The URL can be used to link to this page

Home My WebLink About2-1-020:061,—-- www nivvvmivw6 nwvrvwrn ELEVATION CERTIFICATE Read the instructions on paces 1.7. Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION 1_ Forir..wrance'GornoanvUse: Hiram Simeona BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1070 Kalanianaole Street CITY STATE ZIP CODE Hilo HI 96720 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 16A Keaukaha Tract I, Increment 2, Tax Map Key: 30 Div..2-120:61 buiwrrvu ubt te.g., mesraenua, mm Hesiuenua, rwaruon, Accessory, etc. use a uomments area, rr necessary./ Residential LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( #r-## -##.##' or ##.#####) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ® Other: USGS SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. IPCOMMUNITY I NAME & COMMUNI 1 Y NUN�ER B2�I COU BHa STATE �j 84. MAP AND PANEL B5. SUFFIX Datum ConversiorJCorrvnents 87. FIRM PANEL Elevation reference mark used USGS Does the elevation reference mark used appear on the FIRM? B9. BASE FLOOD ELEVATION(S) NUMBER b) Top of next higher floor B6. FIRM INDEX DATE EFFECTIVEIREVISED LATE 88. FLOOD ZONE(S) (Zone A0, use depth of fl Wng) 155166 0885 C 04/OM 09116)88 AE 15.8 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Comr wlty Determined ❑ Other (Descnve): B11. Indicate the elevation datum used for the BFE in B9% NGVD 1929 ❑ NAVD 1988 ❑ Outer (Describe): B12. is the biking located in a Coastal Banner Resources System (CBRS) area or Oth&-w1se Protected Area PPA)? ❑ Yes ®No Designation Date 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 Building Diagram Number 1(Select the building diagram most similar to the buildng for which this certificate is being completed - see pages 6 and 7. 1 no diagram accurately represents the building, provide a sketch or photograph..) Elevations - Zones At -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARAE, ARIAI AX ARIAH, ARIAO Complete items C3. -a4 below according to the building diagram specified in item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE Shaw field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum ConversiorJCorrvnents Elevation reference mark used USGS Does the elevation reference mark used appear on the FIRM? a) Top of bottom floor (inducing basement or enclosure) 20. it(m) b) Top of next higher floor WA . _fL(m) c) Bottom of lowest horizontal structural member (V zones only) N/A. __t(m) d) Attached garage (top of slab) 19. 8 ft(m) e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 19.8 fL(m) f) bDwest adjacent(finished) grade (LAG) 19.3 f4(m) g) Highest adaow t (finished) grade (HAG) 19. 2A(m) ❑ Yes %No 9 T. LICENSED PROFESSIONAL ENGINEER NO. 5105-0 Q; \9 / h) No. ef permanent openings (flood vents) within 1 ft above adjacent grade ) Total area of all Wmanent openings (flood vents) h C3.h sq. in. (sq. an) E x pi r e s 7 o 8 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. l certify that the information in Sections A, A and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement maybepunishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME David T. Imata LICENSE NUMBER 5105 C TITLEVice President COMPANY NAME Imata & Associates, Inc. ADDRESS /'—'1 CITY STATE ZJP CODE Hilo HI 96720-2606 DATE TELEPHONE 08/02/07 (808) 935-6827 FEMA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS --P'l L- 2 - t •- czc . e --G) BUI G STREEf,ADDRESS (Including A� Vrfk S aWBlc g. No.) OR P.O. ROUTE AND BOX NO. _ Po6iyuld CITY STATE ZIP CODE Oom'" *.' ±IAICNti b SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent1company, and (3) building owner. COMMENT fr, I�iN�� (E�i S ilttir� 1 h�i , r)✓ z�, U4 h 011_4 S�✓�� a vt h itc Lr � �l nom, - r ( . �I� ✓ �s d osQ.✓ `w'&_ ieAu )n n*—, ] ❑ Check here If attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete hems El through E4. 9 the Elevation Certificate is intended for use as supporting information fa a LOMA or LOMR-F, Section C must be eatnpleled. E1. Wilding Diagram Number_(Seled the building diagram most sirillar to the building for which this certificate is being completed – see pages 6 and 7. if no diagram accuraldy represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) d the building is _ t(m) _in.(an) ❑ above or ❑ below (check one) ttne highest adaoent grade. (Use natural grade, if available). E3. For Building Diagrams 6.8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ fL(m) _in,(cm) above the highest adaoent grade. Complete items C3.h and C31 on iiont of form. E4. For Zone AO only. If no flood depth number is available, is the top d the boflom floor elevated in accordance with the community's floodplain managerrrent ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must ceitfy 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA -issued or cor imnity- issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best d my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIRCODE 1p SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G d this Elevation Certificate. Compice the applicable item(s) and sign below, G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date d the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA4ssued or community4ssued BFE) or Zone A0. G3. The following information (Items G4 -G9) is provided for oommunity, floodplain management purposes. G8. Elevation of as -built lowest floor (inducting basernent) d the building is: _. _fL(m) Datum: G9. BFE or (in Zone AO) depth d flooding at the building site is: — _ f4m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FEMA Form 81-31, JUL 00 REPLACES ALL PREVIOUS EDITIONS