HomeMy WebLinkAbout0866.2002 Application Cartnel/Clay
•-=-i,�;5h,p }'�`� Application for Pe�tNo.
xoia�: �� Improvement Location Permit Date _
} Roll File ,
This.pemut is valid only if construction�is started within=180 days of the date of issuance for residential ction;and for commercial pro�ects,within one(1)
ear af the date of issuance oC the State Commeicial�Desi 'Release. All conswcuon must be com let /o issued within 2 eazs of the issuance date.
. NAME /� PHONE FAX
suiLnEx %�ia n . Pn CG� �F >r 3 I -�rY�-souo 31�—�yl'- �oo�
SfREET CITY STATH ZIP
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�2 OU r' 'r�., Sf �v�1c/ __---,��%.�n%�\� 032
' r ( " 1_.� �I v,°—:. �� ,
TENANT NAME /� �'� -- � 1I ��
If a licatile � N '/ n� ^ f 1,�,� ,�,I'
NAME PHONE I���I' pUG - 5 2 FAX" ��'�
owNEx ��l�' � ��;� f'�{w<rf 3 �-�y� F`35' _3!7-��. 3- g�1/
STREET � CITY '^� STATE�-� ZIP
/// S /C4n a �;�c /P� C�C� I rl_----�i�/ S�loo3z-
LOT SUBDM ION // I /� SECTION ,� �� /
LOCATION �IS �l-�I �G �!� N' � Lo'f� ��,/ �T rk�'��`,�oy.
ADDRESS OF CONSIRUCTION�/� //
3/ �oK-��i t/'4 e/:✓JZ ICoq � C4'�n,e l Sn/ `I�(oc3z
A. TYPE OF CONSTRUCTION Do plans in ude a porc6? E OF IMPROVEMENT
1. ❑ Single Family C�Yes 0 No �f' �" New Structure
2. ❑ Two Family � . 2. ❑ Addition: Porch_Room
3. ❑ Multi-Family Type of Faundation ' 3. ❑ Remodel ❑Commercia]Tenant Space
4. j$ Commercial/Industrial � Crawlspace � 4. ❑ Foundarion Only
5. ❑ OTHER � Basement y 5. ❑ Demolition
�
(Specify) ❑ Sla�i , 6. ❑ AccessoryBuilding
B. SEWER: 7. ❑ Garage Detached Attached
1. � Public (Name of syste � �
2. ❑ Private(County permit#_ ) � !�-G. Lot Split YES NO�
C. WATF�R: J,�� H. Flood Zones YES N0�
�\
1. � Public (Name of syste� �� I. Sump Pump YES X NO �
2. ❑ Private(Counry pemut#_�. ,y'�` J. Manufactured Trusses Y/ES � NO
D. ZONING : g-7 /,�,Y K. Plumbing Contractor w/1� ��ntL Y/�t�./,%c,
�.��
E. ESTIMATED COST OF CONSTRUGTION �' IRC Plumbing Code: ❑ Plumber's •�
(Excluding Land Value) C152 70�J . 00 Indiana Plumbing Code� License#: C P,I��JOO�3 �a
r��rrWe�ert*s�re�ss.r�*+�***a*++ew* s**�rrss**>«r*s�se�+*s*srsas�r+*s«sasa�+e**re�e *+x**�a�*s+*+r*�a+ee+�s*�r
I;the undersigned,agree that any constructioq�reconshvction,enlazgement,reloca[ion,or alteration of a strvcture,or any change in the use ofland or structures
requested by this applica[ion will comply with,and conform ro,alTapplicable laws of the State of[ndiana,and[he"Zoning Ordinance of Cartnel Indiana-1993"
(Z-289)arid amendmen[s,adopted under authority ot I.6. 36-7 e[seq,General Assembly of the State of Indiana,and all Ac[s amendarory[here[o. I further
certify that only kitchen,b ,a � floor�.draiiis are connected ro the sanitary:sewer. I�fu er certify that t6e construction will not be used or occupied un[il a
Cenificate.ajOccupan has een issued by the Department of Community Servic� armel,Indiana. �
,) r' , INSPECTIONS NEEDED:
�' p' �r y v
Sipn ure o O � or Authorized Agent (��„py���,v � p�oOQ ootin nder Slab h-� Meter Bas
� /� `D ite ina C/O
// ,%,m Hn�P*so� 3,7- CY�-5auo(��,��`� �� �
' ( ' t) (?hone Number) 1 ' ��C Sq. Ft.
. — _ Filing Fees: (,4�0�OD
E-Mai1: ��c..�e rs a„ �( � f �� � �Base Inspections:
. � � Q Gn /c oN CUr O�� �l�1�.�04r � /
Cert. of Occupancy: '�Aa v
s0 ' o ! ^ � P.R.I.F.:
IPlan Commissia W Docket# ;T ate(s E J ,p�
� TO ' .
� � �� / �
Reviewed/ p ov : D pt. of Community Sarvices Fee ceived by Pem,��s/Fo�msn[.rs-oz �