HomeMy WebLinkAbout2801 ROOSEVELT ST | 2803 ROOSEVELT ST | 2805 ROOSEVELT ST; ; 63-5409; Permit·APPLICATION FOR B ~DI I G PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Erl. 36
-_..,
5409
To Construct~ To A~ To Alter D To Repair D To Convert D
Type of Const~~~ Kind of Foundation ......... ~ .. ~. of Stories .... / ....... To Be Used for ·····""'~'k,0.,~-=->0-----
((i~e, M~s.;n~y,-Et/.} (One Family D
Floor Space of Proposed Construction (sq. feet) __ ,;2_,2_ __ 4._ ___ (J .......... Const, Valuation $ ........ /.f.,,,_ .. .-2,.~ .. (2 _____ . _____ _
attached D
Floor Space of Garage (sq, feet) ---------··········d•tached OConst. Valuation$---------------------
LEGAL DESCRIPTION
Lot Block Subdivision
or rctio,~_------Township ........................... Range
Located at,--f..f.¢,_/~ .. d'.,,f..f!S. ... ~.,2,1._~,s.;' ~-Near .7 .. ,6..:,~2.d~¼Z:.!.--::-----..---
Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE _/..~ .. . (INDICATE
ALTERATION, OR SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INS ALLATION,
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 p·ayment of the above fee and the check is
not honored when presented for poyment, your Building Permit will be
immediotely revoked.
SIGNATURE OF
PERMITTEE ············---------------
Front Yard Set Back -------,,"-··'··············---
Side Yard Set Baek------,<-------
Rear Yard Set Baek ··············----,-------
Distance Between Bldg ............. .
Off Street Parking Spaces .............. ____ ,_ ___ _
Sewage Disposal System ----
Zone -Residential (
Zone -Commercial (L,) ---~+ ,,~-----
Variance
Eng. Check By ···--------------
Driveway Permit Required Yes ( No() Fee )
Grading Permit Required Yes ( ) No I l ···············j--···-----
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 ···············--------'l--------
Weter House Service Charge --------······,·
1
;7• <:.,,,-_____ _
Water Meter Charge ...... €;..}LSL../.. .. N. .... Cb. _______ _
Sub Tol•I ----------------