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Home My WebLink About7-5-018:076Our w Pro)# 16379.3'- .U.S. DEPARTMENT OF HOMELAND SECURITY , , .ELEVATION 'CERTIFICATE OMB N0. 1860.0008 FEDERAL EMERGENCY MANAGEMENT AGENCY - Expiretl0n Date; July 31, 2015 - - Inatruodons on pages 1-9.. ` Natlooal Flood lawhmxr Pr°gmx IMPORTANT: Fallow the , .. SECTION A PROPERTYINFORMATION- FOR INSURANCE COMPANY USE Al; Building owner's Name Jeffrey and Melinda Keane'(Orlglnal;Structure AND Addition) PokcYNumb°` .. . A2... Bulldl 5916 0118'ri(VB lading Apt., Unit, Suite, and/or Bldg. No.) or P.O._ Route. and Box No. company NAIC Number., City K81IuaKona State HI ZIP Code 96740 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot C-1 c. TMK: 3/7-6-018: 076 " A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential AS. Latltude/Longitude: Lat. W 19 697gt Long. W 166 Q8797 Horizontal Datum: ❑ HAD 1927 (M HAD 1983 A6. Attach at least 2 photograph* of the building If the Certificate Is being used to obtain flood. insurance, A7. Building Diagram Number F A8. For a building with a crewtspace or enclosure(s): - - A9. For a -building with an attached garage: a) Square footage of crawlspece or enclosure(*) n!a soft a) Square footage of attached garage Na sq ft b) No, of permanent Hoed openings In the crawlapace or`fig b) Number of ermanem flood open)ng9 in the attached garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade Ni c) Total net area of flood openings In AS.b n/a act In, c) Total net alae of flood openings In A9.b nla sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFP Cc muni Name & Community Number HAWA)rdy_f{ama UNTY, WAN, 84, Map/Psnel Number 55. Suffix B6. FIRM Index Date 107. FIRM Panel Effective/ B8.. Rood Zonate) 89. Base Rood Elevations) (Zone Revised Date- AE *see A0, use base flood depth) 1 166166 0713 D 0410212004. 05/16/1994 comments 10.0 *see comments 810.Indlcate the source of the Base flood Devotion (BF'E) data or base flood depth entered In Item S9: ❑ RS Profile Co FIRM []Community Determined ❑ OtheflSource: Oil. Indicate elevation datum used for SFE In Item 89: ® NGVO 1929 ❑ NAVO 1988 ❑ Other/Source: IWAs the building located Ina Coastal Beeler Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date: _ / —/ — ❑ CBRS , ❑ ORA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction- N Finished Construction *A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations - Zones Ai -A30, AE, AH, A (with BFE), VE, V1430, V (with 8FE), All, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.s-h below according to the building diagram specified In Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: USGS SM Kallua Plat Vertical Datum: Mean Sea Level Indicate elevation datum used for the elevations In Items a) through h) below. ❑ NGVD 1829 ❑ NAVD 1988 N Other/Source: Locai Tidal Doll m Datum used to building elevations must be the same as that used for the SFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) I1 . 9 ®feet ❑ meters b) Top of the next higher floor - 12 .4 - ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) n/a . N feet ❑ meters d) Attached garage (top of slab) n a . ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 9 . 8 N feet ❑ meters (Describe We of equipment and location In Comments) - f) Lowest adjacent (finished) grade next to building (LAG) — 8 . 2 N feet ❑ meters g) Highest adjacent(flnlshed) grade next to building (HAG) 9. 7 Nfeet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs, Including _6_ . 3 N feet ❑ meters structural support - SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certiflcatlon 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 CertMoate represents my best efforts to Interpret the data available, T• h( I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section I00I. ® Check here If comments are provided on back of form. Were latitude end longitude In Section A provided by a -\� S ® Check here If attachments. licensed land surveyor/? N Yea ❑ No a' LICENSED S __.�, ..nuL. 086033 (7/12) U See reverse aide for continuation. W Replaces all previous editions. 1 ELEVATION CERTIFICATE, page 2 .IMPORTANT: In these spaces, copythe coneoponding Informstlon from Section A. , • " FOR INSURANCE COMPANY USE Bulltling Street Address (Including Apt.; Unit, Suite, end/or Bldg.: No.) or P.O. Route and Box No. Pofiry Nwnber: 75-5918 A!1! Drive City State ZIP Code Compere NAIL Number Kallua Kona HI 96740 '. SECTION D SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) ` Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/compare, and (3) building owner_. Comments Original structure built circa 1982, Addition has Ibsen completed. Ilam Be and B9 were provided by Hawaii County Flood ' Item C2 a) is elevation of addition; Item C2 b) Is elevation of the original lowest level of main house. 2nd story of original structure Is at 20.8 feet.` Item 02 e) Lowest Electrloal,ls Air Conditioning Unit Pad on East aide of existing house. Item C2 h) The stairs are attached to the original structure. Signature Date 03/0512014 SECTION - BUILDING ELEVATI IN ATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT GFE) For Zones AO and A (without SFE); complete Ite . 1-E5. If the Certificate Is intended to support a LOW or LOMR-F request, complete Sections A, B,and C. For Items El-E4; use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. Ei. Provide elevation Information for the following and check the appropriate boxes toshow 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, crawlspece, or enclosure) is Meet 'Q meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, orrMspace, or enclosure) Is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provldedln Section A Items 8 antl/or9 (see pages 8-9 of Instructions), the next higher Moor (elevation C2.D In the diagrams) of the building Is ❑ feet ❑ meters, ❑ above or ❑ below the HAG: E3. Attached garage (top of slab) Is ❑ fest ❑ meters ❑ above or ❑ below the HAG. FA: Top of platform of machinery and/or equipment servicing the bufrding is _ . ❑feet Q 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 communhya 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 ar ovner5 authorized representative who, completes Secants A, 8, and E for Zane A (without a FEMMssued orcammurrlb4ssued SM at Zone AO most sign here. The statements In Sections A. B, and E are correct to the beat of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here If attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the comm nWa floodplain management ordinance can complete Sections A, S. C (o E), and G of this Elevation Certificate. Complete the applicable items) and sign below. Check the measurement used In Items G8-G30. In Puerto Rico o* enter meters. 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 FEMAaseued or oonmunkylssued SFE) or Zone AD. G3. ❑ The following Information (Items G4-G9) is provided for community floodplain management purposes. Of. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-bullt lowest floor (Including basement) of the building: _ . _ ❑ feet ❑ meters Datum G9. SFE or (In Zone AO) depth of flooding at the building she: _ . ❑feet ❑ meters Datum G10. Community's deslgrl$te odeIavatlonart:mPnt of aublis �.� ❑feet ❑meters Datum UeoWeTIFa Local Offletal's Name f-erni.s.�..-„ �;. ._._ Title Community Name the Elevaticn Certificate and Telephone Date final approval By (1�K��11�t/[p '"'— �'"� ❑ Chock here If attachments. FEMA Form 088033 Q/tgate Replaces all previous editions. - _MAR 1