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Home My WebLink About2-4-030:095 Rear Residence a U.S.`V"♦=PARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008t't) Federal Emergency Management Agency Expires February 28,2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name HANK CORRES JR/k.'i4 itc [o arta Policy Number a Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No)or P.O.Route and Box No. Company NAIC Number MAILIA ST City HILO State HI ZIP Code 96720 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) TMK(3)-2-4-030:095 REAR RESIDENCE A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude:Lat.N19 40.042 Long.W155 5.491 Horizontal Datum: 0 NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood insurance. A7. Building Diagram Number § A8. 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) 18.1 sq ft a) Square footage of attached garage eq ft b) No.of permanent flood openings in the crawl space or ) b) No.of permanent flood openings in the attached garage enciosure(s)walls within 1.0 foot above adjacent grade § I j `'°\ walls within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b 222 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 HAWAII COUNTY 155166 HAWAII COUNTY HAWAII B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 155166.8900 C 4/02/04 9-16-88 AE 505.5 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. 0 FIS Profile ®FIRM ®Community Determined 0 Other(Describe) 811. Indicate elevation datum used for BFE in Item 69: ®NGVD 1929 0 NAVD 1988 0 Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes No Designation Date 0 CBRS 0 OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings* 0 Building Under Constructions ®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,V1430,V(with BFE),AR,AR/A,ARAE,AR/A1 A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized SURVEYOR SET LOCAL BM Vertical Datum Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ §Q2.§ ®feet 0 meters(Puerto Rico only) b) Top of the next higher floor §12.§ ®feet 0 meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) NA. 0 feet 0 meters(Puerto Rico only) d) Attached garage(top of slab) NA. 0 feet 0 meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building §j„Z.¢ ®feet 0 meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) §Q$.0 feet 0 meters(Puerto Rico only) 9) Highest adjacent(finished)grade(HAG) 503.§ 0 feet 0 meters(Puerto Rico only) 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. I certify 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. C. 0 Check here if comments are provided on back of form. r L ,C. i ?EALT c` Certfier's Name RONALD D.NICKEL License Number 8846-C a Title CML ENGINEER Company Name RONALD NICKEL P.E. LLC !dress 12-7109 KALAUNU ST City PAHOA State HI ZIP Code 96778 Signag Date s I zi Jo' Telephone 808-965-9911 MI P,MtANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number • City State ZIP Code Company NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) opy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments Signature Date 0 Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. 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). a)Top of bottom floor(including basement,crawl space,or enclosure)is 0 feet 0 meters 0 above or 0 below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage(top of slab)is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 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? 0 Yes 0 No 0 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 Owner's or Owner's Authorized Representative's Name ,-ddress City State ZIP Code Signature Date Telephone Comments 0 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 of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1.0 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.) G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.0 The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: 0 New Construction 0 Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building: -❑feet 0 meters(PR)Datum G9.BFE or(in Zone AO) 15+_Apktu#% dim ite worts 0 feet 0 meters(PR)Datum Local Official's Name fngineefing Division has reviewed Title Community Name the Elevetien Certificate sad Telephone recommends p Signature IJ does not recommend Date mments final approval By SEP' B � Dafi6rl Check here if attachments 4 .-.=► , Building Photographs See Instructions for Item A6. • For Insurance Company Use: gilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number - MALIA REAR RESIDENCE City HILO State HI ZIP Code 96720 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. 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