HomeMy WebLinkAbout0153.97 Application ar$iel-Q by _ _ ' , � Permit No J 3 ��
�p Application for Da� 2 2.
� Im provement Locatioh Permit Roll Fil
This permit is,valid only if construction is started�within 120'deys of issuance date;all construction musU be completed(c!o issued)witliin 2�years of issuance,
date'unlessan�extension�oftimehas�beeno{licisll ranteA'b lenecb �theDirector,De NnentofCommuni �Services.
N E PHONE FAX .
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TENANT NAME
�..(ifa licable
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owlvER �Q�h P !J D J �—
sraeer cnv srw're vr
LOT SUBfN1SiON �e1� S�N
`LOCATION
. . . wDORFSS OF CO�SfRl�C11 N . .
� I � S �n �;��l�e
A. 'TYPE OF CONSTRUCTION Do pla s`include'a porch? F. TYPEAF.IlIII'ROVEMENT
1. �ingle Femily �'Y� 0 1 New SVUCture
. 2: ❑ Two Family 2 �Addition Porph_Room_
3�. ❑ Multi-Family Type qf Foun�� � 3. ❑ Remodel ❑ Commercial Tenant Space
4. ❑ CommBrcial/,Industrial OCiawl ace- �� 4. ❑ :Foun�tiod 0iily -
5. ❑ Fartu %�7Bast, ❑ 'Demolition
,,6.; ❑ OTHER OSlab ❑ Accessory Building
(SPecifY) ��'j '�> 7 ❑'/Swimming Pool /
B, SE�{ER: �J 8 .f[X Gazage Detached Attached ��
1.� Public (Nazne ofiSystem. � f M G. Lot Split YES NO �'
2: ❑ Private(Septic Tank,etc J � H. Flood'Zones YES _ NO ✓
I: Sump,Pump YES NO
.� blic (Naine of System �l Y�^'�e F�. '' ' Manufacfured Trusses YES' � NO _
C. WATER:
l. Pu
2. ❑ Private'(Well �� I
D� ZOI�ING:C^� � 8 J9 K� ing Gontractor l�. � �1e e,�Yl� ��
E. ESTIMATED COST OF CONSTRUCTION 9�
(Excluding Land Value)��� ('�n C� P mbing License# 107 3 BOCA r❑CABO
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Theundersigned a�ees that.any construcuon;reconswchon,enlargemen, ocation,or alteration of stnictiue;or euy change in the use of land
or•structures requested by tltis applicahon"vnll comply w�th,•and;conform to,all applicalile laws'of the State bf indiana,and the"Zoning Ordinance
.. -
of Carmel Indiana- 1993"(Z-289)and amendments;adopted uader authoriTy of I.`C. 36-7 et seq,General Assembly of 1he,State of Iudiana,and all
Acts'.amendatory[hereto I.fui'[hercertify-thatonlykitchrn;;batti,lauudry;�.and�floor..drain�azecomiecfedtothesanitarysewer. I furthercertit'y
t6ai the constrdctiou will not be 'used:or occupie`d until,e Certifudte of Occupancy has been issued 6y the Department of,Community
$ervicea, Carmel;Indiana
Inspections Needed:
F ting/Uuders186 Ro g6- r
. ' e of Oumer or,-Authonz Agent `
h�,.,c) 1J � '�7.��35;� ite O
,i� r1 P 9 A�IGh ZJ�
(Print) (Phone Niunber) Permit(Square Eootage)
Sewer.CapacityAllotted- � -'� ' InSpectionFees: v l ��
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P.lan C ion/BZA Docket#; Certif'icate of;Occupancy: �
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Rev�ew Communiiy Services FeeReceived By .:�+�.eb �i�