HomeMy WebLinkAbout0184.97 Application ��' �G ��7 a 8 c.,���ca�,� s<,�
Carmel-Cla �`� Permit No. / p�Cj
Toivnship y Application for � Date o 'J
•',, ���� Roll Fil
Improvement Location Permit
Tfiis�pertnit is velid only if construction is started within.120��days of issuance date�ell consVVCtion�must be completed�(c/o issued)within'2 years of issuence,
dafe unless an eutension of bme fies been o�cial �ianted b letter b the Direcmr, ' ent of Communi Services.
PxoNe FA%
BUILDER �fl- . so� �o n�.-� � .3 i7- 8S�'� /� o� ,
SfREEf CI'IY 41'A'IE 11P
�oa � �f� � D� C'��,� �( s�, s�c �3 3
TENANT NAM&
. ifa licable �� �
Nneee rxoxe � rn�c
�'/�!(�
OWNER
SIREEf: CffY SfAIE TJP
LOT SUBDIVLSION/ / SECIION
LOCATION g � ^���"�—f �G `CGS �Z,
ADDpF4G OF�51RUCJiON, � n
o� S� / ! ��O � 2_ �—!' -� �� 0.3 Z I
A. TYP&OF CONSTRUCTION Do Pl clude a porch? E 11'PE O ROVEMENT �
l. �ingle Fartrily Yes O No 1. New Structure
2. ❑ Two Femily 2. ❑ Addition Porch_Room_
3. ❑ Mtilti=Femily Type of Fqundatiti� 3. ❑ Remodel ❑ Commercial Tenant Space
4. ❑ Commercia]/Industriel ❑_fC�wlspac�d�f� 4. ❑ Foundalion Orily
5. ❑ Fazm F�Basement � ❑ Demolition
6. O OTF�R ❑Slab �� ' 'ccessory,Building
(SPecSS) Miw 7. g Pool
B. SEWER�: �W��� � ❑ age Detached Atteched
1. L9' Public (Neme of System ` U.��BpGt YES _ NO _
2. O Private(Septic Tenk,etc.) .H. :Flood Zones YES _ NO _
C. WATER:� � I. Sump P.ump YES �O _
1. �ublic (Name of System � J. hianufactared Trussea YES _ NO _
2. ❑ Private(Well
D: ZONING: � � PlumbingContractor �05/�� � RA'aC21
E. EST[MATED COST OF CONSTRUCTIO ��. q�.I /�Q �
(Excluding Lend Value) 027 0�° .a �Jo � ' g Licease/0.-I - �O�D'5�'�'} OCA or❑CABO
rrs***wr�atsrs+**��r�ssass��fss«ss►s'rt�ri+ia�• .ss**w.:�[�.is► i►t�#*ta•asssasssstsssrYp�F+�ttt4�fi�►irtt�kii ..
Ttie undersigned agr8es Utat any consWCtion,reconswction,e ent,reloca on,or;alteration of sWCture,or any chenge in the use of land
or structwes requested by this application will comply with,end confo o,all a plicable laws of the State of Indiana,and the"Zoning Ordinence �
of Cazmel Indiar�e-1993"(Z-289)end amendments,adopted under authon Cr36 7 et q,General Assembly of the State of Indiana,and all '
Acts amendatoty thereto. I fwther certify thaCOnly kitchen,bath,laundry,end flooi dra'wa'az�`e com�ted?to�[he�s�e�n'rta[yVs�e�r�.�I,further certify
'that the rnostruction'will not be uaed.or occupied until a CerliJuate of Occupaircy'has�beean4isaued,pY�t_h��a Departmeut�of�Community ;
Services, Carmel,Indisna r 9f�f � r{r7�;�. n ��_ r�_._ tp7!,c
n Inspectionsr�ieede�?� �QAes
/���" ��'�"'" ' (UJ�\��� Footin�de�lla�bF�O�u�t���sse �
Sigiature of Owner or Authorized Agen � ��� ,
ic_1c �.'C�/1-%/�d � �S�S���� b Sit�IAV�}iQFinal7y � CGT44C/O
� i Q
(Print) (Ph ne.N ) Pemtit(Square Foo[age) / / �!
Sewer Capacity Allotted � Ins�pu;tion Fees: ���
Plan Commission/BZA Doaket#: Ce�tificate of Occupancy: �'
— �
OT 7
/
; Rev�ew AP `ov�; Dept.of Cominunity Services Fee Rece ved � •:�+�em m��
. .. . � _. ... ..`"�s+ `/