My WebLink
|
Help
|
About
|
Sign Out
Home
2-1-021:057 Residential
PublicDocuments
>
Public Works
>
Engineering Division
>
99_Archive
>
01_Forms
>
Floodplain Management
>
Elevation Certificates
>
Completed Elevation Certificates
>
Zone 2 Elevation Certificates
>
2-1-021:057 Residential
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/25/2015 9:36:29 AM
Creation date
4/1/2014 3:50:52 PM
Metadata
Fields
Template:
Document Description
Date
12/7/2007
Type
Elevation Certificate
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />IL <br />ELEVATION CERTIFICATE <br />Important: Read the instructions on pages 1-8. <br />P.KASHI <br />A•PROPERTY <br />A4. Building Use (e.g., Residential, NoM2esidernlel, Addition, Accessory; etc.) - Kr_7 t DMZ <br />As. Lamude/Longilude:Let. 19.73Z8 Long, _Uaa 04o 1 <br />A8. Attach at bast 2 photographs of the building If the Certificate Is being used to obtain flood Ineurance. <br />A7. Building Diagram Number <br />7 <br />OMB No. 1660-0008 {r� <br />Excirea February <br />Horizontal Datum: <br />rComyeny'use:, <br />rr <br />dG:;Number �: <br />1627 bfNAD 1983 <br />A8. For a building with a crawl space or enclosure(s), provide: A9. Fora building whh an attached gerege, provide: <br />e) Square footage of crawl space or enclosures) aq fl a) Square footage of attached garage aq II <br />b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings In are attached garage <br />enclosure(s) walls within 1.0 foot above adjacent grade walla within 1.0 foot above adjacent grade <br />c) Total net area of flood openings In A9.b aq In 0) Total net area of flood openings In A9.b aq In <br />SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />St. NFIP Community Name 8 Comm uniy Number B2. County Name 83. Slate <br />Hawaii Count 155166 Hawaii County Hawaii <br />84. Map/Panel Number <br />Bit. SuNxBit. <br />FIRM Index <br />87. FIRM Panel <br />Bit. Flood <br />Be. Base Flood Elevation(s) (Zone <br />o �B5 <br />G <br />Date <br />4/02/04 <br />Effective/Revised Date <br />9 11(0 / 8 8 <br />Zone(s) <br />AO, use base flood depth) <br />❑ meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing the building <br />I 5 feet <br />❑ meters (Puerto Rico only) <br />F_ <br />IA -0 <br />btu. Indicate the source of me 8850 Flood Elevation (BFE) data or base flood depth entered In item SO. <br />❑ FIS Profile FIRM ❑ Community Determined ❑ Omer (Describe) <br />all. Indicate elevation datum used for BFE In Item B9: ® NGVD 1829 ❑ NAVD 1988 ❑ Omer (Describe) . <br />B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No <br />Designation Date ❑ CBRS ❑ OPA . <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Cl. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Construction" ;,Finished Construction <br />'A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations -Zones At -A30, AE, AH, A (with SIZE), VE, V1430, V (with SFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g <br />below according to the building diagram specified In Item A7. <br />Benchmark Utilized S H 1 P SPIKE- SET (3H F41LO E(.lG Vertical Datum 10 • i33 r <br />ConverslonlComments - <br />1) Lowest adjacent (finished) grade (LAG) 12.-!J_® feet ❑ meters (Puerto Rio only) <br />g) Highest adjacent (finished) grade (HAG) 14.„ -P feel ❑ meters (Puerto Rio only) <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elel <br />Information. I certify that the information on this Certificate represents my best efforts to interpret the date available. <br />I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. <br />❑ Check here 11 comments are provided on back of form. <br />n\GIME t; <br />FEMA) Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions <br />Check iia measurement used. <br />e) Top of bottom floor (Including basement, crawl space, or enclosure 100r) 1-7 ®feet <br />❑ meters (Puerto Rim only) <br />b) Top of the next higher floor <br />WA. feel <br />❑ meters (Puerto Rico only) <br />C) Bottom of the lowest horizontal structural member (V Zones only) <br />CA A, ._❑ feet <br />❑ meters (Puerto Rico only) <br />d) Attached garage (top of slab) <br />t l A fast <br />❑ meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing the building <br />I 5 feet <br />❑ meters (Puerto Rico only) <br />(Describe type of equipment In Comments) <br />1) Lowest adjacent (finished) grade (LAG) 12.-!J_® feet ❑ meters (Puerto Rio only) <br />g) Highest adjacent (finished) grade (HAG) 14.„ -P feel ❑ meters (Puerto Rio only) <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elel <br />Information. I certify that the information on this Certificate represents my best efforts to interpret the date available. <br />I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. <br />❑ Check here 11 comments are provided on back of form. <br />n\GIME t; <br />FEMA) Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions <br />
The URL can be used to link to this page
Your browser does not support the video tag.