Loading...
HomeMy WebLinkAbout1-4-027:001William P. Kenoi Mavor Walter K. M. Lau Managing Director Countof � C�afixail 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 CORRECTNESS AND 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 - PROPERTYINFORMA77ON For Insurance Company Use: At. Building Owner's Name Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.I Company MAIC Number 1A--sNlk v.Am 1kw 9's" City State ZIP Code A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) -rM ll, Lai 1-4-0-L-11-001 A4. Building Use (e.g., Residential, Next-Resivanual, Addiiiti�i, A008 -ss -or-, 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 r� A8. For a building with a crawl space or enclosure(s), provideA9. For a building with an attached garage, provide: /J a) Square footage of crawl space or enclosure(s)Dsq a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawl space orb) No. of permanent flood openings in the attached garage enclosures) walls within 1.0 foot above adjacent gradewalls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 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 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 BFE in Item B9: ❑ 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 Ai -A30, AE, AH, A (with BFE), VE, Vi -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT p Benchmark Utilized Vertical Datum yrV v Conversion/Comments County of Hawai'i is an Equal Opportunity Provider and Employer. COMMENTS: Date of Review: 91 '�' 4 / 20 1 3 Community Official: C -LK All elevation certificates shall be maintained by the community and copies with the attached memo made available upon request. County of Hawai'i is an Equal Opportunity Provider and Employer. a U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Ineurreloe Company this- Al. Building Owner's Nanre s loY umbar 'tr' , James 8 MII Wa Floyd - A2. Building Street Address (Including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Conpany Nurrtbet' I , (` tI 144114 WAINANI ROAD City PAHOA stere ZIP Code HI 96776 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A8. Attach at least 2 ph Lal. 19.49411 Long. -164.91743 Horizontal Datum: ❑. NAD 1927 0 NAD 1983 A8. Attach a< least 2 photographs the building if the Certincate la being used to obtain flood insurance. A7. Building Diagram Number A8. For a building with a txavdspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 4_ eq it a) Square footage of attached garagesq ft b) No. of permanent Hood openings In the crawispace or b) No. of permanent flood openings In the attached garage enclosure(s) within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade c) Total net area of flood openings In A8.b All A aq In c) Total net area of flood openings In A9.b sq In d) Engineered flood openings? ❑ Yea ❑ No d) Engineered good openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I HAWAII COUNTY -166166 1 HAWAII COUNTY HAWAII 1400 C _.. I APR O22,e2004 I Ee�MReAsed D I Zo E(s) I AO, use base food Is 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth ordered In Item 89. y VI FIS Profile ❑FIRM ❑Community Determined E] Other (Describe) 611. Indicate elevation datum used for BFE In Item 89: x❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 812. Is the building located Ina Coastal Barrier Resources System (CB❑RS) area oOtherwise Protected Area (OPA)? ❑ Yes Designation Date CBRS x❑ No OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 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, ARIA, ARIAE, AR/A1-A30, ARIAH, ARIAD. Complete Items C2.a-h below according to the building diagram specified In Item AT Use the same datum as the BFE. Benchmark Utilized _ USGS SM 16M Vertical Datum N A V V i 9 8 Check the measurement used. a) Top of bottom floor (including basement, crewlapsoe, or enclosure floor) 17,75 x feet meters (Puerto Rico only) b) Top of the next higher floor 27.88 x hal ® meters (Puerto Rico only) C) Bottom of the lowest horizontal structural member (V Zones only) _❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) ._❑ feat ❑ meters (Puerto Rtoo only) e) Lowest elevation of machinery or equipment servicing the building 84 ❑x tem ❑ meters (Puerto Rico only) (Describe type of equipment and location In Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 7.49 x feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 8, 21 x❑ feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including S-3 ❑ feet ❑ meters (Puerto Rico only) structures Support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by low to certify elevation Information. I certdy that the Information on this Certificate represents my best efPoria to Interpret the data available. C. SMF�� I understand that any false statement maybe punishable by fine orlmpdsonment under 18 U.S. Code, Section 1001. 9 Check here If commenta are provided on back of form. Were latitude and longitude In S cdon A provided by a RoB <� p K licensed land surveyor? Ives LJ No L ENSED Certmer's Name License Number P 4#ONAL retie 4.6 ,� CHITECT ���-'/�.)-�:.7 Company M/cLIC,E,e A QSSOG. No. 3560 / FEMA FWffij Jrfe3l, Mar 09 See reverse side for continuation. previous editions 4-/ state 96778 Copy both aides of this Elevation Certificate for (1) community official, (2) Insurance agentloompeny, and (3) building owner. rymmmente EL.rLVA_tQAS 9)SOD ST-A9USJ4" Ear 1MA7A 4 ASSOG 4,Pa5 DA:TjS0 7/l/O9 For Zones AO and A (without BFE), complete Items E1 -E6. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For hems E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation 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 (LAO). a) Top of bottom floor (Including basement, crawispaoe, or enclosure) is _ _ ❑feet❑meters ❑above or Bbelow the HAG. b) Top of bottom floor (including basement, crawlapaos, or enclosure) Is _ _ ❑Feet ❑meters ❑above or below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings pmNded iE SWUMA Items 9 6gQ/or 9 (ase gpgas"of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is LJ teat LJ meters LJ sinus or LJ 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. E8. 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 O. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized represenlative who completes Sections A B, and E for Zone A (witllout a FEMA -Issued or cormnunityassued BFE) orZone AO must algn here. The statements M Sections A, A and E are correct to the beat of my Iaowdedge. Properly Owner's or n enepnons and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. 01. ❑ The Information In Section C was taken from other documentation that has been signed and seeded by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data In the Comments area below.) G2. ❑ A community official completed Beldon E or a building located In Zone A (without a FEMA -Issued or oommun8y4med BFE) or Zone AO. G3. ❑ The following Information (Name G4 -G9) is provided or community floodplain management purposes. G4. Permit Number G8. Dao Pam* Issued G6. Date Certificate Of Complianoe/Occupency Issued G7. This permit has been Issued or: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building ❑ feet ❑ meters(PR) Datum G9. BFE or (in Zara AO) depth of flooding at the building site ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation _c ❑ feet ❑ meters (PR) Datum Loral Official's Name 1, Il-(''�,.._ Title __.._....... ....... ,any,.. Signature A -t. _.-- -_ Data y . - - -• ❑ Check here If attachments FEMA Form 8131, Mer 09 Replaces all previous editions