HomeMy WebLinkAbout0313.97 ApplicationoPermit o
? Application for ? Date ? .Y
Improvement Location Permit Roll Fil
This permit is valid only if construction is started within 120 days of issuance date: all construction must he completed (c/o issued) within 2 years of issuance,
date unless an extension of time has been officTaV anted b letter the Director, Dc artmenI of Community Services.
BUELDER SAME
b . & S et- PHONE FAX
S s d +r_ . .?:v e 7 -6-/ L 6 7 -3 -? 7-7 /
STREET crrY STATE ZIP
1/3/3 C-. 3-11 Ro. .3 y 2.?!.r Y4077
TENANT NAME
(if a licable
LAMB PHONE FAX
OWNER , t tk , v A n! S l? va.,
STREET CRY STATE ZIP
13(105 V. D,7-!7,4 2.0, GW-1,h
TAT SUBDIVISION SEMON
LOCATION
ADDRESS Or CONSTRUCTION
/ 3 Y O3 N. 1D,7-c-1-, jL,fD.
A- TYPE OF CONSTRUCTION Do plans include a porch ? F. TYPE OF IMPROVEMENT
1. $1 Single Family ? Yes 01 No 1. ? New Structure
2. ? Two Family 2. ? Addition Porch Room
3. ? Multi-Family Type of Foundauon: 3. 59 Remodel ? Commercial Tenant Space
4. ? Commercial / Industrial OCrawlspaabu. 4. ? Foundation Only
5. ? Farm ?Basemenr 5. ? Demolition
6. ? OTHER []Slab O Accessory Building
(Specify) SKirnrrting Pool
B. SEWER: A arage Detached Attached
1. ? Public (Name of System /t ? Lot YES NO
2. IN Private (Septic Tank, etc.) hood Zones YES NO
C. WATER: I. Sump Pump YES NO X
1. [] Public (Name of System X J. Manufactured Trusses YES NO _ IX
2. 19 Private (W 11
D. ZONING: - ?' K. Plumbing Contractor ?4.i4 ? rra. ?L..'06
E. ESTIMATED C S7`OF CONSTRUCTION
(Excluding Land Value) _ 3 <9; a vo Akitchenbath Plumbing License # &89 mt3?R [] BOCA or ? CABO
##*i+rynM*The undersigned agrees that any construction, argement, r t lion, or alteration of structure, or any change in the use of land
or suvcttutes requested b , this application wili cnform to applicable laws of the State of Indiana, and the "Zoning Ordinance
of Carmel Indiana - 1993" (Z-289) and amendmn :u rity of LC. 36-7 et seq, General Assembly of the State of Indiana, and all
Acts amendatory thereto. I further certify that th, la , and floor drain are connected to the sanitary sewer. I farther certify
that the construction will not be used or occupieJ until a Certificate of Occupancy has been isiueA by tiO!•1?ii}0kpo'eat of Community
Services, Carmel, Indiana. # I<Q!I /?r "
(?,_, /,? prc,S Fostiti?vtll?ils rA'tier Base
Signature of Owner or Authorized Agent L' J T r rn
e' li ! C!
?ti' S L S ,$1f
pit 1/1, ?
A??s. ,
(Print) (Phone Number) Permit (Square Footage) 0
?d
Sewer Capacity Allotted _ Inspection Fees:
o?
Plan CommissionBZA Docket Certificate of Occupancy:
C OT,/
,P`tApproved: Dept. of Community Services F eceived By r'*N fev I91%