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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 �__ �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 �