2-4-030:095 Front Residence - Laserfiche WebLink

Home

FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on paaes 1 - 7 SECTION A - PROPERTY OWNER INFORMATION O.M.B. No. 3067-0077 Expires December 31, 2005 For Insurance Companv Use: BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number --CITY , STATE CODE A{ PROPERTY DESCRIPTION (Lotapd.BIjDck Numbers Tax..P.arce[Number, L at Description, etc.) BUILDING USE (e.Residenlist Non-residential, Addition, Accessary, etc. Use a Comments area, if necessary.) i99 ��r'`�7'�i4-L Dw ILLI of G . ( ##° - ##'- ##.##" or ##.#tl ff##0) NAD 4927 SOURCE: Irl GPS (Type): LJ I NAD 1983 i._1 USGS Quad Map U Other SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bi. NFIP COMMUNITY NAME i£ COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Hawaii County 155166 Hawaii county Hawaii B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL Be. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER a 61 DATE I EFFEC VE/REVISED DATE ZO E S) �� (Zone AO, use de th of flooding) 155166-'9 O 4/02/04 -116 -Q5 ,e0.7, B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. I_I FIS Profile I "NI FIRM I_J Community Determined j___j Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: LYNGVD 1929 1_I NAVD 1988 I_I Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1Yes IXJ No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 1. Building elevations are based on: LlConstruction Drawings' I,_IBuilding Under Construction" XFinished Construction "A new Elevation Certificate will be required when construction of the building is complete. Building Diagram Number -IT (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 Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, AR/AH, AR/AO Complete Items C3.a-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 Conversion/Comments Elevation reference mark used 64-1 Does the elevation reference mark used appear on the FIRM? j_I es IL(I No ❑ a) Top of bottom floor (including basement or enclosure).7 �+� Z fL(m) m t ❑ b) Top of next higher floor Alk . —ft.(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) A114-. _ ft.(m) I 00 ❑ d) Attached garage (top of stab) X0,5 . O ft.(m) E g ❑ e) Lowest elevation of machinery and/or equipment w mk servicing the building (Describe in a Comments area.) X08 3 ft.(m) , '� �+ ❑ f) Lowest adjacent (finished) grade (LAG) ft.(m) z' 0 �§�•:. ❑ g) Highest adjacent (finished) grade (HAG) ig"O ft.(m) mN ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade_ ❑ 1) Total area of all permanent openings (flood vent in C3.h -2 sq. in. (sq. cm) 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. TIT �{l/L tyra�l� ' T IOMP NY A?4E dovi o NJVIeA-_&ZCITY �J/�, �dC 7 i1%D.S� S/YZE Y M'8 FEMA Form 81-31, January 2003 See, reverse side for continuation. Replaces all previous editions