HomeMy WebLinkAbout1590 CHESTNUT AVE; ; 61-4042; PermitAPPLICATION FOR BlfLDIKG PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1 181 - Ext. 36
"NS 4042
S^ /Owner Name / /.J/T..fe..<C..C/.<>'../ .^../. Mailing Address
(Please Print) (Last) /(First) (Middle)
Contractor /L 0\M U#7<?rS.r..A Mailing Address
(Please Print)
Street Phone
To Construct To Add D To Alter D To Repair To Convert
Number Street
To Move From .
City
Address
Phone
-I /7.BWT AType of Const. ~f~/L&4an**~ Kind of Foundation..*r*7?*r1w../ No. of Stories , To Be Used for ...fSr
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) /..St-.j..^/.-. ...Const. Valuation $..
.,A ^ attached
Floor Space of Garage (sq. feet) ..................... Tf.ff.s?. .............. detached QConst. Valuation $
LEGAL DESCRIPTION
Lot Block ' Subdivision
..Section .., Township....Range..
Located at ../«...^^.....Sr^V*rV...fe*flML.fc«^ Street, Near fe
Assigned House Number
LAND AREA : NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE f/A/fS^_ (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES....J*^... 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 payment of the above fee and the check is
not honored when presented for payment, your Building Permit will be SIGNATURE OF
immediately revoked. PERMITTEE :
Front Yard Set Back
Side Yard Set Back *
Rear Yard Set Back
Distance Between Bldg. ...
Off Street Parking Spaces
Sewage Disposal System ...
Zone - Residential
Zone - Commercial ( )
Variance
Eng. Check By
oEc .. ..—. - - . n
Driveway Permit Required Yes (X) No ( ) Fee
Grading Permit Required Yes ( ) No
i..5..Q,...Q.Q
of" I I
*.fr.5\...5A«^.?.P..y
Sewer Disposal Plant Capital Cont. Fee
Sewer Pumping Station Capital Conf^Fee
Sewer Main Line Cost
Sewer Lateral Connection Charge !*.}ST6. '...5 v..J.N Cu _fc &_
Water Stocked Lands Charge
Water Main Pipe Line Fee
Water House Service Charge ,
Water Meter Charge .. .. M&gi ?„.A?
Plans Approved ..Plan Check Fee