6-6-004:130 - Laserfiche WebLink

Home

............... U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION OERTIFICATE OMB No. 16604008 Federal Emergency Management Agency I Expires February 28, 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owners Name Policy Number ROCHELLE FEATHERAN A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 66-1725 ALANEO ST. (LOT 27) City State ZIP Code KAMUELA HI 96743 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, eta.) TMK: 6-6-004:130 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitudell-ongflude: Lat. 2001-29.9 Long. 165-42-17.5 Horizontal Datum: ❑ NAD 1927 Q NAD 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number1 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) WA sq ft a) Square footage of attached garage 912 sq ft b) No. of permanent flood openings In Bre crawl apace or b) No. of permanent flood openings In the attached garage enclosure(s) walls within 1.0 foot above adjacent grade WA walls within 1.0 foot above adjacent grade NIA e) Total rot area of flood openings In Aa.b . WA sq In c) Total net area of flood openings In A9.b WA act In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B7. NFIP Community Name ti CommunityNumber B2. County Name B3. State HAWAII COUNTY / 155166 1 1 HAWAII HI 84. Map/Panel Number B5. Suffix Be. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevatldn(s) (Zone 0164 D Date I Effective/Revised Date Zone(s) AO, use base flood depth) 2341.. as 11 feet ❑ meters (Puerto Rioo only) 04/02/2004 07/16/1990 A 2334.6 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM []Community Determined OOther (Describe) CLOMR' F C�z',c rel o. O$�Oi � l foL4G BI 11. Indicate elevation datum used for BFE in Item 89: W NGVD 1929 ❑ NAVD 19M ❑ Other (Describe) B12. Is the building located In a Coastal Barter Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No • Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Construction- Q 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, V1430, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.ag below according dthe IDEPTv1A3�BI BenClunazFM ONKAWAHAE RD Verecel Datum NGVD 1929 Conversion/Comments I ms cennlcauon Is to as signed and sealed Dy a lana surveyor, engineer, or arenitect authdnzea by law to certify elevation Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) b) Top of the next higher floor 2341. 80 feet feet ❑ meters (Puerto Rico only) ❑ meters Rico c) Bottom of the lowest horizontal structural member (V Zones only) WA -_❑ feet (Puerto only) ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 2341 .Q feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 2341.. as 11 feet ❑ meters (Puerto Rioo only) (Describe type of equipment in Comments) - 0 Lowest adjacent (finished) grade (LAG) 2340.97 X feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 2341. , 6 n feel ❑ meters (Puerto Rico only) I ms cennlcauon Is to as signed and sealed Dy a lana surveyor, engineer, or arenitect authdnzea by law to certify elevation Information. I codify that the information on this Certificate represents my best efforts to interpret the data available. - I understand that any false statement may be punishable by tine or Imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. K. Licensed Professional * Engineer No.8336-C UaP. Certifiers Name License Number BRUCE K. MEYERS 8336-C Title Company Name CIVIL ENGINEER OKAHARA 8 ASSOCIATES INC Address City State ZIP Code 200 KOHO HILO Help 96720O, Signature 08-11-09 808 9615527 FEMA FoA 81-31, February 2006 See reverse side for continuation. Replaces all previous editions