The URL can be used to link to this page

Home My WebLink About2-4-079:014ti r U.S. DEPARTkMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-000a Fedeialt-mUgency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION for Insurance Company Use: Al. Building Owner's Name AKAHAI, LLC alNumberBuildingStreet Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ampsny.NAIC Number 8 OMA'OMA'O PLACE City HILO State HI ZIP Code 96720 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 5-13, KAWAILANI GROVE_ SUBDIVISION, TAX MAP KEY (3) 2-4-079:014 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTL4L A5. Latitude/Longitude: Lat. 1931-01 N Long. 155-06-06 W Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 AS. Attach atleast t2 -photographs of the building itthe Certificate Is being used to obtain flood Insurance. AT Building Diagram Number 5 A8. For a building with a crawispace or enclosure(s): A8. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) _ sq ft a) Square footage of attached garage 11a aq 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.b eq In d) Engineered flood openings? ❑ Yes [INo d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number 82. County Name B3. State HAWAII COUNTY 155166 1 HAWAII COUNTY I HAWAII B4. Map/Panel Number 55. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood ElevaBon(s) (Zone 155168 890-0 Data I Effective/Revised Date Zone(s) AO, use base flood depth) g) Highest adjacent (finished) grade next to building (HAG) 462 .9 2 -APR -04 16 -SEP -09 AH 459 uu-ic 41- avvroe or the Base Flood elevation (art) date or base flood depth entered in Item B9. ❑ FIS Profile E FIRM ❑ Community Determined ❑ Other (Describe) _ Bt 1. Indicate elevation datum used for BFE in hem 88: ® NGVD 1929 ❑ NAVD 1988 ❑ Ogler (Describe) B12. Is the building located in a Coastal Bartter Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No Designation Date _ ❑ CBRS ❑ OPA SECTION C - 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, V1 -V30, V (with BFE), AR, AR/A, ARIAE, 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 SFE. Benchmark Utilized P I MON Q OMAOMAO PL Vertical Datum _ ConverslonlComments a) Top of bottom floor (including basement, crawlspaoe, or enclosure floor) 463 b) Top of the next higher floor 466 .5 c) Bottom of the lowest horizontal structural member (V Zones only) All& -.— d) Attached garage (top of slab) x¢5_.9 e) Lowest elevation of machinery or equipment servicing the building 464_.2_ (Describe type of equipment and location in Comments) E feet f) Lowest adjacent (finished) grade next to building (LAG) 454 .}-_ g) Highest adjacent (finished) grade next to building (HAG) 462 .9 h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 454 .g_ Check the measurement used. E feet ❑ meters (Puerto Rico only) E feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) E feet ❑ meters (Puerto Rico only) E feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) E feet ❑ meters (Puerto Rloo only) ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION i nis certmcation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to cartifv alovatlan In these 1308 OMA'OMA'O PLACE City HILO State HI ZIP Code F,10 or GT: Section M both sides of this Elevation Certificate for (1) community official, (2) Insurance agendcompany, and (3) building owner. LOCATED IN THE GARAGE. NOT 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, and C. For Items Et -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 floor (including basement, crawlspace, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawispace, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6.9 with permanent flood openings provided In Section A Items 8 andfor 9 (see 8-9 of Inslructlone), Me next Ngher floor (elevation C2.b In the diagrams) of the building is ._ ❑feet ❑maters ❑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 _._ ❑ feet ❑ 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 community's floodplain management ordinance? ❑ Yea ❑ 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 are correct to the beat of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Alik lure Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) 'he 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), ind G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in items G8 and G9. 31. ❑ 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.) 32. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. i3. ❑ The following Information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit issued G8. Data Certificate Of CompllencalOccupancy Issued i7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement 18. Elevation of as -bulk lowest floor (including basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum _ 19. BFE or (In Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum 110. Community's design flood.e eva' n ❑ feet ❑ meters (PR) Datum : to lbepartment of Public Woresc-- — Local Official's Name ng'"Oering IVISIon bus reV(ewo Title Community Name Signature Comments • ❑ Check here 0 attachments EMA Form 81-31, Mar 09 Replaces all previous editions