HomeMy WebLinkAbout2-2-039:047O.M. 8. No 3067-00._
SEVATION CERTIFICATEExpires May 31,195°
FEDERAL EMERGENCY MANAGEMENT AGEi'Ji� _
NATIONAL FLOOD INSURANCE PROGRAM
4TTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
xovide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
J ine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB).
Instructions for completing this form can be found on the following pages.
' SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
BUILDING OWNER'S NAME POLICY NUMBER
CHAD HIRATA & KAREN NAKAMURA
STREET ADDRESS.{ Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
TMK:(3)2-2-039:047 Waiakea Homestead Houselots
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)
155166
0880
C
9/16/88
1
AE'
48.0
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): F1 NGVD '29 ❑ 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 I I I I ILJ feet NGVD (or other FIRM datum—see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicatethediagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level
*IRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
oil 1 1 141 81.IJ 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 I I I III H 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 W .0 feet above ❑ or
below ❑ (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 W .0 feet above ❑ or below ❑ (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? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ® NGVD '29 ❑ 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 B, Item 7), 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: ❑ Yes FRI No (See Instructions on Page 4)
5. The reference level elevation is based on: 50 actual construction ❑ construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor 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:1 1 1 14131.0 feet NGVD (or other FIRM datum -see
Section B, 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
0 of the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
r" as defined by the ordinance is: I i ; ; I U feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
E CERTIFICATION
lis certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
'ormation when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with SFE) is required.
unity officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
.tion. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
v s representative may also sign the certification.
aference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall,
)closure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
eluded in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
;ertify that the information in Sections t3 and C on this certificate represents my best efforts to interpret the data available.
mderstand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
:RTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
ROBERT T. SHIRAI LS -5985
TLE COMPANY NAME
PRESIDENT/OWNER ISLAND SURVEY, INC.
]DRESS CITY STATE ZIP
P.O. BR. 4215 KILO HI 96720
GNATURE DATE PHONE
=— 11/20/96 (808)9359105
opies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
�OMMENTS:
ON WITH ON PILES, {
SLAB BASEMENT PIERS, OR COLUMNS 1
A v
ZONES ZONES
ELEVATION
ADJACENT
GRADE
ADJACENT
GRADE
A
ZONES
BASE
FLOOD
LEVEL
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.
_levations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2