HomeMy WebLinkAbout0201.97 Application CarmelaClay PermitNo. ��f�
T� Application for � Date_��f� �
dmprovemenCLocation,Perrrmit Roll Fil
This pertnit is�valid only if oonsWction is started within 120 days of issuence de[q.all consVUC[ion�musfbe completed(c/o issueA)within 2 yeers of issuence,
date�unless en eactension of lime hes�been officiall rented b .letter b .the Director, � artrnent of Communi Servioes.
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I.OT� SUBDMSION SECIION
LOCATION ��� �� �`�f 7
� ADDRESS F CONSIILUCIION
�35�92 .�.wtih� .�v�L .
A. TYP�Ep F CONSTRUCTION Do plans include ,porch-7 F. 1'PP1Es F,IMPROVEMENT
1. W Single Femily ❑Yes�0 1. [� New Stiucture
2. ❑ Two Family 2. ❑ Addition Porch_Room_
3. � Multi-Femily Type of Foundatio 3. ❑ Remodel D Commercial Tenent Space
4. O Commercial/Industcial ❑Crawlspac� 4. •O Foundation Only
5. ❑ Fartn ❑B rnc�$i[7 5. O Demolition
6.. ❑ OTF�R lab � � 6. ❑ Accessory Building
(SPecSY) m�•� �' 7. ❑ Swimnung Pool
B. SFW�: �'° -� 8. ❑ Garage De[ached Attached
1. P.ublic (Name of Sys[em CT'�W' 1 � � G. Lot Split YES _ NO t�
2. ❑ 'Private(Septic Tank,etcJ � H. Flood Zones YES _ NO ✓
C. WATE : � � L Sump Pump YES —y�- NO 7
1. �Pyblic (Nazne of System ��d PGS 1 � J. Manufactured.Truases YES V NO _
2. ❑ Private(Well � T�o��
D. ZOPIIlVG: �� K. Plumbing Contractor
E. ES1'IMATED COST OF CON$.'j'RUC ON p _`�
(Ezclading Land Value) ��7j��� Plumbing License#d'�OQro7�':7Ld tlOCA or❑CABO
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The undersigned agrees that any conswctiou,reconstruction,enlargement,relocatioq or elterelion of structure,or any chenge in the use of leud
or strucdues requesied by this application will comply with,and conform to,ell applicable laws of the,State of Indiana;and the"Zoning Ordinance
of Carmel Indiana- 1993"(Z-289)and amendments,,adopteA underauthonty of+l.'G:.3�7 e[s`�eq;General Assembly of the State of Indiene,and all
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Actsamenda[ory;there[o. Ifinthercertify,that�onlykitclien,�bath,�laundry,�,andfl�r�am��e'�t�p th��sawtary,sewe.r;�I �furthercertd'y
that�the rnnstniction�will not be.used�or occupied until��a Certifrcate.oJOccuPd�ifcyll��j,bep��s��y�t$e Depa7�iXmu���mmunity-
Services, Carme[,Indiana �� `f� �� _ �. . .
COM��n�n e� �
/�� � " � ,/ ///�, �''� . C �g� �
,/�A.!/O7s-fj /�• /YA�-�i • m gtderslati o�gi' `�F- n Meter,Base
Signatwe of Oi4uer or-Authorized Agent �� "" o aT1 � �4
K. �//i� �y�G�d� . Site Final 0� �
,(Prin[) (P ooe, 'ber Permit(SquaraFootage) _-__-_1f�.L ���/
Sewer Capacity Allotted S . �'9�Q� ection Fees: �� /
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Plan CommissionB DM;ket#: ��99� � e of Occupan __��� �
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R ; ed/ pproved: Dep[. of Community Services Fce Recei By •�+�d�;�
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