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HomeMy WebLinkAbout2-5-004:025 William P.Kenoi Warren H.W.Lee Mayor --=-.met Director •Walter K.M.Lau Brandon A.K.Gonzalez Managing Director Deputy Director Lunnfi of afintf`t 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 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-PROPERTY INFORMATION For Insurance Company Use: Al. 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. Company NAIC Number 31 N _ t L- E .R� R I City State ZIP Code Lo A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 7 ro 14 (3) Z S-004:025 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. Latitude/Longitude:Lat. Long. Horizontal Datum: 0 NAD 1927 0 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 ft a) Square footage of attached garage sq ft 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 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 89. ❑FIS Profile 0 FIRM 0 Community Determined 0 Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 0 NAVD 1988 0 Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Oyes ❑No Designation Date 0 CBRS 0 OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,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 Hawai'i is an Equal Opportunity Provider and Employer. COMMENTS: /VIA 4//t/b2 y Bl~LO u1 „SPE ear ivc'T /n/ 6G-6r/old cin WYTO 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 Equal Opportunity Provider and Employer. U.S. DEPARTMENT OF HOMELAND SECURITY .oFederal Emergency Management Agency National Flood Insurance Program 1 N. Wilder R, ty State ilo HI' ELEVATION CERTIFICATE Important: Read the Instructions on pages 1-9. and/or Bldg. No.) or P.O. Route and Box No. Tax Map Key Number: 3rd Division 2-5-004:025 OMB No. 1660-0008 Expires March 31, 2012 f A4. Building Use (e.g.. Residential, Non -Residential, Addition, Accessory, etc.)g,raidential A5. Labtude/Longitude: Lata9.e863 Long. 155.3427 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 '1_ 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 sq it a) Square footage of attached garage n(,L 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 n(a- within 1.0 foot above adjacent grade n a c) Total net area of flood openings in A8.b n/a sq In c) Total net area of flood openings In A9.b n j sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No . SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I Hawaii County 155166 1 Hawaii County I Hawaii I B4. Map/Panel Number B5. Suffix 86. FIRM Index 87. FIRM Panel B8.Floo B9. Base Flood Elevation(s) (Zone 155166 859 D Date Effeclive/Revised Date Zones)d AO, use base flood depth) ❑ meters (Puerto Rico only) (Describe type of equipment and location In Comments) 04/022004 12/17/2009 AE 1126.25 810. 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) _ Bt 1. 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)? [IYes ® No kii Designation Date _ . ❑ CBRS ❑ OPA SECTION C - C1. Building elevations are based on: ❑ Construction Drawings• ❑ Building Under Construction* !, IM Finished Construction _ 1 •A new Elevation Certificate Will be required when construction of the building is complete. - _ - - 1 C2. Elevations - Zones A1-A30,'AE,'AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2." below according to the building diagram specified In Item AT Use the same datum as the BFE. Benchmark Utilized USGS Vertical Datum NGVD 29 Conversion/Comments n/a a) Top of bottom floor (Including basement, crawlspace, or enclosure floor) 112 B 05 b) Top of the next higher floor n/a c) Bottom of the lowest horizontal structural member (V Zones only) n%a d) Attached garage (top of slab) n/aa e) Lowest elevation of machinery or equipment servicing the building 1125. 02 ❑ meters (Puerto Rico only) (Describe type of equipment and location In Comments) ❑ meters (Puerto Rico only) 0 Lowest adjacent (finished) grade next to building (LAG) 1123..18 g) Highest adjacent (finished) grade next to building (HAG) 1125,.73 h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 1125..02 Check the measurement used. ® feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feel ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Moo only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feel ❑ meters (Puerto Rice only) OR ARCHITECT CERTIFICATION i his cenmeauon is to oe signea and seaiea Dy a rano surveyor, engineer, or architect authorized by law to certiry elevation Information. I certify that the information on this Certificate represents my best efforts to interpret the data avallable.l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.® �� T. /4f Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a -4 F 'Q licensed land surveyor? ® Yes ❑ No DP ED Certifier's Name License Number PR :i MAL p .David T. Imata 5105-C ry (( tie Company Name NO. 5105-C ce President. P.E. Imata & Associates. Inc. Q Address City State ZIP Code121=KaRiolagi Street Hilo HI 96720 :ifs Jtg• Signa re a Telephone a FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces. copy the correscondina Information from Section A. 158E iSeirpcS a GoTa"c rl er l 31 N HI 96720 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ((CONTII sides of this Elevation.Certificate for (1) community official, (2) Insurance agenHcompany, and (3) building owner. 1. Flood elevation survey by Iknata a Associates, Inc.(8.5 x 11) 2. FIRM May 155166 0859D revised to reflect LOMRR effective Dec. 17, 2009 by others 3. Corresponding Flood Profile (11 x 17) by others, INFORMATION For Zones AO and A (without SFE), complete Items E1 -E5. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B, end C. For Items E1 -E4, use natural grade, N available. Check the measurement used. In Puerto Rice 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 pncluding basement, crewlspace, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) Is _._ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 8-9 with permanent flood openings provided In Section A Items 8 and/or 9 (seepages 8-9 of Instructions), the next higher floor (elevation 02.b In the diagrams) of the building Is [Ifeet [I motors [Iabove 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 certiN this information In Section G. F. PROPERTY OWNER 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 SFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to gra best of my knowledge. or Signature Comments Representative's Name G - and G of this Elevation Certificate.' Complete the applicable Item(s) and sign below. Check 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 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 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 G8. Date Certificate Of Complianoe/Occupancy Issued . 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 ❑ meters (PR) Datum G10. Community's design flood elevation _ _ []feet ❑ meters(PR) Datum _ Local Official's Name This Community Name Telephone FEMA Form 81-31, Mar 09 Replaces all +Y n . r 1 ' iL Al � Y' .. • �! Z � f ri lift 1� Il YV � �rb M�Nn!'r yy W'riY 00 I�u'a "k cxee Ivc��em �.`i is i�+'- 1 '� }K ��- Aa - +✓'�/-�. .. _k Building Photographs Continuation Page .For Insurance Company Use: uliding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 1 N. Wilder Road City State ZIP Code Company MAIC Number Halo HI 96720 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View," • 0 West side of the house (water heater and slab behind stairs)