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HomeMy WebLinkAbout0168.97 Application � arme Clay' PermiE No. ,/� >. .- �p- Application for � Date . ".�'~5 '" �°�' "l.� Improvement Location Perrnit Roll File �.�. 'This permit is valid only:if construction�is.started wit}1in 120�days of issuance date;all consWction must be completed(c/o issued)wiUiin 2years of issuance, _ date�unless�emextension.ofAme�hasbeeno�ciall rantedb letterb �theDiiec[or,De rtmentbfCommuni Services. � NAME PHONE FAX sun:vEx 'S G� e ru 5 Z- 5(oY q 58?- 5 SIAEE( � CRY STAIE TIP f0 vV IViQ,I n 5 SN 9-b D3 Z TCNANT<NAME' . (if a licable):� -. . � .NnN.E �] / PHONE�. � FAX OWNFiR J /-t G 1, . . . STItEEf CffY SfATE' TJP �LOT SItBOMS10N SECIION� z.ocaTioN �' T�'a 5 ' ADDRFSS�OF,CONSIRUC190N - :i 45 3 ✓' R:,i o A. TYPE OE CONSTRUC'TION Do plans include apbrch 7 Fi 1']'PE OF IlYIPROVEIINIENT I. � 'SinglerEamily �J Yes,❑No 1. R( New S7uctiue 2 ❑ Two Fami]y 2. O AdcLtion Poich Room_ 3 ❑ Mult�-Family Type of;Foun 3. ❑ Remalel ❑� Commercial Tenant Space 4 ' ❑ Commercial/Indnstrial ❑Crawlspac ' 4. ❑ Foundation Only 5 ❑ Fartn ❑Basement 5. ❑ Demohvon 6 ❑ .OTHER �Slab � ���6, ❑ AccessoryBuildwg; (SPec;fy) � �+'P�" Swvnm�ng Poql B: SEWER: ��` S�` Gazage Detached Attac6ed 1 �J� P.ulilic (Name of SystemCar m�I ) j�yC Lot t YES J NO � 2. O' Private(Septic TanB;etc.) t�f Flood Zonea YES NO � � C. WATER: I. Sump Pump YES NO � f 1. Ia P,ublia(Name of§ysteu�Gl'Vm Qi'� ) J. Manufactured Tn�spes YES � NO _ 2 ❑ Priv�te(,�}'ell ) D. ZONING: ,�J" I K. Plumbiug Contractor Rrt M DOV� ,G. ESTIMATED,;COSTOF'CONSTRU ON G$��O,U52�5 (Excluding Land+Value) �Z�� �„�� Plumbiug License# ❑BOCA or l,�',CAB� t*sas►w*++ss�t�*s*ewtt*r***ew r+�t#ftx'a+i*r�*a*sstsrs*s*e+rtest�ass►rssa*s***a►wirsaaasassyst+rttittstsssstsr►t The undersigied agi'ees that-any,cons[ruction,reconswction;'enlargement;relocstioa,or;altetation of strucwre;or any chang8 in the use of land or struchues requested by ttus application will comply.with,and conform[o,all applicalile,�aws of tt�e S[ate of Indiana,and the"Zoning Ordinance of Caimel Indiana:- 1993"(Z 289)and amendmeuts;adopted un ' C 36��'et s�ea lGen�ral Assemtjly of the'Stete of Indiana,snd;all , .- • :s�rr �n . . � Acts aznendatory thereto I fwther certify that only kitch ath;laundry,and fl �auvn•azeACOnnected to��tacy��wer. I turther certify ihat the construction will,not be used or,occup�ed �ste!a Ce 'icate of Occ p hae been,fae' 6 the"�Dep�artment of Commuuity �.�,, f e � �Services, Carmel,Indiana J . ,9 : +'�r'��_�g+l�f��r� ' � . /s ,al�/// �VYC.0 .�. � _ � ' �'� .rv/ipU hon�s�Ni�ede�dK,���,�lQ���as. . � �Ap � j outin �i��i3Aab��Ro�,u -�I�n �r��,a}� Signature of.Owner or Authoiized Agen[ � // �N I/,�(�� � �e� �� ��(✓l ite QFina�B •) ,� C/O l Marc�,Ila 1�o►v�e�o sez-Zti$� 4-� �'� 2�So�1' (Print) (Phone Nu[n6ci) (Squ&rE ootage) Sewer Capaciry Allotted �� / � � Inspection Fees: . - ���^� . . . . . _ �-�-�',l � �� O v Plsn ComuussionBZA Dockeh,tl: �q� �,�ificate of Occup � �: .Q �; ;�.� o� � �s�TO , , �,�� _. . ,,_. � wed/ pprbv : Dept.of Communiry Services ,�, Fee R ved B •:��� m�� _ .,..�