HomeMy WebLinkAbout2-2-040:104William P. Kenai
• Mayor
Walter K. M. Lau
Managing Director
DEPARTMENT OF PUBLIC WORKS
Aupuni Center
101 Pauahi Street, Suite 7 • Hilo, Hawaii 96720.4224
(808) 961-8321 • Fax (808) 961-8630
www.co.hawaii.hi.us
MEMO OF REVIEW FOR CORRECTNESS AND COMPLETION
Warren H. W. Lee
Director
Brandon A. K. Gonzalez
Deputy Director
In accordance with this community's participation in the National Flood Insurance Program's Community
Rating System, all FEMA Elevation Certificates must be correct and complete. The attached Certificate has
some incorrect items which are noted here.
SECTIONA - PROPERTY
At. Building Owner's Name rollcy N,UMDer
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ompany N11C Number
A ul L »t i 11 1 <� ,..' . 2 ...
*4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
A5. Latitude/Longitude: Lat. _ Long. _ Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983
A8. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance.
A7. Building Diagram Number _
AS. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) _ sq ft a) Square footage of attached garage sq it
b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
enclosure(s) walls within 1.0 foot above adjacent grade _ walls within 1.0 foot above adjacent grade _
c) Total net area of flood openings in A8.b _ sq In c) Total net area of flood openings In A9.b _ sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
84. Map/Panat Number
B5. Suffix
B8. FIRM Index
Date
B7. FIRM Panel
Effective/Revised Date
B8. Flood
Zone(s)
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) _
B11. Indicate elevation datum used for BFE In Item 139: ❑ NGVD 1929 ❑ NAVO 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barter Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑No
Designation Date _ ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. 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. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 430. V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g
below according to the building diagram specified � in Item A7.
ry
. Benchmark Utilized _ Vertical Datum C— V D 11'-9
Conversion/Comments _
County of Hawai'i Is an Equal Opportunity Provider and Employer.
COMMENTS:
•-•
Date of Review: 9/ c//3 Community Official: CI-12--
M
I'n-All elevation certificates shall be maintained by the community and copies with the attached memo made available upon request.
County of Hawaii is an Equal Opportunity Provider and Employer.
U.S. DEPARTMENT OF HOMELAND SECURITY
FederalEmergency Management Agency
fWatlonal Flood Insurance Program
Building Street Address (Includh
MWAPUHI ST
City HILO State HI ZIP
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-8.
OMB No. 1660-0008
Exoires February 28. 2009
SECTION A - PROPERTY INFORMATION I For Insuranoe'Comoanv Use:
and/or Bldg. No.) or
and Box No.
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
TMK(3) 2-2.040:104
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. N 19 41.40' Long. W 155 3.93, Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A8. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance.
A7. Building Diagram Number I
A8. For a building with a crew) space or enclosure(s), provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or encosure(s) N6 sq ft a) Square footage of attached garage NA sq ft
b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
enclosure(s) wells within 1.0 foot above adjacent grade NA walls within 1.0 foot above adjacent grade t6
c) Tota( net area of flood openings in A8.b INA sq in c) Total net area of flood openings in A9.b N6 sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
HAWAII COUNTY 155186 1 HAWAII COUNTY HAWAII
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
BB. Flood
B9. Base Flood Elevation(s) (Zone
® feet
❑ meters (Puerto Rico only)
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
155166/880
C -
4/02/04
9.16-88
AE
88.0
Biu. inaicare the source or the ease Roca elevation (BFE) data or base flood depth entered in Item 89.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _
811. Indicate elevation datum used for SFE In Item B9: ® NGVD1929 ❑ NAVD 1988 - ❑ Other (Describe) _
812. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑Yes ®No
Designation Date _ - ❑ CBRS ❑ OPA
C -
INFORMATION
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. Elevations -Zones Al -A30, AE, AH, A (with SFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.ag
below according to the building diagram specified in Item AT
Benchmark Utilized SURVEY SET SUBDIVISION BM Vertical Datum _
Conversion/Comments
I nis certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elek
Information. I car* that the information 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.
❑ Check here If comments are provided on back of form.
CertKer's Name RONALD D. NICKEL License Number 8846-C
Title CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure floor)_
21.7
® feet
❑ meters (Puerto Rico only)
b)
Top of the next higher floor
NA._
❑ feet
❑ meters (Puerto Rico only)
C)
Bottom of the lowest horizontal structural member (V Zones only)
NA._
❑ feet
❑ meters (Puerto Rico only)
d)
Attached garage (top of slab)
21.2
® feet
❑ meters (Puerto Rico only)
e)
Lowest elevation of machinery or equipment servicing the building
$1.1
® feet
❑ meters (Puerto Rico only)
(Describe type of equipment in Comments)
0
Lowest adjacent (finished) grade (LAG)
22.¢
® feet
❑ meters (Puerto Rica only)
g)
Highest adjacent (finished) grade (HAG)
$Q.¢
® feet
❑ meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
I nis certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elek
Information. I car* that the information 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.
❑ Check here If comments are provided on back of form.
CertKer's Name RONALD D. NICKEL License Number 8846-C
Title CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
In these
4269-AWAPUHI ST
City HILO State H
SECTION D -
the
lforrnation from Section A.
or P.O. Route and Box No.
ER, OR ARCHITECT CERT
For Insurance Company Use:
dopy both aides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments THE EQUIPMENT CONSIST OF WATER HEATER,WASHER,DRYER,AND KITCHEN APPLAINCES
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEI
For Zones AO and A (without BFE), complete Items Et -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items Et -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters.
Et. Provide elevation information 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).
e) Top of bottom floor (Including basement, crawl space, or enclosure) is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (setpage 8 of Instructions), the next higher floor
_
(elevation C2.b In the diagrams) of the building is _ ❑ feet F_] meters [Iabove or U below the HAG.
E3. Attached garage (top of slab) is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. 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 community's 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 community -Issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
-Property Owners or Owner's Authorized Representative's Name
uty State ZIP Code
Signature Date Telephone
❑ Chectt here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONALI
w �y iaw w, u,anPop 1weumrniarer me community s mooepiam management oromance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable ftem(s) and sign below. Check the measurement used In Items G8. and Gg.
Gi. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data 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 information (Items G4. -G9.) is provided for community floodplain management purposes.
G5. Date
G6. Date Certificate
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: _ _ -❑ feet ❑ meters (PR) Datum
G9. BFE or (In Zone AO) depth of flooding at the building she:
❑ feet ❑ meters (PR) Datum
Local Official's Name Title
Telephone
Signature
4Fmments
Issued
❑ Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
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