6-5-003:029 Detached Garage - Laserfiche WebLink

Home

Project,No. 16095.2 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Roman Catholic Church -DETACHED GARAGE' BUILDING STREET ADDRESS (Including Apt.. Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number CITY Kamuela. Hawaii 96743 STATE ZIP PROPERTY DESCRIPTION (Lot and Block Numbers. Tax Parcel Number, Legal Description, etc. Lot 13, Block 4 of Waimea Homesteads (HTS Plat 405-A) Grant 10324 TMK:' 6-5 03 029 (31 Division) BUILDING USE „(e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) . Storage Shed'' LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: IJ GPS (Type). ( ##° - ##'- ##.##" or ##.#####0) 1 J NAD 1927 1_1 NAD 1983 1_I USGS Quad Map IJ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER I B2. COUNTY NAME I B3. STATE I L_ _ Hawaii ( Hawaii I Hawaii B4. MAP AND PANEL •135. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 155166 0168 E June 2 1995 May 16, 1994 AE ° 2658.2 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. 1_X1 FIS Profile I—I FIRM 1_1 Community Determined Ll Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: 1_)f NGVD 1929 1_1 NAVD 1988 1J Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes L No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) doC1. Building elevations are based on: 1_1Construction Drawings' IJBuilding Under Construction* IJFinished 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 building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i 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. Show 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 Conversion/Comments Elevation reference mark used Local Bench MarkDoes the elevation reference mark used appear on the Yes 1 % N ❑ a) Top of bottom floor (including basement or enclosure) 2659.18 ft.(X) � cod Ql, ❑ b) Top of next higher floor n/a _ ft.(m) -k. ❑ c) Bottom of lowest horizontal structural member (V zones only) n/a — ft.(m) A _Q= LICENSED EM ❑ d) Attached garage (top of slab) n/a — ft.(m) E o U PMF ❑ e) Lowest elevation of machinery and/or equipment t m P servicing the building n/a ft.(m) a {� ❑ f) Lowest adjacent grade (LAG) 2658.4 ft. (X4 z.5-- NO. �•`'1 Q.• 9(g) Highest adjacent grade (HAG) 2658,3— ft.00 6yAft �5, ❑ h) No. of permanent openings (flood vents) within 1 ft_ above adjacent grade 8 $ ❑ i) Total area of all permanent openings (flood vents) in C3h 416 sq. in. (sq. cm) J August 19, 2002 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, B. and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section' 1001. CERTIFIER'S NAME LICENSE NUMBER nd Surveyor WES THOMAS & A-SSOCTATES � !N��ATE ZIP CODE S CITY =9749 Kalawa Street tr„ 1.,n_x.,n_ u.,__.. ; _- ncII.n_, Q, A FEMA F rm R1_11 At ir. oq CFF RFvFRRF RIIIF Fr1R r.nNTIN1 IATInN RFPI Ar.FR Al I PRPmol m FnlTlr1NR