HomeMy WebLinkAbout0003.97 Application;,ne lays
sn;p Application for
Improvement Location
Tlii`s.,pennit is valid.onlyif construction is stanedwithia 120'days of issuance `date,;'all constn
issuance date unless an. extension ofGume has been,offrcially granted by letter by the Director.
File
(c/o issued) within 2 years of
nmunity. Development.
'BUILDER'
NAME' .� 1 C PHONE
1,, n�L�l1 0oj SV '
7.�,�
— Sq(0 1
FAX
—U —
STREET- crry
- : fi
-
STATE 21P
'
TENANT NAME
applicable)'
+OWNER,
_..
NAME / PHONE
zmI\)S l M�L-)
FAX
'.STREET .. CITY
STATE P
'LOT, SUBDIS N_ION, '' II
Lci-1.-6- f"!{ -�
SE=ON
LOCATION
ADDRESS OF CO STRUCTION _
1z Z, 2IJt':
.
A.
'TYPE OF CONSTRUCTION a
��ED
F. TYPE OF IMPROVEMENT
1 Single,Family
1 � New,Structure
,2 ❑ Single Family'Cluster
DEC
2. ElCommercial Tenant Space
'3 ❑ Two Family .
Z3
1996�ily
-3. ❑ Addition'. Porch Room
4 O Multi-Fam
4, ❑ Remodel
5l. ❑ Commercial /, Industrial
5. ❑ Foundation Only
6: • ❑ Farm
6. ❑ Demolition
7 ❑ OTHER (Specify)
7. ❑ 'Accessory Building
B.,
'TYPE OF SEWAGE;DISPOSAL
8. ❑ Swimming Pool
I. Public System (Name,of.System
9: ❑, Garage Detached
Attached
2. ❑ Private (Septic Tank,- etc.)
G. Lot Split YES
NO X
C:
TYPE OF WATER
H. Flood Zones YES
NO y_
L ® Public System) (Name of System p.: ,� 1
1. Sump Pump YES
X NO
2 ❑ Priva[e (Well 1
J. Manufactured Trusses YES
NO'
D.
,ZONING C.LASSIEFICATIP.-,OFiPROPERTiY'
K. Plumbing CODE OC
or
Present
I!I'I%� rl-ot
nCABO
( f' IUvK�Jt✓IfD
E:
ESTIMATED COST:OF-CO STRUCTION .. oQ
Plumbing Contractor
(Excluding, Land' Value). -
Plumbing License i3Y 0(7CJ
(.(�
The undersigned agrees that any construction, reconstruction, enlargement; relocation, oualter
of,land.or, structures .requested by this application will comply with;, and conform to,�all..appli
"Zoning Ordinance of Carmel Indiana.: 1993 (Z=289) andamendments, adopteAsur}ic
1 et seq General Assembly of the State of Indiana, and all Acts -amen datoryr he�o /
I further certify that the construction will not be used or, occupied uirtil a' CeQYTerl
Department of.Community, Deve ophient, Carmel, Indianaoof e4ja%eQi
I further i th o --rtc a „bath, laundry; and floor, drains are connecteIme
Signature of Owner or Authorized•Agent
BAN Q f�
- 199'�'P1an
City State Zip Phone
Sewer Capacity otted•
Department of Community Development
laws of the State of Indiana, and the
(Acts of 1979, Public Law 178'Sec.
IMMA.
7cau 'h bectils ued by the
aced Local Codes
er:
Pro
jAWA�b R&ugh-In Meter ilase
014. Drainag t '��?Site Final C/O
Permit,(.Sguaie Foota
�
rwm nwN ivisrrsse /
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