HomeMy WebLinkAbout0161.97 Application _ ��eL�lay , Perniit:No, ' [�/��
'To��nship APPIICat10R f01' Date
•-� . Improvement Location Permit � Roll File
� Thir,permit.,is valid only if conswcuon is smited within �I20 dnys of:issuence date; ell.conswction is completed (c/o�issued)within 2 years�of � �
.- v.. . , � .. . .
issuence`da(e unless an extension of ume has been officially grented by Ietter�by:tAe�Diiector, Department o[Community Developmrnt.
NA(M�E(� PMONE ' /�7�.� FAX .
BUILDER L/N � U "LV`K-J "I ��
STREEf. C STATZ� ZIP
�pi � .�Rmel �� � �.�me;l �u 41��32
TEIVANT NAME
(if.upPlicable)'
'NAME , -0HONE FAX
OWNER �rn2
STAEE? • ClfY . STA'IE ZIP
lAT SUBDN � , SECfION
LOCA:TION �� � ��- '� 1� /
ADDRE55 OP CONSTRUCit
� ' � .. Ce(1� � Q •
A. TYPE OF CONSTRUGTION � F. TYpE`OF IMPROVEMENT
l. �Single Family � l. �{Zf New Struchue
2. ❑ Single Family-Cluster �� 2. ❑ Commeicial Tenan[ Spece
3: ❑ Two Family fi�!• �� ❑ Addition Porch _Room _
4. ❑ Mul[i-Family �'��? �, ❑ Remodel
5'. ❑ Commercial / Industrial AJQn� 4. ❑ Founda'fion Only
6�. ❑ Faan w4 6. ❑ Demolition
7. ❑ OTHER (Specify) 7. ❑ Accessory Building
B. TYPfi OF SEWAGE DISPOSAL n (� S, ❑ Swimming Pool
1. �Pdblic System (Name-of System�l�Q,� 1 9. ❑ Gerage Detached Attached
2. ❑ Private (Septic Tank, etc.) G. Lof Split YES NO ✓
C. TY$E OF WATER H. Flood Zones YES NO �
1 �L 'Public System (Name of,System I. Sump Pump YES NO �
2. � Priva[e (Well J. Manufactured Trusses � NO
D. ZONING CL�S,�FICATION:OF PROPERTY Plumbing CODE BOC or CABO
Present �� A,, ,(�
E. ESTIMATED COST OE CONSTRUCTIO � "�/�q bing Contractor /�.�•,E�?L �1�
(Excluding;Land Value) �'\ �cJ�J9 . g�License q �:�JUY�I� �—
Tfie�undeisigned.agrees:that any,coasWCtion,�recons[ruction, � argement;relo 4ion;�or al[eration of sftucnue, or any change�in[fie use
�of'land or strucnues requested_by this;application will comply w and co rm��to; all.applicable laws of[he State of Indiana, and the
"Zoning Ordinance of Garmel Indiana - 1993" (Z�-289).andamendme a pted under authoriry of�Acts�of 1979, Public Law�178'Sec.
1�et seq, General"Assembly bf the�State�.of-Indiana, and:all Ac[s amendat ry thereto,
I further certify that the cbnstrucHon. will� not be ueed or.occupied until a;Certificafe oj Occupancy�has been issued by the
Department of Community Development, Carmel, Indiana.
er_ce i � that��only kitchen,�bath,�laundry; and�-floor drains are connected to the sanitary sewer. �
. � ' _ /� �tit�� i ' -
' v��� o nde`� Sla Rough-In . - eter Base
Signa -e ofOwnei�o�.Authorized�Agent Inspections;Needed_ .' �.x,'� c, � -
�1.� ��. n : . ra,},oa eit.,,ytx Si .. inal C/O
� �� ` � g�y��y�y�`� ��:
ress Plan Cr���tiPeta�(����Footage) �'�- II.S2
f� ''y'� c� � �,
� /�,�� n Coc�m�Ss�Oq�/: ^
\LJl�/ `C�IJQJZ E��J��� $vkA�'Dock'eE�Q�+����t,tV .^Fees �J�'�:OtJ
City State Zip Phone �� s�s°'��p�" ,I'i _�`G �W
� 1 � � P�:L �ificate.of-0ccupancy IS,AO�
Sewer Capaciry Allot[e$ - � Q ��j/ ` ///� - ,,�/
C L��' 5�����C� ��/•,i�C/�,�j TOTAL �`26S o0
L
Departme t oF Communtiy Development Received by �����'JISIi991
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