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HomeMy WebLinkAbout6-9-006:027William P. Kenai Mayor Walter K. M. Lau Managing Director tau, g of �ttf>Ytti`i DEPARTMENT OF PUBLIC WORKS Aupuni Center 101 Pauahi Street, Suite 7 • Hilo, Hawaii 96720-4224 (808)961-8321• Fax(808)961-8630 www.co.hawaff.hf.us MEMO OF REVIEW FOR CORRECTNESS AND COMPLETION Warren H. W. Lee Director Brandon A. K. Gonzalez Depury 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. fN ,9, SEC770N A - PROPERTY INFORMATION 1 For Insurance Comoanv Use: Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. PFA4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) — A5. Latltude/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 Al. A _ 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) INFORMA77ON Bt. NFIP Community Name & Community Number B2. County Name 83. State 84. Map/Panel Number B5. Suffix B8. FIRM Index 87. FIRM Panel B8. Flood B9. Base Flood Elevabon(s) (Zone Date Effective/Revised Date Zone(s) AO, usr e base flood depth) `.Q B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in hem 89. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) _ 811. 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)7 ❑Yea ❑No Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) I C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when constmction of the building is complete. C2. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, 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 Conversion/Comments County of HawaPi is an Equal Opportunity Provider and Employer. COMMENTS: Date of Review: 9/2a-//3 Community Official: C t-)L 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. U.S. DEPARTMENT OF HOMELAND SECURITY redefal Emerg6ncy Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. A - PROPERTY INFORMATION Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. OMBNo. 1660-0008 Expires March 31, 2012 or Insurance Company Use: oltcy'Number ompany NAIC Number . City State ZIP Code Kamuela Hawaii 96743 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) T.M.K. 3-6-9-006-027 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential AS. Latitude/Longitude: Lat. 1-9-.-945446 19.57.524,Long. -379rn ASA SF, Horizontal Datum: [-]NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certl icate is being use too Wirt food insurance. AT Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: NO Garage a) Square footage of crawlspace or enclosure(s) sqft a) Square footage of attached garage 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 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 A9.1b 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 B2. County Name B3. State Hawaii count - 155166 Hawaii County I Hawaii 84. Map/Panel Number B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood Bg. Base Flood Elevation(s) (Zone Date Effeelive/Revised Date Zone(s) AO, use base flood depth) 155166 0278C C 4-2-2004 9-16-1988 VE 6 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) 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 Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-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 RM 34 Vertical Datum NGVD 1929 Elev.=9.49' Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 108 ® feet ® meters (Puerto Rico only) b) Top of the next higher floor NA feet meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) 9 .2 ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NA _❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 10 feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) j f) Lowest adjacent (finished) grade next to building (LAG) 6_._4__[Z feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 7.B - X❑ feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7 .0 &eet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATIO This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevatip information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be 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 LPLS 7276 r is i"", r";- 1. „ '' "ei OF slue ii!(Ad", 10- /p. Fi fF�o o LICENSED �S Ct PROFESSIONAL LAND # SURVEYOR # No. 7276 Fc-pr.ce: t.,preVrt.ub ec, IMPORTANT: In these spaces, copy the corresponding Information from Section A. B'Lilding Street -Address (including Apt., Unit, Suite, and/or Bldq. No.) or P.O. Route and Box No. r Insurance�Qompany Use: dicy. Number City State ZIP Code I Company NAIC Number I Kamuela Hawaii 96743 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) _y both sides of this Elevation Certificate for (1) community official, (2) Insurance agenUcompany, and (3) building owner. overhead cable utilitv on oolea- Signature ; 3-3-2010 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, antic. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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 Boor (Including basement, crawlspace, or enclosure) is []feet ❑meters ❑above or ❑below the HAG. b) Top of bottom Boor (Including basement, crawlspace, or enclosure) Is Deet [:]meters❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in SectigILA Items 8n /or 9 (see p4es 8-9 of Instructions), the next higher Boor (elevation C2.b in the diagrams) of the building is _ [—]feet LJ meters n above 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 _ ❑ feel ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is avallable, is the top of the bottom Boor elevated In accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION 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 aro correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name state Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items GB 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 A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occuoancv Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement I 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 el�atleonpaRQrtment Of FU5(IC E] feet ❑ meters (PR) Datum KS17 Local Official's Name Community Name does n,,Ii rz.,:omnlr It ,';'i Date ecce all pf_lou_, Building Photographs See Instructions for Item A6. ilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 69-1885 Puako Beach Drive City State ZIP Code ny"CNwtm Kamuela Hawaii 96743 Q a 1 . 1.. 12Ct t t id Gl�HYi*�I� k Aiew taken from Makai side of property looking Mauka showing front and left sides of residence View of rear of residence.