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Home My WebLink About2-1-014:005U.S. DEPARTMENT OF HOMELAND SECURITY Federol Emergency Management Agency National Flood Insurance Program Building Street Address Kalanianaole Ave. City Hilo State HI TMK: (3) 2-1-014: ELEVATION CERTIFICATE Important: Read the Instructions on pages 1-9. SECTION A - Suite, and/or Bldg. No.) or P.O. Route and Box No. OMB No. 1880-0008 Expires March 31, 2012 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) 3 -Story ResloentiegCondo Buldinc B fUnft 3) A6. Latitude/Longitude: Let 1&44-0e Long. 165.02-23 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at least 2 photographs of the building If the Certificate is being used to obtain food Insurance. A7. Building Diagram Number fl A8. For a building with a crawispace or enclosure(e): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 92.0 sq It a) Square footage of attached garage eq ft b) No. of permanent flood openings In the orawlapece or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade5,� within 1.0 foot above adjacent grade _ c) Total net area of flood openings In A8.b Z¢¢ sq In,, I rg " 1 c) Total net area of flood openings In A9.b _ d) Engineered flood openings? ® Yes [I No d) Engineered flood openings? C] Yes [3 No In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name 8 Community Number B2. County Name B3. State Hawall County 166166 County of Hawaii Hawail B4. Map(Panel Number B6. Suffix B8. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone 1551660886 C I Date L Effective/Revised Date Zone(s) AO, use base flood depth) ApN12, 2004 Sept. 18, 1989 AE 14.0 o rv. rralcam the source or me base Flood aevallon (BFE) data or base flood depth entered in Item B9. ❑. FIS Profile I@ FIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE In Item 89: ® NGVD 1929 ❑ NAVD 19118 ❑ Other (Describe) B12. Is the building located Ina 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 At -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, ARAt-A30, ARAH, ARAO. Complete Items C2.a-h below according to the building diagram specified In Item A7. Use the same datum as the BFE. Benchmark Utilized POI A-1 Vertical Datum 5.60 Conversion/Comments P.K. Nall at Comer of Machida Lnand Onekahakaha Rd "provided by County Surveyor Check the measurement used. a) Top of bottom floor (Including basement, crawlspace, or enclosure floor) &Q ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor ?1.2 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) _JUL._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 9.9 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 91.0 ® feet ❑ meters (Puerto Rloo only) (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 2.¢ ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 9.2 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade a; lowest elevation of deck or stairs, including Q.§ ® feet [3 motors (Puerto Rico only) _ structural au r SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION r ns cnrtmunon w to De srgnec and 668160 Dy a rand surveyor, engineer, or architect authorized by law to certify elet Information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe 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 Seaton A provided by a licensed land surveyor? ❑ Yes ® No Cartifier's Name Yen Wen Fang License Number 9361-C 81-31, Mar 09 U reverse side for `EUR 1g " P U� Replaces all previous editions In these spaces, copy the corresponding Information from Section 1331 Kelanlanaole Ave.il1K.- 7.- 1 - Hllo State HI ZIP Code 98720 SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION (CONTINUEO► Wpy both aloes of this Elevation Certificate for (1) community official, (2) Insurance agent(oompany, and (3) building owner. wrnnrenmr nm cie nclosvason a.enmcare rs Tor ouaemg n tuna a). 1 nere are tive other buildings planned on this property. There are two enclosures: a 4'x4' trash enclosure underneath the stair landing (to be constructed) and a 8'x8' lift shaft In the carport area. Two openings ere provided for each enclosure at separate walls. Each opening Is 4'0=32 sq. In. Allk— SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT SFE) For Zones AO and A (without SFE), complete hems Et -E8. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, S. and C. For Items Et -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Et. 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, crawlepace, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 8.9 with permanent flood openings provided in Section A Items 8 andlor 9 (seeRages 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 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: N no flood depth number Is available, Is the lop of the bottom floor elevated In accordance with the oommunily's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this IMornaton In Section G. 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 BRE) or Zone AO must sign here. The statements In Sections A, B, and E are cormot to fits beat of my knowledge. Property Owner's or Owneea Authorized Representative's Name Comments City r-1 Check here 9 attachments SECTION G - COMMUNITY INFORMATION (OPTIONALI m w m auu,vncw vy mw v, vramanve to aummister me communrtys tlOoeplam managemem oromance Can Complete Sections A, B, C (or E), and 0 of thie Elevation Certificate. Complete the applicable hem(s) and sign below. Check the measurement used In Items GB and G9. GI. ❑ 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.) 02. ❑ A community official completed Section E for a building located In Zone A (without a FEMA -Issued or community -Issued SFE) or Zone AO. 03. ❑ The following Information (Items G4-1219) Is provided for community floodplain management purposes. Date Permit Issued I G8. Date Certificate Of G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement O8. Elevation of as-buih lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (In Zone AO) depth of flooduy�,g at a building site: feet meters (PR) Datum GIO. Community's design flood elevation'le `W13C]epartment of Fublit Works [3 feet [3 meters (PR) Datum Local Official's Name the Elovetion Csrfificate and TRIO w-. Name orgnature final wp t. j - Date or rents By__. ❑ Check here it attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Ave. Hilo State Hi LIF' Looe 88720 Building Photographs See Instructions for Item A6. Bldg. No.) or P.O. Route �- 2-k ^oIJr :00z If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the Instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View' and "left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. •