HomeMy WebLinkAbout0162.97 Application lay Perniit No.�� ��
o�vnship ApPI1C�t10tt fOC Date ---j=F-�— .
Improvement Location Permit �Roll F�le
This pemiit is velid.orily�if;.canswction is smrted within I20 day's of.issuence date;�all canstiuction is�completcd (e/o issued) wiWin 2 years of
issuance datauriless an.extension of time hnsbeem.officially,grented bg�letter,by the Direcror, Department of Communiry Development.
� NAME 'PNONE FAX
'.
� BUIIDER ����n x ��i•. ��3�t3�'� S�K-;-41�
� ' STREEf CfTY � STwIE 2IP
BSSS N•+'ZNCr �2 "S' �N �/L�Yd
TENMIT'�NAME
(if applicable) �
�NAME PHONE FAX
A W NER,
� �� STAEE� CIfY STATE ZIP
IAT SUHDNLSION SECI'ION
LOCATION iI 1�01I ' h g -
ADDRESS OF CONSTAULTION '
.5L.2.� Q.�h 1-
A. TYPE"OF CONSTRUCTION / TYPE �O IMPROVEMENT
1. ❑ Single Family //�j � . �'New Stiuctuie
2. � �Sin le Famil Cluster� �
g y� ��� ❑�� Coavnercial Tenant Space
3.. ❑ Two�Fea,��Y �gg� 3. ❑ Addition Porc$ _ Room _
4. � Multi-Family 4. ❑ Remodel
S. ❑ Commercial/ Indusuial 5. ❑ Eoundatioq Only'
6. ❑ Faan � 6. ❑ Demolition
7. ❑ OTHER�(Specijy) 7. ❑ Accessory Building
B. TYPE OF SEWAGE DISPOSAL 8. ❑ Swimming P_.00l
1�. ,�'Public System.(Name of:System CaIY�<�C-' � 1 9. '❑ Gara"ge Detacfied Attached
2. ❑ Private (Septic Tank,:etc.) G. Lot,Split YES NO �
, C: TYPE;OF WATER H. Flood Zones YES NO
1. ,�� Public $ystem,(Name ofSystem .At'vv ' Sump Pump -YES NO �
2. �❑ Priva[e.�(Well . . . �. anuf9etured'Trussee �YES � NO
D. ZOIYIN6 CLAS ATION OF PE TY /��R 0 . 1 ' g.CODE BOCA or C O
Present 1 — ' '1� 3 �
E. ESTIMATED CO OF CONSTRUCTION Y j9,�frtmb' °Contracror' ��'ivN
(Excluding Land Value) F'i ���/�Z- _ �Plumb g,License H `�81b-HZ30�/-
The undersigned agrees that"any cons[riiotion,reconswction, enlargeme `o atioa, oi alteration of swcture,or any change in the use
of land orsWCtures•requested by this application will complg with, and�rin to,;all applicable laws-of..the State of Iadiana, and tGe
. "Zoning Ordinance�of Carmel:Indiana -•1993" (Z=289) aad amendments, adopted under authoriTy of-Ac[a of 1979, Public Law 178��Sec.
1 e[ seq, General,As$embly of the State of Indiana; and all Acls amendatory thereto.
L further certlfy- that•��the cons[rucHon will�not 6e uacd or occupied until�a �Certificale oj Occapancy fiaa been issued by the.
Department of.'Communi �-Development,�Car e1,.Indiana.
I fuRhe� ce �ify��itliat u itehen, bath, laundry, 9 �� tloor drains ��e�conuected [o the sanitary ser�4er. ,.
�
!
_ -' � ooM� Under Sla ough [n i etei Bave
Si amre of�'Owner'oY�Authorized Agent . ��� spections Nee�? ,:en �
� �' . ��a�;�..,' �site F'm�al� c/o
.F'i�5'�a /� . : UGf- � �:G `+'��QG �G'.�(� ^ g
Address . P a�'b .�' �.�. � (Square Footage) �cB,COd+7.77
. � � �.. . �4� b
,6��ss�aa r�� J�
� c � �_ � � �• ., �,• � G a5o.00
�EZ � �y� � Zp Docket ��� �n�tion Fees
�t�( �I � �1 / �'
City State Zip, Phone (G���'���.���G���aP"
� �ll� � ��ertificate of upancy �$.00.
Sewer���Capacity Allo ted _ Q _ //// �
�i� � /TOTAL � 3�3.60
�s
Dep rtment.of Communtiy Development �Received by ��R"Pb�v13/1991