Full Text
FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. O.M.B. No. 3067-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use. BUILDING OWNER'S NAME Policy Number William Parks BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 2009 South Main Company NAIC Number CITY Moscow STATE ID ZIP CODE 83843 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Tax No. 4673 BUILDING USE Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) Non-residential, storage and shipping distribution LATITUDE/LONGITUDE (OPTIONAL) 111n w w• M ii ii iin lilt It it it it IAO\ IIII ~ IIII ~ IIII ,1111 vJl IIII .111111IIII J Mark RM2 HORIZONTAL DATUM: NAD 1927 •NAD 1983 SOURCE: • GPS (Type):„ • USGS Quad Map 0 Other: Firm Reference SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER City of Moscow 160090 B2. COUNTY NAME Latah County B3. STATE ID B4. MAP AND PANEL B5. SUFFIX B6, FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) [PHONE REDACTED] C May 15, 1980 May 15, 1982 A4 2546 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. • FIS Profile Kl FIRM • Community Determined • Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: Kl NGVD 1929 • NAVD 1988 • Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? • Yes ^ No Designation Date 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 complete. C2, Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum RM2 Conversion/Comments None Elevation reference mark used RM2 Does the elevation reference mark used appear on the FIRM? • a) Top of bottom floor (including basement or enclosure) 2548. 98ft.fm) • b) Top of next higher floor • c) Bottom of lowest horizontal structural member (V zones only) • d) Attached garage (top of slab) • e) Lowest elevation of machinery and/or equipment servicing the building • f) Lowest adjacent grade (LAG) • g) Highest adjacent grade (HAG) 2548 _ft.(m) ft-(m) ft-(rn) 98_ft.(m) 2546 . 48_ft.(m) 2553 . 60_ft.(m) O O E c LU ro -c 3 it • h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A • i) Total area of all permanent openings (flood vents) in C3h N/A so. in. (sq. cm) • No Yes ON A G.i eS G\SI a <0 a- 'O a" 22. Q s8 % o, 5JOHN^ 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 in Sections A, B, and C 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. CERTIFIER'S NAME Thomas Moore LICENSE NUMBER 8224 TITLE Ruen-Yeager & Associates Moscow Office Manager COMPANY NAME Ruen-Yeager & Associates, Inc. ADDRESS 103 North Jackson Street CITY J4QS£fM_ STATE ID ZIP CODE 83843 SIGNATURE DATE January 22 2001. TELEPHONE [PHONE REDACTED] FEMA Form 81-31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS ---PAGE BREAK--- IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use 3UILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO, 2009 South Main Policy Number CI i'Y STATE ZIP CODE Moscow ID 83843 Company NAIC Number SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for community official, insurance agent/company, and building owner. COMMENTS G Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is ft.(m) in.(cm) • above or • below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page the next higher floor or elevated floor (elevation b) of the building is ft.(m) in.(cm) above the highest adjacent grade. E4. For 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. 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 and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. • The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local 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 located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. • The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT 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-built lowest floor (including basement) of the building is: . ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: . ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS 3 Check here if attachments FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS ---PAGE BREAK--- df^£ oust \N£S* sna* / / 1 680 B1.B6 rn ' / / ^ , y / - / o / ft i CD m "D • < w 2 > r ZWC < O y»m k*J O T O ' y / y Si 1 o : Sl>z -f > a % • ' I ^ i • / z Q 2°Q J1 K"T /WIS f 5 : / 35^1535 y J / J&ilisr -r i / / ,KsI; sII.. . ; / / sg? > S s °rta> Xsfir B .lip- y / s^l C «1S : _ y . oJSp - s o% s 7 » - « 3 z™ y J O in -n , w £ y" 4) O / > • 5 T) " * y ^ •y g' S ? 'S Jty» £ / © ®L L-fS^- - yS " ' ^ "PR6P£RTY BOUNDARY ^N OrOfl^l t / yr / / / 2 r» 5; JSyi m y- Mml t- — ©S s B7*0B 00 w 192.76' 182.76' I / 4--I J..J" Wtfr r5 A 5 - / y o„ 71 i/i y y \ CD C CD 2 "fi si s:^f ps- -I •71'OF •n O a 'C 3 I- IJ O = 5 * Si s§ 1 ° 3 n S 166-21 * 8Quwo>ffr Com? 11f .39' S Bl'OB'OO" « 17) Z & . . ' m f Jfi \c N sf§ 8 ' •I 4 I \ i s.i . iy " > e = i: 1 8> ® II 10.9' y 100' yS* y v y vy yf f "iii I • / i t i > / ' / ' o n > ^ / 157.45 / B7-0B C.H-- / I-O Z 7>0 O > O 71 33 £ > # ? < ? z 2 o a "o o G w 2 zi c iV- ' / ;Wy/ i Pn ^ c On ^ 5 ? £ £ ^ xj IDS o S > 2 2 2 CD > l/l 1/1 m 1/1 "0 o 01 S > 2o ^ > o i i z m o z2 1 Z § 3 5 9 H Z Z c nw a ^ ^ Z n O ID > . ID 5 Zf = Is si cs 33 CD m n D > «DO 5Q / m ocn > 0 i/)Z> mfl o n Z oc i o l m S5 O rn i 2 o y o O CD X > < z > § o o S o a 0 0 " , 2 > in — ?a p a 0 0 o- 2 33 2 -1 > X C 2 D ID ID CD X 3n m £ 1 2 o m o > < _ < z m 33 m a s -n UJO §i ?si 20 o o 33 ~n CD JgCD-- I m S g s § I g S -o > 3 men wf J C H C — c: n 33 > c cd o p a x o m o 33 (D h D Z CD 2 m = O > D O ® p > £ X !dQ o3 TJ zr m a > ^ n -02 • - v zags&B**'— c-ywyo** o X O m CD C X 7; o m 2 m T-ysy O x isj N.W. RIVER SUPPLIES BUILDING ADD. SITE PLAN 2009 SOUTH MAIN RUEN-YEAGER & ASSOCIATES, INC. CONSULTING ENGINEERS - LAND SURVEYORS 5685 EAST SELTICE WAY, POST FALLS. IDAHO 83854 (208)667-2464 219 PINE ST, SANDPOINT, IDAHO 83864 (200)265-4529 103 NORTH JACKSON. MOSCOW, IDAHO 83843 (208)883-3755 DESIGN BY: E\QMAL TJM DRAWN BY: km r CHECKED BY: TJM AC $5 PLOT DATE: 4/3/00 00 INCLUDED CITY'S COMMENTS