HomeMy WebLinkAbout6-9-004:002• wiNamP. Kenos
Mayor
Walter K. M. Lou
Managing Director
ft�aunf�r a�t�rtti`i
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.hawait.hims
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.
SECT70NA-PROPERTY/NFORMATION For Insurance" Company. Use:':,
Al. Building Owner's Name pctmy Number
A2. Building Street Address'Induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company MAIC Number
P < Cove
11 amlL4Q A St ZIP
g b X43
Property Description (Lot and Block umbers, Tax Parcel Number, Legal Description, etc.)
nam VZ 0) to - 9 - 00 1} . t) h2
'A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
A5. Latitude/Longitude: Let. _ 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 _
AS. 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 garagesq ft
No. of permanent flood openings In the crawl space or b) No. of pennanem Ilood openings In the attached garage
enclosure(s)walls within 1.0 toot above adjacent grade walls within 1.0 foot above adjacent grade
c) Totaltalnetnet area
a of Flood openings in AB.b _ sq In c) Total net area of Flood openings in A9.b sq In
SEC770N B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bt. NFIP Community Name & Community Number B2. County Name B3. State
84. Map/Panel Number
B5. Suffix
B6. FIRM Index
87. FIRM PanesB6.
Flood
B9. Base Flood Elevaffon(s) (Zone
Dale
Effective/Revised Date
Zone(s)
AO, use base flood depth)
b.0
o 1 v. i wrote the source or the Base rr000 Elevation tui•t) 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 89: ❑ NOVD 1929 ❑ NAVD 1996 ❑ Other (Describe) _
812. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑Yea ONO
Designation Date _ ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. 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, VI -V30, V (with BFE), AR, AR/A, AR/AE, AR/AI-A30, AR/AH, AR/AO. Complete Items C2.8 -g
below according to the building diagram specified in Item AT
•Benchmark Utilized _ Vertical Datum
Conversion/Comments
County M Hawaii is an Bqual Opportunity Provider and Employer.
COMMENTS:
•
Date of Review: 1/2 5/J Community Official: _ C�-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 Opportunity Provider and Employer.
Out Prop •17537.
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
A2.
Kamuela
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
state
OMB No. 1880-0008
Expires March 31, 2012
A4. Building Use (e.g., Residential, Non-Reeldemlel Addition, Accessory, etc.)"W""p1LMI
A3. Latitude/Longitude: Let, N 19 58 03.38 91 Long. W 5 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.
A7. Buitding Diagram Number 6_
A8. For a building with a crawiepace or enclosure(s): A9. For a building with an attached garage:
ey Square footage of crewlepece or enclosures) n a eq fl a) Square footage of attached garage 918 aq R
b) No. of permanent flood openings in the crewlspace or b) No. of permanent flood openings In the attached gara�
rae
enclosures) within 1.0 loot above adjacent grade within 1.0 fool above adjacent grade
c) Total net area of flood openings In A8.b sq In c) Total net aof flood openings in A9,b n7a eq in
d) Engineered flood openings? [JYes LJNo d) Engineered flood openings? []Yes No
SECTION S - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Communlly Name 8 Community Number B2. l:ounty Name B3. State
HAWAII 155166 Hawaii Count State of Hawaii
B4. Map/Panel Number
as. Suffix
Be. FIRM
FIRM Panel
B% Flood
B9. BaseBaFl Flood eev llodn(es)(Zone
eIndex
Elle87.
ctivelRevlead Dete
155166 0277
C
04/02/2004
09/16/1988
AE / VE
8
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. Indleate elevetion datum used for BFE In Ilem 89: ❑✓ NGVD 1929 []NAVE) 1988 []Other (Describe)
. 812. Is the building located Ina Coastal Barrier Resources System (CM) srea or Othenslee Protected Area (OPA)7 ❑ Yes ❑✓ No
Designation Date "CBRS ❑OPA
Cl. Building elevations are based on: ,Construction Drawings' ❑ Building Under Construction* Q Finished Construction
•A new Elevation Certificate will be required when constnx0on of the building Is complete.
C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH„ARIAO. Complete Items C2.0 -h
below according to the building diagram specified In Item Al. Use the same datum as the BFE.
Benchmark Utilized Pt 'a Statinn w/ MSI Elav VeAcal Datum (NGVD 1929)
ConvenlonlComments Nont3
Check the measurement used.
e) Top of bottom floor (Including basement, crawlepace, or enclosure floor) 5.4�2�IP��1i feet 8 meters (Puerto Rico only)
b) Top of the next higher floor 10.red feet meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) 9.61-1 �0� feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slob) 5.42 feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 10.64 M foot ❑ meters (Puerto Ria only)
(Describe type of equipment and location In Comments)
0 Lowest adjacent (finished) grade next to building (LAO) 3.66 feet r��+ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 5.02 feet IJ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 4.66 feet ®meters (Puerto Rla only)
structural su000rt
SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification Is to be signed and sealed by a lend surveyor, engineer, or architect suthonzed by law to cerufy elevation
Information. I cerliy that the Information on this CertiOcate repreaenta my beat efforts to Interpret the date available.T.
I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. Yq
Q Check here If comments are provided an back of form. Were latitude and longitude In Section Aprovided by a Qy
licensed lend surveyor? Oyes ❑ No VZ PR
Certlflees Name License Number
Chrystal T. Yamasaki LS -4331 * U OR
en Nema
ntieLicensed Professional Land ru Pie�ior Wes Thomas Associates 4331
Address 75-5749 Kalawa Street cltyKailua-Kona state Hawaii zlpcode96740 41 gWAtI,%3.S.*
FEMA Forth 81 -31 -,Mar 09k / see reverse
Copy both skies of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner.
Garage has a family room above. Only a portion of the structure Is in VE zone, balance of structure is in
Wl-]V-011141
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,
and C. For Items Et -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters.
Et. Provide elevation Infarna0on 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 _ _ ❑Teel ❑mewre❑above orbelow the HAG.
b) Top of bottom floor (Including basement, crowlepace, or enclosure) Is _ _ []W []motors❑above or ®below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings providetup, SocUQCLA Items 8 juror 9 (see ggges 8.9 of Instructions), the next higher floor
(elevation C2.b In the diagrams) of the building Is LJ feet U meters U above or U 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 onl : If no flood depth number is available, Is the top of the bottom floor elevated In accordance with the oommunitys floodplain management
ordinance? Yee ❑ No ❑ Unknown. The local official must certify this Information In Section G.
SECTION F • PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The properly owner or owners authorized representative who completes Section 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 ere correct to the beat of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
Omolal who 18 authorized by law or ordinance to aammistar the oommunitya h00aplaln management oromance Can complete a
this Elevation Certificate. Complete the applicable Item(s) and sign below. Check the measurement used In Items 08 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 arohkecl who
is authorized by law to certify elevation Information. (Indicate the source and data 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-lesued or community-lesued BFE) or Zone A0.
G3. ❑ The following Information (Items 04-G9) Is provided for community floodplain management purposes.
04. Permit Number I G6. Date Permit Issued I G8. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
Ga. Elevation of as -built lowest floor (Including basement) of the building ❑ feet ❑ metere(PR) Datum
G9. SFE or (in Zone AO) depth of flooding at the building site ❑ feet ❑ meters (PR) Datum
G10. Community's design flood a WAlobapartment of Public Ors , — ❑ feet ❑ meters (PR) Datum
LoealOfficial's Name Waoineering Division has reviewed Toe
does hot) recommend
09