HomeMy WebLinkAboutCP 99-02E; Baucum Balcony; Condo Permit (CP) (4)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1
[
APPLICATIONS APPLIED FOR: (C
_| Administrative Permit - 2nd
Dwelling Unit
I I Administrative Variance
[
5
[
[
[
_j Coastal Development Permit
Conditional Use Permit
3 Condominium Permit
_j Environmental Impact
Assessment
General Plan Amendment
_ Hillside Development Permit
_] Local Coastal Plan Amendment
Master Plan
_J Non-Residential Planned
Development
_| Planned Development Permit
HECK BOXES)
(FOR DEPARTMENT
USE ONLY)
D
b
Planned Industrial Permit
Planning Commission
Determination
Precise Development Plan
Redevelopment Permit
Site Development Plan
Special Use Permit
I | Specific Plan
| | Tentative Parcel Mop
Obtain from Engineering Department
| | Tentative Tract Map
D Variance
I | Zone Change
I I List other applications not
specified
(FOR DEPARTMENT
USE ONLY)
2)
3)
4)
ASSESSOR PARCEL NO(S}.:
PROJECT NAME:
BRIEF DESCRIPTION OF PROJECT:6
<
•*£
5) OWNER NAME (Print or Type)6) APPLICANT NAME (Print or Type)
MAILING ADDRESS
Or
MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE
Of
CITY AND STATE ZIP TELEPHONE
1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE SIGNATURE DATE
7) BRIEF LEGAL DESCRIPTION
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M.
A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M.
Form 16 PAGE 1 OF 2
8) LOCATION OF PROJECT:
ON THE
BETWEEN
STREET ADDRESS
SIDE OF
(NORTH, SOUTH, EAST, WEST)(NAME OF STREET)
AND
(NAME OF STREET)(NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS
1 3) TYPE OF SUBDIVISION
16) PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
19) GROSS SITE ACREAGE
22) EXISTING ZONING
11) NUMBER OF EXISTING
RESIDENTIAL UNITS
14) PROPOSED IND OFFICE/
SQUARE FOOTAGE
17) PROPOSED INCREASE IN
ADT
20) EXISTING GENERAL
PLAN
23) PROPOSED ZONING
12) PROPOSED NUMBER OF
RESIDENTIAL UNITS
15) PROPOSED COMM
SQUARE FOOTAGE
18) PROPOSED SEWER
USAGE IN EDU
21) PROPOSED GENERAL
PLAN DESIGNATION
24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY
STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS
TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
TO ENTRY FOR THIS PURPOSE
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE
TOTAL FEE REQUIRED
DATE FEE PAID
FEE REQUIRED
RECEIVED
DEC 1 4 2001
CITY OF CARLSBAD
PLANNING DEPT.
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
RECEIPT NO.
Form 16 PAGE 2 OF 2
PROJECT DESCRIPTION/EXPLANATION
PROJECT NAME:
APPLICANT NAME:
Please describe fully the proposed project by application type. Include any details
necessary to adequately explain the scope and/or operation of the proposed project.
You may also include any background information and supporting statements regarding
the reasons for, or appropriateness of, the application. Use an addendum sheet if
necessary.
Description/Explanation:
Project Description 10/96 Page 1 of 1
City of Carlsbad
Planning Department
DISCLOSURE STATEMENT
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.
Note:
Person is denned as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal
organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city
municipality, district or other political subdivision or any other group or combination acting as a unit"
Agents may sign this document; however, the legal name and entity of the applicant and property owner must be
provided below.
1.
2.
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,> title, 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 publiclv-owned corporation, include the
names, titles, and addresses of the corporate officers. (A separate page may be attached if
necessary.)
Person fcC/^T^ *
Title
Corp/Part.
Title
Address Address
OWNER (Not the owner's agent)
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, title, 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 publiclv-
owned corporation, include the names, titles, and addresses of the corporate officers. (A separate
page may be attached if necessary.)
Person.
Title Title
Address PnV>4- Address,
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 6O2-46OO • FAX (76O) 602-8559
3. NON-PROFT. RGANIZATION 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 $250 worth of business transacted with any member of City staff,
Boards, Commissions, Committees and/or Council within the past twelve (12) months?
I I Yes IX] No 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.
Signature of owner/date ' Signature of applicant/date
Print or type name 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
H:ADM(N\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2
ARCHTTEC i URAL AND LANDSCAPING IMPRO v EMENT REQUEST
Please complete and include EXHIBIT A, EXHIBIT B, EXHIBIT C & EXHIBIT D, along with two (2) sets of your
proposed improvement plans to:
Poinsertia Cove Homeowners Association Architectural Control Committee
c/o The Prescott Companies, 543 Encinitas Blvd., Ste. Ill, Encinitas, CA 92024-3744
HOMEOWNER NAME:
ADDRESS.
DAYTIME PHONE:
NEIGHBORHOOD NAME:
LOT NO:
PROPOSED START DATE:
EVENING PHONE:
PATBr
ANTICIPATED COMPLETION DATE:
NAME OF CONTRACTOR:
CONTRACTOR'S LICENSE NUMBER:
HOMEOWNER'S SIGNATURE
PLEASE INCLUDE THE FOLLOWING INFORMATION WITH YOUR REQUEST:
1.
2.
3.
4.
5 .
6.
t>M
ing. /
8 .
Description of Improvement/Landscaping
Location of Improvement to unit and dimensions.
Complete dimensions of proposed Improvement.
Measurements of Improvement in relationship to unit and neighboring unjt(s).
Description of materials and color schemes.
Non-refundable Architectural Review Fee of $100 payable to Poiosettia, Cove
Homeowners Association. If necessary, the Committee will contact the
homeowner of any additional charges prior to approval.
Two (2) sets of plans with signatures from adjacent -and facing neighbors.
Signed copy of Condition for Approval and Disclaimer attachment.
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIHIIIIIIIUIIH
Architectural Control Committee: .-£***/ 1< £&f~ DATE: // • J? / - ^ /t_ - -- -
PuD
( ) APPROVED
( ^-~ ) APPROVED with the following conditions
( ) DISAPPROVED, please resubmit with additional information noted or elimmatipjLof
item(s) noted c~ ,-. f1^re^ ^ 'C^j-'C? ^^o . 0&
EXfflBIT A ^^
*This approval form consists of EXHIBIT A, EXHIBIT B, EXHIBIT C & EXHIBIT D*
See.
MADELINE YOUNG
HOWARD KURSHENBAUM
TIMOTHY BRINTON
RICHARD OJALVO
DARRON CARSON
ROMEO CARANDANG
JOHN SCHILLING
6891 TRADEWINDS DRIVE
6895 TRADEWINDS DRIVE
6886 TRADEWINDS DRIVE
6894 TRADEWINDS DRIVE
6898 TRADEWINDS DRIVE
6889 CATAMARAN DRIVE
6893 CATAMARAN DRIVE
'
VERNONHOLTZ 6897 CATAMARAN DRIVE
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
Receipt
Applicant: BAUCUM, KAREN
Description Amount
CP99002E 253.40
Not valid unless validated by Cash Register
PLEASE RETAIN RECEIPT FOR REFUNDS OR ADJUSTMENTS
6646 12/14/01 0002 01 02
Receipt Number: R0024581 CGP 253"40
Transaction Date: 12/14/2001
Pay Type Method Description Amount
Payment Check 1927 250.00
Payment Check 1926 3.40
Transaction Amount: 253.40