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HomeMy WebLinkAbout6-6-004:135U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. A -PROPERTY OMB No. 1660-0008 J' Expires February 28, 2009 U For Insurance A2' BuildingStreetAddress (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 66-1711 ALANEO ST. (LOT 32) city State ZIP Code KAMUELA HI 96743 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description. etc.) TMK: 6-6-004:135 A4. Building Use (e.g.. Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Lalltude/Longttude: Lat. 20-01-30.3 Long. 15542-13.7 Horizontal Datum: ❑ NAD 1927Y❑ NAD 1983 A8. 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 it 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 fool 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 aq In c) Total net area of flood openings in A9.b NIA sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State HAWAII COUNTY / 155166 1 HAWAII I HI 84. MaplPanel Number B5. Suffix B6. FIRM Index 87. FIRM Panel 88. Flood 89. Base Flood Elevation(s) (Zone 0164 D Date Effective/Revised Date Zone(s) 1 AO, use base flood depth) 04/02/2004 07/16/1990 A 2345.1 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑FIS Profile []FIRM ❑ Community Determined W Other (Describe) CLOMR- F! Cjso t4 0'$-01) L4G Bit. Indicate elevation datum used for BFE In Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) �12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes Q No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram spdcifled in Item A7. Benchmark Utilized HI DEPT OF TRANSp BM ON KAWAIHAE RD Vertical Datum NGVD 1929 Conversion(Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 2356 . 32 ®❑ feet ❑ meters (Puerto Rico only) b) Top of the next higher floor N/A. -El feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A._E] feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 2356 ._O_Q feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 2356. 35, feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) 2355. 49 Q feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 2355. 70 Q 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. 1 certify that the information on this Certificate represents my best efforts to Interpret the date available. K NFy - Licensed I understand that any false statement may be punishable by fine or mprisonment under 18 U.S. Code, Section foot. 0 Check here If comments are provided on back of form. Professional Engineer Certifier's Name License Number BRUCE K. MEYERS 8336-C Title Company Name IVIL ENGINEER OKAHARA&ASSOCIATES INC No.8336-C ress City State ZIP Code 00 KOHOLA ST. HILO HI 96720 9 WAIT, UA. Signature Date Telephone 08-11-09 808.961-5527 FEMA Fo 81-31, February 2006 See reverse side for continuation. Replaces all previous editions 88-1711 ALANEO ST Cly KAMUELA spaces, copy the corresponding Information from Section A. :luding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 32) State ZIP Cc HI 96743 For Insurance Company Use: both sides of this Elevation Certificate for (1) community official, (2) Insurance'agent/company, and (3) building owner. ITEM C2.e - 50 GAL ELECTRIC WATER HEATER RELIANCE 606 SERIES sec I PON e - t%ylLUrN46fPCL4eVATIUN INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (IMTHOUT 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 E1 -E4, use natural grade, If available. Cherie the measurement used. In Puerto Rico only, enter meters. E7. 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 SectlgDLA Items 8 anWor 9 (see p,1ge 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ ❑ feel U meters }_} above or LJ 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 Owners or Owner's Authorized Representative's Name dress CIH State ZIP Code Signature Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) The kraal official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, e, 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. 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.) 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 G5. Date Permit Issued 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: G9. BFE or On Zone AO) ds ti ofApoding at the building site: e opartment of Public Wnrlp ❑ feet ❑ meters (PR) Datum El feet El meters (PR) Datum Local Officials Name vilamo,3ring DlYlslOn slat re Title YIewed Community Name 'n ertl,icate and Telephone Date Signature F1 rl 06s nrn rnconlrIencl Comments r22 Limit- --`'Y � ar y ❑ Che k here if attachments 0 1o I. rem uary cuuo Replaces all previous