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.��4 Ir Cit of � Wheat �idge The City o Wheat Ri �' .f g Flood Plain Development Permit Application Information �OJd�bQEO —L Z Case No. Date Owner William G. and Elizabeth M. Polivka Telephone (W0 os-0 (m)303- 993 -9774 Address 12001 W. 32nd Drive, Wheat Ridge Contractor Culligan Construction Telephone 303- 420 -5544 Address 7507 Grandview Avenue, Arvada, CO 80002 Project Locatign/Directions 12001 W. 32nd Drive adjacent to park at 32nd Drive and Union Street X Single Family Residential — Multi-Family Residential _Manufactured (Mobile) Home Non - residential Other /Explanations Project Description _ New Construction _Substantial Improvement ( >50 %) X Improvement ( <50 %) Rehabilitation Class of Permit /Fee Schedule General Permit Applications Utility Facilities _Roadway _Bridge ,Construction of a habitable structure not requiring Special Exception Permit _Class I Special Exception Permit Applications _Construction of a fence, less than or equal to 200 feet in length _Construction of a fence, greater than 200 feet in length _Construction of a fence with a break -away design _Construction of a shed or deck _Construction of a detached garage X_ Construction of an addition to a habitable structure _Earth fill, less than or equal to 500 cubic yards Earth fill, greater than 500 cubic yards — All other structures – fee to be determined by estimating processing expenses Class II Special Exception Permit Applications _Construction of a habitable structure Publication/Public Notice Fee _Channelization Fill — Bridge/Culvert Levee Application Fee: $200 $800 $1,000 $1,000 $100 $200 $500 $100 $200 $NO $400 per N $800 discussion $2,000 $1,000 $180 I have read and understand and will comply with the requirements of this Flood Plain Permit. 1-4 :: A . 2q Applicant Signature Date I.. I f (To be completed by Flood Plain Administrator) Flood Hazard Data Watercourse Name L it Gu /_ <� ,Al The project is proposed in the Floodway Floodway Fringe x Base (100 -year) flood elevation(s) at project site J ;Pc If- Elevation required for Lowest Floor ,j'¢ / NGVD / Floodproofing NGVD Source Documents: Reports/Maps -.7,047 C OT T O /K C a _ s A L F WD — Proposal Review Checklist / Pv� At . Site development plans are complete and depict flood hazard data. / � 0j9 14 AIJ Engineering data is provided for proposed map and floodway revisions. A- �p � .r� A / r Floodway Certificate and data documents no increase in flood heights. kr-41 h Subdivision proposals minimize flood damage and protect utilities. A � c P� Lowest floor elevations are above the base (100 -year) flood level. !�/ ` Manufactured homes address elevation and anchoring requirements. A Floodproofing Certificate certifies floodproofing designs. Other: Permit Action Permit Approved: The information submitted for the proposed project was reviewed and is in compliance with approved flood plain management standards (site development plans are on file). Permit Denied: The proposed project does not meet approved flood plain management standards (explanation is on file). Flood Plain A inistrator's Signature Date i Comments: r�.cs �' i S P�,9 r�I B /S 4.c 7s� iDE 4� /DO_y,e f�sdb PGA "V I Compliance Documentation Map Revision Data. Certified documentation by a registered professional engineer of as-built conditions for flood plain alterations were received and submitted to FEMA for a flood insurance map revision. Fill Certificate. A community official certified the elevation, compaction, slope and slope protection for all fill placed in the flood plain consistent with NFIP regulations Part 65.5 for map revisions. Elevation and Floodproofing Certificates. The as-built elevation of the building's lowest floor was certified as NGVD; or the building's floodproofing level was certified as NGVD; by a registered professional engineer or licensed surveyor and is on file. Certificate of Occupancy or Compliance Issued on Date Rev. 2/3/11 .� City of Wheat Ridgc Case No. VF-11- D 1 Owner William G. and F.Ii721 Contractor The City of Wheat Ridge Flood Plain Development Permit Application Information Project Location/Directions 12001 W. 32nd Drive / adjacent to park at 32nd Drive and Union Street Project Description X Single Family Residential _New Construction Channelization — Multi-Family Residential _Substantial _Fill Improvement ( >50 %) _Manufactured (Mobile) Home X Improvement ( <50 %) — Bridge/Culvert _Non- residential Rehabilitation Levee Class of Permit /Fee Schedule General Permit Applications _Utility Facilities _Roadway _Bridge _Construction of a habitable structure not requiring Special Exception Permit Class I Special Exception Permit Applications _Construction of a fence, less than or equal to 200 feet in length _Construction of a fence, greater than 200 feet in length _Construction of a fence with a break -away design _Construction of a shed or deck _Construction of a detached garage X_ Construction of an addition to a habitable structure _Earth fill, less than or equal to 500 cubic yards _Earth fill, greater than 500 cubic yards _ All other structures — fee to be determined by estimating processing expenses Class II Special Exception Permit Applications _Construction of a habitable structure Publication /Public Notice Fee Application Fee: $200 $800 $1,000 $1,000 $100 $200 $500 $100 $200 $890 $400 per $800 discussic $2,000 $1,000 $180 I have read and understand and will comply with the requirements of this Flood Plain Permit. Applicant Signature I V D ate (To be completed by Flood Plain Administrator) Flood Hazard Data Watercourse Name L .- 1 - 1 A /- < ' Al The project is proposed in the Floodway Floodway Fringe X Base (100 -year) flood elevation(s) at project site S ¢ 7 Elevation required for Lowest Floor NGVD / Floodproofing NGVD Source Documents: Reports /Maps __�aa7 Corrai< (fe, .5e l = f� Proposal Review Checklist Site development plans are complete and depict flood hazard data. _Engineering data is provided for proposed map and floodway revisions. Floodway Certificate and data documents no increase in flood heights. _Subdivision proposals minimize flood damage and protect utilities. _Lowest floor elevations are above the base (100 -year) flood level. _Manufactured homes address elevation and anchoring requirements. A Floodproofing Certificate certifies floodproofing designs. Other: Permit Action X Permit Approved: The information submitted for the proposed project was reviewed and is in compliance with approved flood plain management standards (site development plans are on file). _Permit Denied: The proposed project does not meet approved flood plain management standards (explanation is on file). Flood Plain A inistrator's Signature Comments: d PcAt -�V Bu 7' i DD_Y,Q F[ Compliance Documentation Map Revision Data. Certified documentation by a registered professional engineer of as -built conditions for flood plain alterations were received and submitted to FEMA for a flood insurance map revision. Fill Certificate. A community official certified the elevation, compaction, slope and slope protection for all fill placed in the flood plain consistent with NFIP regulations Part 65.5 for map revisions. Elevation and Floodproofing Certificates. The as -built elevation of the building's lowest floor was certified as NGVD; or the building's floodproofing level was certified as NGVD; by a registered professional engineer or licensed surveyor and is on file. Certificate of Occupancy or Compliance Issued on Date 2— G/ Date Rev. 2/3/11 96.13' 01 10' EASEMENT PER PLAT EDar= OF C= ®- G ? C OVERED PORCH (143 SF) EXISTING DECK I (E) HOUSE SF) APROX. (215 S 1810 SF) EJOSDNG GARAGE (53] 51) NJIIIIDN (l9 S`7 ENCLOSE PATIO(175 SF) PROPOSED COVERED PORCH (170 SF) LOT SIZE 20330 SF. A.F-F- I EGAL DISCM ON k7(ISIIN GARAGE 53] SF. COL- NI LOT B. GLEN BROOK SUBDSION EXI"IINREAR PATIO 145 SF. CONT- COUNTY OF JEFFERSON, STATE OF COLORADO EXISDNG DECK 215 SF. CLG. HT. L50 / KNOWN AS 12001 W. 32ND DR EXISRNG HOUSE 1810 S` CMU. CONCRETE MASONRI'' NEW HOUSE ADDNON 70 SF PIA. DIAMETER NEW COVERED FRONT PORCH 170 SF. EA. EACH '.DTAL COVERAGE 2947 S, j 14.5% N) ELECTRICAL 170' - -- - - -- - - - I A N Z _O z 19 @ AT A.F-F- A15OVE FINISHEP FLL BLDG. WIL PING COL- OOLWN CLO. CEILING CONT- CONTINUOUS CONSTR. CONSTRUCTION CLG. HT. CEILING HEIGHT GONC, CONCRETE CMU. CONCRETE MASONRI'' rL GINTERLINE PIA. DIAMETER PIM- DIMENSION EA. EACH ELEV- ELEVATION ELEC. ELECTRICAL EQ EgJAL EXTG. EXISTING EXT. EXTERIOR FIN. FINISH FLR- FLOOR FT- FEET F -O- FINISH OPENING GA- GAUGE GL. GLASS GYP.P5D 0YP6LM 150ARP OR- GRAPE GL, GENERAL GONSTRAG H.M. HOLLOVV METAL HORIZ HORIZONTAL HR. HOUR (L ft (L z' Lu Q Lu LIN 170' W. 32nd AVE. (50' ROW l.l.! v/ O O0 c� COVERED FK)RCH (143 SF) A.F -F. ABOVE FINISHED FLOOR BLDG. BUILDING (,OL. (,OWMN PLO. (,EILINO (,ONT. (,ONTINUOUS CONSTR. CON6TRucTION CLG. HT. ( EILING HEIGHT GONG. CONCRETE (,MU. CONCRETE MASONRY UNIT r (,INTERLINE PIA. DIAMETER DIM. DIMENSION EA. EACH ELEV. ELEVATION ELEC. ELECTRICAL Eq. EgUAL EXTG. EXISTING EXT. EXTERIOR FIN- FINISH FLR- FLOOR Ff. FEET F.O. FINISH OPENING GA. GAUGE GL. GLASS GYP.BD GYPSUM BOARD OR- C RARE GL. GENERAL CONSTRA(,TOP- H.M. HOLLON METAL HORIZ. HORIZONTAL HR, HOUR HT. HEIGHT I -BL, INTERNATIONAL BUILDING INS. WSU .ATION INT_ INTERIM O0 c� COVERED FK)RCH (143 SF) EXSTING DECK (E) HOUSE (AFRO%. (215 SF) 1810 SF) EXISTING GARAGE (53] SF) ADDRION (ry e 29'. / (E) FNCDSE PATIO(1]5 SF) PROPOSE PORCH \ (170 SF) \x--10 EE RDIM LOT SIZE EXISTING GARAGE 20330 SF. 537 SF. EM DISCRIP11ON LOT 8. GLEN BROOK SU STATE N DO COUNTY OF JEFFERSON, STATE OF COLORADO IXISIING RFM PATE 145 SF. 215 SF. _ ALSO KNOWN AS 12001 W. 32ND DR DECK E(ISIING HOUSE 1810 S` � NEW HOUSE ADD90N NEW COVERED FROM ]0 SF PORCH 170 SF. M TOTAL OOVEWE 2947 Sr. 14.51 . W I I City of W h6at i ge LAND USE APPLICATION FORM om,mu, Y DFVF U ?PNIENTT Case No. WF17D7 Date Received 8/1/2011 Related Cases Case Planner LReckert . Case Description Class I Special Exception Permit -- construction of an addition to a habitable structure i , .9,op.4cdY�f /nfomralroir Name William Polivka Name [ Elizabeth M. Polivka Phone 003J2650367 Address j12001 W. 32nd Dc _J City L heat Ridge J State � Zip 0033 -� ©rvrrcr/rrforeraJmn -- --------- - - -- Name - William G. Polivka Name Elizabe M. Polivka , Phone (303J 2050367 J Address [ 12001 W. 32nd Dr_ _ __ , City Wheat Ridg = State CO Zip 80033- _[ cagtcf)vrforecafma ,) Nam Phone 303 9939774 Name W[II[am (Bill) Polivka ( ] ,j Address ( City State �, Zip y Oiojecf /inn -- - - - 1 Address 112001 Sheet Rae 32nd Dnve City Wheat Ridge State ICD Zip [80033 v' ,[ Location Description r P ct Name C_ —� Parcel No. 1 39-291-10 -026 Qtr Section: NE29 District No.: III .__ [ Pre -App Date hi Neighborhood Meeting Date App No: v Review Type .'Review Body'. Review Date Disposition Comments Report El i Records 1 Jf r l:J�(►1 J ► J..af 3924 CITY OF WHEAT RIDGE 88/81/11 10:18 AN cdba WILLIAM G. POLIVKA RECEIPT NO:CDA006208 AMOUNT FMSD ZONING APPLICATION F 480.80 ZONE PAYMENT RECEIVED MOUNT CK 1837 400.88 TOTAL 488,08