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HomeMy WebLinkAbout1-4-010:026William P. Kenoi Mavor Wafter K. M. Lau Managing Director Count of ��t�x�x� `*1 DEPARTMENT OF PUBLIC WORKS Aupuni Center 101 Pauahi Street, Suite 7 • Hilo, Hawai'i 96720-4224 (808) 961-8321 • Fax (808) 961-8630 www.co.hawaii.hi.us MEMO OF REVIEW FOR CORRECT,'VESSAND COMPLETION Warren H. W. Lee Director Brandon A. K. Gonzalez Deputy Director In accordance with this community's participation in the National Flood Insurance Program's Community Rating System, all FEMA Elevation Certificates must be correct and complete. The attached Certificate has some incorrect items which are noted here. SECTION A - PROPERTYINFORMATION For Insurance Company Use: Al. Building Owner's Name Pow, Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NA1C Number 1.4-+7 12 ALA?AK i l.. N j City State ZIP Code Property Description of and Block Numbers, Tax Parcel Number, Legal Description, etc.) --f JL (3-) 1- 4 -0)0-DZb A". 51061—u tu_e (&g, Re—W-SesidMial, Addition;, Accessory, etc.) A5. Latitude/Longitude: Lat, Long. Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number A8. For a building with a crawl space or enclosure(s), provide lv 1A A9. For a building with an attached garage, provide: VA a) Square footage of crawl space or enclosure(s) sq It a) Square footage of attached garage sq It b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings In A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone l S 5 1 � 6 1+60 Date Effective/Revised Date Zone(s) AO, use base Flood depth) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for SFE in Item 89: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction` ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, Vi -V30, V (with BFE), AR, AR/A, ARAE, AR/Ai-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized Vertical Datum Conversion/Comments County of Hawaii is an Equal Opportunity Provider and Employer. COMMENTS: Date of Review: _ 9 �2 3 Community Official: o= Li, All elevation certificates shall be maintained by the community and copies with the attached memo made available upon request. County of Hawal'i is an Equal Opportunity Provider and Employer. U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 I Federal Emergency Management Agency B8. Flood B9. Base Flood Elevation(s) (Zone Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. Effective/Revised Date t4 SECTION A - PROPERTY INFORMATION 1400 For Insurance Company Use • Al. Building Owner's Name SEPTEMBER 16, 1988 AE ,�Pdlcy Number r Ann Kostry Trust A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIL Number 14-4712 ALAPAKI LANE City state ZIP Code PAHOA HI 96778 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 19.49955 Long. -154.81994 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is. being used to obtain flood Insurance. AT Building Diagram Number B A8. For a building with a crawlspace or enclosure(s):Ag. For a building with an attached garage: a) Square footage of crewispace or enclosures) sqft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings In the attached garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq In c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name 8 Community Number 82. County Name B3. State HAWAII COUNTY -159168 1 HAWAII COUNTY I HAWAII B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) 1 1 AO, use base flood depth) 1400 C APR 02, 2004 SEPTEMBER 16, 1988 AE 15.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. x❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: liconstruction Drawings' ❑ Building Under Construction' Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones At -A30, AE, AH, A (with BFE), VE, VI 430. V (with BFE), AR, ARIA, ARAE, AR/A1-A30, ARIAH, ARIAD. Complete Items C2.a-h below according to the building diagram specified in Item A7. Us the same datum as the BFE. �1 Benchmark UtfOzed U 5 Ci 15 Ilii ) j�j Vertical Datum H t 44 i j .VQ y- r4 T (A Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) Z 0 -06 8 feet El meters (Puerto Rico only) b) Top of the next higher floor na._ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) _ A _❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) M jam._❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 2-0 .J0Bx❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) S . El feet ❑ meters (Puerto Rim only) g) Highest adjacent (finished) grade next to building (HAG) x❑ feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 6.18 ❑ feet ❑ meters (Puerto Rim only) structural support SECTION D - SURVEYOR. ENGINEER. OR ARCHITECT CERTIFICATION This certlflcaaon is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certity eleven information. I certify that the information 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. ❑ Check here If comments are provided on back of form. Were latitude and longitudein ction A provided by a licensed land surveyor? Yes ❑ No FEMA F6rm 81-31. Mar 09 reverse side for C. sMF� O LIC., Q ENSED 9 PROFESSCo IONAL * ARCHITECT' No. 3560 y��:4li, USP Replaces all previous In these or HI 98778 . OR ARCHITECT CERTIFICATI[ Copy both sides of this Elevation Certificate for (1) community official. (2) Insurance agent/company. and (3) building owner. Comnle^ts�pVlA.TI't6\S JSizO f�STA'f3U$NE.D FSV lkDJrPfchl[]�e-iii iiAWA1\ SVi2J��' � ( PNS Q' _ %O FOUN A ' C-61LUMAIS L'AfS6y& �D,)AcE1iT Gr2ADE- ISTIILL VIDST' Sjr\tt-Ajz- rO $LzC p),kC"MAI5 Signature / Dale AO AND ZONE A For Zones AO and A (without BFE), complete Items E 1-E5. If the Certificate Is intended to support a LOMA or LOMR-F request complete Sections A, B, and C. For Items Et -E4, use natural grade, it available. Check the measurement used. In Puerto Roo only, order meters. Et. Provide elevatlon Information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom Noor (including basement crawlspece, or enclosure) Is ` _ ❑feet ❑meters ❑above orx�below the HAG. re b) Top of bottom floor (including basement, cwlepaoe, or enclosure) Is _ _ ❑fest ❑meters []above or Hbekwv the LAG. E2. For Building Diagrams S-9 with permanent food openings provided In Sectio Itenre B 219 (see � 9-9 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building Is feet j_j metme LJ above or below the HAG. E3. Attached garage (top of slab) Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated In accordance with the community's floodplain management ordinance] ❑ Yes ❑ No ❑ Unknown. The local official must certify this information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes SeCtions A, B, and E for Zone A (Without a FEMA -Issued or community -Issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code _._....._ n ._ _,Com ..... ...........o..w .,. w.,,,,,,a.w um wort.., my a rwruuywm �nemegerrhen[ tnamence Can complete OeCDmhe A, IS, O (or E), and G of tta ElevatioCerdflcate. plete the applicable item(s) and sign below. Check the measurement used in Items GB and G9. G1. ❑ The Information in Section C was taken from other documentation that has been signed and reeled by a licensed surveyor, engineer, or architect who is authonzed by law to certify elevation Information. (Indicate the source arid date of Bre elevation data M Bre Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -Issued or community -Issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G9) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued GS. Dote Certificate Of Compllanoe/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -bulk lowest floor (including basement) of the building ❑ feel ❑ meters (PR) Datum G9. BFE or (In Zone AO) depth of flooding at the building site ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name T! -,e Department of Puali;; Vdo1-Ls Tale Community Name Division hrs reviev:•ec Telephone Signature Oil Date � rc�cernlrfPnrt• Comments IJ cl...Ws rot recommend 1i--in`r app oval FEMA Form 81-31, Mar 09 i / Replaces all previous Building Photographs See Instructions for Item A6. For Insurance Company Use,: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. F011CY.N.UmPer 1. 144712 ALAPAKI LANE City State ZIP Code Ycorr"MNAICIslunter PAHOA HI 96778 W-0� 41 M ccording to 11, jr I in If us g MPV,12� jired, "Right the in ry ..... at V 'age on the Side a reviii t! reverse F P -v N T- 4� /Z 7 / Z v i I Building Photographs Continuation Page uilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. YOIICy NumDer 14-4712 ALAPAKI LANE Jty State ZIP Code CompnyNAICNumeer PAHOA HI 98778 . - It of 1 all