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Home My WebLink About2-1-021:042. `-`M,M=NrVrHVMELANUSECURITY f=LcVAI'IVNCERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Exoires February 28. 2009 National Fldod Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use Al Building Owner's Name TJ. 8 ELL SPRINTZ/DHHt City HI ZIP Code 96720 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ACCESSORY A5. Latitude/Longitude: Let. N19 43.871Long. W155 2.721' Horizontal Datum: ❑ NAD 1927 ® 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) JN sq ft e) Square footage of attached garage s ft b) No. of permanent flood openings In the crawl space or — b) No. ot q enclosure(s) walla within 1.0 foot above adjacent rade Permanent flood openings In the attached garage c) Total net area of flood openings In A8.b ) 9 BQg sq In 0(�X c) Total it area of Hood owithin 1.0 foot penings adjacent grade _ sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION .. _..uuq ,'amc B3. State -- HAWAII COUNTY 155166 HAWAII COUNTY HAWAII M. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel Be. Flood B9. Base Flood Elevatir Date Effective/Revised Date. Zone(s) AO, use base flood 155186 -885 C 4/02/04 9.16-68 16 B10. ••.i__.e the source a - the Bass Flood _r evatlon (BFE) data or base flood depth entered In Item 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE In Item Be: ® 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 y❑Yea ®No Designation Date _ ❑ CBRS [IOPA C2. SECTION C - BUILDING Building elevations are based on: jI Construction Drawings -Building Under Construction' ® Finished Construction •A new Elevation Certificate will be required when construction of the building is complets.- Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AD. Complete Items C2.a g below according to the building diagram specified In Item AT Benchmark Utilized USGS Vertical Datum _ Conversion/Comments i nis cemncatlon Is to be signed and sealed by eland surveyor, engineer, or architect authorized by law to certify ele) information. l certify that the irt/ormetion on this Certificate represents my best efforts to interpret the data available. I understand that any /else statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1 o01. ® Check here If comments are provided on back of forth. Certifier's Name RONALD D. NICKEL License Number 8846-C Title CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions Check the.measurement used. e) Top of bottom floor (Including basement, crawl space, or enclosure floor)_ 1Q.Z ® feet ❑ meters (Puerto Rico only) b) c) Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Nom._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NSP._ ❑ feet ❑ meters (Puerto Rico only) a) Lowest elevation of machinery or equipment servicing the building j I6._ ❑ feet ❑ meters (Puerto Rico only) ❑meters (Puerta Rico only) (Describe (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) Highest 9.4 ® feet ❑ meters (Puerto Rico only) g) adjacent (finished) grade (HAG) ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATrnN i nis cemncatlon Is to be signed and sealed by eland surveyor, engineer, or architect authorized by law to certify ele) information. l certify that the irt/ormetion on this Certificate represents my best efforts to interpret the data available. I understand that any /else statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1 o01. ® Check here If comments are provided on back of forth. Certifier's Name RONALD D. NICKEL License Number 8846-C Title CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building, Street Address (including Apt., Una, Sults, end/or Bldg. No.) or P.O. Route antl Box No. Policy Number T.J. & ELLY SPRINTZ/DHHL Cay HILO State HI ZIP Code 98720 Company NAIL Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ICONTINIIcnt isCopy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company. and (3) building owner. Comments THE ELEVATION IS BASED ON A SURVERYER SET ELEVATION IN THE SIDEWALK. THE ELEVATION IS FROM A USGS BM THERE IS NO EQUIPMENT a n auew,monm SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE1 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 E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rioo 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, crawl space, or enclosure) is - feet [I meters E3 above ar [:1 below the HAG. b) Top of bottom floor (including basement, crawl apace, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In Section A Items 8 and/or 9 (ase page 8 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: 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 certify this Information in Section G. OWNER 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 aomec4 to the best of my knowledge. Property Owners or Owner's Authorized Representative's Name City State ZIP SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is= by low or ordinance to administer the community's floodplain management ordinance can complete Sections A, S, C (or E), and G of this Elevatlon Certificate. Complete the applicable aem(a) and sign below. Check the measurement used In Items G8. end 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 low to certify elevation Information. (Indicate the source and date of the elevation date 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. Perms Number - G5. Date Permit G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -bulk lowest floor (including basement) of the building: _ _ _❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of%9i1D@P .kM" Of: Public W-Q[LcS_ ❑ feet ❑ meters (PR) Datum _ Local Official's Name Title she FlPvation Certificate and --.,...._...., Telephone - - recommends Signature_ Date t•� t «lyarnvai Comments , FEMA Form 81-31, February 2006 Replaces all previous editions William P. Kenai is Mayor William T. Takaba Managing Director • County of Hawaii DEPARTMENT OF PUBLIC WORKS Aupuni Center 101 Pauahi Street, Suite 7 • Hilo, Hawaii 967204224 (808) 961.8321 - Fax (808) 961.8630 www.co.hawaii.hi.us Warren H. W. Lee Director SUBJECT: HAWAII COUNTY CODE CHAPTER 27 COMPLIANCE - DETACHED ACCESSORY STRUCTURE WITHIN "A" ZONES Please include this completed, form with your building permit for any proposed detached accessory structure (e.g., residential garages, storage structures) to be located within any Federal Emergency Management Agency, "A" zone (Zone A, AE, AH or AO), Special Flood Hazard Area, or Hawaii County Code "Buffer zones" bordering the "A" zone. Renuirements for a Detached Accessory Structure Located Within "A" Zones Initial each Structure Satisfies the Follows Requirements: Bo Low cost less than $35,000 and small in size less than 600 square feet). Used for parking of vehicles and storage not occupied as a dwelling unit). Structurally is independent of the "Principal Structure" and its foundation. Constructed with an unfinished interior. Constructed so all utilities are elevated above the Base Flood Elevation (BFE). Constructed with flood damage -resistant materials below the BFE, refer to p✓ attached FEMA Technical Bulleting No. 2. Elevation Certificate, certified by a surveyor, engineer or architect2. Located, installed and constructed in compliance with Hawaii County Code Chapter 27, certified' by an architect or structural en ineer.2 Anchored to resist flotation, collapse, or lateral movement under flooding conditions, as certified' by an engineer or architect.2 / Structure will not alter the physical characteristics of flooding or significantly increase the base flood elevation, as certified' by a structural engineer or architect.2 Flood Opening Requirement (allows automatic entry and exit of floodwaters): • Engineered Alternative: Designed and certified' by an engineer or architect2 (if the "Non -engineered" alternative is used, write "N/A" in box.); or, • Non -engineered: A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area. Each opening is to be on different sides of the enclosed area. The bottom of all openings is to be no higher than one foot above grade. Openings may be equipped with screens, louvers, valves, or other coverings or devices provided that they permit the automatic entry and exit of floodwaters (if the "Engineered Alternative" is used, write "N/A" in box.). Last Revised February 13, 2009 Attached all certifications. Engineer, survey, architect must be currently licensed in the State of Hawaii. County of Hawaii is an Equal Opportunity Provider and Employer. Detached Accessory Structure Within "A" Zones Page 2 . By initialing each box above and signing below, I am certifying the information on this Hawaii County Code Chapter 27 Compliance - Detached Accessory Structure Within A" Zones form is true to the best of my knowledge. I understand that any false statement may be punishable by civil fine under Hawaii County Code, Chapter 27, Article 6. • V ' PropelfOwner SI -at n re Date Please provide location information for the proposed detached accessory structure: (3 ) a �l - 0 2/ : o 4,;L - Tax Map Key / -f - 0a.ke,✓ Ave y Street Address (related to Building Permit) Iv q, 4 ?-� City, State, Zip Code (related to Building Permit) 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 February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: FA2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 17 BAKER ST City HILO State HI ZIP Code 95720 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Lathude/Longitude: Lat. N19 43.871' Long, W155 2.721' Horizontal Datum: ❑ NAD 1927 ® NAD 1983 AS. Attach at least 2 photographs of the building dthe Certificate is being used to obtain flood Insurance. AT Building Diagram Number 5 As. 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 enciosure(e) sqft a) Square footage of attached garage sq ft en b) of permanent flood openings in the crawl apace or b) No. of permanent flood openings in the attached garage enclosure(s) wells within foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings In AB.b sq in c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION HAWAII COUNTY 155166' _' HAWAII COUNNTY HAWAII Date Effective/Revised Date Zones) AO, use base flood depth) 155166 -885 C 4/02/04 9-18-88 VE 15 B10. Indicate the source of the Base Flood Elevation (BFE) date or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE in Item 89: ® 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) 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, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized USGS Vertical Datum _ Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ $Q.§ ® 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) 19.4 ® 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®feet ❑ meters (Puerto Rico only) (Describe type of equipment In Comments) 0 Lowest adjacent (finished) grade (LAG) 8.5 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 2.5 Co 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. l 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.,p \ ® Check here if comments are provided on back of form. v Certifiers Name RONALD D. NICKEL License Number 6846-C e CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC AV dress 12-7109 KALAUNU ST Cky PAHOA State HI ZIP Code 96778 `� Signature Dates Zy O® Telephone 808-965.9911 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all nrevinim ertitionc IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: ounamg scree[ Mooress pncwamg Apt., unit, buae, and/or Bldg. No.) or P.O. Route and Box No.I Policy Number T.J. & ELLY SPRINTZ/DHHL City HILO State HI ZIP Code 96720 1r,.m.,e.,., roam SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments THE ELEVATION IS BASED ON A SURVERYER SET ELEVATION IN THE SIDEWALK. THE ELEVATION IS FROM -A- USGS BM THE EQUIPMENT IN C2 a)e IS A HOT WATER .......... ••-•-•-- •^�� i�•—� care � /2t//U10 ❑Check here Nattachments 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, and C. For Items E7 -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, crawl space, or enclosure) is -- ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (Including basement, crawl space, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 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: 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 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 best of my knowledge. Property Owner's 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 loceI 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 G8. 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 AO. G3. ❑ The following Information (items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Isauetl G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement 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 _ Name Community Name omments Title ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Instructions for Item A6. (including Apt, Unit, Suite, and/or Bldg. No.) or 17 BAKER ST HILO State HI ZIP Code 96720 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, following. FRONT VIEW 5/15/08 ti Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 7 BAKER ST City HILO State HI ZIP Code 96720 Company MAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." RIGHT SIDE VIEW 5/15/08 F