7-5-035:012 - Laserfiche WebLink

Home

U.S. DEP.*ATMENT OF HOMELAND SECURITY ELEVATION 1 CE "KATE ��0. 1E60-0008 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: i Al. scolding °"'"ars Name McKeown -Le Family Trust Policy Number Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 75-6138 Alii Drive city Kailua Kona stare Hawaii ZIP Code 96740 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 16 AM Point Subdivision, TMK: 3-7-5-035: 012 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N 19 36' 45.06514" Long. W 155 58' 56.76616" 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 endosure(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 461 aq 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 foot above adjacent grade n/a walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b n7a sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Co un Name 8 Community Number B2. County Name B3. State HAWAII 155166 Hawaii County Hawaii B4. Map/Panel Number B5. Suffix Be. FIRM Index B7. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date one(s) AO, use base flood depth) 0926 E 04/02/2004 June 2, 1995 AE 7 VE 11 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑FIS Profile[Z]FIRM ❑Community Determined ❑Other (Describe) - B11. Indicate elevation datum used for BFE in Item B9: El NGVD 1929 ❑NAVD 1988 ❑other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) areaerwise Protected Area (OPA)7 ❑ 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 Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2." below according to the building diagram specified in Item A7. Benchmark Utilized l ISr3 RM Vertical Datum MSL Conversion/Comments none Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) _20 530 feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 30.53 ✓ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) see Comments ✓ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 17 JBZfiset ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 19-39 ✓ feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) 1 J sMfeet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) _20. ✓ 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. E201FESSIED CENS✓❑ Check here if comments are provided on back of form. n """"" """' Chrvstal T. Yamasaki " ""'" """'""' LS -4331 \) W Wes Thomas Associates ................. Wes Thomas Associates I 75-5749 Kalawa Street "" Kailua-Kona ""' Hawaii "' ""'9 DXt$ril 10, 2008 Telephone (808) 329-2353 April 10, 2008 Form 81-31, February7006 See reverse side for continuation. Replaces all previous editions