HomeMy WebLinkAboutWF-09-13The City of Wheat Ridge
Flood Plain Development Permit
Application Information
Permit ` M� �TeYtiG Date
5 ✓g 0
Owner . Telephone . ZD /
Address /- 1
Contractor Telephone
Address
_Project L ocation/Directions -
Project Description
_✓Single Family Residential New Construction _Channelization
_Multi-Family Residential _Substantial _Fill
Improvement ( >50 %)
_Manufactured (Mobile) Home _Improvement ( <50 %) Bridge /Culvert
Non - residential Rehabilitation _Levee
Class of Permit /Fee Schedule
_ ✓Class I (structures for non -human occupancy) $300
_Class II (structures for human occupancy) $840 (includes public noticing fees)
I have read and understand and will comply with the requirements of this Flood Plain Permit.
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Date
(To be completed by Flood Plain Administrator)
Flood Hazard Data
Watercourse Name <L
The project is proposed in the Floodway _ X Floodway Fringe
Base (100 -year) flood elevation(s) at project site
Elevation required for Lowest Floor NGVD / Floodproofng NGVD
Source Documents: Reports/Maps a ze �� �g ✓ d ° p
A'A/ a P
Proposal Review Checklist
Permit Action
- Permit Approved: The information submitted for the proposed project was reviewed and is in
compliance with approved flood plain management standirds (site development plans are on file).
Permit Denied: The proposed project does not meet approved flood plain management standards
(explanation is on file).
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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 builiding'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
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City of Wheat Ridge
Memorandum
Reason: Flood plain permit was denied so homeowner could not install fence.
Homeowner mailed in request letter for refund of fees which was approved by
John Schumacher and Tim Paranto. Permit #090520 for 4700 Carr St.
Please refund: 100 % Flood Plain $300.00
100% permit fee: $34.52
100% plan review $22.44
100% use tax: $10.44
Total: $367.40
TO: Amy Whalen
4700 Carr St.
Wheat Ridge, CO 80033
Thank You!
Hz&* - M s
Permit Technician
oE` " City of Wheat Ridge Building Division
m 7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 235 -2857
0 o Inspection Line: 303 - 234 -5933
O CORP�
Building Permit Application
Property Address Z/— 700 C -z/ r
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
Date:
Plan #. cC/ _ o/0( .
Permit #: CC10 0
,Q,A Phone:
XF
I
Contractor License #:
Phone:
Sub Contractors:
Electrical City License #: Plumbing City License #: Mechanical City License #:
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: 8 G80 .
Description of work, 1 (as calculated per the Building Valuation Data sheet)
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Plan Review (due at time of submittal): - $ AE -=
. �� j� /✓ /, r�ct s4, (: fin
Sq. Ft. /L.Ft added : Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for complia���ttce with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit Plans spbject to field inspection.
CIRLCE ONE::; (OWNER) r (CONTRACTOR) or PERSONAL REPRESE TATIVE of (O NER (CONTRATOR)
PRINT NAME: Lt ��- SIGNATURE'`>y �(.CJ ��- Date`7` (1
Contractor:
Land 13 dents
j 460 Yuma Street ■ 0anrsr. Colorado 80204
I Off: (303) 4368233 A Fax: (303) 438 -923S
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HABITAT ON CARR S,,,REET FJUNG NO. i
CITY OF WHEATRIOGE, COUNTY OF JEFFtRSQN,
I STATE OF Clot 0" WO SCALE: f " = 20'
OGRESS: 4700 CARR STR= " -N ? L ' u E 7
X 7 9.94'
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ryO PEGhg 4 l A\y i Plzae.t 44'
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. �a � c , r t•,1C� ," -FPX�. - IMPROVEMOW LOCATION GERTINCATE
t7erea certify khai this impravemettk loadYwn cent diadtC was prepared
zo' X30 for l €ar nrimq r— that .it is not a fond surety lot or improvement
t q 262w5�,�w survey plat, and that it is not to be retied upon for ha eatob0hment of
` Q feriae Wilding, r ofher Future irn rovement tlnes.
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f rr HA ° �`n`p I further- cer jfy shot the Improvement on the
(Irs dote E — ? 0 ° exaapt utiPhy conneCYwns, ore entirety wkhin the
bouh I,W.s of the parts(, except as shown, thdt tires are [m encroachments
open the described promises try improvements on any adioining F premises
o sign of f
l except ern as in ad, and #h- are is no a parent sW ;ice
any eosent crossing or burden(ng any port of said parcel, except as noted.
_
'. t CE: According to Colorado law you MiiSt commence and action based upon any
defect in this survey within 3 years after you first discover Bach dafeetl in'nO event, may any
action based upon defect in this survey he commenced more than ten years from the date of
t the certification shown hereon.
Revised Job No. 04043 awn. B.J.P. ICkd. J.A.W. said File
Vinyl Fence I Picket Fences Yorkshire Concave, Privacy Fence, Horse Fence, Pool Fence,... Page i o`2
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