HomeMy WebLinkAbout2-1-021:058ELEVATION CERTIFICATE Expire Ma306 y31,.°°'
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Expires May 3 t, 7 99,
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
HARVEY & MAUREEN WAIPA
STREET ADDRESS (Including Apt.. Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
1328'" Kalanianaole Ave. .
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lot 39-A; Ku.hbD Settlement Lots; Keaukaha .Tract No. 1; TMK: 2-1-21:58
CITY STATE ZIP CODE
Hilo HI 96720
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
155.1,66
088-5
C
Sept.. 161r, 1988
1
AE
14.0
7. Indicate the'elevation datum system used on the FIRM for Base Flood Elevations (BFE): K NGVD '29 E Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I=`= `- feet NGVD (or other FIRM datum -see Section 8, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level 6"
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
LJ feet NGVD (or other FIRM datum -see Section B, Item 7).
(b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of J .E� feet NGVD (or other FIRM datum -see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is i=-� .L? feet above V or
below u (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is-L1=� .L:4 feet above' -Q -or below Q (check
one) the highest grade adjacent to the building. if no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? fl Yes E No Q Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: l^IX NGVD'29 L2, Other (describe
under Comments on Page 2).: (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see.Section 8, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: D Yes R No (See Instructions on Page 4)
5. The reference level elevation Is based on: ® actual construction E� construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level Noor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: PJ feet NGVD (or other FIRM datum -see
Section 8, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: imE±-_ 1 114 ! .LJ feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement May 1996
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
iscertification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
7
Reference level diagrams 6, 7 and 8 - Distinguishing Features—if the certifier is unable to certify to breakawaylnon-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify that the information in Sections B and C on this certificate represents my best efforts to interp�
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Coylb, Vion 100 .
Copies should de of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON W" ON PILES,
sLAa BASEMENT PIERS, OR COLUMNS
iICENSED
A v' A ..A v
ZONES ZONES ZONES ZONES ZONES
PROFE IONAA
CERTIFIER'S NAME
LICENSE NUMBER (or Affix S
LAND
REFERENCE
Alain
.Z. Inaba
5626 LPLS
SURVEYOR
TITLE
BASE '.: 'rrd
•.` ADJAC£M ::•. REFERENCE
COMPANY NAME :.
No. 5626
Land
Surveyor
Inaba -Engineering, Inc.
y
ADDRESSCITY
A f1;T ZIP
2
aianuen Ave, .
Hilo
96720
SIGNATU $`DATES
.
ADHI `25. 1997
PHONE
961-3727
Copies should de of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON W" ON PILES,
sLAa BASEMENT PIERS, OR COLUMNS
A v' A ..A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
- BASE LEVEL -
REFERENCE
LEVEL FLOOD
LEVEL
ELEVATION
BASE '.: 'rrd
•.` ADJAC£M ::•. REFERENCE
SASE
FLOOD
FLOOD ORADE LEVET
ELEVATION
ELEVATgN REFERENCE ADJACENT
LEVEL GRADE Ham.
•'. ': fry: . t'�:. �: :tet':'J.l:':.:.�
•:::,.... .�:::
::.i: '.::f•::;.::+,.: •.:
t. !•::.:.::f.�.
'ti : ADJACENT:
t4.
RAOE
.. ....•.�:{•..?..: t:. ,/.:�:{•'.y:; 1811:':�:
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
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