HomeMy WebLinkAbout 0785.98 ApplicationPermit No.
Ty Application for g 5 Date
Improvement Location Permit Robe
This permit is valid only if construction is started within 120 days of issuance date;. all construction must be completed (c/o issued) within 2 years of issuance,
date unless an extension of time has been officially arented by letter by the Director. Deoarhnent of Communitv Services.
BUILDER
NAME
(-1 1
PHONE FAX
1 —�CJ
STtEEf
u.P
CnV
'&- 'Z.
STATE ZIP
_v-�' yuo
TENANT NAME
ifs licable
STRlCT1t��
-
OWNER
NAME
YY\.s�_ Q S
PHONE
1-
C� t�,�/�
(�ELEAS i10rt�E
ec4 to come O§ r
p of.
LOCATION
LIIOT��
��J
SnDMSION
ZD0A I
Cr 2
Vl a1JRu ■VV/
ADDRESS OF CONMUCnON
Doa
Dr.
'IN 25 q.
A. TYPE OF CONSTRUCTION
Do plans include a porch ?
F. TYPE OF IMPROVEMENT
I.
❑�ingleFamily
-0'Yes ❑ No
1.
91-`&ew Structure CD
2.
❑ Two Family
2.
❑
Addition Porch _ Room
3.
❑ Multi -Family
Type of Foundation:
3.
❑
Remodel ❑ Commercial Tenant Space
4.
❑ Commercial / Industrial
❑Crawlspace
4.
❑
Foundation Only
5.
❑ Farm
12$asement
5.
❑
Demolition
6.
❑ OTHER
❑Slab
6.
❑
Accessory Building
(Specify)
7.
❑
Swimming Pool
B. SEWER: 8. ❑ Garage Detached Attached
I. ®-Public (Name of System C�tion)nJ G. Lot Split YES NO. ✓
2. ❑ Private (Septic Tank, etc.) H. Flood Zones YES NO
C. WATER: 1. Sump Pump YES ✓ NO
1. M7- Pubhc (Name of System lkaml �4en WA��4tr J. Manufactured Trusses YES ✓ NO
2. ❑ Private (Well )
D. ZONING: LZI K. Plumbing Contractor �-A�) 1 'QC �Y\i CO3
E. ESTIMATED COST OF CONSTRUCTION
(Excluding Land Value) 15p 1 f-iQ U Plumbing License # 100'"1 Cu(.o "� Q-BOCA or ❑ CABO
sssrt*rtrt++ss+ssssssssrrssrt+****ss*•sss*sssssssssssssrrssssssessssrssssrrrsssssss*ss+++artsrt*srrrsssssssss+ss+*
The undersigned agrees that any construction, reconstruction, enlargement, relocation, or alteration of structure, or any change in the use of land
or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance
of Cannel Indiana - 1993" (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assemblyofthe State of Indiana, and all
Acts amendatory thereto. I further certify that only kitchen, bath, laundry, and floor drains are connected to the sanitary sewer. I further certify
that the construction will not be used or occupied until-�pteof Occupancy has been issued by the Department of Community
Services, Carmel, Indiana
JUL 07 1998
of Owner or Authorized Agent
Janine K r ne-�- S15-a350
(Print) (Phone Number)
Sewer Capacity Allotted r
Plan Commission/BZA Docket #:
N
Reviewed/Appr ed: Dept. of Community Services \
Inspections Needed:
— I 000tingfu.
dersla Rough- Meter Bas
Site Final C/O 7
Permit (Square Footage) 'tom —
Inspection Fees: SrD
Certificate of Occupancy: /S•�0
PsF
TOTAL:
W ^ JI-C Cp49/Igvo
Fee Received By ,:\fix.wP96& mIrvs