Loading...
HomeMy WebLinkAbout7-6-011:011 GazeboOur Proj# 17881 U.S. DEPP;2TM FNT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB N 1660.0 o. 008 Federaltmergency Management Agency EXpifee February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. me SECTION A - PROPERTY INFORMATION For Insurance Company Use: Building Owner's Na Smith Family Living Trust Dated July 10, 1999 Policy Number . Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIL Number 76- 70 Huala a' Road GAZEBO ON Y cit Kailua Kona State Hawaii ZIP code 96740 A3. Property Des cri Bon (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 6 �ax Map Key: 7-6-011: 011 (3rd Division) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.).ACQeSs01Y (QaZet)O� A5. Latftude/Longitude: Lat.. N 19 37' 18.1429" Long. �1/ 155 �� 28 2 tai u_Hzon•al Datu . NAD 1927 rn 983 As. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance.. .. u v.� lJ ,...� raoo A7. Building Diagram Number 5 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 enclosures) n/a sq fl a) Square footage of attached garage n/a sq ft 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 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings In A9.b sq In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Communay NN�ame 8 Community Number 62. County Name 83. state 155166 HAWAII Hawaii Date EffeelNe/Revtsed Date Zones) ..� AO, use base flood depth) one 714 and 927 C / D 04/02/2004 9/16/88 8c' 06/02/95 AE 859.8 (see comments) 310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑FIS Profile QFIRM ❑Community Determined ❑Other(Describe) 311. Indicate elevation datum used for BFE In Item 89: Q NGVD 1929 ❑NAVD 1988 Other (Describe) a the building located in a Coastal Barrier Resources System (CBRS) areaerwise Protected Area (OPA)7 ❑ Yes No esignation Date ❑ CBRS LJOO PA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) A. 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. :2. 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 specified in Item AT Benchmark Utilized I ISGS 13Pnrh Mark Data Vertical Datum_M -an Spa I a sol Conversion/Comments n/a Check the measurement used. a) Top of bottom floor (Including basement, crawl space, or enclosure floor) 862. feet ❑ meters (Puerto Rico only) b) Top of the next higher floorfeet El meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) n�feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) n/a 1lfeet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building n/A nfeet meters (Puerto Rim only) (Describe type of equipment in Comments) 0 Lowest adjacent (flnished) grade (LAG) _$`s / feet ❑ meters (Puerto Rim only) g) Highest adjacent (finished) grade (HAG) 862-321feet [] meters (Puerto Rim 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 nformation. 1 ceriily that the information on this Certificate represents my best efforts to interpret the data available. ' understand that any false statement may be punishable by fine or Imprisonment under 18 U. S. Code, Section 1001. Check here if comments are provided on back of forth. 1, """" Chrystal T. Yamasakj License Number LS -4331 Wes Thomas Associates "V'"Nany name Wes Thomas Associates kddress 75-5749 Kalawa Street city Kailua-Kona state Hawaii ZIP Code 96740 25,200-9 .. ....... (808) 329-2353 A nj,ff January 25, 2008 TMA Form 81-31. FRhnrary 7h4l'r cee .a„ rd- l_. IMPORTANT: _ In these spaces, copy the corresponding Information from Section A. ) For Insurance Company Use: Box City M SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. There is no permanent electricity in the Gazebo. The base flood elevation was determined using the field location of —the Gazebo which has a calculated distance of 53.42 feet from the Westerly face of the Culvert (Station 76+10 with a 100 year _ BFE of 866.5), Cross-section at station 75+60 and the calculated station of the center of the Gazebo as 75+56.58 with an interpolatedpFE of 859.8. Cross-sections are from the NorttyKona Flood Study. signature u Lisle ,January 25, 2008 ❑ Check here N attachments E: BUILDING ELEVATION For Zones AO and A (without BFE), complete Items Et -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 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 SecUMA Items 8 and/or 9 (see RWe 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ ❑ feet Lj meters U above or U 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 certiry, 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, 8, and E for Zone A (without a FEMA4ssued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best o1 my knowledge. riv Ownef s or Owner's Authorized Representative's Name Comments SECTION G - City Date State ZIP Code Telephone The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete a 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 G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: ❑ feel ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Title Telephone ❑ Check here if attachments ❑FRAA Pnm AL'A'I QGhnian, InfIR RpniartaA All nravintin prlitinnn