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7-5-005:015 Residential
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Last modified
7/16/2014 8:40:21 AM
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Document Description
Date
3/8/2011
Type
Elevation Certificate
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-:( 1i \ <br /> William P.Kenoi .; �"� /�.' Warren H.W.Lee <br /> Mayorts+ Director <br /> Walter K.M.Lau ,, Brandon A.K.Gonzalez <br /> Managing Director Deputy Director <br /> C,'Inutt ur Paivan <br /> DEPARTMENT OF PUBLIC WORKS <br /> Aupuni Center <br /> 101 Pauahi Street,Suite 7•Hilo,Hawaii 96720-4224 <br /> (808)961-8321 Fax(808)961-8630 <br /> www.co.hawaii.hi.us <br /> MEMO OF REVIEW FOR CORRECTNESS AND COMPLETION <br /> In accordance with this community's participation in the National Flood Insurance Program's Community <br /> Rating System, all FEMA Elevation Certificates must be correct and complete. The attached Certificate has <br /> some incorrect items which are noted here. <br /> SECTION A-PROPERTY INFORMATION For Insurance Company Use: <br /> Al. Building Owner's Name Policy Number <br /> A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number <br /> City State' ZIP Code <br /> y{A1LtnA-V111\ Pd `16'1() <br /> A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) <br /> Tru ll, 0) 't+ - c-OatS 015 <br /> A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) 1-2,F 't D�lv�-I IR 1.- <br /> A5. Latitude/Longitude:Lat. Long. Horizontal Datum: 0 NAD 1927 0 NAD 1983 <br /> A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br /> A7. Building Diagram Number N- A - - A <br /> A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: <br /> a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft <br /> b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage <br /> enclosure(s)walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade <br /> c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in <br /> SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION <br /> Bi.NFIP Community Name&Community Number B2.County Name B3.State <br /> 84.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone <br /> Date Effective/Revised Date Zone(s) AO,use base flood depth) <br /> 155166 10- <br /> B10. <br /> p_B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. <br /> 0 FIS Profile 0 FIRM 0 Community Determined 0 Other(Describe) <br /> B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 0 Other(Describe) <br /> 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Oyes ❑No <br /> Designation Date 0 CBRS 0 OPA <br /> SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) <br /> Cl. Building elevations are based on: ❑Construction Drawings* 0 Building Under Construction* 0 Finished Construction <br /> *A new Elevation Certificate will be required when construction of the building is complete. <br /> C2. 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 C2.a-g <br /> below according to the building diagram specified in Item A7. <br /> Benchmark Utilized Vertical Datum <br /> Conversion/Comments <br /> County of Hawai'i is an Equal Opportunity Provider and Employer. <br />
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