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HomeMy WebLinkAbout2825 ROOSEVELT ST; ; 63-5440; PermitAPPLICATION FOR 8uRn 11 c PERMIT 5440 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 -Ext. 36 Owner Name ~~d. -MaHing Address.KP..,.4...."f-=// CJt -/4...c,l£.~<. (Please Print) (Last) (First) {Middle) Number Street City,.. _L' P~ ~ ::::~:.. □ -,: --~:~~"': ::"~~~)~ Address Type of Const, -~~ of Foundation ........ ~ L No. of Stories .... ./. ........ To Be Used for ( Frame, Masonry, Etc.) (Ono Family Dwelling, Store, Etc.) Floor Space of Proposed Construction (sq. feet) ·······--------Const. Valuation·$:.:·:.::::~:~~:~----------------- attached D Floor Space of Gorage (sq~t) ........... ---· ........... detached DC~. Valuation $ ............ ~ LEGAL DESCRIPTION .. /:-"',vi./. ;('dJ/ .+ ;1'.Z -.~",;,t/~----------Lot Block Subdivision or ···············--------:;;----------,,---->,ection ....... ___ ~_ Township _____ Rang•----- Located at,:2.~.:2..£:~:M. · tree!, Near .. ~~"-------- Assigned House Number 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 __ _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. If a check is tendered for p·oyment of the .,bove fee ond the check is not honored when presented for payment, your Building Permit will be immediately revoked. Front Yard Set Back .......... --- Side Yard Set Back ···············----,-C------- ired Yes ad Yes ( ( ) ) No Rear Yard Set Back __ _ Driveway Permit Requ Grading Permit Requir Sewer Disposal Plant C apifal Cont. Fee Dist,snce Between Bldg. Off Street Parking Spaces ..... --- Sewage Disposal System -------\----- Zone -Residential ( Zone -Commercial Varionce Sewer Pumping Station Sewer Main Line Cost Capital Cont. Fee ion Charge ...... Cherge Sewer Lateral Connect Water Stocked Lends Water Main Pipe line Fee ................... Water House Service Charge Water Meter Charge Sub Total .. No ( I Fee /" .......... / ( ) I \ ' / I I \ \i )/ Plans Approved by~.---1·-... ·--... --Plan Check Fee-----/J---~··········---------- Approved by ....... -f-d··~~-----"uilding Permit Fee ---~····· .. ·-,:_b Date ........... / ... 'yl7·······./a·· .3-Total Charges .. .;;z.~.,;;--________ _