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7-5-005:015 Residential
-:( 1i \ William P.Kenoi .; �"� /�.' Warren H.W.Lee Mayorts+ Director Walter K.M.Lau ,, Brandon A.K.Gonzalez Managing Director Deputy Director C,'Inutt ur Paivan 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 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. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number City State' ZIP Code y{A1LtnA-V111\ Pd `16'1() A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Tru ll, 0) 't+ - c-OatS 015 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) 1-2,F 't D�lv�-I IR 1.- A5. Latitude/Longitude:Lat. Long. Horizontal Datum: 0 NAD 1927 0 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 N- A - - A 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) sq ft a) Square footage of attached garage 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)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 Bi.NFIP Community Name&Community Number B2.County Name B3.State 84.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 10- B10. p_B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. 0 FIS Profile 0 FIRM 0 Community Determined 0 Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 0 Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Oyes ❑No Designation Date 0 CBRS 0 OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑Construction Drawings* 0 Building Under Construction* 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized Vertical Datum Conversion/Comments County of Hawai'i is an Equal Opportunity Provider and Employer. COMMENTS: Date of Review: /I.5 t3 Community Official: C L�2 All elevation certificates shall be maintained by the community and copies with the attached memo made available upon request. S County of Hawaii is an Equal Opportunity Provider and Employer. +J.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 `, Federal Emergency Management Agency Expires March 31, 2012 National Flood insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Cornea* sie Al. Building Owner's Name ;,. k LARRY POZNER P rcy Nrilttber"' A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAlC'Numb-Pt; ADDRESS NOT FOUND ZIP Code City KAILUA KONA State HI 96740 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) (3)7-5-005-015,LOT 48 OF L.C.APP.1318 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude:Lat. 19.63850 Long. -156.00180 Horizontal Datum: 0 NAD 1927 0 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 5 - • A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage endosure(s)within 1.0 foot above adjacent grade 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 d) Engineered flood openings? 0 Yes 0 No d) Engineered flood openings? 0 Yes 0 No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION ' 131.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) 0694 C APR 02,2004 SEPTEMBER 16,1988 VE/AE 10 FEET B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. 0 FIS Profile 0 FIRM 0 Community Determined 0 Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 0 Other(Desaibe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or erwise Protected Area(OPA)? 0 Yes x0 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 Construction' 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1 A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized USGS BM AT KAILUA PIER . Vertical Datum NGVD 29 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 12.0 © feet H meters(Puerto Rico only) b) Top of the next higher floor 23.0 Cl feet meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 10.29 D feet 0 meters(Puerto Rico only) d) Attached garage(top of slab) N/A.__0 feet 0 meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 11.0 0 feet 0 meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 5.0 ED feet 0 meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 9.0 © feet 0 meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 5.0 0 feet 0 meters(Puerto Rico only) structural support 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. /certify that the information on this Certificate represents my best efforts to interpret the data available. AS G,p I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. (Ci ,�Tx0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided byia ' : I, 1p licensed land surveyor? 0Yes 0 No L/CEN OOFE- SDCertifiers Name License Number LA.-$ZONAL 2 Thomas G.Pattison 10743 SU>iVEroR title Company Name N ind Surveyor Pattison Land Surveying Inc. . •:, 1- 0), x0743 ,ddress City State ZIP Code • -1 73-5618 MAIAU SIRE KAILUA-KONA Hawaii 96740 6L " • Signature ,. Date Telephone , ,:•• U.S P dill/i' 3-8-2011 ,, , FEMA Form 81-31, Mar .09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. f p 0710: ce Ce> ny>;t sA Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No)or P.O.Route and Box No. Pojlcy N "r;j ADDRESS NOT FOUND City State ZIP Codean i+fAtt;l+iilb ar "'f KAILUA KONA HI 96740 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments AIR CONDITIONER COMPRESSOR IS LOWEST EQUIPMENT Signature �-�/ Date 3-8-2011 ❑ Check here if attachments SECTION E-BU LDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-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,crawispace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is _ ❑feet ['meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in SectiqjirA Items 8 and/or 9(seea es 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is 0 feet Li meters D.above or Lj 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? 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: ❑.New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building 0 feet 0 meters(PR) Datum G9. BFE or(in Zone AO)depth of flooding at the building site 0 feet 0 meters(PR) Datum G10.Community's design flood elevation rias De pcirtnien of Public 'Ai ;t:kr, 0 feet ❑meters(PR) Datum iriirreet'ing D 2vi;k r isys rir:!avid �' Local Official's Name I'' 1e 1rlEr'NC r n 'C^9iiFicaa P, cnd Community Name Lecet6.. €rrTs Telephone Signature C.1 d `'� `� ='c� rtl�it Date final Contents , Date, / 0 Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions