HomeMy WebLinkAbout0191.97 Application ���Carmel'Clay Permit No. /q'/ j� ,
�� Application for na� � �
Improvement Location Permit „K �ll File
byfi7 �;30 3
This permit is velid�only if consWction'is startcd�within'120,deys of issuance date;all consWclion musYbe completed�(do issded)�wi. �' 2 years of issuence,
date uniess�an extension of time has�bcen otTiciall ranted b� letter.b the Diiector,De ent of Communi Services.
NAME PHONE' PAX
BUILDER �irn � ( i'i5 R. � '9-lnqCD g�l�l-O� a�
SIREFf CffY. SIA'IE LP
l�� �. �,-4�t-, � a — I-� ��i�a5o
TENANT NAME 'I%� / I
ifa licable) -
� NAME PHONE. FAX/ I / I
�r 1 / 1
OWNER � ��.im ^�`J � � I �lrU'r�i5 ��"��a01 � � ��--7�
SIAEEf LTfY /1� SfA'IE ]JP � /
(��(� 'CiYb77� I l.Q f L� � I �I� �'�oCY�,1-
wr s��eomsioei� ` �secnon
LOCATION �I(.i �iI S �I✓l �� I�
ApDAES4 OF CANSIRUCItON �
i3J � S ri S ' r�� Ca yla.U32�
A. •TYPE OF CONSTRUCTION Do'plans includ8 a porch? F. 7'YPE OF IMPROVEMENT '� ^�
l. �, Single Femily .H'�'es O No 1. �' New Structure
2 ❑ Two Femily 2. ❑ Additiou Porch_Room_ �
3. ❑' Multi-Fainily Type of Foundation: 3. ❑ Remodel ❑ Commercial Tenant Space
4. � Commercial/Industrial C3Erawlspace 4. ❑ Foundation Only `�
.
5. ❑ Farm �asement 5. ❑ Demoliuon �-� ��._
6. � OTE�R �Slab 6. ❑ AccessoryBuilding
�SP�!f3') '� 7. ❑ Swimming Pool
B: SEWER: 8. ❑ Gazage Detached Attached
1. l0_ Public (Neme of System - C. Lot Split YES _ NO �
2. ❑ Private(Septic Tenk,etc.) � ' H: Flood Zonea YES _ NO �
C, WATER: � ��p�',L Sump Pump YES L NO _
l. � Public (Name of System OQ J: Manufactured Trusaea YES /�_ NO �_
2. ❑ Private(Well
D. ZONING: i K 'Pldmtiing Contractor L. Q MP C I�0.Y11 Gt11� CP'di-I�nC}D�s,
E. ESTIhIATED COST OF CO TRUCI'ION ,jyi�,
(Excluding Land Value)�b2,ti D i ODO Plum6ing Licgnse# �1�� §�BOCA or❑CABO
•*sw�a�rw�rsit►twtisii�rstrr�tssssssssatsttatssssstttrrsaat��ssssassaaWr**s�.�ststt�t�tsis�►i�sssstassssrr►ss•
The undersigned agrees that'any construction,reconstruction,enlargemenc,relocation,or:alteration of structure,qr anychange,in the use of land
or•strucnues mqucsted by tlu.s applicatiou will comply with,and confonn to;all applicable laws of the State of Indieua,and the"Zoning Ordinance
of Carmel Indisna-1993"(Z,289)end amenilments,adopted under euthoriry of I G: 36-7 et secj,General Assembly'of ihe State of Indima,and ell.
Acu amendatory•thereto: I fwYher certify that only..kitchen,baih,la ,and floor dreuc,are connected to ilie sanitary sewer. I furthee certlty
t6at the rnn"structioawill oot be used or occupied unt0 a C Occupancy hae been isaued by the Department of Commuoity
Servicea, Cermel,Indiena �
� �� ,�,j� � ;�1� Inspections Needed:
� � ,; .
'�, f' oo�� ' Aderslab ough- eter B
S� ature�f O er or Auth�riz�Agent � Fz .
\, � aSrt� inal Cl0
�G=MC1.�, C..�(��S��R. BN�I—.�o�,R�00 ��a�1,`' ,i��'�h,�� ��' .
(Piint) (Phone Numbei) ��P 2 Se�e'.�'`o�`(s�e) a,�4.00 S (e�n5
�� �,�� 6� ,�y �
SewerCepaciryAllotted ���'��IQQ� �r� F�����: '.LSO 00
Plan CommissionBZA Docket,#:, �,�G'�cr, ��,�,�'��CC�ie�a��ccupancy: , IS
. Q�Jlec;' ° & 0 9� -,
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• � �@,� p�t�'� . �
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Reviewed/Appr ed: Dept.of CommuniTy Services G�� Fee Received By •:�+w�em ���
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