HomeMy WebLinkAboutPUD 00-61H; Lynne Residence Room Addition; Planned Unit Development - Non-Residential (PUD)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECKBOXES)
(FOR DEPARTMENT
USE ONLY)
Administrative Permit
-Bwelliny imi'C
Administrative Variance
| I Coastal Development Permit
Conditional Use Permit
I I Condominium Permit
Environmental Impact
Assessment
General Plan Amendment
Hillside Development Permit
Local Coastal Plan Amendment
Master Plan
Non-Residential Planned
Development
Planned Development Permit
(FOR DtPARTN'E\~
USE ONLY
&&Z L/—;
D
D
D
Planned Industrial Permit
Planning Commission
Determination
Precise Development Plan
Redevelopment Permit
Site Development Plan
Special Use Permit
Specific Plan
Tentative Porool Map
Obtain from Engineering Department
Tentative Tract Map
Variance
Zone Change
List other applications not
specified
2) ASSESSOR PARCEL NO(S).:
3) PROJECT NAME:
4) BRIEF DESCRIPTION OF PROJECT:(3AJe>'2W/>frO/H /0
5) OWNER NAME (Print or Type)
L^ILU fk^ /_y /JAJ-€_,
MAILING ADDRESS
vIO v^^/^) &fl r-T (^(A n -^_j
CITY AND STATE ZIP TELEPHONE
^(JU^/L^fc/tt^jy . ^-/7 Of^-f £"f6q) ^33—3
1 CERT/f=Y THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATIOX~)S TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE. J
SIGNATURE ^) DATE
6) APPLICANT NAME (Print or Type)
MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE
i5
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
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 Rev. 05/03 ' PAGE 1 OF 2
8) LOCATION OF PROJECT:
ON THE
BETWEEN
STREET ADDRESS
SIDE OF
(NORTH. SOUTH, EAST, WEST){NAME Or STREET;
AND
(NAME OF STREET)(NAME Of STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS
13) 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
7) 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/ENTR>^FOR THIS PURPOSE
SIGTSATJ&Rt
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
TO
Dfi
A D PUD AM*
TAL FEE REQUIRED
TE FEE PAID
ryCTD
'[XT)- "
*4 1 1 1 o6/
RECEIVED
APR * • aw
CITY OF CARLSBAD
PLANNING DEPT.
DATE STAMP APPLICATION RECEIVED
RECEIVED B.Y: /"\
RECEIPT NO.
Form 16 Rev. 05/03 PAGE 2 OF 2
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
Applicant: LYNNE LAURA
Description
AD040003
Amount
8864 04/01/04 0002 01 02
250.00 CGP 250-
Receipt Number: R0041394
Transaction Date: 04/01/2004
Pay Type Method Description
Payment Cash
Amount
250.00
Transaction Amount: 250.00
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
Applicant: LYNNE LAURA
Description Amount
AD040003 4.44
Receipt Number: R0042030
Transaction Date: 04/29/2004
Pay Type Method Description Amount
Payment Cash 4.44
Transaction Amount: 4.44
0973 04/29/04 0009 0-
' 02
GP 4=44
PROJECT DESCRIPTION/EXPLANATION
PROJECT NAME:
APPLICANT NAME:L(La
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:
4
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 defined 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 publicly-owned corporation, include the
names, titles, and addresses of the corporate officers. (A separate page may be attached if
necessary.)
Person
Title
Corp/Part
Title
Address $ 1°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 publicly-
owned corporation, include the names, titles, and addresses of the corporate officers. (A separate
page may be attached if necessary.)
Person
Title o
Corp/Part_
Title
Address Address
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 6O2-46OO • FAX (760) 602-8559
NON-PROFIT ORGANIZATION OR TRUST
If any person identified pursuant to (1) or (2) above is a nonprofit oreanization 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
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?
Yes 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:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2
iiooi05/20/2004 THU 14:50 FAX 7606324910 Laura Lynne
MAY-2D-2004 THU 03:52 PM CJ^OF CARSLBAD FAX NO, 76^02 8558 P. 02/02
3. NON-PROFIT ORGANIZATION OR TRUST ^
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list rhe
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.
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?
[ j Yes I J 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
nn-C
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:AOM|N\COUNTErt\PISCLOSUHE STATEMENT 5/88 Page 2 Of 2
HA POINTE HOMEOWNERS ASSOCIATION
(ft:A:R4
NAME:UAURA LYNNE
PROPERTY ADDRESS: 81 o SPINDRIFT LANE
PHONE NUMBER: 43-1-6850
A.A.R#
LOT#
DATE; 1/25/04
Describe the proposed improvements
ADDING A SECOND FLOOR, CONSISTING OF ONE BEDROOM AND
ONE BATHROOM
Approvals Names:
;NE1QHBQRS3ARRRQVAI-
Addresses: sos SPINDRIFT LANE (WEST)
81Z SPINDRIFT LANE (EAST)
809 BLUEWATER (SOUTH/SPLIT)
8M
1. DESCRIPTION OF THE IMPROVEMENTS.
2. LOCATION OF RESIDENCE & IMPROVEMENT ON A PLOT PLAN WITH ALL DIMENSIONS SHOWING PROPERTY LINES.
ALSO, INDICATE WHAT IS EXISTING AND WHAT IS NEW.
3. CONSTRUCTION DETAILS OF STRUCTURE, IF APPLICABLE.
4. SPECIFICATION OF MATERIAL TO BE USED AND PAINT COLORS. SAMPLE MUST BE PROVIDED.
5. ENTER CARLSBAD CITY PERMIT NUMBER(S) FOR PLUMBING, ELECTRICAL, MECHANICAL AND / OR STRUCTURAL
CHANGES AS REQUIRED BY ALL APPLICABLE BUILDING CODES.
L
The Committee will determine if the improvements are appropriate and will judge changes on aesthetics and technical
details as governed by CC&R's. If the Committee can not agree, they will bring this request before the board for a decision.
APPROVED
APPROVED '
APPROVED
APPROVED
DISAPPROVED
DISAPPROVED
DISAPPROVED
DISAPPROVED
CONDITIONS OF APPROVAL OR REASONS FOR DISAPPROVAL
Architectural Committee Chairperson
Completion Verified by:
Date.
Date:
IT