HomeMy WebLinkAbout2-3-037:022• William P.Kenol
Minor
Walter K. M. Lou
Managing Director
Cautttr of �tfirttt`i
DEPARTMENT OF PUBLIC WORKS
Aupuni Center
101 Paushi Street, Suite 7 • Hilo, Hawaii 96720-4224
(808) 961-8321 • rax (808) 961.8630
www.co.hawaii.hi.us
MEMO OF REVIEW FOR CORRECTNESS AND COMPLETION
Warren H. W. Lee
Director
Brandon A. K. Gontalez
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.
A - PROPERTY INFORMATION
A2. _ Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or
LD
— 3-037:0
rrmcy rvumoer
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) _
A5. la8tude/longitude: Lat. _ long. _ Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983
A8. 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 A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enctosure(s) sq It a) Square footage of attached garage act It
b) No. of permanent flood openings In the crawl space or b) No. of permanent flood openings In the attached garage
enclosure(s) walla within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade _
c) Total net area of flood openings in AS.b aq In c) Total net area of flood openings In A9.b sq In
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B7. NFIP Community Name & Community Number B2. County Name B3. State
04. Map/Panel Number
85. Suffix
B8. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date
Effective/Revised Date
Zone(s)
A0, use base flood depth)
221.0
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) _
811. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ❑ NAVD 1999 ❑ Other (Describe)
812. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑Yea ❑No
Designation Date _ ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Ct. 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, V1 -V30, V (with BFE), AS, ARIA, ARAE, AR/A1-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.
•
O.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.188o-9998
Federal Emergency Management Agency Elmires February 28.2009
National Flood Insurance Program Important: Read the Instructions on pages 1-8
SECTION A • PROPERTY INFORMATION For Insurance Camp" U ie:
Al. BUIWnpOwnsfsName Lauer e_ � 'PolkyNuINNW
A2. BulWirp Street Address (indudkhp ApL, Unfl, uhs, andlor Bldg. No.) or P.O. Route and Box No. ''Company NAIC Number
263 elnaltkk �sf
C' Me Stale LI I ZIP Code
__ w •.—r�•rm>.r ar.r
• s t}2 t -F
Aa. Building Use (e9•, tN"ation. AopBBapy ac.) ht sl Aey^m-7o
Aa. LatttlLogflnMe:Let b^
O" L02'2.
Ldnd, ��e OS 3^ W Horizontal Daturn• uep1192' ❑NAD1983
A8. Attach at bast 2 photographs of the bufidthg if the Certificate Is being wed to obtain flood insurance.
A7. Building Diagram Number
A8. For a building with a crawl space or enclosure($), provide: A9. For a building with an etadmsd garage, provide:
a) Square footage of crawl space or endosure(s) 14/A sq ft a) Square footage of attached garage 4{829 sq R
b) No. of permanent flood openings In the crawl space orb) b) No. of permanent flood openinpa In to atlechod
enclosure(s) walls within 1 A foot above adjacent grade walla within 1.0 foot above adjaoantgrade
Q Total net area of flood openings in ABA, aq In c) Total net area of flood openings In A9.b sq rage in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B7. NFIP Community Name ti Community Number B2. Couny Name 83.yyele
Hawaii Count 155166 Hawaii CountyHawaii
8s. MaplPanal Number
155166. 0�' 0
Bin Indbxb Iha .. M
B5.Su@x
C
M o...
88. FIRM Index
Date
4/02/04
B7. FIRM Panel
E bete
t b $
W. Flood
Zonas)
S
59. Base Flood Ebvetion(a) (Zone
AO. use base flood depth)
22 t '
- - FI �1 99„ io..r u9w m cruse noon oepm emerea m item 89.
❑ FIS Preflb .IN FIRM ❑ Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE In Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ other (Describe)
612. Is 00 nabuilding� ted Ina Coastal Bonier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No
Desigtion ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building ebva9ons are based on: ❑ Construction Drew Inge ❑ Bantling Under Construction- Finished Construction
A new Elevation Certificate will be required when ConsWdbn of the building is complete. r
C2. Elevations -Zones At -A30, AE, AH. A (with BFE). VE, V1430, V (width BFE), AR. AR/A, ARAE, AR/A1-A30, ARIAH, ARIAO, Complete Rama C2."
below according to the building diagram specified in Item A7.
Benchmark LUIM - Vertical Datum N W 29
CamrersksVCom rents 4t4r chAd
Check One measurement used.
a) Top of bottom floor (Including basement, crawl spcce, or enclosure Boor)2 (ret El maters (Puerto Rice only)
b) Top of the next higher floor —r❑ -h feet El meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones any) N L� feet ❑ meters (Puerto Rao ordy)
a) Attached garage (top d slab) .W® feet El meters (Puerto Rico only)
e) Lowest elevation Of machinery or equipment servicing the building _ 228 , If o feet ❑ meters (Puerto Rico only)
(Describe lype at equipment in Comments)
1) Lowest adjacent (finished) grade (LAG)_ �.�® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) gratia (HAG) 1'L� Q, feel
❑ meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or archted authorized by law to certty elevation
Information. I certify met the information on this Certificate represents my beat ~a to Interpret the date available.
11 understand that any /else afatement maybe punishable by fine ormnpdadnmerd under 18 U.S. Code, Section 1001.
bpm Check here ti comments are provided on bade o1 norm. 'EP L
Certifiers Name PRO
�JcW lteA !A
License Number ^ l0'� (p0 * E�H
Title Company Name
ty1L +1r+�e__. No. 107WC�
Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In thbse spaces, col
Building Street Address (including Apt., U
203 KOvVLOW
City FF(lo
r_ SECTION D
OR
from Section
Code
both sides of this Elevation Ce1186C41e for (1) community official, (2) Insurance agentleomparry, and (3) building owner.
lents
Lt1ndA0v Ti✓umr O.IO�rn�i.wn ti ted., Q fir
NOT
U-1
Use:
For Zones AO and A (without BFE), complete Items E1 -E8. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1 -E4, use natural grade, if available. Cheek the measurement used. In Puerto Rico only, enter maters.
Ell. Provide elevation IMormatlon ler the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (NAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor pncluding basement, crawl space, or enclosure) Is _, ❑feet ❑ meters ❑above or ® below the HAG.
Ela
b) Top of bottom floor (Including basement, crawl space, or enclosure) Is _ _ ❑ fast ❑ meters bove or below On LAG.
E2. For Building Diagrams 64 with pemsnenl flood openings provided In Sectitr Items a e (see PAP s of Instructions). the next higher floor
(elevation C2.b In the diagrams) of the building Is — ❑ feet IJ motors above or U below the HAG.
E3. Attached garage (top of slab) Is _ ❑feet ❑maters ❑above or [:1 below the HAG.
U. Top of elation of machinery ander equip menl servicing the building le _ ❑feet meters ❑above or 0 below the HAG.
E5. Zone AO o If no flood depth number Is available, is the lop of the bottom floor elevated In accordance with the communitys floodplain management
ordinance? El Yea ❑ 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, S, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Code
Comments
and G of this Elevation Certiflcale. Complete the applleable Ilem(s) end sign below. Check the a se measurement used In Items G8.complete
end Ge. re A, B, C (or E),
GI. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer. or archtieelwho
Is authorized by law to CoNy 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 In Zone A (without a FEMA4ssued or Communiy-Issued BFE) or Zone AO.
G3. ❑ The following Information (Items G4. -Ge.) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G8. Date Certificate Of Complianoe/Oecupancy Issued
GT. This permit hes been Issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
GO. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
Local 08idal's Name Title
Community Name - Telephone
Signature Date
FEMA Form 81-31, February 2006 Replaces all previous editions