HomeMy WebLinkAbout0199.97 Application Catdnel-Clay Permit No. ��.�f
To«�5nip: Application for p� Date-�l '
Improvement Location Permit lf� Roll-File
' This�.pertniti.is valid only if conswcuon is sturteJ..wi{hin 120 days of issuence date;�all��conswction is complmed.(c/o,issued)within 2 years of
issuance�dste unless an extension of.time has bern-ofticially`grented by letter by ihe,Director, Department oF�Community Developmrnt.
� N E �PXONE FAX
BUILDER �v�Tqc Eiy3"��: �y6—E19
STREEf CIfY STA1E ZIP
8� IV• ,�cr =t— � � ��i� �-/62.
TENdNT NAME
(if applicable) '
NAM2 PHONE FAX
O W IYER
STRE_ �. „ /� � C[fY 3TATE ZIP
VV \
IAT SUBDIVISION �SECI'ION
LOCATION rII �
ADDAFSS OF"CONSTRUCIION . .
1.36sT S�tv�e. o� � rc�Jr��9
A. TYPE OF CONSTRUCTION �' F: TYPE OF IMPROVEMENT
�l. ,.0' Single Family �� ,�',rV'i';����� 1. �New Structure
2. �Single Family Cluster 2. ❑ Gommercial Tenant Space
�3. ,❑ �T.wo Fairiily' �,,��p 3. ❑ Addition�. Porch _ Room_
4. ❑ Multi-Family '.i"V1f\ � 6 j��� 4. ❑ Remodel
. 5. .� Commercial/-Indusuial 5. ❑ Foundation Only �
� b. ,❑. Farm ' 6. ❑ �Demoli[ion
7. ❑ OTHER{Specify) 7. ❑ Accessory°Building
B. TYPE OF SEWAGE DISPOSAL 8. ❑ Swimming Pool
l. � Public System,(Name of�System��'�iTY�uF��WnMC �� 1 9. .O �Garage Detached� . Attached�
2. ❑ Private (Septic Tank, etc.) G: Lot Split' YES NO . '�'
C. TYPE OE'WATER H. Ftood Zones YES NO v
1. � Public System (Neine of System� P • I. Sump Pump YES. v NO
2. ❑ Private�(Well Manufactured�Tnrases YES � NO
D. ZONING CLASS IC TIO1V`OF PROP TYM [� mbing CODE BOCA or CABO
E. .(ExclnudmTLandOValu) ��I�77 `IT q,T 11 199j P' mbingContractor �sSioN -
g g License N VG'S lo+/Z3G!/
The undersigned agrees thaf.aay.constructiou;rewnswction, enla en relocation,or alteration-oF,svucnue, or any change in [he use
�of�land�orisWCtures'��requested by this applica4ion will comply with, an :conform to„all`-applica6le�lawssof�the State:of Indiana, nnd the
�"Zoning Ordinance'of Carmel�Indiana;- 1993" (Z-289)aud"�amendments, adopted under auttloritybf�Acts�-.of 1979, Public Law 178�See.
t eE seq, Geaecal Assembly of the State of Indiana, and all.Ac[s amendatory thereto. .
I �further certify that the consfnictlon will not be used�� � ccupie � u ' a Certifrcare oj Occupunty hae� been issucd by the
Depa�tmenFOf�Gommunity'Development, Carmel, �ana. � �
I�further cenify' t ly,kitchen�, bath,.laundry, a ��tl or ins are connected t the�sanitary sewefrF�. -
�4 .�,
� � � � /J�f�� � ��h nder,Slab. Rough-In _ eter Hase�.
�Si � ure of Ownei or.Authorized Agent /� ��i�spect ns.Nee y� , � �qS,. � �^�'
% �y��yC��tBge�y''�+'.�yy�ite in�al � GO
�� , iix�r � c.�`�'.c�'°�oe;a;�:�r���,� $9,00 3�480
° Addiess P�u •',����''����Square Footage)
Commiss�om,� �
�r o� n�S ��rf �16z�0 �U3�3 Z -�gZA�Docket#J��� �j�s�i'on�Fees �J�a.DO
Ciry T State Zip Phone �0��' �'��'��aQ��P
- , Q+J �t! _"�� �� �`Ceaificat � f Occupancy �J�,0�
Sewer Capacity Allot[ed �anrAn Cn�IQ4l �GG`t ��
� � TOTAL � �J�Jq-.00
�� .cm �InmrinAn . : � �t
epartment of Communtiy Development , Receiyed by ���b�vunss.
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