HomeMy WebLinkAbout1835 CHESTNUT AVE; ; 62-5110; PermitAPPLICATION FOR PERMIT
"N? 5110
Owner Name .
(Please Print)
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - Ext. 36
A,
(First) (Middle)
...Mailing Address
Contractor ....L^..ftr1tdafeO......./-<^^^I^«™<^- Mailing Address
--Dumber
//? -
Street
t*-x?
crfy Phd
To Construct
Type of Const. l/\
(Frame, Masonry, Etc.)
Number Street
To Alter D To Repair D To Convert D To Move From
jnd of Foundation ~ 1 No. of Storiel To Be Used for
City Phone
Address
Floor Space of Proposed Construction (sq. feet) .Const. Valuation $...
attached O
Floor Space of Garage (sq. feet) detached QConst. Valuation $..
(One Family Dwelling, Store, Etc.)
00
LEGAL DESCRIPTION
Lot
Located at .../£L.*w?-*rf ^^.^^..L^Z^e^.^T-. Street, Near .
Block Subdivision
Section ^_ Township....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-
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 checlc 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 I
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
Plan Check Fee
Building Permit Fee ..
Total Charges