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HomeMy WebLinkAbout1824 BUTTERS RD; ; 62-4243; PermitAPPLICATION FOR B us D I N 6 PERMIT -\ * c- N! 4243 CITY OF CARLSBAD - BUILDING INSPECTION DIVISION ............. Mailing Address ../..gJ.q Number Street City Phone Owner Name ._._. (Please Print) Contractor ............. ........................................... Mailing Address , ....... .......................................... (Please Print) Number Street -z$ Phone * To Ropsir 0 To Convert IJ To Move From .............................. .... ...... ....... ion - L No. of Stories 1 Floor Space of Proposed Construction (sq. foot) ............................................ si&= Const. Valuatfon $.. attscbed p8 Floor Space of 6arage isq. foot) ............3T..:.d................ detached UConst. Valuation $ .......... L.$c...:6..........,........................,,........,....,....................... LEGAL DESCRIPTION .................................................................................................................................................................................................................................... Lot Block Subdivision or .................................................................................................................................. So~i .................................... Township ............................ Range ........................... ............................ /gag .... Rd .................... Street, Near ........................................................................................................... Located at Assigned House Number 47- LAND AREA i+ ...................................... 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 ................. 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 8UILDING CONSTRUCTION. ................-.. .. If a check is tendered for payment of the above fee end the check is not honored when presented for payment, your Building Permit will be immediately revoked. SIGNATURE Front Yard Set Back ............................ Side Yard Set Back .............................. Rear Yard Set Back .............................. Distance Between Bldg. ...................... Off Street Parking Spaces .................. Sewage Disposal Systam ............................................................... Zone . Residential ( f ) .............. ...................................... Zone - Commercial ( ) ........... ...................................... Variance Eng. Check By ................................. ...................................... V Driveway Permit Required Yes ( } No ( Fee ...................................... Grading Permit Required Yes ( No t. ...................................................... Sewer Disposal Plant Capital Cont. Fee ................................................................... Sewer Pumping Station Capital Cont. he .................................................................. Sewer Main Line Cost .......... ...................................................................................... Sewer Lateral ConnectioQ Charge ................................................................................ Water Stocked Lands Charge ....................................................................... Wetor Main Pip, Line Fee ........................................................................................... Water House Service Charge ........................................................................................ ] Water Miter Charge ...................................................................................................... I Sub Total ................................ ................................................. Plans Approved b ........................................................................................... Plan Check Fee ...................................................................................................... ~~ J L..Building Permit Fee ..... ............................................................................................... Approved by ........... ...tr... sx .... bo ..... ............................................ ...... ................................................ Date ................... 4 c... so ........... -...6 L Total Charger 6-C