HomeMy WebLinkAbout0198.97 Application �4Q^,1-�lay Perniit No. ' �}
��nship,✓ APP11Cat10tt fOC Date � �i ���
.Improvemeht Location Permit �Rol! File
�Tfiis pertnitiir vdlid only-if constnicuon�is�smrted within �120�days of issuence date; all construction is compkred (c/o issued) within 2 years of
i'ssuence'date�unle"ss,an eYtension of�fime has been officielly�grented by letter by t}ie Diraror, Department of Communiry Development.
�NAME PNONE FA%
BUILDER - SI� S -C�J
� �sraeer crrr � sT,�re z�e
'gSSS , t . ''(�Uc1 . �vZ
TENANT 1�TAME
"(if applics6le) �
. NwMfl PHONE FA%
OWNER
� STREET A A CRY STATE ZIP
I '\,V V.�
LOT' SUBDNISION . SECTION /
LOCATION �
' � ADDRFSS OP CONSTRUCfION' I '
Y n�/:e:.
A.. TYP�E�OF^CONSTRUCTION ' F. TYPE,iO�ROVENIENT
1 !� Smgle Family � m l. G}�New Structure
2 ❑ Single��Family Cluster �'�� 2. ❑ Commercial Te t Space
3.. ❑ Two�Family - r ��: O 'Addition P r��� Room_
4. ❑ Multi-Family � OLn 4.. 0 Remodel �
3. ❑ Commeicial /Indusuial V � 5. ❑ Founda[i Onlp�„9
;6i ❑ � �Farm ' 6., ❑ Demoli�� ��� �
7. ❑ OTHER (Specify) 7. ❑ Accessory �'Iding 1.l
B. 'TYPE OF WAGE'�DISPOSAL 8. ❑ sW;a�;�g Poo, �99>
- " 1. . ��c Systern(Naine'.of System 9: ❑ Garage Detached. A[ta ed
2 ❑ Private (Septic Tank, eteJ G. Lot Split NO �
C. TYPE'OF WATER � H. Flood Zonee YES NO �
7. f�ublic System (Name of:System I. Sump Pump YES NO �
2. ❑. Private (Well . �� . J. Manufactured Trusses YES � NO
D. ZONING.CLA�SI,j�'ICATION OF.PR ERTY K. P.lumbing CODE BOCA or ABO
Presenr I���I � ( ����
E. ESTIIVIATED COST OF CONSTRUCTION Plumbing Contractor �Y�10f� ��
�(Excluding�.Land Value) �S S�' Pipmbing License p �.����b� Z3� �
—�
The�undersigned�agreeSthat any consWCtion,reconswetioa�, enlargement,�ielocation;;or al[era[ioaof sWCture,or any change in the use
�
,of land or.,s[ructnres�,requested�by this:application will�oomply�with�,�and conform:fo, all applicable laws of lhe;.State�of.Iadiana;�and the
"Zoning Ordinance of�CarmeCIndiana,= 1993" (Z-289)'and�:amendmeats, adopted under authority of:Acts of 1�979,Public Law 148 Sec.
1 efseq, General Assembly of the State of•Indiana, and all Acts.amendatory thereto.
I;further cerNfy that .the construcNon will not',be u�ed��or occ " d.until a Certificale.oj�0�up^ncy"��has been issued by the
'Departmenf�of Community Development, Carmel, In ' a. �
I furth c _ that only kit en,.b' � undry,;a r�diai sare conn���'to the sanitary sew�er= �
. � - � _� ; - �� �-
3 " .r,.
oohn nder SI oug6-I eter
Signature of-0wner or�Authorized Agen[ A ,Inspe � eede G , `q ' _�... , .,;,s'�
,Q� � - �,//� /�/J` - �� Dramnge��:. � �"Site in �C/O
�J�� �, . . F�C, . / � . � �4 o �` 'Sp�'j�( � Y`A•
�1��JQ��i f��.a Y'/�d�
Address Plan•.� ��<,e ����iL��q�re Footage) � �7� �
�—� � � � -� ^ , r/�-�I Commiss�onN�;+ � �'
�Y�l�'GO..WCt.���1;� -__��). '�f(p�i�1� 'S`�`{'(6bS�LA DocketfN��� I$g�Dn Fees c�S�,OD
City r "State Zip P.hone: l,,,O�`i'�`�CO+.�•:�(' �Qi� �'�
� ,rIN s�'�C . ��rtificate of Occupanoy �s.00
� SewerCapacity�Allotted �Q1 5'? �j" � � ^
� q
�" TOTAL U 7��OD
� �a� ,
, Departmen of Communtiy Development eceived by r�R.;..aivisnsw
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