HomeMy WebLinkAbout2-5-005:129• Wi1Bam P. Kenai
Mayor
Walter K. M. Lau
Managing Director
Guufg of �Ifut�i`i
DEPARTMENT OF PUBLIC WORKS
Aupuoi Center
101 Pauahi Street, Suite 7 • Hilo, Hawaii 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.
21
Name
-'c -Dos:
SECTION A - PROPERTY INFORMATION 1 For Insurance Company Use: I
and/or Bldg. No.) or P.O. Route and Box
I!14. Building Use (e.g., Residential, Non-Residential,'Addition, Accessory, etc.) _
A5. Latitude/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 enclosurs(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
'T4
tNFIP Community Name & Community Number B2. County Name B3. State
14 11
B4. Map/Panel Number
B5. Suffix
B5. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevabon(s) (Zone
Date
Effective/Revised Date
Zones)
AO, use base flood depth)
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) _
811. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
812. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑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, V1430, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g
•below according to the building diagram specified in Item AT
Benchmark Utilized _ Vertical Datum
ConversionlComments
County of Hawaii is an Equal Opportunity Provider and Employer.
COMMENTS:
B rn i ri-OOYL 6C P1 B61-014) BI
Date of Review: /203 Community Official: CL-n--
All elevation certificates shall be maintained by the community and copies with the attached memo made available upon request.
County of Hawaii is an Equal Opponunity Provider and Employer.
U.S. DEPARTMENT OF HOMELAND SECURITY
k Federal Emergency Management Agency
National Flood Insurance Program
• Al. Building Owners Name
&
Randall M. & De nice H. S
•
ELEVATION CERTIFICATE
Important: Read the Instructions on pages 1-9.
Suite, and/or Bldg. No.) or
OMB No. 1660-0008
Expires March 31, 2012
Tax Man Key: 3rd Div. 2-5-05: 129
A4. Building Use (e.g., Residential, Non -Residential, AddMon, Accessory, etc.) Residential i
�
A8. Lsdtude/Longitude: Let. 19.6861 Long. 155.1399. Horizontal. Datum_: NAD 1927. J„z❑ NAD 1983
A8. Attach at least 2 photographs of the building If the Certificate Is being used to obtain flood Insurance. '
A7. Building Diagram Number5
A8. For a building with a crewlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlapeoe, or enciosure(s) N/A aq it e) Square footage of attached garage N/A. eq 1t
b) No. of permanent flood openings In the crawlspace or b) No. of permanent flood openings In the site 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 AB.b -YLA_ sq In c) Total net area of flood openings In A9.b N eq In
d) Engineered flood openings? - ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ff No .
IIZf-1IIJ-1Z[01�
81. NFIP Community Name & Community Number B2. County Name B3. Stets
155166 Hawaii Hawaii
B4. MaplPanel Number
B5. Suffix
Be. FIRM Index
B7. FIRM Panel
B8. Flood
s9. Base Flood Elevetion(a) (Zone
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
_ Date
104ZO2/200412Z17/2009AE.1.110.0-
Effective/Revised Date
Zone(s) -
AO, use base flood depth)
B
D
Check the measurement used.
a) Top of bottom floor pncluding basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
1 105. 13 feet
N A
B1 u. 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 SFE in Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located Ina Coastal Barter Resources System (CBRS) area or Otherwise Protected Area (DPA)? ❑ Yes �`i] No
Designation Date ❑ CBRS ❑ OPA
C1. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Constnmdion•
®.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, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete hems C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
BenchmarkLMI[zed VSGS BM "1123" re -set 1971
VerUcelDatum
NGVD 1929
Conversion/Comments N/A
Check the measurement used.
a) Top of bottom floor pncluding basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
1 105. 13 feet
N A
metemgpuerto Rico only)
,_ feet
meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only)
N /A _❑ feet
❑ meleB (Puerto Rice only)
d) Attached garage (top of slab)
N A _❑ feel
❑ meters (Puerto Rice only)
e) Lowest elevation of machinery or equipment servicing the building
1 . 101 . _Q.5E feel
❑ meters (Puerto Rico only)
. (Describe type of equipment and location In Comments)
0 Lowest adjacent (finished) grade next to building (LAG)
1,101 . 55p feet
❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG)
1,102 , 58❑x feet
❑ meters (Puerto Rice only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
1,102 . 4 5❑x feet
❑meters (Puerto Rico only) .
c ms cerunceson is to oe signeo ano seareo Dy a rano surveyor, engineer, or architect authorized by law to certify elevatli
Information. I certify that the Information on this CertNkate represents my best efforts to Interpret the data available.
I understand that any false statement maybe punishable by fine orlmprlsonment under 18 U.S. Code, Section 1001.
❑x Check here if comments are provided on back of form. Were latitude and longitude in Section A Rrovided by a
licensed land surveyor? ®Yes U No
President. P.E.
FEMA Form
Inc.
935-6827
reverse side for continuation.
T. �M
usl:r�,�ED
� PROF�{S�tONAL
ENGINEER
NO. 5105-C
Replaces all previous editions
or
HI'
IGIXI7-0ii:1-11I
IWCopy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner.
* Comments
Attached are: 1) Flood elevation survey map by Imata & Associates, Inc.(8.5" x 1111)
Reaardina -scrim C2.e: Water heater located in washroom in carport.
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without SFE), complete Items E1 -E8. 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, If available. Check the measurement used. In Puerto Rtoo only, enter meters.
E1. 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, crawlepace, or enclosure) Is_ _ ❑feat ❑meters ❑above or ❑belowthe 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 SectlomA Items 8 eEWor 9 (see 2Wes 8.9 of Instructions), the next Ngher floor
(elevation C2.b In the diagrams) of the building Is'' .. _ ❑ feet LJ meters L_J above 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 angor equipment servicing the building Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E8. Zone AO on If no flood depth number Is available, Is the top of the bottom floor elevated In accordance with the communtys floodplain management
ordineihce7 Yes ❑ No ❑ Unknown. The local offical must certify, this Information in Section G.
The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community-lesued SFE)
or Zone AO must sign here. The statements In Sections A, 8, and E are correct to the best of my knowledge.
or owners
71
❑ Check here If ateehmerris
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
and G of this Elevation Certflcate. Complete the applicable Item(s) and sign below. Check the measurement used In Items
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 low to certify elevation Information. (Indicate. the source and date of the elevation date In the Comments area below.)
G2. ❑ A community official completed Section E for a building located In Zone A (without a FEMA -Issued or communty-Issued BFE) or Zone AO.
G3. ❑ The following Information (Items G4 -G9) is provided for community floodplain management purposes.
G4. Permit Number I G8. Date Permit Issued I G8. Date Certificate Of Compliancel0mupancy Issued
07. This permit hes been Issued kr. ❑ New Construction ❑ Subsmntal Improvement
G8. Elevation of as -built lowest floor (Iricuding basement) of the building ❑ feet ❑ meters (PR) Datum
G9. BFE or On Zone AO) depth of flooding at the building site ❑ feel ❑ meters (PR) Datum
G10. CommuMty's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name Title
Community Name - Telephone
Signature Date
Comments
❑ Check here If attachments
FEMA Forth 8131, Mar 09 Replaces all previous editions
.A