HomeMy WebLinkAbout2044 CHESTNUT AVE; ; 62-5056; PermitAPPLICATION FOR BUfDIM PERMIT
5056
CjTY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - Ext. 36
Owner Name .\\)..$.'£.fr..t-..ty..<Bs- iAJ.~>. M_J—-\ Mailing Address
(Please Print) /~^ (Last) ' (First) (Middle)
Contractor ^.^t-C^L^CX^V *r. Mailing Address
To Construct E&-**"To Add D To Alter D To Repair D To Convert Q
Number Street
Number Street
"T To Move From
Ciry
Cify
Phone
Phone
Type of Const. <.
(Frame, Masonry, Etc.)
of Foundation ........ '—. ........... .^s ..... No. of Stories-.-
Address
To Be Used for ,
(One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ....<5*r..wLO. ......... . ........... Const. Valuation $ ....... fr^.c>£...Cf...Q...L .......... Z
^ __ __attached D
Floor Space of Garage (sq. feet) ...................... . .......................... detached QConst. Valuation $
LEGAL DESCRIPTION
Lot Block Subdivision
-Section Township Range
Located at £3!<&..y..ty .^....&*>^.....L*!tt*^.?t^.....: Street, Near k^fc^r^N^ /£>^) A
Assigned House Number
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-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
Driveway Permit Required Yes ( ) No { ) Fee
Grading Permit Required Yes (. ) No ( )
Sewer Disposal Plant Capital Cont. Fee
Sewer Pumping Station Capital Cont. Fee
Sewer Main Line Cost
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Water Main Pipe Line Fee
Water House Service Charge
Water Meter Charge
Sub Total
Plans Approv Plan Check Fee
Approved by ^...C^.^...^J>.^..^:^:.^...'..~:.^^.^^. Building Permit Fee
Date Total Charges