HomeMy WebLinkAbout0163.97 Application �C�rm, el-Clay . Pernti[ No 1p �'��
roi�;5n�p , Application for Date. Z
'�'� � 'Improvement Location Permit � Roll File
This pertnit is valiE only if�conswcuon is started'wit�in 120�days of�issuenco-,da[e; ail conswction is completed (c/o�issued)within.2�yenrs of
issuance�dete unlcsran,extension�of��ume hassbeen•ollicielly, granted byletter by ttie Dircetor, Deparhnent ofCommuniry Development.
�NAME PNONE ' FA%
BUILDER �7�-695a -� �9
�STREET Cf1Y'' . STA7E 2IP
�. Qtuc✓ l�. Zi'tl�a o�is S•c� �6Z�0
TENANT NAME
(if"applicable); � �
" NwME PHONE � PAX
O W NER �
� . STREFf. � STATE 21P
� IAT �SUBDN610N SECfION
LOCATION �S {e✓%�� �
wDDRF3S OP�CONST0.UCflON �L
� a ✓�.
A. TYPEQF;CONSTRUCTION @¢��v F: TYPE OF IMPROVEMENT
1. � Single>Family '"��� 1. H�New SWcture
2. ❑ Single Eamily Cluster 2. ❑ Commercial Tenen[ Space
3., O .Two,Eamily. /�� �� 3. ❑ Addi[ion Porch _Room _
4, ❑ Mul[i-Family �J}�,,� ' 4. ❑ Remodel
5. ❑ Couunercial / Indusuial "�,J 5. ❑ Foundation Only
6: ❑ Farsn. � 6. ❑ Demolition
7. ❑ OTHER (Specify), 7. ❑ Accessory Building
B. `TYEE OF SEWAGE;DISPOSAL 8. ❑ Swimming'Pool
I. B��.Pu61ic Syst6m (Name of;System CTQ�w� ) 9. ❑ Garage Detached Attached
2. ❑ Private (Septic Tank, etc.) G. Lo[Split YES NO ✓ �
C. T.YPE OF'WATER H. Flood Zones YES NO ✓ �,
1. B�Putilic System (Neme of`System Z�ds Wa�e I. Sump Pump YES NO ✓
3. ❑ Private (Well J. Manufactured Trusses YES � NO
D. ZONING CLASS�ATjION OF PROPERTY Plumbing CODE BOCA or'�
Present i �� /
E. ESTIMATED COST OF CONSTRUCTION � lumbing Contractor �c55,�✓
(Excluding:Land Value) 6S� O� mSing License q .1 G 810'-1 Zb Oy
The undersigned agrees,that any construction;reco¢sttuctiop; arge t, o "tiom, or alteration,of structiue,or any cfiange in[he use
of:land or structures requestedby this application�will coinply ith,.an o , �o, all epplicable laws of the State of Indiana, and the
"Zoning�-0rdinance of Carmel In$igna - 1993"�(Z-289)�aud'ame ents, ado _ under au[hority oE•Acts of 1979, Public Law U8 Sec.
I.et�seq, General�Assembly'of[he $tate'of Indiana, and all Ac[s a e da thereto.
:I-�furth'ec cerNfy�that the construction�will not�be used or o c � �until' a�Certificate oj Occupancy has been tssued� by the
�Department o£Commurtity Development, Carmel, In iana
, , ��I fuithe��certify ihat�only kitchen, bath, laundry,�a �tlo dra� connecte to the sanitery sewer.�•
� � �`
c oohn er - ough�- Merer
F� t�.,
Signature of�0ivner oi AutHorized Agent � ���t� Needed ���'-����
. . . �`Uriina�0 ��'rr . "e Fin .GO
a"' n.+ y `�'�'� - '
' sS5 .�/. �P��er. I?a�� C,� ,;,�'��,"'�,v;.�� <!�' /n
Addiess Plan f_���` .i�� Pe`�rl�(�i�reFootage) �4oO/7�q
_ ��I "� Commission /,�;� r{n�•,`p�`'•.j�^
� 1��ia;n�o��s _ZN y6ZU.lJ� 57��9SOgZA Docke[k�.�`� hIn'spE6�i�.Fees .aZSD.06
City State Zip Phone �,�i'�f��t:�`.�.pzg��y^.,�-°
I.f{v�'�,, n+ >��ti��C�YR�cate of'Occupancy ��
Sewer,Capacity Allot[e �..44j.r��y,�QQ� C,.�h . ;�"�.��r T oo..
. � VC(\ �`f1NV'�G.RIY, ,�.. � /� 4 �J , , '� � . .
t � (wmmi�W 1'JIS/199�
Depart enrof Communtiy Development R�.it'ed by � , J�
J
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