HomeMy WebLinkAbout0195.97 Application Cazmel-Clay L � Permit No. � �
��,;p � Application for �Date �
� � r Improvement Location Permit R°"File �
Ttiis permit is:velid only il construction is started',within I20 deys of issuance date;all consWction must be compleled(c/o issued)within 2 ycars of issuance,
date unless ari extension o(5me'has tieeo-officiall ranted b letter b the Director,De Ament of Communi�.Services.
NAME y,� PNONE FAX
BUII.DER ��l� � D �✓ Z" S,L X .�J`� � Z " Z S �J
siaeer - cro srw�rn z�e
�FM �n _S~1rc C�i,r � ��N �bo32
TENANT NAME
if e`-licable
wnnn�e� r�iot+e � e,�c
owivER E
SIAEEf CI'IY STA'IE LP
LOT SUBDMSION SECIION
LOCAT[ON �/'�/ ��� �� �� f
RODAESS OF CONSIRUCIION i
In$ q5 �I h . GD�r+ �
A. TYPE OF CONSTRUC7'ION Do plans includea porch 7 F. TYPE OF IMPROVEMENT
l. '�l Single Family �l Yes O No I. �J New SLUCture
2. ❑ Two Femily 2. ❑ Additibn Porch_Room_
3. ❑ Mniti-Family Type of Foundation:� 3. ❑ Remodel ❑ Commercial Tenant Spece
4. ❑ Commercial/Industrial ' OGiawlspace � 4. ❑ Foundalion Only
5. � Fazm ����asement 5. ❑ :Demolition
6. ❑ OTIIER OSlab �, � 6. O AccessoryBtiilding
�SPec�i'Y)_ . � ❑ Swimming Pool
B.. SEWER: �O �� ❑ Garage Detached Attached
I. O Public (Neme of Sysfem C w� (f'� G. plit YES _ NO �
2. ❑ Private(Septic'Tank,etcJ ��{. nes YES _ NO �_
C. WATER: �p � 5 ump YES � NO _
1. R� Public (Naine of Systemr Nl ��� ManufaMured Trusses YES NO _
2. � Private(Well �q
D. ZONING: S � I 1�j I99J umbing ContraMor� � . M d OY�
G. ESTIMATED'COST OF CONSTRUC�T,IO p z
(Excluding Land Value) � 1 �)y � � v p►u�b i n�L icQen e# � S ❑BOCA or l,�"CABO
rri�r*w�*saysy+t+ytttttsss►stsa�ss*rtsxssWrWwa►ss+ s**� ttFitt#�#ttkitti�t►ti►>#iti#tt�t►�iJ��ittittiti►t
The undersigned agrees[hat any construction,reconstruction,enlargem ,relocalion,or alteration of structure,or any change in�he use of land
or struotures tequestcd by this'application will comply witli,snd confoim tq all applicable laivs of the S[a[e of Indiana,and[he"Zoning Ordinaoce
of Carmel Indiana-'1993"(Z-289).and amrndments,udopted under �� oriry of I.C. 36-7 eCseq,General Assembly�of tlie State of Indiana,and'all
Actsamendatory thereto. I fwther cenify�tha[onIy ki[ch�-, ath,�laundry;�an oor drauu are connected to�the�sani[ary'sewer. I turther cer[if�
that the rnoatruction will not be used�or occupie ntil a CejQi�cate f.0 -ncy has beeo issued by�the Department of Communky
'ServFces, Carmel,Indiana ��� 2 c
l (�!/� ,.��/ ���J • spections Needed:
�� (�`�U� ��' /��" - � 4n,. .ude lab . Rough_..� , eter�Bss
�gr,ature of Owne;or Au[hurized Agent �� �c ,.'
�,Q-YCfi���t .2.oYl�fi�` o 5fI2-z¢s •� _ � ;�ai, ao
� � �:_ � � ¢ .
� � l' .t�I'i },a�e
(F'rint) (Phone Number) �P�+i'(�u�i�F.Q�oC9ge) �� 4410
y� riJ �� �• -y �5� 0�
SewerCapacityAllotted `'m,n.,ctiC:}�qQl ' ` �'y ��
�, �
r��..\pI��YG�i'��\ ��
W ,:f' p c�,
Plan CommissionBZA Uocket#: ��'r't�; �-FCe."?t�C u en �00
Q��'°'�` a,�� `' � 0
5°� `�Q ,
<y�l.�O , ; .s
Reviewed/A io'ved: D t�ofCommunityServices G\� FeeReceived .�+u�ccm m�zsa
C '