HomeMy WebLinkAbout2733 MADISON ST; ; 62-4132; PermitAPPLICATION FOR BUQJNG PERMIT 4132(7"
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArlway 9.1111 • Ext. 36 (;/o .,sd M~k(:1.S£ a;~
Owner Name ... 21./IJJw ............... £,.... . ... :]).,, ..... Mamng Addren ... ~ZfJ .. tfu.1~·.e.6':C .................... ~ .... .
:~::::c:::nt) .~)~ (Middle)·········Mailing Address . N~~M;;t. City ---Phone
(Please Print) Number Street City Phone
To Construct ✓ To Add D To Alter O To Repair D To Convert D To Move From ............................... .
Type of Const~ol Foundation ~, .. No, of Storie, f To Be Used for ~1"1..~1Gf}
( Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.}
Floor Space of Proposed Construction (sq. feet) ~96 7~ttach~d .. ~Const. Valuation $.fi'J. biD ~ ... . . . . . . , ....
Floor Space of Garage (sq, feet) . detached □Const. Valuation $. . ..... 1/. .. . ......... . ,
LEGAL DESCRIPTION .712~/."'N .... ~~_,.S/..l.'.. ....................... /.?.. . ............. ?.E_,<!S!_{){C ... ?. . .!l_ .. ,Y.Q.!_.
lot Block Subdivision
or . -. ----·········· .. ·········•········S•ction. . ...... Township. . ..... Range ..... __ _
Located at o2 7-3'~ .L'?.bdt.io.N. ····························Streel, Near RR b«c.k/e ...
Assigned House Number
LAND AREA ...... . ... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ..... />l<:> .. N.:~ .... . (INDICATE
ALTERATION, OR SIZE, USE AND LOCATION O_yt.OT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION,
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.
1f o check is tendered for p·oyment of the obove fee ond the check is
not honored when presented for poyment, your Building Permit will be
immediotely revoked.
Front Yord Set Back ....... P?.(). .. ~ ... M ,I Al Driveway Permit Required Yes (L-t No ( J Fee ..... J.}.5._ ..
--1 ✓ s;de Yard Set Bacl .....•• l, .. .::t ........ . Grading Permit Required Yes ( ) No (vJ --------·· ----
I
Rear Yard Set Back ....... // .......... . Sewer Disposal Plant Capital Cont. Fee ........ 'Sqnr/4r:,r .. "D"5 !, ............... .
Distance Between Bldg ..... .. /2 .... 'P ... /. . .. ---Sewer Pumping Station Capital Cont. Fee
Off Street Parking Spaces ....... ~ .. .
Sewage o;,po,al Sy,tem ....... ~
Sewer Main Line Cost ................... :Sco--u.lar-y ... ~?.✓~.r ........................... .
Ek79C L,qne-eA <-3D7
Sewer lateral Connection Charge ... :5£ E .. 4PPI../C ... -< .. ~,_-_···_-__
Zone -Residentiol ( !,, ) Water Stocked Lands Charge ....
Zone • Commercial Water Main Pipe line Fee .
Voriance
Eng. Check By . Water Meter Charge ....
Water House Service Charge . . .... 0...k;. ......... ~---t...~f---·· 62K, __-
sub Total ......................... ./ ~ .