HomeMy WebLinkAbout551.00 Application _ _ ._
� EermitNo. . � •
, ' �`.a �E� Applicatiou for � Date .
�� Improvement Locatiorc Permit Roll File
y This permit is valid only if construction is started within 120 days of issuance date,ell`c9nsVUCtion must be completeA(c/o issued)within 2 years of issuance,
dale unless an enYension of time has been officiall �. rented'b letter b the Director,De riment of Communit Services.
�„�,.�� PHONE �y�� FAX
BUILDER (-�`' /� D T S-O��y
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TENANT NAME ���•�{-���j����
(iFa Iicable) �1 �
xwn� ' exoxe �{El-�O �flfRPIIAf1G�LtrC#� ����� � -
OWNER e
�F� � T O� C���c��f �'��lOIi�9F11P
L� S„�Df ���-[nn. ��.er��2-, �iS�na/a---"(Y O
LOCATION I
AD�RESS OF CONSfRUCfION �Iry ��
od LP � S`�-r.wl t�tJ!� ���
A. TYPE OF CONSTRUCTTON Do plans include a porch? F. TYPE OF IMPROVEMENT
1, �SingleFamily ❑Yes�lo 1.�NewSwcture
2. ❑ Two Family � 2. ❑ Addition Porch=/�Room fl nJ �
� - � �._. �v; ;r_..
3. ❑ Multi-Family Type of Foundation: 3. ❑ Remodel i �n Cflmmeraaa- c,xeni
i ��T
4. ❑ Commercial/IndusLial ❑Crawlspace 4. ❑ Foundatiun qnly
5. ❑ Fazm ❑Basement 5. ❑ Demolitiori `� I APR 7_ 4 2000
6. ❑ 07T-IER �lab 6. ❑ Accessor}��'�uilding
(SP��') � �� 7. ❑ Swimrnu�l �.
B. SEWER: �A�,A ^�/� ��,( z 8., ❑ Garage etached Attached
1'. �Public (Name of System wr/� Ll G. Lot Split
2. ❑ Private(Septic Tank,etc.) H. Flood Zones YES NO _`�
C. WATER: , , /J L Sump Pump YES NO ��
I. ���ublic (Name of System L�Y�lS� J. Manufactured Trusses YES _� NO _
2. �❑ Private(Well 1 l _, /f /� m" l
D. ZONING: S —I K. Pl�mbing Contractor l-l.Y.t-(� �yl�=���
E. ESTIMATED COST OF ONSTRUCTION /� ` �
(Excluding Land Value) � �O Plumbing License# �V✓ /U� ❑BOCA or�ABO
r*r****+tswr+arttss+«str r*a*st+ rt*s�**s�s*att*rtss*rssarssr***aa�fx*rsrssrtwsr�as*rsfs#�ssa*str,yl......,
The undersi�ed agrees that any construction,reconstrtWCGon,enlargement,relocation,or alteration of sVUCture,or any change in the use of]and
or s�uctwes reques[ed by[tds application will comply with,and wnform tq all applicable laws of the State oF Indiana,and the"Zoning Ordinance
'of Cazmel Indiana- 1993"(Z-289)and amendments;adopted�under authorily of I.C. 36-7 et seq,General Assembly'of the State of Indiana,and all
Acts amendatory thereto. I fiv-ther certify that only kitchen,balh,laundry,and floor drain�are connected to the sanitary sewer. I turther certify
t6at the�conatruction will not 6e used or occupied until a Cer[ificate of Occupancy has been issued by the Department of Community
services, Carmel,Indiana CpLL PERMITS PLI�S
C-�j DP 928-6447 ns ections Needed:
� � � � �' FOR PICK' �tin� derslab - ough-In eterBav
Si ature of Owner or Aut}ioriz Agent
r� �/Jn1 `�. g/ /� n/_��y/ Site Final C/O
'-1 'L�(L/ ( / r
(Pntrt (phone Number) Permit(Scjuare Footage) �(O� O 3
Sewer Capacity Allotted �y(p-O� � Ittspection Fees: __L���
Plan CommissionBZA Docket#: ��� Certificate of Occupancy: 1 •60
ToT AO
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Reviewed/A roved: Dept: of Community Services Fee ived By ::v�+wvsse� m��