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HomeMy WebLinkAbout0177.97 Application Car_met`i�lay PermitNo. ��;�'/, To,u„s�p� Application for �g Da��, � Improver�eent Location Perritit (1 R°v F''e Tfiis permrt�s,valid"only if,con_sfiuction.is�started�:within'120'days of issuance date;all consWction must be wmpleted(c/o issued)withiir2 yeers of issuance,. date „ __ . ._, �.unless an'eMension of time�has been ofTicisll raiited��b ,IettcF 6 tlie Director�De - �'ent of Communi Services. �� � Nnn�e , � rxoNe enx sun.nEx � N . Uc1P. ��/,5'-0�7�/ `_. - _ SfAEE! � � .CffY SfAIE LP 7 0 : S � N P,�s. �.�, y�so TENANT NAME , (if�e licable . _ � � NAME PHONE PAX OWNEB .S /� -, STREE[ � LTIY STATE T1P LOT SUi3DM5ION � SF,CIION LOCATION � G L l ' /O/� � -ADDRI?SS�OF CONSIRUCf10N� A, 7'YPE OF�CONSTBUCI'IQN' Do plans_'includea porcfi? F. TYPE OF,II1�IPROVEMENT 1. �Single Family O Yes�No 1 �:New Structure. 2. ❑ .Tw�-Familg 2. ❑ Addition Porch_Room_ 3. ❑ Ivtiilti-Family Typebf Foundation: 3. ❑ Remodel ❑ Gommercisl Teaant Space 4. G Commercial/Indusuial. ❑Crawls ce 4 O Foundation Qnly 5: ❑ Fatm �Base 5 ❑ Demolition 6; ❑ 01'HER• ❑Slab 6. ❑ Accessory Bialding (SPecify) � 7. ❑ Swimming Pool B. SEWER: �� , ���8 0 Gazage Detaqhed Attached L � Pu6lic (Name of System l3�R t0��)"� ��SpGt YES _ NO _ 2: O Priyate(Seplic Tank,etc:) �Zonea YES _ NO _ C., WATER: � � 5' pPump YES. DC NO _ 1. � Public (Name of System� �: �q� �J. Msnutactured Trusaes YES � NO _ 2. ❑ Private;(Well \ � J� D. ZONING: /�'1 3 6' Plumbin g ContraMor/7��.SS/G�i/ p.T!!/b %!/i'r . E. ESTIMATED COST 0F CONSTRUCTION � � (Excluding,Land Value) �J! GO�' i9> Plumtiiug-Licenae# (/ 02` � BOCA or O CABO •ttttiit*i+IRti4f44itt►►###iiifltttatiit�i*i�IMf #rtiiirt*it• ♦i+k��#i#iiitt4t4titi34it##ti#titii4t#iiii/tiitii . . .. _ . . . . . . . . . . . . . . . . . The uudersigne:d'sgrees that any coastruction,reconstiu`ction, azge [,relocation,or alteration oEshucwre,or any change in the use of land or:sWcnues reijuested by this applioatiori will comply wu1a,and' orm to,a11 applicable,laws of the State of-Indiane,and the"Zoning Ordinance �ofCaiuiellndiana-1993"�(Z?289)��and�amendments,,adoptedunder-authorityofI.C.36-7 �eVSeq,�General��Assembly'oE�the.Stateoflndiana,andall AcLs amendatbry.lheieto. I fiuYher,cer[ify,that only kitchen aun floor draun are connected to the'sanitary sewer. I fuRheccertd'y that}t6e coustniction.will not be;used oroccupie cil a G fuate'J upnncy has bcen isaued'-by t6e Department of:Community Servicea,;Carmel,7ndiaoa.. �� ���� �!a'/�'��"'r'> �{� � InspectionsNeeded: � - ���� `�. . �� � : � L ' � ' ����jj�/// F nderel , � tough-In� , .:eterBss . ignature of,Owner or-Authorized' ent `�I �' ' � �L � ,..:;`�r ,,: �`` h�'Site '+�r ,; in C/O V! �- r'��' �E��:� �,r/.�w�s.,,„H - �y�<o�� � �� .�- rinf) (Phone Number) C� ����g,�otage) •a- \So� � �� �' � � sewer Capacity Alloned ��Q„ 2�3 19� Q� ���'�����: �D.o0 ' ,i ��� � �� �` Plan CommissiqnBZA Doiiket'#: �Q^ a E,'e ,�� at�Oqcupency: 1 s 00 ��' 0' �as Q (�'� G�'� �� Q'r � . ����� ��G� : �,m, �1�.�,.� � ��� o`` � �- � Fee eceived B .:�aupss�. .�.�ivsa Reyiewed/Ap _oved: Dept:+oF.Community'Services � Y