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HomeMy WebLinkAbout1581 JEANNE PL; ; 62-5187; Permit...... ·•---------~ I f,, ...,..-.., APPLICATION FOR Bl!nDING PERMIT CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PA,kway 9-1181 • E,t. 36 .. , 5187 Owner NemeK.~-·~·C4·l--~-~······Mai/ing (Please Pr;nt) (Last) (f;rst) (Middle) Add,e .. /!d .. !~ .. 7.../-::: ... ~.~····· Number Street City Phone Contractor ---------------------------------Mailing Address _ (Pleose Print) Number Street City Phone To Construct tt/ To Add D To Alter D To Repair D To Convert D To Move From ___________ _ 1" Address Type of Const. ~~Kind of Foundation .... ~Jft ~-~No. of St~ries ..... /. ______ To Be Used for .... .A:'.~---·"· ___ _ ( Frame, Mo!!sonry, Etc.) (One Family Dwelling, Store, Etc.) Floo, Space of P,oposed Consfruction (sq. feet) ...... /.£.~ ............. Const. Valuation $ ... ,/~~.$.l!'J. ..... ~l . ./.i..1 . .1.?...?,~ .. . Floor Space of Garage (sq. feet) ......................... ~.Lt. ..... da:::t:~ Bconst. Valuation $ .... /., .. ,..J .. f ..... ~ .. L __________ _ LEGAL DESCRIPTION .. _____,,,R_~··· .... ~~ .... ~ .. ~ Lot Block -?" Subdivision --------------->ection__ _______ Township ____ ..... Range ____ _ Located at la-,c..,~--..c..-,,,./U« ... ,._ ---->·free!, Nea, .~ ..... ~~----House Number ~ ... J 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 ...... 'f...-.. . NO•--- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE AB. OVE IS CORRECT AND AGRE.E TO COMP~Y WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. . . 'k 1f a check is tendered for payment of the above fee and the ched is not honored when presented for payment, your Building Permit will be immediately revoked. Front Yard Set Back ........ ~.~c.__f __ _ Side Yard Set Back ___ 7-A ... :C ______ _ Rear Yard Set Back .............. /-.L_f ______ _ ...2,i....,d -~~ , S-,J.-~ , _g__,,__ , Driveway Permit Required Yes { ) No ~.} Fee ······------ Grading Permit Required Yes I ) No l)Q ------- ~ Sewer Disposal Plant Capital Cont. Fee ........... .,S::lJ., __ --._c _____ _ Distance Between Bldg ........ . -Sewer Pumping Station Capital Cont. Fee -----·-------- Off Street Parking Spaces .......... Z...:• ______ _ Sewer Main Line Cost __________________ _ Sewage Disposal System .............. 4- Zone • Residential ( / ) __________ _ Sewer Lateral Connection Charge ______________ _ Water Stocked Lands Charge _________________ _ Zone -Commercial Water Main Pipe Line Fee ····················-------------- Variance Water House Service Charge ________________ _ Eng. Check By ----------------Water Meter Charge __________ ¢.s__,...:.. ______ _ 0-0 Sub Total --~7..$""~_.::,._ ____ _