HomeMy WebLinkAbout7-2-010:004 Surf Shack - .jNsr os •�,
William P.Kenoi
*ta‘•- .� '!t:- �� r S Warren H.W.Lee
� ,. ,
Mayor - =--yr'_ Director
Walter K.M.Lau ?�Yf "��'
• Brandon A.K.Gonzalez
Managing Director Deputy Director
Count of naiimil
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
7Z — I00 I{PM PIA LE HU Di't•- 4
CityState ZIP Code
R A t'.0 A- Ilo Am� ) °j 04.0
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
(3) )— 2.-010 = O D.4-
.44. 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)
ISS.1ivb Uttr'l%
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
0 FIS Profile 0 FIRM 0 Community Determined 0 Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: 0 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 ❑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:
/Y1 r1-1 Iivae y BOLO j f1
Date of Review: 9/2. c//3 Community Official: '1--r\
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 ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
•_...a --..._. �A i..G Polley Number
A2. Building Street Address pndudlnp Apt., Un6, Suite, an for Bldg. No.) or P.O. Route and Box No
11 I �:i r. t _ _ Company MAIC Number
Ity State f..J___L
t�PVcolde r C Bt -D K Z
imthecra"IsPaosor
h Description (lot antl Blot+ u 's Tax Parcel Number, Legal Desai tion,
1�r SI.Ss� K T�s� d 1� T' Misr el �1 � {L•
ng Use (e.g., Re entlal, Non -R sidential, AdtlPoon, Accessory, etc.)1�
de/LongItude: La Lons�s� Horizontal Datum: ❑NAD 1927 NAD 1983t�
at least 2 photographs of the building i{{the Certlflcete is being used to obtain flood Insurance.
g Diagram Number
building with a crewlspace Or endosure(s): A9. For a building wfth an attached garage:
u� footage t ood op ni or endosure(s) � sq ft a) Square footage of attached garage
Permanent flood openings in the crawlspace or b) No. of permanent flood openings In the attached garage
ft
enclosure(s) within 1.0 foot above adjacent grade within 1 A foot above adjacent grade _
c) Total net area of flood openings In AB.b njj� sq in c) Total net area of flood openings In A9.b sq in
d) Engineered flood openings? ❑ yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
11:1Bt. NFC Community Name 8 Community Number 82. County Name
Hawaii County 155166 B3. State
Hawaii County Hawaii
,naruranei rv�krDer 85. Sutlix 06. FIRM Intlex 87. FIRM Panei B6. Flood
155166 /4� I G I Date B9. Bass Flood Elevadon(s) (Z
E givv�e�RReWsed Date Zones) AO, use base flood depth)
oaro2ngoa y Ilfi/19AAs d 9 C
810 Intlrceto the source of the Base Flood Elevaflon (BFE) date or base flootl depth entered in item 89.
❑ FIS Profile FIRM ❑Community Determined ❑Other (Describe)
611. Indicate elevatlOn datum used for BFE in Item 89: �y NGVD 1929 ❑ NAVD 1986 ❑Other (Describe) _
612. Is the building located in a Coastal Banter Resources System (CBRS) area or Otherwise Protected Area (OPA)T ❑Yes
Designa0on Date ❑ CBRS ❑ OPA No
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 SFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according tOtbat building diagram specified in Item AT Use the same datum as the SFE.
Benchmark UtilizeVemcal Datum gyp (y2q
Conversion/Comments _
S7 I. M--PtCheck the measurement used.
a) Top of bottom floor (including basement, crawispace, or enclosure floor) *
b) Top of the next higher floor � Do feet ❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet El meters (Puerto Rico only)
d) Attached garage (top of slab) ❑feet El meters (Puerto Rico only)
❑ feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building _ �I feet 11 meters (Puerto Rico only)
(Describe type of equipment and location in Comments) /1
0 Lowest adjacent (finished) grade next to building (LAG) �,�_ feet ❑meters (Puerto Rico only)
9) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N feet 11 meters (Puerto Rico only)
structural support —rO+vQ_ I{ feet ❑ 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 architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the date available.l
understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 L [�
Check here It comments are provided on back of form, Were latitude and longitude in Section A provided by a FbhhS404)
licensed land surveyor? ❑ Yes 14 NoCertifler's Name% I 1A.�L� License NumDe 1 n-�hryCompany Name /11� 9�/�.ARCHII
OXM20I C'ry%uwrk ,.�. �. state ... zl cH e _ - I
Foran 81T1, Mar 09 See reverse side for continuation. Replaces a6
/Slo or-.y� rte / Gi✓r %o/.n3 lQer.M. f
from Section A.
Copy both sides of this Elevation Certificate for )eorr(1) community official, (2) Insurance agent/company, and (3) building owner.
fir,
Comments e (��� Ar JF;U%c
ror cones AG and A (without BFE), complete Items E1 -E5. If the CertiflCale 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. Check the measurement used. In Puerto Rico 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, crawlspaoe, or enclosure) Is ❑ feet ❑ meters
b) Top of bottom floor (including basement, crawlspace, or enclosurefeet ❑stars E3the is ❑ above or ❑ below Me NAG.
above or ❑ below LAO,
F2. For Building Dlagreme 8-9 wait permanent flood openings provided in Section A Items 6 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building Is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of stab) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top ofplatform of machinery and/or equipment servicing the building is _._ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AG 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 cewly 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, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
city
complete
and G of this Elevation Certificate. Complete the applicable item(s).and sign below Checkpiain e
the measurement u managementld In Ite snG8 and Ga. Sections A, B. C (or E),
G1. ❑ The information in Section C was taken from other documentation that has been signed and mated 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.
G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as-buik lowest floor onduding basement) of the building:_-_ ❑ feet ❑ meters (PR) Datum.
Ga. BFE or (in Zone Ac) depth of flooding at the building site: _
G10. Community's design flood _ El feet meters (PR) Datum
"Wd'Deportment of Public V"-1 ❑ fent ❑ meters (PR) Datum
Local Official's Nanta IvlS Gn CS revlewe Title
Name
recommend
81-31, Mar 09
mi'
Replaces all previous editions