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HomeMy WebLinkAbout1-4-027:003William P. Kenoi Mavor Walter K. M. Lau Managing Director Count .af �Xafvn `C DEPARTMENT OF PUBLIC WORKS Aupuni Center 101 Pauahi Street, Suite 7 • Hilo, Hawaii 96720-4224 (808) 961-8321 • Fax (808) 961-8630 www.co.hawaiibi.us MEMO OF REVIEW FOR CORRECT,'dESS 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 - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Policy Number A2. Buildintreet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 14 -S1?2 4uit'T1 PT RD - City State ZIP Code P AN 4# 1+1 9/6-73S A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Tm k (3) ,-4- 027:o03 A4. Building Use (e.g., Rcsdatttiai, Aron-R"denti ;, Addition, Accessory, etc.) A5. LaBtude/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. A7. Building Diagram Number A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: 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 05. Suffix B6. FIRM Index Date 57. FIRM Panel Effective/Revised Date B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone 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 Dated 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) Ci. 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 At -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized Vertical Datum —q,LV-b 101 2.9 Conversion/Comments County of Hawai `i is an Equal Opportunity Provider and Employer. COMMENTS: Date of Review: Community official: 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 Nual Opportunity Provider and Employer. City Patios State HI ZIP Code 98778 Lot A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 19 29'41.5" Long. 154 49' 2.93" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at least 2 photographs of the building 9 the Certificate Is being used to obtain flood insurance. A7. Building Diagram Number ¢ A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A aq R a) Square footage of attached garage WA eq ft b) No. of permanent flood openings in the crawlspaoe 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 B1. NFIP Community Name 8 Community Number 82. County Name 83. State Hawaii County Comm # 155166 Hawaii I Hawaii ELEVATION CERTIFICATE B5. Suffix OMB No. 11300.000& 67. FIRM Panel U.S. DEPARTMENT OF HOMELAND SECURITY 89. Base Flood Elevation(s) (Zone Expires March 31, 2012 C Federal Emergency Management Agency Effedive/Revised Date Zone(s) AO, use base flood depth) National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION 9/18/1988 For,lnsuragpe:Goinparg SJea 16.0 . Building Owner's Name Mr 8 Mrs James Floyd Tolicir,Number Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Com perry NAIC Number'. . 14-5152 Alapal Point Road City Patios State HI ZIP Code 98778 Lot A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 19 29'41.5" Long. 154 49' 2.93" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at least 2 photographs of the building 9 the Certificate Is being used to obtain flood insurance. A7. Building Diagram Number ¢ A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A aq R a) Square footage of attached garage WA eq ft b) No. of permanent flood openings in the crawlspaoe 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 B1. NFIP Community Name 8 Community Number 82. County Name 83. State Hawaii County Comm # 155166 Hawaii I Hawaii 84. Map/Panel Number B5. Suffix B8. FIRM Index 67. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone 1551881400 C Date Effedive/Revised Date Zone(s) AO, use base flood depth) 04/02/2004 9/18/1988 AE 16.0 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) _ Bit. Indicate elevation datum used for BFE in Item B9: 10 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 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 At -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized Pohoiki Rd 8 Kalaoana-IntVertical Datum 2= Conversion/Comments Benchmark established by Island Surveys Inc used GPS conversion via NGS OPUS Solution per attached Check the measurement used. a) Top of bottom floor (Including basement, crawlspace, or enclosure floor)1,Q.2§ b) Top of the next higher floor ,....,,.� c) Bottom of the lowest horizontal structural member (V Zones only) N/A._ d) Attached garage (top of slab) WA.— e) Lowest elevation of machinery or equipment servicing the building J/A._ (Describe type of equipment and location in Comments) ❑ meters (Puerto Rico only) 0 Lowest adjacent (finished) grade next to building (LAG) B.QQ g) Highest adjacent (finished) grade next to building (HAG) Z-60 h) Lowest adjacent grade at lowest elevation of deck or stairs, including Q.§Q ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a Jeno surveyor, engineer, or arcnnea sumoraea oy 1ew ru w,wy rnevuu information. 1 certify that the information on this Cer icate represents my best efforts to interpret the date avallable.l understand that any false statement maybe 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 longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certifier's Name Dennis K. Shigeoka License Number HI 3414 IMPORTANT: In these spaces, copy the corresponding Infonnatlon from Section A Fbf 4pfki)gp,;0lP➢13ti mak.. :,.>'` Building Street Address (including AM., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No: 14-5152 Alapal Pt Rd CIN PahoaStata HI ZIP Code 95778 �a�l!}i),rii(!l!?'��i►�bArr'� °'. r �,�,I _ SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED). _. Copy both skies of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. 00 NOT REQUIRED) FOR For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate Is Intended to supporta LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Et. 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 (LAG). a) Top of bottom floor (Including basement, uawlspace, or enclosure) Is _._ ❑ test ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspaos, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided In Section A items 8 and/or 9 (see ages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is _,— ❑ feet [I meters ❑ above or LJ below the HAG. E3: Attached garage (lop 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. F - 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 Owners or Owner's Authorized Representative's Name, .b A&–, —Y— or and G of this Elevation Certificate. R Lein the applicable Item(s) and sign below. Code Main management ordinance can compiew s the measurement used In Items G8 and G9. G1. ❑ The Information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or archkect 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 Section E for a building located M Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G9) Is provided for community floodplaln management purposes. G4. Permit Number G5, Dale Permit Issued G8. Date Certificate Of Compliance/Occupancy Issued I� G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ metem (PR) Datum _ G10. Community's design flood elevation _ _ ❑ feet ❑ meters (PR) Datum _ tocafOffiaal'sNameTlte Department of Public Works rule Community Name .ngme; ::ng MviFion has revieWed Telephone In, „r -. Date Signature111111k X1 rer,.ommo.nds - . ,anal a1.171ava1 BY Dat;. Check here If attachmenls