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HomeMy WebLinkAbout7-2-010:004 Beach Tree Restaurant Renovationr U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program A2. Building Street Address (Inc 72-100 Kaupulehu Drive, Suite 1 City Keilua-Kone State Apt., ZIP Code ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. 1*1441i(•):I_IE No.) or P.O. Route and Box No. OMB No. 1660-0008 U Expires March 31, 2011' TMK: (3) 7-2-010:004 11 A4. Building Use (e.g., Rei nti, No a idential, Adtll n, Ar eesory, etc.) Hotel (Non ResMentia0 A5. Latitude/Longltude: Lat. 19.8171• N Long.165.98g7'W Horizontal Datum: ❑ NAD 1927 ® HAD 1989 A8. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. A7. Building Diagram Number 2 AS. For a building with a crewlepace or enclosure(s): A9. For a building with an attached garage: a) Square.footage of rxawlspece or enclosure(s) _ sq fl a) Square footage of attached garage sq 11 b) No. of permanent flood openings In the crawlspece or b) No. of permanent flood openings In the attached garage enclosure(e) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b _ sq In c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name &,Community Number - 82. County Name B3. State I Hewell County 165188 I Hawali County Hawall B4. Map/Panml Number B.S. Suflbk Be. FIRM Index 137. FIRM Panel S6. Flood Be. Base Flood Eleva"s) (Zone) 155188478 C Date I Effective/Revised Date 1 Zone(s) AO, use base flood depth) 4/02/04 9/18/1988 AE 9.0 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Ilam B9. . ❑ FIS Prefile ® FIRM ❑ Community Determined ❑ Other (Describe) 811. Indicate elevation datum used for BFE in Item Bit: ® NGVD 1929 ❑ NAVD 1968 ❑ Other (Describe) is the building located in a Coastal Banter Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ 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 Construdbn 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations —Zones AI -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-h below according to One building diagram specified in Item A7. Use the some datum as the BFE. Benchmark Utilized )2M 65 Vertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspaw, or enclosure floor) ¢.1.j ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor feet ❑ meters (Puerto Rio* only) c) Bottom of the lowest horizontal structural member (V Zones only) _ _ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) _ _ ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing One building 2.29 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location In Comments) 1) Lowest adjacent (finished) grade next to building (LAG) 542 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) j.;)Q ® feet ❑ meters (Puerto Rio* only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including _ _ ❑ feet ❑ meters (Puerto Rico only) structural support 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 K. y thebest t1the data available.P �n s I understand that an false statement may be punishable by fine or/mpdonmenfgnder a U.S. Code, Section 11. fan AFF ® Check here O comments are provided on back of form. Were latitude and longitude In Section A provided by a LICENSW licensed land surveyor? ®Yes ❑ No PROfEK)NAL * SU No. 5075 rtiflees Name Robert K.Y. Lee License Number L.S. 5075 Title President Company Name Towill, Shigeoka & Associates, Inc. a, ; yQ wall, U. Address 2153 North King Street, Suite 306 City Honolulu State HI ZIP Code 96819 Signature Date July 2, 2009 Telephone 808-538-3857 FFMAForm 51-31. Mar 09 See reverse side for continuation. Reolaces all orevious eclitionsil IMPORTANT: In these spaces, Copy the corresponding Information from Section A. Building Street Address (incmamg Apt., Unit, lune, and/or t$109. No.) or 72-100 Kaupulehu Drive, Suite 1 Beach Tree Restaurant Renovation CIN Kellua-Kona Stele HI ZIP Code 98745 1,123n i7A le] 7114:Ri T44-;7WplJ Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agenticompany, and (3) building owner. Comments Elevation listed in C2.e is for Electrical Room. . 141.1 For Zones AO and A (without BFE), complete Items E1 -E5. lithe Cedi icate is intended to support a LOMA or LOMR-F request, complete Sections A, B. end C. For hems E7 -E4, use natural grade, I available. Check the measurement used. In Puerto Rico only, ender meters. E1. Provide elevation bdormation 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). s\ T..,...r 1 item see, nnN„Aj. hem,rwl rruWannna w nnlna„ro11. r -I 1 s li ,nabr. 1-I aHm,a ... rl Iu1— 61 uen b) Top of bottom floor (Including basement, crawlspece, or enclosure) Is _ _ ❑ fest ❑ meters ❑ above or ❑ below the LAG. F3. For Building Diagrams 8-9 with permanent flood openings provided In Section A Items 8 and/or 9 (see pages 8.9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ _ ❑ feet ❑ maters ❑ above or p below the HAG. E3. Attached garage (top of slab) is _ _ ❑ teat ❑ meters ❑ above or ❑ below the HAG. Es. 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 communWa 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 communWi4ssued BFE) or Zone AO must sign here. The statements /n Sections A, B. and E ars correct to Me best of my knowledge. Property Owner's or Owner's Authorized Representative's Name 'llmness - City State ZIP Code Signalise Date Telephone Comments ❑Cheek here H ettadhment SECTION O - COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by low or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(@) and sign below. Check the measurement used In Items GB and G8. G1. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, arlgheer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and data of the elevation date 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 informaflon (Items G4 -G9) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G8. Date Certificate Of CompllenodOccupancy Issued G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor pnciuding basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum _ 09. BFE or (In Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum _ G10. Community's design flood elevation _ _ ❑ feel ❑ meters (PR) Datum _ T,11n Ben^rfmant p{ PuMlfr Wnr4r Loral Official's Name Engineering Division has reviewed Title Community Name the Elevation Certificate and Telephone natureHit Date does not recommend menta final approval ❑ Check here if attachment �0 FFMA Fnrm R1 -A1 Mar CIA 'Tr Reolaaes all Drevious edition