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Home My WebLink About2-4-037:073 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. s , SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Andrew R. Riga .• 'r BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 33 Kaulike Street CITY STATE ZIP CODE •1 Hilo HI 96720 PROPERTY DESCRIPTION(Lot and Block Numbers.Tax Parcel Number.Legal Description.etc.) Lot 36, Waiakea. Heights Subdivision, Unit 1, Tax Map Key: 3rd Div. 2-4-37: 73 BUILDING USE(e.g..Residential.Non-residential.Addition,Accessory.etc. Use Comments section if necessary.) Residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: LJ GPS(Type) -' ( ##'-##'-##.##' or ##.####e) LJ NAD 1927 I__.1 NAD 1983 (J USGS Quad Map LJ Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION • B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE Ita4AA„lal i 155166 Hawaii HI wt.MAP AND PANEL B5. SUFFIX l B6.FIRM INDEX 87.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 155166 0890 _ C Sept. 16, 1988 Sept. 16, 1988 AH 616.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. Lj FIS Profile L XJ FIRM I I Community Determined L Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: IJ NGVD 1929 j I NAVD 1988 U Other(Describe): B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Lj Yes IX I No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: IJConstruction Drawings' ' j JBuilding Under Construction' j.JFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 5 (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 A1-A30, AE,AH,A(with BEE),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 MSL Conversion/Comments Elevation reference mark used COUNTY BM Does the elevation reference mark used appear on the FIRM? (_I Yes Ix I No O a)Top of bottom floor(including basement or enclosure) 616 . 89 ft.(m) O b)Top of next higher floor N/A _ft.(m) h 0M1 O c) Bottom of lowest horizontal structural member(V zones only) 615 58 ft(m) �� M,�T�G O d)Attached garage(top of slab) 614 • 44 ft.(m) E a �O LICENSED O e)Lowest elevation of machinery and/or equipment °1-„ PROFESSIONAL \� servicing the building N/A _ft.(m) E U LAND SURVEYOR D f)Lowest adjacent grade(LAG) 611 • 2 ft.(m) v N No.4328 g)Highest adjacent grade(HAG) 613 • 9 ft.(m) O h) No.of permanent openings(flood vents)within 1 ft. above adjacent grade 0 O i)Total area of all permanent openings(flood vents)in C3h 0 sq. in.(sq. cm) y✓All, )' 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 in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. '•(nderstand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ..RTIFIER'S NAME LICENSE NUMBER Clyde K. Matsunaqa 4328 TITLE COMPANY NAME Licensed Professional Land Surveyor Imata & Associates, Inc. ADDRESS CITY STATE ZIP CODE 171 Kapiolani Street Hilo HI 96720 SIGNATU "</„. .�Q �� DATE 06/27/00 TELEPHONE (808) 935-6827 • IMPORTANT: 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 CC' Company NAIC Number e Department of Public Works I ggineering LvisiEdPON OVJ akiEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) te C 1,4 rpc •= •th sides o i it Et� ��i irate for(1)community official,(2)insurance agent/company,and(3)building owner. C"• EN I cioSes not recommend final approval • sy Date 47 00 I I Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO and ZONE A(WITHOUT BFE) 'or Zone AO and Zone A(without BFE).complete Items El through E3. If the Elevation Certificate is intended for use as supporting ?formation for a LOMA or LOMR-F, Section C must be completed. :1. Building Diagram Number (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.) 2. The top of the bottom floor(including basement or enclosure)of the building is 1 1 l ft(m)l ) lin.(cm) LJ above or L below (check one)the highest adjacent grade. 3. For 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?i_1 Yes' 1_.f No 11 Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION rhe property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or :ommunity-issued BFE)or Zone AO must sign here. 'P" 'ERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ‘DLrtESS CITY STATE ZIP CODE ;IGNATURE • DATE TELEPHONE :OMMENTS I_1 Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) e local official who ti'authorized by law or ordinance to administer the community's floodplain management ordinance can complete ctions A,B,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. . 1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) L1 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. .I I The following information(Items G4-G9)is provided for community floodplain management purposes. 4.PERMIT NUMBER , G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEJOCCUPANCY ISSUED .This permit has been issued for: l I New Construction Li Substantial Improvement . Elevation of as-built lowest floor(including basement)of the building is: _ft.(m)Datum: . BFE or(in Zone AO)depth of flooding at the building site is: ft.(m)Datum: )CAL OFFICIAL'S NAME TITLE IMMUNITY NAME TELEPHONE 3r'•TURF DATE • )rw...cNTS .1 J Check here if attachments