HomeMy WebLinkAbout0171.97 Application Carmel-Clay Pernut No. �� "��
:ro.�,�n;p Application for �j Date
Improvement Location Permit U" RoIl File
This pertnit�is ve�id only if consWction is�started within 120 deys of issuance date;all consWCtion must be completod(c%issUed)within 2 years of issuence,
date unless en e�ension of time.has.been ofiiciall ranted�b letter b [he Director,De rtrnen[of Communi Services. . �
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BUII.DER ��LiL C7x�G/ /7�� ��7�/'/���a1 �I"%N itJ���/
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TENANT NAME
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OWNER ���
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LOT � SUBDMSION S2CIION �
LOCATION
APDAE4 OF CONSIRUCRON
.JGi�c�d�i0� OL. .
A. TYP OF CONSTRUCTION Do plens includ�a porch 7 F. TYPE OF IlV[PROVEMENT
1. �Single Femily ❑Yes•�No � L �New Siructure
2. Two Family 2. ABciition Porch_Room_
3. ❑ Multi-Family Type of Found�uon: �� ❑ Remodel ❑ Commercial Tenant Space
4. ❑ Commerciel/IndusVial ❑Crawl�laee �Foundation Orily
5. ❑ Faim ❑Basy�"eat f 5`- Demolition
6. ❑ 01'HER ,�41ab ��:5., O''�� sory Building
(3Pecify) �. ❑ g Pool .
B. SE�R: 8�iy:.❑ G e Detached Attac6ed
1. Public (Name of System ��it�/✓� �� G. Lo`�'5pGt YES _ NO �
2; ❑ Private(Septio Tank,etc.) �'�� H: Flood Zones YES _ NO �—
C. WA R: `L Sump.Pump YES NO �
1. �Public (Name of Syste�n_��' .�'l� J.=�1lanufactured Trusaes YES � NO _
2. Private(Well �J
D: ZONING: - K. Plumbing ContraMor /'����-�—'
E. ESTIMATED COST OF CONSTRUCTION
(Eaccluding Lend Velue) ��.ylo' Plumbing ticensc � � OCA or❑CABO
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The undersigneil'agrees that any consWCtion,reconst�uction,enlargement,relocation,or alteration of structure,or any change in ihe use of lend
or sUUCtiues requested by this application will mmply wiU�,and conform to,all applicable laws of the State of Indiana,and the"Zoning Ordinance
of Cam�el'lndiena�:�.1993"(Z-289)and amendmenu,adoptecl under authority of I.C. 36-7 et seq,General Assembty'of the State of]ndiana,and all
Acts amendatory.thereta ]fiuthzr certify thet only icitchen,bath;laundry,end floor dtauu are connected to the sanitary sewer: I iWrther certify
that t6e conatraiMion will nof'be used or occupied antil a Certificate ojOccupancyhas been issued by t6e Department of Community
Services, Carmel,Indiaua
., Ins ections Needed:
�{G�QD7�� /� I /YA�G . y �r;�nders � ough- eter Bas
Signature of Ownerw Authorized Agrnt `�• '
LJe�✓Q�j �C . �/7/1� �l�J''o���/� ���i�e_ 'Sa al C/O
(Print) (PhoneNumber) � �l��t''(�� ` ge) 5��60 a,�T
4 ��
Sewer Capacity Allotted �yQy. iQ.I�L �� � � s�e�
Plan CommissionBZA Dxket#: �,�Q•��cate`O�upancy: 5.�0
�fr � q'.G !1`�?
�lG�,cs �OKT�?u,� �JI�D .00
\rcn.1�'amc�ca�,� �r G
y �Q 0� �,
Reviewed/APP ved: :Dep . of Communi.ry Services �,t-1 Fee Recei d By � •:�+�smn m��
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