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Home My WebLink AboutCDP 14-11X1; Smith Remodel; Coastal Development Permit (CDP)City of Carlsbad APPLICATIONS APPLIED FOR: (CHECK BOXES) LAND USE REVIEW APPLICATION P-1 _5 sos11.rJJ s• tt s'n.JJi'se t .Q.~s-'ble-lb. 1635 Faraday Avenue (760) 602-4610 www .carlsbadca.gov Development Permits ~oastal Development Permit 0 Conditional Use Permit (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY) 0 Minor D Minor D Extension 0 Day Care (Large) 0 Environmental Impact Assessment 0 Habitat Management Permit 0 Minor 0 Hillside Development Permit 0 Minor 0 Nonconforming Construction Permit 0 Planned Development Permit 0 Minor 0 Residential 0 Non-Residential 0 Planning Commission Determination 0 Reasonable Accommodation 0 Site Development Plan 0 Special Use Permit 0 Minor 0 Tentative Parcel Map (Minor Subdivision) 0 Tentative Tract Map (Major Subdivision) 0 Variance 0 Minor -------! 0 General Plan Amendment 0 Local Coastal Program Amendment 0 Master Plan 0 Specific Plan 0 Zone Change 0 Amendme11t 0 Amendme11t 0 Zone Code Amendment South Carlsbad Coastal Review Area Permits 0 Review Permit 0 Administrative 0 Minor 0 Major Village Review Area Permits 0 Review Permit 0 Administrative 0 Minor 0 Major NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00P.M. ASSESSOR PARCEL NO(S).: 155.221.17.00 ---------------------------------------------------------------------PROJECT NAME: Smith Remodel ---------------------------------------------------------------------BRIEF DESCRIPTION OF PROJECT: Addition of 2nd story and main level of existing single story residence. New covered patio BRIEF LEGAL DESCRIPTION: Lot 3 of Buena Vista Gardens, Map 2492, August 4, 1948 LOCATION OF PROJECT: 2421 Buena Vista Circle ON THE: North (NORTH, SOUTH, EAST, WEST) BETWEEN Laguna Drive (NAME OF STREET) P-1 STREET ADDRESS SIDE OF Buena Vista Circle (NAME OF STREET) AND Cul-de-Sac (NAME OF STREET) Page 1 of 6 Revised 03/16 OWNER NAME APPLICANT NAME (Print); (Print): Crarg and Carolyn Smith Craig and Carolyn Smith MAILING ADDRESS: 2421 Buena Vista Circle MAILING ADDRESS: 2421 Buena Vista Circle CITY, STATE. ZIP: Carlsbad.CA 92008 CITY, STATE, ZIP: Carlsbad. CA 92008 TB.EPHONE: 404-933-0928 TELEPHONE: 404-933-0928 EMAIL ADDRESS: cratgspin2@gmail.com EMAIL ADDRESS: craigspin2@gmail.com I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO KNOWLEDGE.. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE. SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR oR'c.t-PU~~tTION. 1/~Jr,~-c { ~/t;. SIG ll:m.E DATE SIGNATURE bATE APPLICANT'S REPRESENTATIVE (Print): same as above MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT AlL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE OATS IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF. PLANNING COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. !!WE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION SEJNG RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND A NO ANY SUCCpj)SO ~NTEREST. (.M .. -{... c. ill PROPERTY OWNER S!GN FOR CITY USE ONLY JUL 2 S 2016 RECEIVED BY: P·1 Page 2 ors Revised 03116 Ccityof Carlsbad DISCLOSURE STATEMENT P-1(A) 5 sos11;:1 sa C{s'roJ.I'st t .t-~s-'ble-lb. 1635 Faraday Avenue (760) 602-4610 www .carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. t4Citt~:,. ;· >yo > >' Pirson ·is· .. , q.i~.···.·.~~rtt.·f.Ii.:.·.·.···~.p.~o.v~.~.~(~:=~1ra.·tp.~.~i:1~.·~···:.:n.v·1·:.·.::.·~~.t ... h.~e'~···;···· s~~=ib~~~~.~f6}ty··.ct.~~l~~~~~:~ ~~r~~:r. i(i~~Ji~~l;:§~~xtl~isiQ1u::~r ai:iy ot"~r;.~ro~.P :gr·comt)ination,acting as. a unit.,· ~~nt~~rnii~sil$1-lt~t~.·~c~~~ht~.~~W~y~rr.:tfl~:t~g.afnam~~nd:erftity.ottne.applfca~t•and·.property owner m.ustbe prqvic1~9.i:)ei~Wv: ... 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership, include the names, titles, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Craig A. Smith Corp/Part. ___________ _ Title Owner Title ----------------Address 2421 Buena Vista Circle; Carlsbad, CA 92008 Address. ___________ _ 2. OWNER (Not the owner's agent) P-1(A) Provide the COMPLETE, LEGAL names and addresses of ALL persons having any ownership interest in the property involved. Also, provide the nature of the legal ownership (i.e., partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a corporation or partnership, include the names, titles, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Craig A. Smith Corp/Part. ___________ _ Title Owner Title _____________ _ Address 2421 Buena Vista Circle; Carlsbad, CA 92008 Address ------------------------- Page 1 of 2 Revised 07/10 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non- profit organization or as trustee or beneficiary of the. Non Profit/Trust Non Profit/Trust -------------------Title ___________ _ Title ____________________ _ Address _________ _ Address ------------------------ 4. Have you had more than $500 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? DYes 1-/lNo If yes, please indicate person(s): ___________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. ~.:t CJ!i?.A-,/u[t~ Signature of owner/date Signature of applicant/date Print or type na e of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent P-1 (A) Page 2 of 2 Revised 07/10