Loading...
HomeMy WebLinkAbout7-5-004:020 S Bldg C-3Our Proj#18408 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurmlce Program IMPORTANT: Follow the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building owner's Name Kalanikai (Units 101 to 108, 201 to 208) South Building (Bldg C-3) Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or FO. Route and Box No. Company MAIC Number: 75-5681 Kuakini Highway city Kailua Kona State HI ZIP Code 96740 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 3-B NE building TMK: 3/ 7-5-004: 020 A4, Building Use (e.g., Residential, Nori-Residential, Addition, Accessory, etc.) Multi Family Residential Complex A5. Latitude/ Longitude: Lat. 19 6412A Long. -155,99279 Horizontal Datum: ❑ NAD 1927 ❑x 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 1 A A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) n/a. sq ft a) Square footage of attached garage n/a. sq ft b) No. of permanent flood openings in the crawispace or n/a b) Number of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade A4@ c) Total net area of flood openings in A8.b n/a. sq in c) Total net area of flood openings in A9.b nfa- sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NAP Community. Name & Community Number B2. County Name B3. State I HAWAII 155166 HAWAII COUNTY HAWAII 84. Map/Panel Number B5. Suffix 66. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone n/a. N feet Revised Date n/a. A0, use base flood depth) 155166 07' D 04/02/2013 05/16/1994 X (shaded) n/a X (shaded) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: N NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date: / / ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* N 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 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. in Puerto Rico only, enter meters. Benchmark Utilized: Kailua Pier BM#4 Vertical Datum: Mean Sea Level Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Ch k th emer t d a) Top of bottom floor (including basement, crawispace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 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. 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. Check here if comments are provided on back of form. O Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? N Yes ❑ No Certifier's Name license Number Chrystal Thomas Yamasaki LS_4331 Hawaii Title Company Name Licensed Professional Land Surveyor Wes Thomas Associates Address City State ZIP Code 75-5749 Kalawa Street, Suite 201 Kailua Kona HI 96740 03/06/2015 1(808) 329-2353 VEY0" No. 4331 Form 086-0-33 (7/12) \—/ See reverse side for continuation. I >;V yReplaces all previous editions. ec a measu n use . 52 08 ® feet ❑ meters 60 , 78 N feet ❑ meters n/a. N feet ❑ meters n/a. N feet ❑ meters 55 _ 2 N feet ❑ meters See Comnenls 51 . 3 ® feet ❑ meters 51 . 5 N feet ❑ meters 52 . 2 N feet ❑ meters 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. Check here if comments are provided on back of form. O Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? N Yes ❑ No Certifier's Name license Number Chrystal Thomas Yamasaki LS_4331 Hawaii Title Company Name Licensed Professional Land Surveyor Wes Thomas Associates Address City State ZIP Code 75-5749 Kalawa Street, Suite 201 Kailua Kona HI 96740 03/06/2015 1(808) 329-2353 VEY0" No. 4331 Form 086-0-33 (7/12) \—/ See reverse side for continuation. I >;V yReplaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. I FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. Policy Number: 75-5681 Kuakini Hiahwav City State ZIP CodeI Company NAIC Number: I 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 Note: This S building (Bldg C-3) in the complex is in Zone X(Shaded) See attached plot plan with flood zones annotated. Note: LOMB Dated January 11, 2007 Case No. 06-09-B685P Date 03/06/2015 SECTION E — BUILDING ELEVATION INFORM_& ION (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 E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ 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 Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ 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 -G10. In Puerto Rico only, enter meters. G1. ❑ 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 A0. G3. ❑ 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 ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10.Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 086.0-33 (7/12) Replaces all previous editions.