HomeMy WebLinkAbout1250 HOOVER ST; ; CB972379; PermitB U I L D I N G P E R M I T
10/17/97 11:36
Page 1 of 1
Job Address: 1250 HOOVER ST Suite:
Permit Type: RESIDENTAL ADD/ALT
Parcel No : 206-150-19-00 Lot#:
Valuation: 20,116
Occupancy Group: Reference#:
Description: RAD 215 SF, FAMILY ROOM ADD
Permit No: CB972379
Project No: A9703023
DeveJopment No:
0368 10/17/97 ~J1 02 238-00
Construction Type: NEW
Status: ISSUED
Applied: 08/25/97
Apr/Issue: 10/17/97
Entered By: JM
Appl/Ownr : BROOKS WORTHING 760 729-3965
690 CARLBAD VILLAGE
CARLSBAD, CA 92008
·k** Fees Required ***
Fees:
Adjustments:
Total Fees :
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Enter "Y" for Elec
Enter "Y" for Remo
* ELECTRICAL TOTAL
DR
L
& Credits ***
.oo
140 .00
238.00
Ext fee Data
216 .00
140.00
2.00
358,00
10.00 Y
10.00 Y
20.00
OVAL
~~:,,,..'_ DATE a-~ , -a. -ct g
----j
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
V lo23?t
PERMIT APPLICATION
FOR OFFICE USE ONL z
PLAN CHECK NO. Z3 7f
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. Z:'J2 /~~
Plan Ck. Deposit 0 • f'{)
Valid~B~~ ,
Date ~ ~~1 02 140-00
1. PROJECT INFO~~N tZSO ~&
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
DescriptionofW~d. r~I~ (<M
2. CONTACT PER~O_N (lf dlfferent
0
fr'm applicant)
Brooks Worthing 6Q0 Clsbd Vil.
#of Stories
Name Address
I ~h,,1 # of ?ms
Dr . Carlsbad . CA 92008 (76Q)729 3965
City State/Zip Telephone #
SO. FT. 2 1?
( 729-0784) Fax#
Contractor [I Agent for Contractor
Worthing, I nc. 690 Clsbd.
0 Owner O Agent for Owner
Vil . Dr. Carlsbad , CA 92008 ( 7 6 0} 729-3965
Name
.4.
5. (;ONIJIMI9R • COMPANY NAME
Address
Address
City State/Zip Telephone#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant fo· such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 70:!1 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
BA worthi ng Inc 690 CJsbd, Vil Dr Carlsbad , CA 92008 (760)729 3965 Name ' Address City State/Zip Telephone #
State License # -3-9H8~7~6"r-l1-----License Class __,_Ri.=_,J ______ _ City Business License # -J:*'-"8::c.:=S.__ ___ _
Brooks Worthjng 3311 Jamea dr. Carl~bad , §t~ 9 2 0 0 8 Sta\e7z~ 0 ) 7?Q 3965
Designer Name Address Telephone
State License # B 3 9 2 8 9 4 -
6. wo~~s· COMPENS~TION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certifica1e of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issu,id.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insul'ance carrier and policy number are:
Insurance Company St s te Fun, Policy No? 2 9 9 7 JJ n i t Q Q Q 6 S ~ijpiration Date 1 / 1 / 9 S
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I C3rtify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to a re workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($ 0), In t e cost of compensation, damages as provided for In Section 3706 of the L or code, erest and attorney's fees.
SIGNATURE._,__~~JL.::U!!...ll~L.CIL.¥.=.;,,£..--------------===::-DATE _,,~r,...-""',,C...,1,<--4---1---
7. OWN~R-BUILDE
O I, as owner of the property or my e es with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 I, as owner of the property, am e:<clusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not ap~ly to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license number):. ______________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _
COMPLETE THIS SECTION FQANON•R41SIDENTIAL BUILDING ~ERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO
Is the applicant or future building occup11nt required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION LENQ!NG A.GENC:Y
I hereby affirm that there is a constructi,,n lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S ADDRESS. ________________________ _
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ,11.LSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit is not com ced wi ·n 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the wor fo of 180 days (Section 106.4.4 Uniform Building Code).
DATE
PINK: Finance
PERMIT# CB972379
DESCRIPTION: RAD 215 SF,
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/06/98
FAMILY ROOM ADD
INSPECTOR AREA NF
PLANCK# CB972379
OCC GRP
TYPE: RAD
JOB ADDRESS: 1250 HOOVER ST
APPLICANT: BROOKS WORTHING
CONTRACTOR:
OWNER:
REMARKS: C/TERESA/729-3965
SPECIAL INSTRUCT:
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 760 729-3965
PHONE:
PHONE:
INSPECTOR !l)F ---~--------
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
CB940959 PATIO
STATUS
EXPIRED
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
~d
~---
49 ME Final Mechanical * -~--~t6--~~q-g--~~-------
4 1
DATE
123097
123097
123097
121997
120997
120997
120997
120997
112197
112197
102997
102897
***** INSPECTION HISTORY*****
DESCRIPTION
Interior Lath/Drywall
Exterior Lath/Drywall
Insulation
Insulation
Shear Panels/HD's
Frame/Steel/Bolting/Welding
Rough Electric
Rough/Ducts/Dampers
Roof/Reroof
Shear Panels/HD's
Ftg/Foundation/Piers
Ftg/Foundation/Piers
ACT
AP
AP
AP
co
AP
AP
AP
AP
AP
co
AP co
INSP
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
COMMENTS
SEE NOTICE
SEE NOTICE
SEE NOTICE
DATE: 9/4/97
JURISDICTION: Carlsbad
PLAN CHECK NO.: 97-2379
EsGil Corporation
ProfLJsionaf Pfan. 1?._wiew 'Enginurs
SET: I
PROJECT ADDRESS: 1250 Hoover St.
PROJECT NAME: Manzano Residential Addition
D APPLICANT
c:e::_Jo~
D PLAN REVIEWER
D FILE
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
■ The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
■ Esgil Corporation staff did not advise the applicant that the plan check has been completed.
D Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted: (by: Fax#:
Mail Telephone Fax In Person
■ RE ARKS : 1. Add the smoke detector note, clouded in red on sheet 2 of the plans, to the city
set of plans. 2. Applicant to submit truss details to the city.
By: Chuck Mendenhall
Esgil Corporation
0 GA O CM O EJ O PC 8/26/97
Enclosures:
trnsmtl.dot
93 20 Chesapeake Drive, Suite 208 ♦ San Diego, California 92 123 ♦ (619) 560-1468 ♦ Fa"< (619) 560-1 576
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: CM
PLAN CHECK NO.: 97-2379
DA TE: 9/4/97
BUILDING ADDRESS: 1250 Hoover St
BUILDING OCCUPANCY: R3 TYPE OF CONSTRUCTION: VN
BUILDING PORTION BUILDING AREA VALUATION VALUE
(ft. 2) MULTIPLIER ($)
addition 214 94 20116
A ir Conditioning
Fire Sprinklers
TOTAL VALUE 20,116
■ 1991 USC Building Permit Fee D Bldg. Permit Fee by ordinance: $ 216.00
■ 1991 UBC Plan Check Fee D Plan Check Fee by ordinance: $ 140.40
Type of Review: ■ Complete Review D Structural Only D Hourly
D Repetitive Fee Applicable D Other:
Esgil Plan Review Fee: $ 11 2.32
Comments:
Sheet 1 of 1
macvalue.doc 5196
City of Carlsbad
■ #iei· 1 i ,1441 i,i· I •14 ·ki I I, ,t§ 0 i
BUILDING PLANCHECK CHECKLIST
DATE: q-,3-97 . PLANCHECKNO.: cso/7(;}_3 79
BUILDING ADDRESS: / d\, ;fi) = ~
PROJECT DESCRIPTION: ;217-'~~~
ASSESSOR'S PARCEL NUMBER: __________ EST. VALUE:
ENGINEERING DEPARTMENT
APPROVAL DENIAL
The item you have submitted for review has been
approved. The approval is based on plans,
information and/or specifications provided in your
submittal; therefore any changes to these items after
this date, including field modifications, must be
reviewed by this office to insure continued
conformance with applicable codes. Please review
carefully all comments attached, as failure to comply
with instructions in this report can result in
suspension of permit to build.
A Right-of-Way permit is required prior to
construction of the following improvements:
Please see the attached report of deficiencies
marked with □. Make necessary corrections to plans
or specifications for compliance with applicable
codes and standards. Submit corrected plans and/or
specifications to this office for review.
By: Date:
By: Date: --------
By: Date:
FOR OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT:
By:
ATTACHMENTS
Dedication Application
Dedication Checklist
Improvement Application
Improvement Checklist
Futl.ire Improvement Agreement
Grading Permit Application
Grading Submittal Checklist
Right-of-Way Permit Application
Right-of-Way Permit Submittal Checklist
and Information Sheet
Sewer Fee Information Sheet
Date:~~
ENGINEERING DEPT. CONTACT PERSON
Name: Michele Masterson
City of Carlsbad
Address: 2075 Las Palmas Dr., Carlsbad, CA 92009
Phone: (619) 438-1161 , ext. 4315
CFD INFORMATION
Parcel Map No:
Lots:
Recordation:
Carlsbad Tract:
A-4
~r, 3RD✓
0
✓□ 0
I □ 0
0 0 0
0 0 0
BUILDING PLANCHECK CHECKLIST
SITE PLAN
1.
A.
B.
C.
2.
A.
B.
3.
A.
B.
C.
Provide a fully dimensioned site plan drawn to scale. Show:
North Arrow D. Property Lines
Existing & Proposed Structures E. Easements
Existing Street Improvements ·F. Right-of-Way Width & Adjacent Streets
G. Driveway widths
Show on site plan:
Drainage Patterns
1. Building pad surface drainage must maintain a minimum slope of one
percent towards an adjoining street or an approved drainage course.
2. ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive
drainage of 2% to swale 5' away from building."
Existing & Proposed Slopes and Topography
Include on title sheet:
Site address
Assessor's Parcel Number
Legal Description
For commercial/industrial buildings and tenant improvement projects, include:
total building square footage with the square footage for each different use,
existing sewer permits showing square footage of different uses (manufacturing,
warehouse, office, etc.) previously approved.
EXISTING PERMIT NUMBER DESCRIPTION
DISCRETIONARY APPROVAL COMPLIANCE
4a. Project does not comply with the following Engineering Conditions of approval for
Project No. _______________________ _
4b. All conditions are in compliance. Date: __________ _
H:IWOROIOOCS\CHKlSnBuilding Plandloci< Cklsl BF0001 Fonn MM.doc 2 Rev. 12/26196
1 ST✓
0
0
0
0 0
0 0
BUILDING PLANCHECK CHECKLIST
DEDICATION REQUIREMENTS
5. Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and
for remodels with a value at or exceeding $ ______ , pursuant to Carlsbad
Municipal Code Section 18.40.030.
Dedication required as follows: _________________ _
Dedication required. Please have a registered Civil Engineer or Land Surveyor
prepare the appropriate legal description together with an 8 ½" x 11 " plat map
and submit with a title report. All easement documents must be approved and
signed by owner(s) prior to issuance of Building Permit. Attached please find an
application form and submittal checklist for the dedication process. Submit the
completed application form with the required checklist items and fees to the
Engineering Department in person. Applications will not be accept by mail or fax.
Dedication completed by: ___________ _ Date: -----
IMPROVEMENT REQUIREMENTS
6a. All needed public improvements upon and adjacent to the building site must be
constructed at time of building construction whenever the value of the
construction exceeds $ _______ , pursuant to Carlsbad Municipal Code
Section 18.40.040.
Public improvements req~ired as follows: _____________ _
Attached please find an application form and submittal checklist for the public
improvement requirements. A registered Civil Engineer must prepare the
appropriate improvement plans and submit them together with the requirements
on the attached checklist to the Engineering Department through a separate plan
check process. The completed application form and the requirements on the
checklist must be submitted in person. Applications by mail or fax are not
accepted. Improvement plans must be approved, appropriate securities posted
and fees paid prior to issuance of building permit.
Improvement Plans signed by: __________ _ Date: ____ _
6b. Construction of the public improvements may be deferred pursuant to Carlsbad
Municipal Code Section 18.40. Please submit a recent property title report or
current grant deed on the property and processing fee of $ ________ so
we may prepare the necessary Future Improvement Agreement. This agreement
must be signed , notarized and approved by the City prior to issuance of a
Building permit.
Future public improvements required as follows:
H:IWORD'DOCS\CHKLST\Bu;lding Plancheci< Ckbt 8F0001 Form MM.doc 3 Rev. 12/28196
1 st✓
□
I□
□ □
□ □
0 □
□
□
□
□
□
□
BUILDING PLANCHECK CHECKLIST
6c. Enclosed please find your Future Improvement Agreement. Please return
agreement signed and notarized to the Engineering Department.
Future Improvement Agreement completed by:
Date:
6d. No Public Improvements required. SPECIAL NOTE: Damaged or defeGtive
improvements found adjacent to building site must be repaired to the satisfaction
of the City Inspector prior to occupancy.
GRADING PERMIT REQUIREMENTS
ThE! conditions that invoke the need for a grading permit are found in Section
11.06.030 of the Municipal Code.
?a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export). Write
"No Grading" on plot plan if none is required.
7b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached. NOTE: The Grading Permit must be issued and rough grading
approval obtained prior to issuance of a Building Permit.
Grading Inspector sign off by: Date:
7c. Graded Pad Certification required. (Note: Pad certification may be required even
if a grading permit is not required.)
7d. No Grading Permit required.
MISCELLANEOUS PERMITS
8. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way. Types of work include, but are
not limited to: street improvements, tree trimming , driveway construction, tieing
into public storm drain, sewer and water utilities.
Right-of-Way permit required for:
H:IWORDIOOCS\CHKLST\Bulldlng Plancheek Cklst BP0001 Fonn MM.doc 4 Rev. 12/26196
1 st✓ 2nd✓ 3rd✓
0 0 0
0 0 0
0 0 0
0
0 0 0
BUILDING PLANCHECK CHECKLIST
9. A SEWER PERMIT is required concurrent with the building permit issuance. The
fee is noted in the fees section on the following page.
10. INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad
sewer service area, you need to contact the Carlsbad Municipal Water District,
located at 5950 El Camino Real, Carlsbad, CA 92008. District personnel .can
provide forms and assistance, and will check to see if your business enterprise is
on the EWA Exempt List. You may telephone (760) 438-2722, extension 153, for
assistance.
Industrial Waste permit accepted by:
Date:
11. NPDES PERMIT
Complies with the City's requirements of the National Pollutant Discharge
Elimination System (NPDES) permit. The applicant shall provide best
management practices to reduce surface pollutants to an acceptable level prior to
discharge to sensitive areas. Plans for such improvements shall be approved by
the City Engineer prior to issuance of grading or building permit, whichever
occurs first.
12. O ~quired fees are attached
p-'No fees required
13. Additional Comments:
H:IWORDIOOCS\CHKLST\Buik!ing Planclled< Cklsl BP0001 Form MM.doc 5 Rev. 12126/96
.,
1o □
>, .0
~
ts .,
.c u
i:: C: C: n, n, n,
1[ a: a:
~□□
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check pjo.; CB qt] J 3 71 Address /c}--:>0 ;/4011e1-S:ic4
Planner .2:J~£;; Phone (619) 438-1161 , extension V5'2--8
APN: d0lo ... l..5;;!2 . ,q
Type of Project and Use: ?ffe /rl/,hb,J Project Density:
Zoning: fl~!-(-, Gene%1 Plan: [2.L,,M Facilities Manag_e_m_e_n_t_Z_o_n_e_: --/--
CFO linJ,fi-;ti) # __ Date of participation: ____ Remaining net dev acres:
Circle~i ---
(For non-residential development: Type of land used created by
this permit: _____________________ )
Legend: rg:j Item Complete (QJ Item Incomplete -Needs your action
Environmeintal Review Re_q_u_ir_e_d_: __ Y_E_s ____ -~NO jQ_ TYPE ___ _
DATE OF COMPLETION: /
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
YES _ NO ~ TYPE ___ _
APPROVAURESO. NO. _____ DATE __ / __ _
Discretionary Action Required:
PROJECT I\JO. _______ _
OTHER RELATED CASES: __________________ _
Compliance with conditions or approval? If not , state conditions which require action.
Conditions of Approval: ------------------------
Coastal Zone Assessment/Compliance _ /
Project site located in Coastal Zone? YES f'--.. NO
CA Coastal Commission Authority? YES NOV
If California Coastal Commission Authority: Contact t hem a~1 11 Camino Del Rio North, Suite
200, San Dieigo CA 92108-1725; (619) 521-8036 /n \[" -eA,j)~
Determine status (Coastal Permit Required or Exempt): '-( l" 11~_1_
Coastal Permit Determination Form already completed? YE~ NO __
If NO, compl,9te Coastal Permit Determination Form now. l
Coastal Permit Determination Log#: ~
Follow-Up Actions:
1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum
Floor Plans).
2) Complete Coastal Permit Determination Log as needed.
-
~□□ lnclusionary Housing Fee required: YES __ NO~
(Effective date of lnclusionary Housing Ordinance -May 21 , 1993.)
Data Entry Campi d? YES NO
(Enter CB#; UACT; T12; Construct housing Y/N; Enter Fee Amount (See fee schedule for amount); Return)
~□ □ 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow,
property lines, easements, existing and proposed structures, streets, existing
street improvements, right-of-way w idth, dimensional setbacks and existing
topographical lines.
~ D O 2 . Provide legal deScription of property and assessor's parcel number.
ref □
Zoning:
□ 1 . Setbacks: I L/0' Front: '.•Required c...,0 Shown
Interior Side: Required /0 I Shown 7/t:77
Street Side: Required --Shown
Rear: Required ;;-o, Shown 1:7~
¢ □ □ 2 . Accessory structure setba
Front: Requi d Shown
Interior Side: Require Shown
Street Side: Require Shown
Rear: Requ d Shown
Structure separation: Re uired Shown
~ □ □ ~ {oj Shown t-<foo/o 3. Lot Coverage: Required -I
~ □□ 4. Height: Required L30c Shown el-I'
~□□ 5. Parking: Spaces Required -i_. -----------Guest Spaces Required -------
Shown -------
Shown --------
D D D Additional Comments _________________________ _