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HomeMy WebLinkAbout6-6-004:137U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION -CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. A2. Building Street Address 66-1709 ALANEO ST. (LOT', SECTION A - PROPERTY Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route I State J4 OMS No. 1660-0008 Expires February 28, 2009 For Insurance Compares Use: A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Let 20-01-30.0 Long. 15542-12.1 Horizontal Datum: ❑ NAD 1927 X 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 1 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) N/A sq it a) Square footage of attached garage 576 sq R b) No. of permanent flood openings In the crawl space or b) No. of permanent flood openings In the attached garage enclosure(s) walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings In A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B7. NF Community Name 8 Community Number B2. County Name B3. State HAWAII COUNTY / 155166 HAWAII HI 84. Map/Panel Number 85. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 0164 D Date Effective/Revised Date Zone(s) AO, use base flood depth) 2361 JklLN feet ❑ meters (Puerto Rico only) 04/02/2004 07/16/1990 A 2352.2 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item 89. ❑FIS Profile ❑FIRM ❑ Community Detemdned ❑Q Other (Describe) CLOMR -R Ga6ap roc O5-09 - 1&44 G Bit. Indicate elevation datum used for BFE In Item 89: ❑. NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) �2. Is the building located in a Coastal Barter Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes W 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 Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/Ai-A30, AR/AH, AR/AO. Complete Items C2.8 -g below according to the buildin dia rem spedfled in Item A7. Benchmark Utilized HI DEPRF THANSP BM ON KAWAIHAE RD Verecal Datum NGVD 1929 ComersiordComments OR ARCHITECT I nus cembcaaon Is to be signed and sealed by a land surveyor, engineer, or architect BNhomied by law to certify elm information. 1 cerliry 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 fine or imprisonment under 18 U.S. Code, Section 1001. 0 Check here If comments are provided on back of form. Licensed K eW) Professional Engineer No.8336-C ygWAR, U 9 -" 81-31, F6bruary 2006 See reverse side for continuation. Replaces all previous editions Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 2361.88 ® feet ❑ meters (Puerto Rice only) b) Top of the next nigher floor NLA._0 feet 11meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A ,_❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 2361 JklLN feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 2361 . 6a nn feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) 1) Lowest adjacent (finished) grade (LAG) 2360. 05 K feet ❑ meters (Puerta Rico only) g) Highest adjacent (finished) grade (HAG) 2361.2&_n feet ❑ meters (Puerto Rico only) OR ARCHITECT I nus cembcaaon Is to be signed and sealed by a land surveyor, engineer, or architect BNhomied by law to certify elm information. 1 cerliry 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 fine or imprisonment under 18 U.S. Code, Section 1001. 0 Check here If comments are provided on back of form. Licensed K eW) Professional Engineer No.8336-C ygWAR, U 9 -" 81-31, F6bruary 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: in these spaces, copy the corresponding Inf=SectlonFor Insurance Company Use: Building Street Address (including Apl., Unit, Suite, and/or Bldg. No.) Policy Number 66-1709 ALANEO ST. (LOT 34) City State Company NAIC Number KAMUELA HI SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments TMK: 6-6-004137 ITEM C2.e - 50 GAL ELECTRIC WATER HEATER RELIANCE 606 SERIES Signature Date 08-1149 ❑ Check here if attachments SECTI E - BU)(61MG—RaVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zo s 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 EI -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, crawl space, or enclosure) is El feet 1:1 meters 11 above or 11 below the HAG. b) Top o1 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 Sect! Item Items 8 /or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is . _ ❑feel L� meters above or L_) 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 owners 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 /n Sections A, B. and E are correct to the best of my knowledge. loparty Owners or Owners Authorized Representative's Name dress City Stale ZIP Code Signature Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by law or ordinance to administer the communiys floodplain management ordinance can complete S, 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-fssued or community -Issued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6, Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement Ga. Elevation of as -built lowest floor (including basement) of the building: ❑ feel ❑ meters (PR) Datum G9. BFE or On Zone AO) d'"0 n8r1bT8rtr fldi9g �IUG. iic — ❑ feet 11 meters (PR) Datum - WOr tri Local Official's Name gitv?ering UMSiOn hos revlevvG4 Title Ike Community Name Telephone rec=tnends Signature n pes r ;I reeor,irnend Date t ....,,,,,1.1.. ...... Fvr•r,... Form 81-31, February 2006 Replaces all previous editions