HomeMy WebLinkAbout0180.97 Application CaPhie�lay Pecmit No. / pO �
'' n;p, Application for � D8�� � �
Improvement Location Permit Roll FIle
7'his.permit is velid only if wnstruction is slarted within I20.days of issuance dete;�ell construction must be completed(c/o issued)within 2 years of issuenm,
da[e unless an,extension of time has fxen ofliciall rented b letter b the Director,De artment of Communi Services.
BUII.DER ��rs g 2-3-io� F�.� $a 3 -�Sf`3
�� `�d�ew�-e-�- �s �U A�� �
TEfVA1VT NAME
ita licable t
Naue rxore ��eax �
OW1V"ER �
y�Rg�' �y SfA'IE ZIP
LOT SUBDMSION ' SBCIION
LOCATION �
ADDRPSS OF CONSCRU N �
3 L.
,
A. T'YPE OF CONSTRUCTION � Dp�l' include aporch 7 F. E OF IMPROVEMENT
l: �Single Family v �Yes❑No 1.� New Structure
2. ❑ Two Family 2. ❑ Addiaon Porch_Room_
3. ❑ Multi-Family T ._ of Fuundauon: , 3. ❑ Remodel ❑ Commercial Tenant Space
4. ❑ Commercial/.Indusirial �rawlspace ,I_ 4. ❑ Foandation Only
5. ❑ Fazm asemen! �G�TI(,� 5: ❑ Demolition
6. � OTf�R Slab 6. ❑ Accessory Building
(3Pecify) 7. ❑ Swimming Pool
B. SEW R: 8. ,❑ Garage Deteched Attached
1. � Public (Nazne of System G. Lot Split YES _ NO��
2. ❑ Private(Septic Tenk,etcr) H. Flood Zones YES _ NO �
C. WATER: �— S/J' � I. Sump-Pump YES �_ NO _ l
1. 7� Public (Nazne of Sys 9 �� ManufaMured Trusaea YES �� NO _
2. ❑ Private(Well' 9 � .�� ^ nA n
D. ZONING: — �9J lumbing Contractor t�,�.c+'��� _
E. ESTIMATED COST OF CONSTRUGTIOA' ep 6/G�S�p�
(Excluding Land Value)_a-S� 7 fl� Plumbing License# �OCA or�CABO
��rat�ss�+rrsss�atittatssss�esss�ssssssts�assstst s ta�s�w�srt*wsrssssa►sstassssr�sr• 3i►Rt\iiff�f��iti
The undersi�ed agrces that any conswction,reconstruction,enlargement,relocation;or elteration of structure,or any change in the use of land
or stiuchues requestad by tlils application will comply with,and confuRn tq all applicable laws of the§tate of Indiana,and the"Zoning Oidinance
of Carmel Indiena- 1993"(Z-289)and amendments,adopted under au ; 6-7 et seq;General Assembly"of the State oF Indiena,and all
Acts amenda[ory themto. I fwYher certify tha[only�ki[chen,b , aundry and floor dra � e connected lo the sanitary sewer. I turt6er ttrtlfy
that;tlie rnnstructlon,wlll noYbe used or occupied u a•Ce tcate ojOcc cy:h beeo issued by the Department of Community �
Serdicea, Carmel,Indiana ��yy�,��.(S .
� �Pq�.B-�yy�7insp ctions Needed:
�- � �y /1� Q �. .
. . . �� . �' u . . �{'UL�("�l `� de � b a�gh- eterBas
�.,.
� i�ature of Owner o Authoriz Agen ' . :� „ ��,
r \ �1 N l U� �i •C� „Ati���'e .,�y r . - C/O
a
(Print)' (Phone Nwnbe:) ; � � ��' � IS4`�c�'eF69taBe) ���.00 4�0�0�0
t' i� C'
m� 4 q..�V �o � �
Sewer Capacity Allotted T 4,�ti1� ; �° � on F�e4�,i 250.00
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Plan CommissionBZA Docket#: �Q • o� en�t�Occupancy: 1 S,00
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Reviewed/App ed:�Dept,of Community Services Fee Received � •:�wm+��• m��