HomeMy WebLinkAbout1620 CHESTNUT AVE; ; 61-4056; PermitAPPLICATION FOR BlMiDING PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArlcway 9-1181 - Ext. 36
Owner Name ,.\^_*.r».^C^pS/v...J r..../..LKJ>.HiK*.Q. .>?..,» Mailing Address
(Please Print) />, (Last) ' (First) (Middle)
NS 4056
Number Street
'
Contractor -^Q^G^Ji^^ Mailing Address /?«3l/. <S*
(Please Print) Number Street
/
City Phone
f
To Construct To Add D To Alter D To Repair To Convert D To Move From
City
Address
Phone
Type of Const. "JfLGLsM****-. Kind of Foundation No. of Stories To Be Used for
(Frame, Masonry, Etc.) -^ (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) .^^.<es>. .Const. Valuation $
£) . attached 0
Floor Space of Garage (sq. feet) £&•..?$.O. detached QConst. Valuation $
LEGAL DESCRIPTION IS&T.
Lot Block Subdivision
Section Township Range..
Located at Ito."-?. ^.n«3».!L&J!V..! n..Y..!=.,. Street, Near
Assigned House Number
LAND AREA . ...%5j9.(? NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ..^t^er^r-^- (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES....^^. 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
immediately revoked.
SIGNATURE OF
PERMITTEES
Front Yard Set Back ab.Q. ../^)'T/l<A*r\*~*... Driveway Permit Required
/ \ . .C /CoMcTl
Yes (r) No ( ) Fee I'-.feSl.'L. .*
Side Yard Set Back
Rear Yard Set Back
Distance Between Bldg
Off Street Parking Spaces
Sewage Disposal System
Zone - Residential \jf^ / )
Zone - Commercial ( )
Variance
Eng. Check By
00
/" f *
.<£? <?rL*ft-?l**<*. Grading Permit Required Yes ( ) No {>()
Sewer Disposal Plant Capital Cont. Fee
Sewer Pumping Station Capital Cont. Fee ^*.C*.^J.!Er.
Sewer Main Line Cost »"A\D l.'.\-.(ff.\
Sewer Lateral Connection Charge ..^*.I..'?.T>?.
Water Stocked Lands Charge ,
Water Main Pipe Line Fee
Water House Service Charge ..
Water Meter Charge
Sub Total
Plans Approved
Approved by ...
Date ...
..Plan Check Fee
...Building Permit Fee ..
Total Charges
£3
A.O?
&*L