Loading...
Flood Control - Elevation Certificate - 785 S Brentbrook Ln - Mace River Ranch Sub No 04 - 8/6/2018U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 201 e National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of th=s Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany and (3) building owner SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al Building Owners Name Policy Number. Derek Nalewajko Company NAIC Number. A2 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 785 S. Brentbrook Ln City State ZIP Code Eagle Idaho 63616 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 64 Block 1 Mace River Ranch Subdivision No. 4 Parcel R5421230220 A4. Building Use (e.g. Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N43.68811 ° Long. W116.37366' _ Horizontal Datum: ❑ NAD 1927 Jx NAL '983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance, AT Building Diagram Number 9 A8. For a building with a crawlspace or enclosure(s) a) Square footage of crawlspace or enclosure(s) 2,910 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered food openings? ❑ Yes ❑x No A9. For a building with an attached garage: a) Square footage of attached garage 1,675 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 ❑x 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) B9. Base Flood Elevat n(s) Number Date Effective/(Zone AO, use Ba: Revised Date flood Depth) 16001CO153 H 10/02/2003 02/19/2003 AE 8 X(Shaded) 2544.9 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑ FIRM ❑ Community Determined Q Other/Source. LOMR-F 16-10-0423A 811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source B12 Is the build ng located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)? J Yes X No Designation Date L CBRS F -J OPA FEMA Form 086-0-33 (7/15) Replaces all previous eddions. Farm Pagel of 6 n&AG \Iw 4aaA MAD ELEVATION CERTIFICATE 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: 785 S. Brentbrook Ln 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* 0 Finished Construction' A new Elevation Certificate will be requ red when construction of the building is complete C2 Elevations - Zones Al -A30, AE, AH, A (with BFE). VE, V }-V30, V (with BFE), AR. ARIA. ARAE, AR/Al-A30. AR/AH, AR/AO. Complete Items C2.a-h below according to the budding diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: IDTD PID AJ3346 Vertical Datum: NAVD 88 indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: _ Datum used for building 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) 2546.0 0 feet ❑ meters b) Top of the next higher floor 2549.4 _ 0 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) n/a. 0 feet ❑ meters d) Attached garage (top of slab) 2548. 7 0 feet ❑ meters e) Lowest elevation of machinery or equi nt servicing the building 2547 0 0 feet E] meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 2547.7 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 2549.2 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 2549 2 0 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 represenis my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment cinder 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a ncensed land surveyor? 0 Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number Michael Byms 11334 Title A`t�` PLS Company Name J -U -B Engineers, Inc. Address d' r� 250 S. Beechwood Dr. Suite 201 E Of City State ZIP Code Boise Idaho 83616 Date Signa tu DTelephone O/ (208) 376-7330 Copy all pagd& VAElevation 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) C2(e)=Ducts under house. Garage Mechanical Pad = 2549.3. A/C Pad = 2548.5. Second Story Mechanical (Furnace)= 2561.0. C2(0 NW corner of house C2(g) Front Patio C2(h) Columns on front and back patio. Landscaping / topsoil not complete. FEMA Form 086-0-33 (7/15) Replaces all previous editions Form Page 2 of r 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. 785 S. Brentbrook Ln 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-F request complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico o enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or b. w 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 ❑ 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 1-2 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building is _ . ❑ feet ❑ meters ❑ 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 ❑ 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 communit floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Se n 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 or Owner's Authorized Representative's Name Address City State ZIP Cod Signature Date Telephone Comments ❑ Check here if attachments. FEMA Forth 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELE ATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPO ANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Build Street Address (including Apt, Unit, Suite, and/or Bldg. No ) or P.O. Route and Box No. Policy Number: 785 S Brentbrook Ln City State ZIP Code Company NAIC Number Eagle Idaho 83616 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The I cal official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sect s A, B, C (or E), and G of this Elevation Certificate. Complete the applicable ftem(s) and sign below. Check the measurement used Items G8-1310. 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 ilcensed 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 A community official completed Section E for a building :orated in Zone A Iw thout a FEMA -issued or community -issued BFE] or Zone AO. G3 The following nformation (Items 134-1310) is provided for community floodplain management purposes. G4 rmit Number G5. Date Permit Issued G6 Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-buih lowest floor (including basement) ❑feet E] 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 „fficial's Name Title Community Name Telephone S igrim -re Date Comm nts (including type of equipment and 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 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 785 S. Brentbrook Ln 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 the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required 'Right Side Vi and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood open s or vents, as indicated in Section AS If submitting more photographs than will ft an this page, use the Continuation Page. _ n Prom OM Photo One Caption Front View - 8/3/2018 5 •- Photo T— Photo Two Caption Rear View - 8/3/2018 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELE ATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPO TANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Build g Street Address (including Apt., Unit, Suite, and/or Bldg- No.) or P -O. Route and Box No. Policy Number. 785— Brentbrook Ln City State ZIP Code Company NAIC Number Eagle Idaho 83616 If s thng more photographs than will fit on the preceding page, affix the additional photographs below Identify all photographs wit to taken; "Front View" and "Rear View". and, if required, 'Right Side View" and 'Left Safe View " When applicable, phu phs must show the foundation with representative examples of the flood openings or vents- as indicated in Section A8. � r 4. ._ Prom One Phot . r)e Caption Left Rear View - 8/3/2018 s Prom T— Pho rro Caption Right Rear View - 8/3/2018 FEM , rorm 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6