HomeMy WebLinkAbout0005.99 Applicationacme_ Ely f&rm1*5, ,I I
Application for
Improvement Location Permit
Permit No.,;l. -1
�j Date
JV� Roll File
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 beenoflicially oranted by letterbv the Director, Department ofCommunity Services.
PHONE
/ FAX
7S 00 7
IL BUDER
r'Y•-'
�RE Da' hcr�e
S�
�s //V
TEN_ANTNAME
(if applicable)
NAME PHONE
OWNER
SFREEr CRY
LOT S SION
.'I'G• ry1 �r N
UM
0 % 6JJ
LOCATION
ADDRESS OF CONSIRUMON 1
V ry 5 1998
A. TYPE.OF CONSTRUCTION
1 Single Family
2:( 0 Two Family
3. ❑ Multi -Family
4. ❑ Commercial / Industrial
5. ❑ Farm
6. ❑ OTHER
Do plans in' a orch ?
❑ Yes ' 'No
Type of Foundation:
OCrawlspace
ent
asem`
i
QTYP E OF MR,
1. ,New Stru
2.. O Addition
3. ❑ Remodel
4. ❑ Foundation
S. ❑ Demolition
6. ❑ AccessoryB
7. ❑ Sw urungP
'..
9661 9 - NVp
B. SEWER: (( � ✓ 8 ❑ Garage De 1�421A — —�
I � Public (NamepfSystem G� G. LolSpfit IL
2. Private (Septic Tank, etc.) H. Flood Zones YES NO
C. WATER:, 1. Sump Pump YES NO
lPublic (Name'oFSystem J. Manufactured Trusses YES NO
2 ❑ Private(Well )
D. ZONING: K Plumbing Contractor
E. ESTIMATED COST O CONS RUC,T��QN
,(Excluding; Land Value) Plumbing License # ❑ BOCA o CABO
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'complywith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance
ofCarmel 'Indiana 1993" (Z-289) and amendments,adopted,underauthority of I C: 36-7 et seq;:General Assembly of the State of Indiana, and all
Acts amendatory.thereto. I further certify that onlykitchen, bath; laundry, and floor drains are connected'to the, sanitary sewer. I further certify
that the construction will not be used or occyQie.d 4pti crr(i,(icps # ancy has been issued by the Department of Community
Services, Carmel, In Tana _ c �r Pet
DP 9I47 Inspections Needed -
PICK
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A UP
Footiu uderslab Rough- �terB
Siggnnatu�rle'of OUW
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t I , LYI�f G1 l�ihl I I I I K�� a� it in Go
11�--
(Pnni) (Phone Number) JAN 0 7 ' tt (Sq a Footage) 72.00 a:
Sewer CapacityAlloued q. BY: Inspection gees: 116-0.00
Plan.Commission/BZA Docket #: Certificate of Occupancy: 1 Soo'
TOTAL:
Reviewed/Approv ' Dept.,of Community Services Fee Received By v Wp%gn m I2➢6