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HomeMy WebLinkAbout04070042 Application .. .�Cazmel/Clay' - \ O .QO To,�,Sn�p Application for� \ `)•� ' e�t No. Impro,vement Location.Permatv. Date Roll File `This perrtti[is�vaLd only-if conswc6on`is started wi[hin I80 days of.the date of issuance�ffir residenhaPcons�ucnon;and'£or commercial projecGS,within one(I) eaz,of the da[e of�issuance of the'Sta[e 6omme?cial�Desi "-Release. All constiucnon mus[be com leted� c/o issued within 2 ears of the issuance date. ' NAME PHONE sun;nEU iZ;H-cs-e �,c�, - ��. F':4� ,- 2 G �c2.. F �, � - � 22� � � STREET � � CCfY STATE ZIP �''OZ- 1�}�. �t.V r 2c� . 2rc ' 1S �r� io2 ':(1, TENANT'NAME � Ifa - lica6le 'NAME PHONE. FAX PROPERTY �� 0 .. _ `(�[li� :- S�i �O— i-Ic�.� OWNER: sTaeeT ciTV srnre� zm �� � �. . lo �.�-1C> LOT SUBDIVISION' �� SECTION FOOTAAGE: LOCATION IC)- ( � � Z �Z?�j ADDRESSAF�.CONSTRUCTION �y�,/0� � `,:�I , �h�n„un: ��- G, A. T E'OF CONSTRUCTION' Do p�la�mcludea pqrc�4�1 E OF IMPROVEMENT . • 1.� Single Family � Z�Yes 0 Nov'C'`� p�y,:1 %� , � New��S - ., G, ` 'v ,`, `Y! . . .: _ 2 ❑ Two Fanuly f� ' ����p—a '� 2:, Addiri � 3 ❑ Multi Family Type o�%Fnuttda'6� '3': Remo 4 ❑ Commercial�./�Industlial 4O°yC�fa ��, ' 4: � Found �" nly . �' 5 ❑ OTHER 1�.�ti$� ' ❑ Demo .I (Spec�fy) �J.Q' Sla , 6` ❑ Acces ildiKg�� � �� B; •SEWER;! 5 Z. ❑ Gaiag fied Attached' 1 �,Public (Name.of system C ' �y�y (�Q�\C� 2. O ,Pnvate`(Countyperuut�.#' �i-�.l-'�,� .� . L'o Splif Q WATER: H. Flood�Zones YES NO x 1`. �.Eublic,(Nameofsystem��7Y�Q'' ) I: Sump`Pump YES SC NO 2. ❑�. 'Private(CCountypemilf:#! _ �) 7 Manufactured'Trus ps YES TCi NO D. ZONRVG : J".l K. ;Plumtiing,Contractor �(4,� � �.((i,�,� E. ESTTiVIATED COST OF CONSTRU �TION lZ d�J 'IRC Plumtiing Code: ❑ Plumbec's (� � Excludin Land Value 2D / ' � C� � g �y). �. IndianaPlumbing;Code: � License'#: /�-�-��C�`ry. Vifi*��k4#ti��M�kMii+Ri�Y#Y�k4k�l�k#t*���W�kM######++t�k�k�k��Y+�YR�iN#+*k%�###4�Y�+k#i��kMt�fi+ #+R�k�*#Wrt��t##�*#�k�*# 'I;the undersigned �agree;that�any,conshuction,reconstruchon,enlazgemenhrelocatmn or�alteiation�of a structure�or:any change�in the use of land or structures 'requestedby'tFiie�apphcationwillcomplywrth andconformro all'app6cableJawsoftheStateofIndiana;_andthe'ZoningOrdinanceofCazrtiel9ndiana-�.1993" (Z;289)and.amendments;�adopted undePauthonty of_C.0 36 7 et seq,General'Assembly-of[he,State�of Ind�ana;and�all�Acts��amendatory.[hereto. I fuither certify,that only,ki[chen,tia[h,.and floor drains aze'connected to the sanitary sewer, I further certify that;ttie coustruction will not be used or occupied until a Ce�tificate ofOecupanry fiai been.issued by4he�Department of Community Services;Carmel;Indtana i �JF,.YIt ,lfl (��(, fi'�����i�' P� �p� IN§P EEDED: �A �2$� 'Signature�;o�f�O�wner�on:Authorized Agent � �+ Upper,Fo mg �ower� o '� g Bonding/Groundiu . # _ F��P,1 =U� , � �� �` U�e�Slab Rough.I� � eter Base Final Site �Y�\G` .\�(C;CS> (Pririt)�— (Pfione Numberj � F111IIg.Fees: . �' #Chazged Re-- E=Mai1: rn���'� � (���,�� �ji'Y� BaseInspecri as: �� tteviews Cert. of c pancy: ` � - � D Addi[ional Fees P R.I.F � Plan Cortuni io 7,A/BP.W D c_ # ; C;Date(s). , � �� � Reviewed/Approved; �Dept.�of Community:Services Fee ReceivedBy � �S:Penmts/Forms/t�v3-d� � '�