2024-09-13 Record on Appeal - Laserfiche WebLink

Home

r ...•.•'i:''' • BUILD! G DIVISION — DPW . .''`�. couH rY o HAINAN ,.aeL •.. 101 Pauahi 'i rcct, Suitc 7 ;. Hilo, Hawaili 96720 ''N,'•..,, +�;-).. Ph: t(110 Of1'sce(808) 961-833.1 Kona Officc(808) 323-4720 DECLARATION 0 ACCEPTANCE DATE DECLARATION OF COMPLIANCE HRS SECTION 4648 RELATING IO AGRICULTURAL STRUCTURES • PROJECT/PROPERTY INFORMATION I r}� s PRpiftT NAME Vi-63-06i- M Do\1r1 1 e STAICl/.NDUSCDISIGNA1ION �• �sr c + I-�. rcon rmationofStateLandUseDesignation,contacttheDepartmentofPlanningat(808)961.8288.. SI I"iT11/i��r" AI -'14-1 0 3 Rawa,i l 9e1- - Rol 4i f�a - KDh a' 9,0149,0141) .�TAtMAPxY o (J1-3—QV� 'RO Rdhl (aces) STRUCTURE INFORMATION USE OF STRUCTURE y ,..-.v,e/M4_ \A Oat ' \ , EXCMPTIONNO.(see boon follow ngsheets I VS (4) J E STRUCTURAL SPAN(FOR EXEMPTIONS:T&12 ONE w7 {k)(sustbrless than 2SfiJ 3¢15TAtdCEfR4AiNahitCST$IRLILIURE -/ (ft)(mur,lSh) TOTAL ftOORAREA 5bar.R,(r,) DIMCNS1ONSor STRUCTURE teegth 5 ift)x Watch 1,0 (ft) AGGREGATE FLOOR:MA OF ALL EXEMPTED MICE RES L.LAIMtDUNDER IIRS 46-03 0'0 (sq ft,) '—' Provrdetnmimume-T/ra11"skepl th n pr xiZro ofs tore,propert e, oWrs,'rucw r,iet tour scut nes.drnemroniofuru ture.andanyotherpertinentreformation. math extra sheet s,ifnecessary. e U t is C )V , h setts 6ia'r COMMENTS(for department use torp): I O iG2. gni (Obtain approval signatures prior rosubstrata al#otlartitiwrtopubluWor . ENGINEERING DIVISION APPROVAL Flood Zone X _ Engin.ingenmlen B,E. I Ogre 12-30-2022 OWNERS CERTIFICATION/DECLARATION • I declare this project to be exempt hom applicable bu Idles permit/code requhements under the provisions of HRS Section 46.8$.1 have readend fully understand HRS 46.88 and certify that the project is in compliance. 1. I understand that this exemption only ap hes tercet tsin building pm wit/tulle requirtotems.I shall obtain all other required penults and appwveis and shall toaryt(y with all applicable codes and laws associated wit chit development.which may Include and not he limited to Special Manageniem Arca,Flood Hatard,elenricel plumbing,grading, driveway,work in County/State right of ays,flu.wastewater.and Department of Health requirements. • 2. I understand that the issuance of a dedar lion number by rhe County shouhl not ve taken to mean that compliance with HRS 46 118 hal been confirmed,and due it is my sok responsibility to confirm com�P�Ilence,The ate or County shall not he liable for any claims arising from construction of buildings,snuctures,o:appurtenances thereto exempt horn the building code and pc/inkling pr cess as described in IIRS 46.8H. Property Owner: G Yl o //t' i`�� d /7 Addressk1: -�I D �0.WA Pt til y -- -- Ra , Kai'IAa- KONA H-1 • 9b- o Phone Na p$ ti-t4- ,_1flL-1-g Email' 10 ce r h ! h G � i... Signature: _ / `j�� Printed Name- f (�' 4 ,f.,/ Q POST CONSTRUCTION A FINAL '' I I "•;" IFICATION FORM must be submitted upon competi("on of construction.Failure to submit the form wril cause this REQUtREfulENTS DECLARATION OF COMPLIANCE to be declared INVALID and shall VOID the building perentt and/or code exemption.A single Final As-Built Notification Form rr ust be submitted in compliance with both tithe following deadlines: 1. Submit form within 1 year of Declaration of Compliance acceptance date. 2. Submit 1prm within 30 days of completion,occupancy,or use of structure. Hawaii County is an Equal Opportunity Provider and Employer Rev.3/22 • ROA DOCUMENT 1 PAGE 001