HomeMy WebLinkAbout2055 CHESTNUT AVE; ; 62-5028; PermitAPPLICATION FOR BlIftDIM PERMIT 5028
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArlcway 9-1181 - Ext. 36
Owner Name .../...fi./>~ -L...'. ..Ssr....! Mailing Address
(Please Print) ^_^ (Last) (First) (Middle)Number Street City Phone
Contractor LJ^^-dl^^Lgg^^*; rrrC. Mailing Address
(Please Print)
To Construct Add \K To Alter rfr To Repair
Number Street
To Convert Q To Move From
City Phone
Adds
Type of Const. f?.L&>*!?*3AQ.. Kind of Foundation....S»3=r*^>L..<...No. of Stories..
(Frame, Masonry, Etc.)
Be Used for .
(One Family Dwelling, Store, fTtc.)
Floor Space of Proposed Construction (sq. feet) ...Car.....4?!S-.ol. .Const. Valuation $.....
^ attached Q
Floor Space of Garage (sq. feet) detached QConst. Valuation $..
LEGAL DESCRIPTION
Lot Block Subdivision
Section Township..Range..
Located at .. .<=2.& cS...«£. LJLf\^..Lf^l^^.T^.. Street, Near
Assigned House Number
LAND AREA NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE if.. (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 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
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 ApproveoU»y ...-...^.....^f. ~/Tf*\ "/*• '5'an
Approved by /V^....!b->..S .(J?^...^±^<-4!^?rrrrss-. Building Permit Fee ..
^»— -s y '-/ -7 '""\
Date .« ±..^./. :.-«?......fcrr^. Total Charges
y ,-