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HomeMy WebLinkAboutWF-09-03The City of Wheat Ridge Flood Plain Development Permit Application Information Permit WF-09 - a3 Date S i t (5 j Owner--J i ul- G R ` Telephone 30 23- 3091 Address tA'-S6'1 G tS0 ZI t~KfA-ky- COQ 0-Od33 Contractor ~?~-u e~TV,2. 'xe-Cbt o-10 1-0 6 Telephone C - 20 -2.7 -0S7 Z Address '7 1 13 U-) e-6x PSO CL)f i 1-LTT X0,0, CO(-C) FO i Z 8 Project Location/Directions 9 F}/Ke pss F O v Project Description -Single Family Residential -Multi-Family Residential -Manufactured (Mobile) Home Non-residential New Construction -Substantial / Improvement (>50%) [-Improvement (<50%) Rehabilitation e, X)fdeij 3 S, o e,S Channelization Fill -Bridge/Culvert Levee tSk1 O CL L) e2- WOoO Class of Pertgit/Fee Schedule a 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. Signature 5 it o°I Date (To be completed by Flood Plain Administrator) Flood Hazard Data Watercourse Name CG /L C /ev.,- /z-~- The project is proposed in the Floodway Floodway Fringe 7C Base (100-year) flood elevation(s) at project site Elevation required for Lowest Floor NGVD / Floodproofing NGVD Source Documents: Reports/Maps eg it- 0 2- o0 7 '41A 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 Floodproofrng Certificate certifies floodproofrng designs. Other: Permit Action 2L 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 proj ect does not meet approved flood plain management standards (explanation is on file). Variance Granted: A variance was granted from the base (100-year) flood elevations established by FEMA consistent with variance requirements of NFIP regulations Part 60.6 (variance action documentation is on file). Flood Plain Administrator's Signature Date nts: _:b T S,41,4k G A~?Z 4 U -7-,K O 7', 117' 00OS4.0 1-94-X-le Gid.k ~1.~!/ ~ ~i4JCL SAO G,t4fL 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 Date Rev. 3/11/03 ~oF V "E?rp City of Wheat Ridge Building Division Date: C151 1♦ m 7500 W. 29th Ave., Wheat Ridge, CO 80033 G Office: 303-235-2855 ' Fax: 303-235-2857 Plan ~GI_ O ~G cl ° o Inspection Line: 303-234-5933 °<octro Permit Building Permit Application Property Address: f-I 3 19 L G'R 22 c S ooj S t w Nes? r-or, ('0 E-0 0 3 3 Property Owner (please print): , ) I L L CP" 0Zy Phone: ,303 1 -//Z 3 -3077 Mailing Address: (if different than property address) Address: G~1^it City, State, Zip: Contractor: STY,.) 670 tZ L VeCl-f xo01--0 G Y Contractor License Phone: C- 7 2 0 - z 76 - 0S7 L Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: It Approval: Approval: Approval: L Use of space (description): K t o Co C'v e2 Construction Value: $ 3,5 °°-D Description, of WOrk N r (as calculated per the Building Valuation Data sheet) P ST4,_ / 44 rA- 2 3 . J. W o° o PA-00 Ca( JCit2_ W ~S1-NNGGeS TO Plan Review (due at time of submittal): $-E-4 M6TC14 (~-FF0use• S~ 2~ ~c7cvn S f0 (3~e412 o r l c l31 G OT C S ra s ArrAci Oo vAZ, RNft2 6-4-6 LC Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR 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 compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subjec d i ection. CIRLCE ONE:: (OWNER (CONTRACTOR) or PERSONAL REPRESEy.TATIVEWNER) (CONTRATOR) PRINT NAME: ~.~L 'e SIGNATURE' IJ1/S~Jr~~- Date: P 6~ s ~x C~ Ha GAB Le 1~aGz ~-13G-7 ' i>-ixz3 co~e2 ~-I 1-4 No e -fo. W SAG GOL_~ ~3Z ZX(Zfy2 MI N/' - ~°s~ II Sf~r G LeS , f+oa -e 1,0 m4l-c j 6erz ,ais- pti jia tH4AO f , v 2Xi f ~v© q - I / 9ow+ 7 'xz 3' t14 ti "P AFB w 3 ~~K6 ~~~pori~5 a P,~l~t n~ G e r.7~ Ql 6 ~oct~~ r~ O 2 LX/L lFOfZ y~ Est ~aw+ 6-7zo- 276-OS City of heat Ridge 4367 Garrrison 50 0 so State Plane Coordinate Protection Colorado Central Zone Datum: NAD83 DISCLAIMER NOTICE: This is a pictorial representation of geographic and demographic information. Reliance upon the accuracy, reliability and authority of this information is solely requestor's responsibility. The City of Wheat Ridge, in Jefferson County, Colorado - a political subdivision of the State of Colorado, has compiled for its use certain computerized information. This information is available to assist in identifying general areas of concern only. The computerized information provided should only be relied upon with corroboration of the methods, assumptions, and results by a qualified independent source. The user of this information shall indemnify and hold free the City of Wheat Ridge from any and all liabilities, damages, lawsuits, and causes of action that result as a consequence of his reliance on information provided herein. of W FE5)P ~ o City of Wheat Ridge, Colorado om ~ 7500 West 29th Avenue Wheat Ridge, CO 80033-8001 303.234.5900 Publish Date: 5/07/2009 05/11/09 CITY OF WHEAT RIDGE 3251 PM cd6G Leslie Davis RECEIPT F 300.00 ZONE 340.00 PAYMENT RECEIVED AMOUNT CK 5368 TOTAL 300,00 J 300.00 U