S Hiddenwood Ln - Mace River Ranch Sub No 04 - 9/23/2017U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency A4�4�ember
National Flood Insurance Program 30, 2018
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community offrcjal, (2) insurance agent/company, and (3) building owner.
SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name
Thomas Kirsch Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and
Box No. Company NAIC Number:
755 S. Hiddenwood Lane
City
Eagle State ZIP Code
Idaho 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 100, Block 1, Mace River Ranch Sub, No. 4
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
A5. Latitude/Longitude: Lat.43°41'16.79"N Long, 116°22'15.58"W
Residential
Horizontal Datum: ❑ NAD 1927 ❑x 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) 2,840 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 14
C) Total net area of flood openings in A8.b 1,120 sq in
d) Engineered flood openings? []Yes 21 No
A9. For a building with an attached garage:
a) Square footage of attached garage 2,014 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? [] Yes 0 No
J
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name
City of Eagle 160003 B3. State
Ada Idaho
84. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/
(Zone AO, use Base
1600100161 y Revised Date AE Flood Depth)
02/19/2003 04/28/2009 2546.1
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
1312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x No
Designation Date: E]CBRS F1OPA
FEMA Form 086-0-33 (7Y 15) Replaces all previous editions.
Form Page 1 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
IMPORTANT: In these spaces, copy the corresponding information from Section A.
Expiration Date: November 30, 2018
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
755
FOR INSURA
Poflccy NumbeNCE COMPANY USE
S. Hiddenwood Lane
City State
Eagle ZIP Code
Jeremiah B Fielding 12220
Title
Company NAIL Number
Idaho 83616
\ONS
S
�1 S TERF4
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, AWA, AWAE, 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: Boise River Study BM #135
Vertical Datum: NAVD88
Address
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
`P .�
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 2548 3
Check the measurement used.
0 feet
b) Top of the next higher floor 2551 71
meters
❑
•
c) Bottom of the lowest horizontal structural member (V Zones only) n/a
❑x feet meters
d) Attached garage (top of slab) 2550 99
feet meters
X❑ ❑
•
e) Lowest elevation of machinery or equipment servicing the building 2551 71
(Describe type of equipment and location in
❑X feet ❑meters
feet ❑ meters
Comments)
Furnace is located in the garage and duct piping will be in the crawl space.
f) Lowest adjacent (finished) grade next to building (LAG) 2550 8
❑X feet [] meters
g) Highest adjacent (finished) grade next to building (HAG) 2550 9
feet E] meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including n/a
structural support
x feet
❑ F� 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.
statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
l understand that any false
Were latitude and longitude in Section A provided by a licensed land surveyor? N Yes ❑ No
❑ Check here if attachments.
Certifier's Name License Number
Jeremiah B Fielding 12220
Title
LAIvo
Owner
\ONS
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�1 S TERF4
Company Name
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Eagle Land Surveying, LLC,
L
o
Address
O
106 W. Main St. Unit D
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City
Middleton State ZIP Code
Idaho
�F OF
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'y F�
83644
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Signature Date Telephone
Jeremiah B Fielding °°er °aaFww� 09/2 3120 1 7
9 oaz°.xoizoenimoaa -asoo (208) 861-7513
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)
Furnace is located in the garage and duct piping will be in the crawl space.
FEMA Form 086-0-33 (7/15) Replaces all previous editions.
Form Page 2 of 6
ELEVATION CERTIFICATE
IMPORTANT: in these spaces, copy the
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
information from 5 t'
Building Street Address {including Apt., Unit, Suite, and/or Bldg. No.) or P,Q, Rec On
oute and Bax No.
755 S. Hiddenwood Lane
City
Eagle
estate ZIP Q
Idaho 83616
OMB No. 1660-0008
Expiration Date: November 30, 2018
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 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,
Photo One Caption Front View
Photo Two Caption Rear View
FEMA Form 086-0-33 (7115)
MUM i wa
Replaces all previous editions.
Form Page 5 of 6