HomeMy WebLinkAbout1220 CHESTNUT AVE; ; 62-5207; PermitEDAPPLICATION FOR ]} [111 DING PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1 181 - Ext. 36
N2 ~" 5207
Owner Name ..!^/:.r:. ..... .•.....•......s£....: ................. Mailing Address
(Please Print) (Last)*-7 _ (First) (Middle)
Contractor
(Please Print)
To Construct d To Add fid To Alter d
rr Mailing Addresss>-</£
Number
To Move FromTo Repair d To Convert C
Address^
Type of Const. u^!7^^&i»*«C-Kind of Foundation Lr^?t\.-.C—<...No. of Stories /..... To Be Used for ^X!T^^TX_--. -
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) /...*Cr..Q. Const. Valuation $..
attached d
Floor Space of Garage [sq. feet) ~. detached dConst. Valuation $..
LEGAL DESCRIPTION
Lot Block Subdivision
Section Township....
Located at ../.*<...*<,..CZ. .£^4*#**tt*a&-, .T.....<^.r^rr..,.Street, Near
Range..
LAND AREA NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION. OR
ADDITION?YES..NO..-X
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 a check is tendered for payment of the above fee and the check is
not honored when presented for payment, your Building Permit will be SIGNATURE OF
immediately revoked. PERMITTEE ,
Front Yard Set Back
Side Yard Set Back
Rear Yard Set Back
Distance Between Bldg.
Off Street Parking Spaces
Sewage Disposal System
Zone - Residential ( / )
Zone - Commercial ( )
Variance
Eng. Check By
Driveway Permit Required Yes ( ) No ( ) Fee
Grading Permit Required Yes { ) No ( )
Sewer Disposal Plant Capital Cont. Fee
Sewer Pumping Station Capital Cont. Fee
Sewer Main Line Cost
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Water Main Pipe Line Fee
Water House Service Charge
Water Meter Charge
Sub Total .
Plans Approved by Plan Check Fee
Approved by ...f^.^....^^ff^^(!f-^^f^.^^^r^:. Building Permit Fee