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HomeMy WebLinkAbout1824 BUTTERS RD; ; 61-4019; PermitAPPLICATION FOR B 6 ,), D 11 6 PERMIT - -- N! 4019 CITY OF CARLSBAD - BUILDING INSPECTION DIVISION (Middle) ~~ . ~ 3ase Print) Contractor .............. To Construct 6Add 0 To Alter 0 To Repair 0 To Convert ............................................. Mailing Address ........... &?- .............................. Number Street City Phone ...... ....................... ......... ................ Type of Const. %..& Kind of Foundation h J No. of Stories / To Be Used (Frame, Masonry, Etc.) - Floor Space of Proposed Construction (sq. feet) ............................................ Const. Valuation $.. Floor Space of Garage (rq. feet 1 ................................................. detached UConst. Valuation -- dttclched 0 LEGAL DESCRIPTION ................................................................................................................................................................................................................................... Lot Block Subdivision or .......................................... ..................................... , ....... kctlon .................................... Townshtp ............................ RMS e ........................... Located at ...I ... Pd .................................. Street, Near ................................................................................................................ 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 ................. 2 1 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. PERMITTEE SIGNATURE 0 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 immediately revoked. 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 ......................... V Driveway Permit Required Yes ( ) No ( ) Grading Permit Required Yes 1 ) No ( ) ...................... ....................... Sewer Disposal Plant Capital Cont. Fee ................... Sewer Pumping Station Capital Conk he ................. Sewer Main Line Cost ..................................................... Sewer Lateral Connection Charge ..... .......................... Water Stocked Lands Charge ....................................... Water Main Pipe Line he ........................................... Water House Semb Charge ....................................... Water Meter Charge ..................................................... Sub Total ................................... Plans Approvevgia.L ............................................. Plan Check Fee .................. .................................................................... Approved by ....... ..k. ............................................................................... Building Permit Fee ............ ................................................... Date .............. ......?.-... . 0 ... 6./ ..................................................... Total Charges .......... ...................................................