HomeMy WebLinkAbout0188.97 Application C,aimeL Clay % t N � D Gf'�
Tow„Sn,P' �'��, ., ' Application for na����/ 0
o � mprovement Location Permit Roll F' e
�This pertni �s�id'/ I� o^ �tructipn��is'star[ed within�120 deys of issuence date;all consWCtion must be completed(c/o issucd)within 2 years of issuancc,
date�unless en e e si h o has been oRiciellv"Lre"nled b�Ictter,b the Direcror, aAment of Communi Se:vices. '
NAME 'rn�.�(� (,/.Q-,/-rv✓1 PHONE PAX
BUILDER �?� � v ivYf <��� J�� U -�� �
SIRptT �R'y .. SI'AlE LP
�/O ' �� � . `',L N ��U�
TENANT PiAME, �
(if a licable) �
rwe.� .rxo�+e ('� Fwx
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O�YNER A Ii A1 �-aJ t>£5f ./f La ` D
SIRpEi' CITy SfAIE ZlP
G� � �t .:.��t�/ �,il �iG o3a
LOT SU90MSION SF,C170N
LOCATION
ADDRI+SS Oi CONSTINC110N
�5/U �tJ. � e
A. TYPE OF GONSTRUCTION Do plans incl�a porch T F. 1'YPE OF aVIPROVEMENT
l. ❑ Single Family ❑Yes No 1., New Structure
2. ❑ Two Family 2 ildition Porch_Roo
3. ❑ Multi=Family �.'F�e of Poundation: � 3.�emodel ❑ Commerci enant Space
4. �-Commercial/Indush-iel '� �Crawlspace � 4. ❑ Foundation Only
5. ❑ Fazm ❑Baser.ient �_ 5. � Demolition
6. G� OTI-IER �- . - 6�Slab 6. ❑ Accessory Building
�SP��'Y) �U2ta C.. � 7. ❑ Swimming Pool
B. SEWER: � 8. ❑ Garage Detached Attached
1. ❑ Public (Name of System � . Lot Split YES _ NO ✓
2. ❑ Privaie{$eptic Tank,etc:) h � d Zonea YES _ NO ✓
C. WATER: /!i/ 2 I. ump YES _ NO —�
l. ❑ Public (NamB of System ( ��' 1 � ,7n� _ aMured Trusaes YES _ NO �
2. ❑ 'Privete(Well �S'�
D. ZONING: — n„ Plumbing Cootractor
E. ESTIMATED:GOST OF CONSTRUC'TIO ' ���q�
(Excluding Land Value) d , - p6 �' 1�/- 1 ing Licease# � ' ❑BOCA or O CABO
♦t*1Mtfti#tMrt►trt►M#4ttrtttR*k*ti+kt###tt►Mt�+t# i*�fiY#tY tk ss�s+�tww+rr�srssssssstw►ww»sssssttw�s+ss�rs
The undersigned•agr�s t}iat any constiuchon,�econswctioq e emen reloc �on,or alteration of structtire,or any change in the use of land
or structures requu�ted by this application will comply with,and co to, ] plicable laws of the State of lncliana,and the"Zoning Ordinence
of Carmet Indi.ann- 1993°(Z-289)�and amendments„adopted under auth o �C 36„-7 et seq,General Assembly'of the State of Indiana„and all
eru� i.s'irl l .snn ,-r.
�Acts amendatory Ihereto. I fwYher cer[ify tha[�only kitchen;bath,la and floor draire�-are connect:d to1�2r5ain I further certify
l�/��"�Se�)fl�. ��VVYI)� J
that the rnuetrucdon will not be used.or ocwpied until.a C ficate of.fccupancyl6arbee �ue��yr a����e�ent of.Community
Services; Ca'mel,Indiana Jl(�� o �5�' 1Lf 29ll� �� �' Ql�?h,;
� US eet10t1S,`fie^`�/ �dCS
� .�`� �M" V,�Y a c1JDPA. N i
Foot�ng/Udd�'f h- Me e
Signature of Owner or Au[horized Agen[ �' ��t� ,�
S�41IR „ � 1 _ C/O � .
�1�k�. i/�lr�n 3��:8�a'8 � �
(Priut) (Phone.Number) Pern�it(Square Footage) �_ �_
' O'�
Sewer,Capacity Allot[ed Inspection Fees: ��c_�
Plan Commis�io ZA Docket#:. Certificate of Occupan ��
�
T "'����i���
l �� �
R ' w Approved: Dept. of.Community Services Fee Received By a:��ab �'��/
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