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HomeMy WebLinkAbout0160.97 Application Carme lay , Permit No. - �µ,�t;;� AppLcation for Date zs 1����� Improvement Location Per�iit �' R°u F''e T}iis:'pertnrt is v81id only if consWc600-is started within,120 days of issuance date;alf consWction must�.be.completed(c/o issued)wiihin 2 years of issuence, date�unlessaneztens�onoftime�hasbeen�officiell }entedb-letler6�,ttie•Director;De aRmentofCommuni� Services. ' � NA.He � � � � rxoxe Fnx BU�ER m 4 0 � � _ _ SfREE! � CRY STA'IE ZIP �+ Q�nel 1 , e � ' � TENANT NAME . (if e`licable NAME . PHONE ��FAX OWNER ��`9-' � . ... . � SIREEf CffY STAIE TlP LOT SUBDIVISION� ' SECITON LOCA'I'IO1V `�'� "�� " �� p�UAFST OF.CONSI1IUC/f10�N ''j��\ ' � , �/ L�X_. � .- . .1../� ' . A. 'TYPE t�F',CONSTRUCTION Do plans include a porch? F. TYPE'OF IMPROVEMENT: 1'. � 'Single Family ❑ Yes o. L New Suvcture 2. ❑ Two Family 2. � ddcLtion_ Porcfi_Room_ 3. ❑ Multi-Family Type of Foun i� 3. ❑ Remodel � Commercial Tenant Space 4. ❑ Commercial!Industrial �lspa� "�'`�� Q Foundation;Only' 5. ❑ Faan O asem Demolition 6. ❑ OTHER �lab 2� Accessory Buildu�g (SPecifg) �� /�9J 7. O Swi�mning Pool E. SEWER:� 8. ❑ Garsge Detached. Attached 1. � Pulilic (Name of System�� � G. Lot Split YES NO ' �% 2. Private(SepUC Tank,.eto.) H. FloodZonea YES NO �" C. WATER: � � Sump Pump YE3 _ NO ! I. �I Putlic (Natne of System . �9� anufactured Trusses: YES ✓ .NO 2. ❑ Private( ll' '\ e�j D: ZONING: 9�: ing ContraMor E. ESTIMATED COST OF COIVSTRUCTION e (Excludi�g Land Velue) �/?`� �P umbing License#, ��!C�� �BOCA or❑CABO �:s**sr*sa*atstttssar*s**s+a++�i*+srti►i»ssari*tt+s��t#is s►w i#ft#It�iiif>#Ifiittittittliit*tMiiittrtlli#/rtii/ _ �. Ttie undersigned agrees that any-conswetion,reconstruchon,enlargement,relocation,or alteration of shucture,:or any change in,the use of land or strucwres requested by this application will coinply wrth,and confoan tq'all appl�cable laws of tlie State of Indiana,and t6e"Zoiung Ordinance of Garmel Indiena- 1993",(Z'289).and amendments,adopted under authority of I.C..36-7 et seq,Gene�al�Assembly'of ttie State of Indiana,end all Acts��amendatory[here[o. _I4�Cwther.certify�ihatonlyki[chen,bath;laundry,eud'floor�drairu;are�connectedtothesavitary`seiver. I�furt6ercertify t6at the conatruction will`.:not tie used:or occupied until a'Certificafe oJOccupancy;has been'iseued'by the'Deparhnent ot Community ,,. Services,.Carmel,Iadiaoa /� Inspections Needed: �� �I' Foot' ersla � u h= er Base. igna, e of Owner o' Authorized A�ge t_. ��� ...� -� � ��� " : Site; �'`ui�• C/O �a� Gae� ; g�����to .��`� �� (P t) (PhoneNumberj Permit�i���e)r��'+ � �e,00 � �Gd.� G �� s`�- Sewer..CapacityAllotted �,PQi. 2�'rIQQ n g� � �O•:60 , :1 �� ,`�Ins�e�U��,� �� . �r� ��, y Plan CommissionBZA Dor.ket#: ���'� � �e�cy: ; ��On ¢�,y��'��aQ�. � ¢,�'�`p.�'P - Q'� G � i�.,r" - Q�pF Fce � � ) �n G� �� � Reviewed/Appr ved: Deptr•o Community Services G� Received'By .:�:�.a�+ ��?� V