HomeMy WebLinkAbout0003.99 Applicationr � Application fo
fp ° ' Improvement Location e
This permit is valid only if construction is started within 120 days of issuance date; all construction must be completed (clo issued) within 2 years of issuance,
date unless an extension of time has been officially ranted by letter by the Director, Department of Community Services.
NAME J��¢jfi�%u65eP(,�nw-r�C'sc 3�%-38/—o/9G�/
eAx 3/7-5J.3-d/4.2
BUILDER
�O
srsaer S�V,3 -�e,ues P. .63 cnQv Cwri,¢ne%,
AJ
E
TENANT NAME
r�
��/Z[� C��LGS J� /!/1tPi1%CQ Cr' L�/PS1 st 5,4
/1ZIP
ifs livable)
�4eS
J
NAME PHONE
FAX
OWNER
6/ ,-i /f vf' �/7—.26'/-91<do
S/7—.ZL-1f—,9f0
STREET' CITY
SLATE ZIP
32a /✓/ylP�t��� � Su.i<e 700 Z /.'
_ZA/ 4ti610
LOT SUBDwaTON
SEMON
LOCATION
ADDRPAS OF CONSTRUCTION
-0(4900 G/- I-Ve4,.%ee &,ocsvi//e _Z* -%64477
A. TYPE OF CONSTRUCTION
1.
❑
Single Family
2.
❑
Two Family
3.
❑
Multi -Family
4.
tK
Commercial / Industrial
5.
❑
Farm
6.
❑
OTHER
B. SEWER:
1. 14 Public (Name of System _
2. ❑ Private (Septic Tank, etc.)
C. WATER:
1. P4 Public (Name of Sys
2. ❑ Private (Well
D. ZONING:
E. ESTIMATED COST OF NST
(Excluding Land Value) �9S
Do plans include a porch ? F. TYPE OF IMPROVEMENT
❑ Yes 04 No 1. ❑ New Structure
2.
❑
Addition Porch
Room
Type of Foundation:
3.
❑
Remodel QK Commercial Tenant Space
❑Crawlspace
4.
❑
Foundation Only
131sement
emolition
Slab
❑
ccessory Building
7.
winuming Pool
tt
stage Detached
Attached
j(�
i.
YES NO }C
H.
FI
es
YES NO X
n
g a
p
YES NO X
!/�l
red Trusses
YES X NO
The undersigned agrees that any construction, reconstrvetion,
or structures requested by this application will comply with, an 14
o $1
of Carmel Indiana - 1993" (Z-289) and amendments, adopte ifdeF arykg
Acts amendatory thereto. I further certify that only kitche#l, ryfrG �" ` f
that the construction will not be used or occupieV 0"k.
Services, Carmel, Indiana.
rb c;� 4•.-a G � �
Signature of O Authorized Agent p ® JAN 0 6 1998
(Phone
Sewer Capacity
Plan CommissionBZA Docket #:
Contractor Zic.
# /e&-00nz0 P(BOCA or ❑ CABO
#5or alteration of structure, or any change in the use of land
Rcable laws of the State of Indiana, and the "Zoning Ordinance
36-7 et seq, General Assembly of the State of Indiana, and all
- drain, are connected to the sanitary sewer. I further certify
pancy has been issued by the Department of Community
Insp tions Needed:
'Un:rslab Ron -In Meter Base
Site F'
lucre Footage)
Inspection Fees:
Certificate of Occupancy:
TOTAL:
Fee Received By .:� R•�te� a� Tea