HomeMy WebLinkAbout0166.97 Application Carmel Clay Peimit No. ���G��
T��;�, _ �Applecafion for �a,� 3 �
�� Improvement Locataon Perdreat
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Ttiis permitiis;valid�only.if consfruc[ion is started.within 120 days of issuance date;all�construction must be.wmpkted(c/o issued)within 2 years of issuance;
��d'a[eurilessan�ex[ension�oflimehas�6een�officiall ranted'�b letterb [heDitecto�,De`RmentofCommuni Services.
NAME PHONE FA%
Bun,uEx I 68Z-� �,6K3 s �-z453
SRtEEf CITY STATE 11P
W.PSSt Mai.rt .S-I�vc� � I y�l l�03 Z
TEIVANT NAME
�(ifa Iicxble ��. .. .
Naue rxoNe ewx
OWNER ��
SfREET CITY SfATE Z1P
LOT SUBDMSION SECII�N
LOCATION l �Ne fio �
ADDR�FSB-BP.�6pNSIRUCf10N �.
D� 3D ` .I I ,
A., TYPE OF:CONSTRUCTION I�o plans inclu ? F. TYPE OF IlIIPROVEMENT
L � Singlelamily �]Yes❑ 1. � NewStructure
2. ❑ Two Family � 2. ❑ Add�tion Porch_Room_
3. � ❑� Mulh-Family. Type:ofFound� �� . ❑ Remodel, ❑ Commercial�Tenacit Space
4. ❑ Commerqial/Industrial ❑Crawlspa t�� ❑ Foundatton Otily
5. ❑ Fazin ❑Basemeu{ ��' � Demolition
6. ❑ OTHER �JSlab J,�9J 6 Accessory Building
(SPec;dY) � � 7. ❑ Swima�iag Pool
k3. SEWER: . 8. ❑ Gazage Detached Attached
1. � Public (Nacne of System LT�-w'D ) G. Lot$plit YES _ N�
2. ❑ Private{Septic Tank,etc.) H. Flood Zones YES _ NO x
C: WATER: I. Sump Pump YES NO �
, �1. t�7 ,Public (Nazne'ofSystem ���tiDP��S ) J. ManufaMured Ttusaea YES � NO _
2. O Private(Well )
D. 7ANIIVG: .�-,� K. Plumbing Contractor. 2•T• �'O lI 1`�,
E. ESTIMATED COST'OF CONSTRUCTION. fP� �p D 5 ZO S
(Exeluding Land Value) � ��� �� � Plumbing�icense# ❑BOCA or�CABO
tt��"s+t*stt*►t*ts+s#*trss+tf*t*s*saii�a*s*s�►+*+�ss*�»rss*r**+sttts«ss►sr►Kr+rssst►saass..***tttstr�ssastssss
The undersigned agrees that anyconswction,reconstruction,enlergement,relocalion;or alterarion of struc[ure,or any change in the use of]md
or shvct�ues req�ested by;ihis apphcation'will complywith;and conform to;,all'applicable'laws of ihe Sta[e of Indiana,and the"Zoning Ordinance
of Cazmel Indiana- 1993'°(Z-289)and-amendments;�:adopted�under.auttionty of I�.C.36-7 eYseqi�General Assemblybf the State of Indiana,end all
Acts amendatory thereto. I fwther ce�tify that only kitch d floor dn'Tri.,�are nnected to the sanitary sewer. I.further certify
�� c.�°i�l:� Cn
that!the rnnatruchon„will.-not be used or oc e un il �Cerlif Occ cy.has been-,�ssue�Ny'th�7,17epartmg ' -Community
Servicea, Carmel,Indiane; /��Q���� L/S '�• "�� ' �� r'o _ y,�. ��
t,�D`'Q'����� � Pegti N de � �� a '. �z,�
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- �3F ���BAAN ��r�, c�l �'odes
=Z�,�j�ijX�� Foo[ing/Uud/e+rIslabJ�tougtf�[�.td+rjB�T
Signature of Owner;or AuUtiorized Agent s " A � � wT�l Q��!eA o,'�y
`C� Ske al �°`�t�f'°'��f0
�r'� 1�1'�a �o�tM "�v 0 _�z4 � x +�D�A��I�.� t e : ��./�
(Print) (Phone Nm b ) ���� quaze Footage) �
9R .,g �
Sewer.Capacity-Allo4ted /�tiun ees: �-�Z�
Plan Commission/$�Docket#: _ � , Gertific of Occupan" . �
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�ew ' Approved. Dept: oECommuniTy'Service`s FeeR_ ived y .:v�W�eec. mivas