HomeMy WebLinkAbout0170.97 Application C el- lay PeimitNo. �b .��
o�t,;P Application for �ac� ",��
s � � ' Improvement Location Permit Roll File
This pertnit is velid only if wnsVUCtian.is slarted wittiin 120 deys of issuance date;all construction mus[�be completcd(c/o�issued)within 2 yeers of issuance,
date unlesSan extension of time has�.been otTiciell ranted b .:letterb the Director;De artment of Communi Services.
NAME PNONE FAX
$U�ER - �' ,�� �- �a3- s��
SfIIEET Cl1Y �TTA'IY ]1P
? — — �✓ ��� •c/. �G;�3
TENANT NAME
(if e licatile
xneee /J exoNe rnx
OWNER SL7MF .
SII{EEf CffY SI'AlE LP
LOT SUBDMSION SEC170N
LocnTiox " �
ADDRPS4�oF COrmtUCnoN
.J � .Cl Uit/,�'
A. TYPE OF CONSTRUCTION Do plans include a porch? F: TYPE OF D1IPROVEMENT
i. �-Single Femily ❑ Yes O No l. �New Struc[ure
2. ❑ Two-Family 2. ❑ Addition Porch_Room_
3. ❑ Multi=Family Type of Foundatio • 3. ❑ Remodel ❑ Commercial Tenant Spece
4. ❑ Commcncial/Industriel, OCrawlspa� 4. ❑ Foundation Only
5. ❑ Fatm ❑Basement � 5. ❑ Demolition
6. ❑ O'CHER ❑Slab �� 6. ❑ Accessory Building
(SPecSY) 7. ❑ Swimming Pool
B: SEWER: ��, �� ❑ Gazage Detached Attached
1. � Public (Name of System eAR M f(, ) �� G. lit YES _ NO _
2. ❑ Private(Septic Tank,etc.) ��H. nea YES _ NO _
C. WATER: !��• Sump Pump YES � NO
1. �, Public (Nazne'of System CRR�'�1 f--L ) J. Manufactured Trusaes YES _ NO _
2. O Privat Well 1 I 1
D. ZONING: � � K. Plumbing Contractor��S,s/GN /��uM/�/dl(j-
B. ESTIIYIATED COST OF CONSTRUCTION
(Excluding Lsnd Value) I.�C�I� OOO � Plumbing License#IG .�.3 G(o ❑gOCA or❑CABO
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The undersigned agrees that eny construction,reconstruc4on,enlazgemen[,relocation,or alteration of sweture,or any change in ihe use of land
or swctwes requeste�l by this application will comply with,and wnform to,all applicable laws of the State of Indiana,aud the"Zoning Ordinence
of Carmel Indie�ia- 1993"(Z-2S9)end emrndments,adopted ority of I.C. 36-7,et seq,Genersl Assembly of ihe State of Indisna,end all
Acts aznendetory[liere[o. I 1'ur�her certify that only ' :en,bath;laundry,: oor dra�i d��e��ted ro�the sanitary sewer. I further certd'y
that-the.couatructloo will oot be��.uaed or occ ied_until erfificate ojOce ��aiay.yh b`een-isaue A� aRment of Community
Servicea, Carmel,Indiana.
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- C(l . , oot � der�s�lab���o}i�Ia Mete�BaiegyQt 9 .
Signeture of Owner or Autho '� Agent �' IT� (�� t��Qp —
_ Site�r n A i rF�f� �'
��r,�� I�JA��sn � rr+ . �a},s�?h `� � - �,v�
`(�Print) (Phone Number) Pemtit(Squere Footagej � � 0�
Sewer Capaciry Allotted . �/�R Fees: ��
�Y 'g>p,,�,,_ > �
Plan Commiss' Z.A ocket#: t�8t�iicat�of Occupancy
TOT � ��
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view Approved: Dept.of Community" Services Fee Recei ed •:�+�em ���