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HomeMy WebLinkAbout2023-02-10 Ex. 02 - Declaration of Compliance Applications for Harvest Module, Aging Cooler, Cut & Wrap Module, Freezer, Addition of Carport, Ag Office BUILDING DIVISION- DPW - •• COUNTY❑"HAWAII 101 Pauahi Strcct, Suite 7 ap Hilo, Hawaii'-96720 ,•'�`�,w,�•..,t• Ph: Kilo UffCC{808;961.8331 Kona Office(8081 323-4720FECLARATION# ACCEP'T`ANCE DATE 13ECI.ARA'IQN OF CONIPLIANCE HRS SECTION-16.88 RELATING TO AGRICULTUML STR(,CTURES PkOJECT/PROPERTYINFORmATION I s PRpjr rt NAME I }i�Y j Y SIATL iAND UA AESIGNATIGNxtinfiFinatiQr-ornate Land Use Desigswatinri,contact the Veliartment QrPlanning at(Sibs)96]•8xg$•. w&ie.[+- fid. I�W�" PKiJ�RI;i,�ti2in x faeces} STRUCTURE INFORMATION USE OFaTRUCTURE NA o Irl. EXWKION NOt (we list an f*llour ngAter% $ a �Z 5TRUt:TUML$PAN(rQR EUMPTIONS::&1;a ily) M);asuscfir less than 2S(Q DISTANCE FROMt4EAREST STILUCTURE � (G.){ry,n,i5 f� T� iOThLFIOUKAKFR g.q,flJ DIMENSIONS 0;STRUCTURE lwrh � (ft]e k;dd+ 1 V 00 AGGREGATE FtCIOP AREA OFAti,EXEMPTED STRUC RES4�tAilut:U UNDER IiFtS.4lf-a f N fo Browdemmirnrrrg8-T 'n11'sirtplano�+aisuu�tuuccIFO erty)�n s o rs� res scch;r[y;woe eft du[r 7RS�G2Mils:pn50 SItr1RU7t,prµ�apy trparunrsrtinformatian. Anazhertra sLaetx if neensary, J to �} h IJ T Oi[J ] j COMMENTS(for dePsrlrw t uas c.Vc 1; (ObrainapFrovalsignatures PAD,to nibrt;mil of Deelar�ffan mPudltc%Noris, ENGINEERING DIVISION APPROVAL Flood Zone X r EstgirscclingEfiuisionR LT. Datc 12-30-2022 OWNERS CERTIfICATION/DECCAARATION I declare this project to be exempt from applicable bu:diug pvtm;s/code mquitanronts under ih*provisions of HRs Section 46.88.1 have read.and fully understand HRS 46.88 and certiry that the project is In conspliante. 1. f understand that this ctemption only api Ilea tocetwo building per«rirlcude retjuircmeius.I shall obtain all ether,required Pectihits and approvals and shall comply with alI upplieable codes and lalvsasneciared WII 06',devtloPmcnr.wh1rh ntay Include and etas he Itnifred to Special Mariagemem Arca,Flood Hazard,electrical,plumbirtg,grading, driveway,wade in County/Stater iigihi of ays,fire,uvaitcwater,arcs]Depanmem of Flealth roep.,hemente. 2. f understand that the issuance of a decfar tion number by the[aunty should riot:+e IA=to mean that tompltante with HRS in 88 has been ea0uned,anti d►at it is my sole responsibility to confirm enm fiathce.The Siata or County shall itat he{'cable loot any claims arising from ronscruct ion of building,sttutnrrrs,at appur[enances Thereto exempt from the handing code and. pr•cess as r3csrribcd in I iR51G Dt1, _ Propony OwniLv Address: — d WOLIt[ �'�` i s- phOl ,�"1 r� Phone No: Email: t D YD�-S r h l h G Q j{�a 4,r 't� Signature- Printed Name- {V I C D .0, LA POST CONSMCTION A FRdgL IL 11 IFICATION FORK]must lie sui7mitted thpon ceropletion of construction,rsifura to SUDMIt the 1011th Wil(rause Lias a£qujmMEN1st OECLAMTION O COMPLIANCE to he declared INVALID and hull VOID the building pematand/orcode exemption,Asingle Final A.,Dui It Notificatfan Form lose he suTrmitsed in ctrcnprlanee+vlil►61nih of the folfnwirrgderrllines: Z. Submit f33arm svithfrr 7 yrear of Declaration of Compliance accepurocc date. 2. Submit term witNn 30 days of completion,ooct:pancy,or use of sruaure. iia al'i County is an Equal Opportunity Provider and Employer lieu.W22 EXHIBIT 2 r ' is ;i'!; Ate_• y. "N' . k N6v Tkr YrLairf.6, PFwc'So..». - ... . � MURARH1C 114LL fl O4f F.LAH4 Kf Y01Cp KnTigA 13]730020150000 ^EN(9lIkElYHf i d t - J ; LU CRa w LU Q LA LU LU coN LL 3NLi x�a Q Ln g a _ A � x J qgq Ff R� Lv x i 3 S` r. COUNTY 4 11AWA3`i ." ; '• 141 Vauahi `treet. Suite 7 Hilo, Hawai''96720 Ph-, Hilo 0€fi a(808)961-8331 Kona Office(808) 323-4720 DECLARATION 9 ACCEPTANCE DATE �pl sly DECLAl3ATION OF COMPLlAl7 14AS SECTION 46.88 RELATING TO AGRICULTURAL 5TPUCTURES AIZtO{IiE�/PIipPERT'Y ItrTFTJRfVSArrC7FJ PROJECT STATE LANDUSE DES Tf0N }r�- For confirmation orstaie Land use vc ignatimt,comaci the Depatlinentof Planning at(SOTS)%1-82K. ADDRESS T TAX MAP K EY PROPER IYARER 01 {acral} STRUCTURE E INFORMATION usEnr:sTlzucruRE �1 EXEMPTIONND.{sec hstonfaifosv ng sheers �—EM(a1tJ7 STRUCTURAL SPAN(FDR EXEMPTIONL-7&12 ONLY) (Ft)tmuszbe last than 2S Q DES TANCEMOM NE.AgFSrSTRUCWRf � tlr.)[mrn.S5ft3 TOTALFLOORARFA �0.01ui-rt,) DIMENSIONSOF51MXTURE Lnogth '50 (Er)s Width j� (o AGGREGATE FLOOD,-%M OF ALL EXCINPTED STRUCT AES i:tA M%O tTNDER HX.446-89 Ir.] Provrda minimum 8 iJ2"aT T'site plan slsow a ateigcac•o�n o structure•propenyhnc++tFdtfheerr Vructwrs,se{hxks tovifierstrutnues,&MeA%*ns o urUCitt And inyother prsrtinentfnFohn"an. Attach extra:Mets,if necessary, s COMMENTS{far depanrnaur use ast v+. (Obr,Wn approval signatures Pdorto svbtatnai al Deda+an to Public Works) E NEERING DIUISION'APPROVAL Flood Zone X EnginecrirtgNip;s>oa B H Qac 2- OWNEPS CERTIFICATION/DECLARATION I declare this prefect M be t—Prfrorts applicable bn'&g pegma/cnde regeirements under rhe prouWans of WE$Section 46-88.1 have read and Fahy understand HRS 4688 and certify that the project is In comfsllance. 1. 1 tutderstand that this exemption only aPF lees to certain building petutitkode requirements.I shad obtain all alter required pemtim and approvals and shall comply with all appikahtc codas and€aws assozWed wl(K Ibis development,whkl�may include and not he limited to Special Management Arca,Fleod Hazard,electrical,plumbing,grading, driveway,walk in County/State right of iA ays.{ice,—ifewater,and Departmen3 of 14eakh regttirements. 2. 1 understand that the issuameof a dresar tion stomion by the County should noc be taken to mean that compliance with HRS ifs•B8 has been cooffrmcd,and that;r is my sale m5ponsihiliry to confirm com !iance,The State or County shall not he liable for any claims arising From ronstruciion of buildings,suucntres.at appurranances thereto exempt frarn the budding code And peg nitting pr ass as described In HR5 46-88, PrtrpertyOwner: � ' Address: Phone Nm Email: Signature; Printed[Jame: PQ53 C[]NSffttlCTtQN A FINAL AS BLflLT Yt]TIFICATfffN Fl3RAA must be submitted lrgaa campietinrt of cvnstruttion.Failure to submit the form well C1tlS@ This 1tFQUlREMErIis; DECLARATION 01COMPUANCE to he dedared INVALID and shag VOID the building permit and/or code exemption,A single Final&-Budr No4fesation Form_niiJuss he suhmived in camp€ianee with bath of tits followingdeadllnes: t. Submit form withM Y year of Declaration of Compliance acceprars<e date. 2. 5ubrml term within 30r days of twmpiction,a,eupancy,or use af5intaure. Havi ai`i County is an Equal Opportunity Provider and Employer Rev-3/22 I l� :4 pa ir � . )AL RO . 4, ae YKaiPaF1:T]:]{(R V4. 4 Pr.f!ct A( t tib 7iJ PMS Y- e NICKOLE AIMLANI VOWK9 KA140A ;MURAR�txlv�r•.vrwx � A �"�=� TMK 0173 Y9 c015000L ........_.... '�EMOM+fkR1N0� Ar•'I+.-..-....J. a '� .:J176`-'_'rl�, .:�I }r .•f.r... .Yna••�n. _.S $i'ESi(1Hn _ w-e.or•Fn+�.l... p � .- i M G� C LLD x k LLJ 0 LLJ (n LO L � LULn a m N 75 0 LU ry � LL x - .0 Az 3 m pi s 0 rALL.. •• COUNTY U HAWAPT ? 101 Pauah! krcrn, Suite 7 Hilo,Hawai '95720 1'•a Pkt:Hilo Qtf a{8081 961-8331 KonaC?ffict (8081 323-4720 DECLARATION# ACCEPTANCE DATE DECLARATION OF COMPLIANCE HRS SECTION 4648 RELATING TO AGRICULTURAL STIdtCTURES PRojECT/PPOPCRTYtty oRMATION a a rIft Y STATE LA OUSE DESIGNATION • 1 For confirmation ofStmc€imd U3 a risignntivn,contact the L)CpartMnt of Pjapning at(sea)961.818$., � r ADDRESS r`'3 . N TAXMAPKEY `[/�J{ PROPERIYe�RREA (r+ STRI10 RE INFf7RMAT1a q USE or.SfRIJCtiJRE ► �`����� EXEMPTION NO.(see hstott fallo%u ag sheen ra6-IJSTRUCTURAL SPAN(FDR EXEMPTIONS.7&12 ONLY) (ft}(scrtrsche less than ZSft.) DISTANCE:FROM WCAMT'STRUCTURE � [rt.)(raw.15 ft.) TOTAL FLOEIRAREA DIMENSIONS Qr STRUCTURE tersg[6 {h.)x VAdth AGGREGATE Ft 00 KAWOF Alt EX£MPTLDSTRUCT III itt$t-tAtALDUNDER F*45-$a [sq It) Prwrdemmimyrn8•a/2"xa1"sitaplanslrowingappro Pate fo at•ortofstmoute.proporrylines odicrs[rucsures,aerhat stood eratuccures,cfrrnenrionsa suntture.aadanyvr etperlu+encfafo=idun. Attach twx sheets.if aeecssasy. COMMENTS(fordcpaoment use rr+ry}t - o�'U fJ G [OBtaln approval xignatoras priorso subnn�al of tleclara�;innm Public Works; ENGINF„ERINGDNNONAPPROVAL Flood Zone X 6rt5ieieetingOi cion B.H. Qate12-30-2027 OWNERS - - OWNERS CERTIFICAMONMECf ARATIQN I declare tills Fro]ect to br exempt from appik abiz Tau'ding per mitAode regult emenIs under the gruwisiono of FIRS Section 46-88-1 have teadand fullp understand FIRS 46.88 and Certify that the project is in compliance. 1. i tmderstand that:this exemption ovl a PI lies Pacer to in building per nsit/todc rr~quiragar it[$.I shall obtain all alter required peanks and approvals and shall comply with ail app ficable:codes aro#latus associated withthis developmenr,which may include and star be hat ited to Special Management Arca,Fit cid Hatard.electrical,plumbing,ggeading. driveway,wort-in County/State right of tire,waitewater,and Depanrsiem of Health requirements. I. 1 u ndersmad that the isssrance of d declar tion number by etc Cuvaty should riot be taken to meas:that comislrance with HRS 4E.fie has peen conflrrnitA and that it is my sale responsibility to confirm compliarsec.The Stowe or County sial€no;be liable for any claims arising From ronstrur4on:of buildings,structures,at apptsaarrances thereto exempt From the building code and pe;-liting pr tss as described in HRS Propeny Owner: Phone No: Emit& ' Signature' [ Printed Name• l'DSTCDNSTRLI[T1QN A FINALr15 S D LATiDN FCsRf41 mtistbe su€ Itted trpon sompledan of cvtisAN45e,mr [he form will catistt this REgUIREMENTS: (DECLARATION 01 COMPLIANCE to he declared INVALID and shall VOID tire building permit and/or code exemption,Asirigie FinalAs•8trllc Notification Farm n rut be submitted in cempriaaca with boih of dse foilowingdeadlines: Z. Submir arm wklfsn#year of Declaration of Compliante acceptance date. 2. S€rbmit i arm within 30 days of completion,occupancy,or use vfatructure. 4atrvai`i County is an Equal opportunity Provider and EMP10yer Rev.3122 € fop. s. 10 A�F� i tr 1 F CRrP�:*�TY kb. F'Rer.fcF�tN� _ ,ry ' �MURARr,y � . �� HIC}LOiE �C7AFLk NI KIYO%❑ 5{M1!Y pA uea m��.w� y . i -�+�^ }J FMK �3I r3a C�i1i3.77CP Ep(WIEEFWG 'a 1 •. .- �_ ��:lf {ti'_'.2'....-_--r '•°,�`T ---._'--_-.—_....------- �6t7E31(iN. �:::� »�y.��.«�..s�_J r ° '.t•' ,'i. �` z uj Sx w ¢ a ae Lr) ry LLL x qHN _ N o � a 19 L � r M c� gdR �M N �3 75 o h BUILDING DIVISION - DPW -- - - - COUNTY Oli RAWAl•f 101 Pauahi Ptrcct, Suftc 7 f Hilo, Hawai'�96720 S Ph: Hilo Office(808) 961-8331 K9na Office(SO8) 323-4720 0OCtAKAIJON M ACai'TANCEDATE DECIARAI'ION OF COMPLIANCE HRS SECTION 815-88 RELA T ING TO AGRICULTURAL STRICTURES PROJECT/PROPERl'YINI109 tAT(ON PROIECTr1AndE '``moi � �.. ---- U trUx"l - . if y 61AII,LAND USE DESIGNA11ON ` I I 'p•�r cl�n(ir, ting Ie Land Use Desibnlat(mT1 contact t6 DeinarhnenE of Planning at(&08J 461.8288. t l _?)_O0 ar� I ` ^Pit i AREA (acres) STRUCTURE INFORMATION I1580fSTRUCTURE O sit CXEAIPTIONNO.(see list opt fellow nS sheus $ (ci 1 �2- STRUf_t URALSP.4N FOR EXEMF'itON5:3812 UNLYJ (ft)tmustbe less than 2S(r.) L4STANCCFROh1NE•1RCSTSTRUCTURE 1 3` (fr.)(nwl.ISIt) TOTALFLOORAREA DIMENSIONS of SIRUCIURL lCogth �j t (fl)"Width AWREUATE FLOOP,AREA OF ALL EXEMPTED STT✓A/U RE5 tLAW1eO uwOLk IMS46•e8 ;q ft.) Pfewdemmimum8.112-01-sit pt sI, n a proau t ar p efseru Wrc rppeq s, rtaructut Lsat t too euerret.kt,'+Rn+'ant ofsuucturc.a anyot,tryerdaentUnet, Anacheruastreet%.ifnetessary. � ' r ` ,b -- COMMfNTS(fordcpatmnnt Vac co+u?: /�A �%,1 r— M% — �• — (OhUinappmo Wsigwqnesp,kutowb�attilo(DetlatEdonmPublicWorIs, €NGINEERINGDIVISIONAPPROVAL T � :•0li I i)f14' Dare OWNERS CERTIFICATION/OECLA RATION I declare thix pro(rct to be exempt front applicable bu,ding pe,mh/code requigenntn s under the pruvisiwis el FIRS Smfon 4v-eH.I have read and fully understand MRS 46.88 and certify that the protect is in compliance. I 1. I Lvlderswrid that this tceemption only apRltes locerwin hudding pc,witfcudc requiremems.I shat)obtain ill other reg0irod p,tr mts and approvnlp and shall comply with all applicable codes and latus associated wit b this develop,nent,which may Include and not he limited to Special to+a lcn,em Arca,Flrod Hatard.electrical,plumbing,grading, dnvewai,,woak irk CounLl,/$tate riglq of+ys,fire,waitew.Ittr,and Departmcns of Health reyuitemems 2. 1 understanit that the issuance of a dectaraoun numbtr by for Cuunly should not to taken to mean that compliance with HRS•i6 HEI leas been confirmed,and that it is my sole responsib(fity to c4nCusn eomplianrr..TltelState ur Caunoy sha11 nqi tic liable Iaf any claims arising from ranstruction Qflxvldmgg,stlumves.at appurtenances thereto exempt from the building cede and peilnining pr i(ess as deVOCOMPLIANCE Wibed in I IRS-16-08. EmsAdtffe01, "!" i Q r Ok � !limc NCmai( t o p rD GaS J h I h G ! 'Cz1SignatuPrirrtCd hdmc' 1 C 1) ' CAWSTC4N$YRUCTION AFINATIONFORMmust ewbniuednponcomplcnanofcanstrucoun.Faikrtroiuhmitthe orchis DECLAANCE to he declared INVALIDand s`,allVOIDthe budding permitandlor code exemption.A single Final As•Built No6fiwbmitted in compliance ivith both of the following deadlines: 2 Submit Ill Iorm within Y year of Declaration of Compliance acccTiTance date. 2. Submit 1plln u•iihln 30 Jays of rompletinn,occupancy.or use e(sttuciure. I Hatjalai County is an Equal Opportunity Provider and Employer Rev.3/22 M _ LLI00 U LO r li Z W D L Q N w X 00 X r — A I s Rio [ — -- eco^ �. �_. LL flit -t .AIDS �S dt 41 , 1'• 's'x .\� Off. 4 i O 4 TNhC14n hf4 1'FA.K5i�4.Y1 pr}1i Lel YI I t.t/71\JJMS ._ jNiURAR:6 ' • - -- IIOIE NUAe L14N1 K1YUK0 I:ANOA I�\ fA+il IJ173002615 0 t40<• ANM1EA11010 ��M r i • BUILDI G DIVISION - DPW COUNTY 13 HAWAPT 101 Pauahi'Ereet, Suite 7 ,,p I- io,Eiawat 9572fJ '.g• Ph: H110 Of a(808)961-8331 KO Offiec(808) 323-4720 OCCIAfIATION# ACCEPTANCE DEC[AAAi7Clh1 OF CCtNIPLIANICE 141[S SECTION 4b-88 RELATING 1`0 AGRICULTUkAL sTRt.CTURES PROJECT/PROPER�r1+'INFORMATION STATE LAND USE t]ESWATION € 'V-r conj�it)Yatlnn Af$3,:1tC�.7n�[]iS I�L'SlgnatS437y tOilliCt t�tt'(]C�7RrGTkelILO��IdlilrSi]s St�$�$r�].$z�• rti GU�,I j—LL '� ADDRESS_73-410 G1 t l e.1 • ' f , fria-14het f�'t . clr -7 LID 1'Rxht FIXEY 5_ O,5—0 i'Rpp�Rr�sglRta [orris] STRiJCTURE INFORMATION VsE Df:STRUCTURE F �e' r lr Lxf MPTlONnfD.[sse(man followng sltcets l O (4) 1 . E STRUCTURAL SPAN(f0R EXWPTIONS:7&12 ONLY)�.._._ f w � N)Wo {T[j(muss be Tess than 25 ft.) DISTANCE FROM KAREST STRUCTURE 16.)(join,T5 it.) TOTAL ROORAREA (4,o F ❑IMIRSiONS QF STRUCTURE Lengift {ir j x Widrh [{rj AGGREGATE fLOOfIAREA OF ALL EXCMPTEt)$TRUCT RESftAIRAtD EINDER M46.88 (sq ft.} Prevrdernerlimum8-lId xZ7"s'se sh Ing x n faEan sur Ips _ (r�tY rocs rguuctZ s� Er s�poncersergt)t4ras, � Fu ueturc.incl any other pertonens information AttacFs extra sheets if neecssary, V� u ^� 1'5 1l COMMENTS(Tar depanmaet use cnty� [Obrain approvalafgnaruras pdxra su5rtj sial qi OeEfara�tion to t'ublIE Works; E URING DIVISION APPROVAL Flood Zone X Engin=cr�ngf3is�ston B.H Darn - - OWNERS CERTIFICATIONAf]ECLRRATION f declare ibis pro)ect to be exemPE frottr applicable hu f ir•-?;permit/coda requirements under rhe provisions of FIRS Section 46.83.1 have read and follyunderstand HR5¢6.88 and Errdfy that the prniect is in compliance, 'i. f trnderstatld that this exemption only ap los to certaia buifding perinii/code requiretnents.I siva!;abtain all other required pennlis and approvals and shall Damply lvith all applicable cedes and laws AseotTated Wil chis development,which may include and not be limited to Special Managenzkm Arra.Fkod Huard,eleciricaf,plumblag;grading, driveway,wort;in Caurity/Stale right Of ays,lite,wastewater,and Departmerlraf Flealih requirentents. 2. I understand that the issuance of a derlar tion nvmbp-r by IIIc Criontyshould not be I-ACR to meait that complmnee with HRR 46.88 has been can$rraed,and that it is my salt responAility to confirm cont iaoce.The State or County shall not he liable for any Claims arising from Construction of buildings,stare tees,m appurtenances thereto exempt from the bulding code and peeTrtfiting pr Less as described in H415 46.118. Propany Owner: ij (0) ah C1 Address �{I-A - D q Phone No.- Email: 1 CP.S S l� J .C'@ hY�l C b Signattsrc: � Prlrtted Name- PDsf CONSTRUCTION A FlNALRS ! 7 TfF1CATtCtN FORM must be submitted upon completian of tanstructiotr.Fa+huc Io submli the krm will cause this REQUIREtMENTS: ❑ECtARAT•ION Q C{]MI'VANCE IQ he declared il3VALID and shall VOID the budding permit anti/or code OXemptiorL A single Final As-Gulls N*tiffcatiion Farm oat he suhmitred{n comrPlianre 10111 both Of the Followingdeadlin4s: T. Submit err:within T year of petiatation qFCompliance ascepTance data 2. Submit rm within 30 days of completion,0"ancy;ur use of structure. Fla al`i County is an Equal Opportunity Provider and Employer Rev.3/22 S _ •. Q4lC'�1 .a yA Ar " lin �7 1 T14r Wtu-nire. TRwsaiFlw� ...: {] A + .KIC1ti4LE k ELAKI KISODU IiANDA � LMii ($;T$UO Yh ISpp60 � I •J �._ .�.v�_ ENflMFAPp7GAunnw M f l �y a�•�..�.� 8DE6H3N� s��a+ww.++�w�..... - . Z o� 0 ~ v_ r w �. —i 7 W cn PRO oQr N � W � LUiR 79 ❑ a . D 1y Lu x � � V amu. � •�i It AV A # W S � v R7 v�a� gory BUILDING DIVISION - DPW COUNTY OF HAWAYI 101 Pauahi Street, Suite 7 . i Hilo, Hawaii 96720 �'•,, ,.� j Ph: Hila Office(808) 961-8331 Kona'Office(808) 323-4720 DECLARATION ACCEPTANCE DATE DECLARAWN OF COMPLIANCE HAS SgrTI CI 3 46-88 R£LATI NG TO AGRICULTURAL STRV CTURES PROJECT/AROPERTYINFORMA�TIO�N r PROJECT WME 1' f)li l� wt as &Q J STATE LIMO USE DESIGNATION For conflrmatia of$tato Land Use Vesigoation.contact the Department of Plan Ing at(8178)961 8288. A6i ir-�aLl Fuk&R171}R1 ti5S j o ?) Kawa­ r.J '1 + 1W�• K4, f vL`t 0hQ C l TRXfvfRP KEY 1 tii'1tO�ER�AfiFJt STRUCTURE INFORMATION USEOi:STRUGTURE �] ^ LinV n Y-'^i _4 —K a n fxEnnpTFCrN Nor,{sec$st anfQiiow ng sheets `rA. `/{ V V�S`}fTRUC.TURA1,SPAN(FUR El[EMPTJOM-.7&12 Dh1LY) ik)(tswx be less ban 25 fc) D(5TANCEFROM NEAREST STRUCTURE ��Y (It)(mm75k.} � ItOTALFLOORAREA �,q�f {xq.fr,y prnsCN5tONsOFSTRUCTl1RE length �] qf")x Wdrh (fr.) _ AGGREGATE FLOOR AREA OF ALL EXEMPTED STRUCTURES CtA6mW UNOLR HRS 46.88 Provide minimum 8.712"xt7"s to pth i apps mare a{4aq Qf s[rlrclvrC,properky lines of er suuttures,set cies to�ls�rserucsuEes ertc:suons ofstrutwte.and any Wherpardnent information. Attach extra sheets,if nctess&ry, COMMENTS(for deparrmcnt use an*, Y�[�z.� w 1!1 Q,1PCC (Obrain appr*val signaturts prior(a safum%tai of Declaration m Pabl It.,Warks) ENGINEERING DIVISION APPROVAL Flood Zone X Engineering faii isianB.H - OWNERS CERTIFICATION/DECLARATION i declare IN5 project to be exentptfron.applicable bs+ildirNg parmit/mcle requiremtnts ander tim provisions of t IRS SeWon 46-88.1 have toad jmd Full rundcr%and FIRS 46A B and certify that the preje"is in compliance. 1. I understand that this exemption only applies to certain building per:nit/code requirements.I shall obtain all*[Iter required pearits and approwds and shall cotrrpay with all applicable codes and iawa associated with this development,which may include and nor be limited to Special Nlarwgernent Area,Flood Hazard,electrical,plumbing grading; driveway.work ireCounty/Swte right of ways,fire.wastewater,and Department of Health requirement 2, f understaodxhat the issuance of a deciaradon number by the County should not be taken to mean that compiiaAce with HRS 46.68 has been conflrmeA and that it is my sole responsibility ro confirm tom 11 We,The State or County shall not be liable:lot any cfaims afis+itg from construction of buildings,structures,of appurtenances thereto exempt from the building code-and pai itting process as described in HRS 46.88. property 0 Address: V) 4 0 elf i I WA 6hOL t. '1 Phanc No: Email: Vr 1' W Ge.S S I V) I h G h'Y>t► ,am- Signature: printed Name. ` O �}. POST CONSTRU CTION A FINAL Al j0Z7,R5T_JFJCATION FORM mu be submitted upon completion of coarrauction.Failure!o sulTrllir i e farm wfltwuse this REQ_UiREMENTS- DECLARATION OF COMPLIANCE to be declived INVALID and shall VOID the building permit and/or code exemption.A single Final As-Built Notifrcatioo Form must be subrlfeted in compliance with both cf rhe following deadlines: 1. Submit form within 4 year of Declaration of Compliance acceptance date. 2. Submit form within 30 days of completion,ocoupanry,or use of structure, Hawaii County iS an Equal Opportunity Provider and Employer Rev.3/22 l ' i J _ 4 A_ -N 1 -.'•'s .. A;'� �j-y�s Vi G7 ss'l yt C�.ty r � � 70 .5•- �.- C�p��� � yew ���� .' 1 cam17) D G?mC+ w i - P1 4110 f" Ap 4. �. Rf,Lp wI %Cr-r 0.ppM9 .�.�. - mic$4QLQ RUSE!ANI 6k TO VKO%Ap�A I..U R z:- r�� r � , sa+sacas � �iewlF` !r ' - � • BUILDING DIVISION DPW ',. COUNTY OR HAWAPT 101 Pauahi Strcct, Sazitc 7 Hilo, Hawaii 96720 a Ph? Hilo Office (808) 961-8331 Kona Office(808) 323-4720 DECLARATION# ACCEPTANCE DATE DECI.ARAI ION OF COMPLIANCE TfkS 9CT10N 46.88 RELATING TLt A6 RIC Lit.TURAL STR1.CTURES PkoltCT/PftopFRTY 1NFORMA TION PRt]iEl'rNAhlF � n �� ,�f�r•� 7uq r SWE LANDUSC❑ 9 AIIOPt 'F r curt a arinmsnf tsatc Land Use l7esc}lisatinn,contact the E3,partlnen plant t(808) I.828$• ._.....T..•�._. I aaESR>:ss '13 r i A X&4A P R EY PRO HR IY AIRLA STRUCTURE if4ff]RMf1TlC)M1! 115E0FST CTIIRE� - Ex[nnpTl[}N i,14(err hu 0:rfol6w ng cherei {��� + � $iRUC tURAi SProd{aOR ExFJusp7fOrV5 7&12 pnrLvJ it { )i^+Usc 6r ie,s ti+a..7F 1r.1 n15TANCtFROM NEARf5r5TftUCIURE -7-7 ;fr.](an.w.I fl) rt3TAtfLU(kAREA DIM[r+}SIDNS Qf 51kVC1lIRC tenp�th �,f} Ir).e N':drh -/Y}�..`�- {1s.] ----. —i _. __.______I. AGGRE"YE N GDA AREA OF All EXWPTED 5TRL2C[I)RtS•'_tAtMO)UNDER smRti 46 R:? provtdr mm.mura 8•1/2'Al1'5ite plan showmgt,pprownatc nraz on of suvctoare,proprny bras,other wucrwrt.sethaiks to•viler iurrcrtres dreene'uns of urunvrr.AMI any otherpeicneni information Amt a[h txt is she am it rte cc isary. rNoiPPe C OMMENTS(for derwi o,cnt an (Obtairt approval signawns prism is w rr•rtai ai Vudar odor[o PUY I t WDA [ENGINEERING i 1VISIM APPROVAL Flood Zone X _ fnv�inec�ai.�L'��as.un B H Date - R - OWNESCEKTIFICATION/0ECiARATFON mW y_._..._.• ___.. —. __.._ _ _...._._ i declare chis project it br exempifront applicable buz dim g perrvu[/cods re juuernente urdco fhrpro v4 ons csf H R 5 Section 4t-08-I have rrad,iInd full yundetsrandf•IAS d6-88 and certify [Etat the project Fs in compliance. 1 1 understand that zhts e.eamPon only applmer€0ce+tain building peiv1aftode trquncaieriis.I shall a61atn all miter FEquue.d,10MIxts and Approwk And shal i comliiy wnh all npphtairie cndes and laws assa[i,trrJ wi[kmfas deveioprnem.wl,i{}i tray include and Piro be Itmrred co 5pecial N1ar,ageinrnt Arca,f Icod Hazard,eleciricai,plumbing,grading, dnvcwav,work an coonty/'j rate tig+hr of'A*1XS,firC,wawwarer,alai UtparsAte:ii r•i Health requifenients 2. L understand chat the 55uancaof a declaration ns mbrr by Il+r County should ria:to Iekrn C moan d,aI compltam.c with HR 0 88 has been can£irnttd,and that it is my sole tespoas,,bilirytoconfirm rom�biwi-e Th#State or County 6.0l not ba#fable Lor any dairmz arising from ronuructionof buddrngs.sttuav(",of appurtenances thereto exempt from the huilding code and pertntuing p+vets as dcirrihcd in 1 iR5 dFi-LIS Phony.Not dC I��'• _ EmaLt — _ $inarum: Printed N.sma I POST CONSTRUCTION A FlNAL.4S 7� ICA7110K Ft7RM rural bescub:niried upon[Ofnpiet[an of[or.StrUChun.railure to subniiI the fc mts wll cause rhif [ fttQUt$FMEN75 DECLARATION OF LONipt!ANCE to he dtrlored INVAL10 aril ihtti VOIDilie bwidiog pe(mit and/or code exemInisn.A aingir Final As-guilt J I Notification Po:m must In submitted inn campiwnce with bcAh of rhe joljowingdedrllines. T. Sobmir form within 1 year of Dec lxrarion:of Compliance accepiancedate. 2. Submit for to within 30 days of completion,ostvPancy,rr usv of 5Z(OCLUfe Hawaii County is an Equal Opportunity provider and Employer Rev. 3/22 fie.. ! y '!� 1'f.iii •��•��/L �.,/ � _ amu•`` �, +�.:: ._.� NICHOL& R08rLARI r:t'IOK❑ AANOATMA �UQO(l Mui►-c''R`:��w, " ,. ml)ERif qR _ . ._.. nmdwar�rurvyv..»v-.rw _vu wU, RCIwd g celoeol.olx..n aoE-e�.aisao � .• r .a�a�.wa� ION OUOpS{OSOO I e �} '• r tlONV71 OMOAIA INV 3OH 310HOIN d q�• =� �-:may �'--� � � P€ � r� rPOO_. = • �` '=i"ems'� .>>::;=.:. 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