HomeMy WebLinkAbout2570 WILSON ST; ; 61-4106; PermitAPPLICATION FOR Bl ... DING PERMIT
4106
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
Owner Name .f!e!.:..IY.R.N..d.fi:/1···/1.4/.'(_.Yc.~ . .1.. ........ e...Mailing
(Please Print) (Lost) (First ) (Middle)
Address ....................................................................................................... .
Number, Street City Phono
Contractor ....... cf.'..~€.'f1-.......... J.. .. .<'-,:;?>..6-:-: .............................................. Mailing
( Please Print) Address •••••••• N~f.;Y······si";~~t·················cii;··················Ph~~~
To Construct ✓ To Add O To Alter O To Repair O To Convert O To Move From ............................................................. .
-7. f', Ad~ss
Type of Const.~ ........ Kind of Foundation ...... ~r. .... No. of Stories .... / ........ To Be Used for .... ~ .. /. .............................. .
( Fro me. Masonry. Etc.) ( One Family Dwelling, Store, Etc.)
Floor Spece of Proposed Construction (sq. feet) ..... /.~.~ .. Q ................... Const. Valuation $ ... 7 ............................................................................................ .
Floo, Spm of Gmgo (,q. fool( ',l,.$cA::: ;::::(:~ s;,::;. Vol,olio:!;f-/~~? ~~
LEGAL DESCRIPTION .• ?..01,l .'i.?··1. ..... 1.~ .... G.: .. w. .. ~~~·········· .. ·· .. ····· .. ··········· ...... w..,.~t~eit;:-;:, ............ /8.B..~ ... 7. ..................... .
or .................................................................................................................................. Section .................................... Township ............................ Range .......................... .
Located at ./2.~-:..2.4 ........ t/.J.1..'./s.~.N. ...................................................... Street, Near ....... ~~.*-.................................................................. .
Assigned House Number
LAND AREA ..................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ....... ./Vi::' .. N...e. ............... (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN}. WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES ..... ~ NO ................ .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If o check is tendered for ,:oyment of the obove fee ond the check is
not honored when presented for payment. your Building Permit will be
immediately revoked.
/ I
Front Yard Set Back ............ ,;J,0 ........ P.1.L./.!/.. .................... .. Driveway Permit Required Yes !0' No ( ) Fee ............... ./> /..2S-
Side Yord Set Back ..................... 2 .. '. ... /?..1..#.. ................. .. Grading Permit Required Yes ( ) No v.,-1 ...................................................... ..
I ,
Rear Yard Set Back ............. /¥.. ....... /1!2..✓-"1~ ................. . Sewer Disposal Plant Capital Cont. Fee .... ~.J?aiJ ......... '..tf. ... ?!?. ... ~.~.'. ... . ,, ,
Distanco Betwoan Bldg ......... /t:?. ........... .c:1. .. ~.-!11!. .............. .. Sewer Pumping Station Capital Cont. Fee ................................................................... .
I Off Street Perking Spaces ........................................................... . Sewer Main Line Cost .......... A .. ~.S.s;:,.?. .. , .... P ~.~.C. .......... ?...-:/ .. '1.!...'1. ........ ..
/J ~ ~ Sewage Disposal System ....... Ll.l .... ~ .......... e.w. .. e.~.5 . o . n ff-±.i. ., zi.-sewer Lateral Connection Charge ........ .Ta..A.,N.......................... :: ....................... .
Zone . Residential (K-/) .......................................................... .. Water Stocked Lands Charge ...................................................................................... ..
Zone . Commercial ( } ......................................................... . Weter Main Pipe Line Fee ............................................................................................ .
Water House Service Charge ........................................................................................ .
Water Meter Charge ....................................................................................................... .
Sub Total ............................ f..)..~ ... ~ .... J.1.7. .. 4#.: