HomeMy WebLinkAbout0158.97 Application „�1�Clay ' Permit No. ��$� �/
�„�p Application for �Date�
Irripr,ovement Loca"ti'on PeriniR R°u F''e
�Tliis,permiYis.velidonlyifconsVUClionisstarted:within:120,daysofissuance:date;�all'consWction��musfbecompleted(c/oissued)within2yearsofissuance, ,
date�:unle'ssaneztenstonoftiriie.tias6eenofficiall ianfed,li';lette�,,ti�tfieDirectoi,De - �� entofCommoni :SeFvioea .
��BUILDER NAME v 1 ., 10�. ,PHONE. .�' ��� V � "`��
M
... . STREtT CITY STATE TlP
�uC:l � . L1Q,ti�l �� . ��,rneJ .1-lt� 41�03Z.
TENANT NAME
'if e lica6le)
NAME ` PHONE FAX
OWNER ��lE
SfftEEf .CITY STATE llP
I.OT SU8[]M .. .. SEC110N
IACATIOIV � ���S`�- l (�
� 'ADDAES4�OF CON5IRUCII
a �e�,n�,- �t� _
A. TYPE OF'CONSTRUCTION Do Plans incl de a p9�? F. TYPE OF.IlIIPROVEMENT
2. ❑ Two F�1 ❑ Yes N���p 2. ❑' New Stivcture
�� s� r � = ee� �
y Additton Porch_Room_
3. ❑ Mult� Family Type of Foundarion: `� ❑ Remodel ❑ Gommercial Tenant Space
4. ❑ Commrrc�al!Industrial ❑Crawlspacef ��❑ Foundation Only
5. ❑ Fa[m �Baseuient � Demoli[iou
6. ❑ OTE�R �(Slali ?� 6 `� 'ccessory Building
�SPecifY) /�Q� 7. wunmmg Pool
B: SEWER: �1,, ,,,,,,.,,, Q "'�8 O Guage Detached Attached
l. � Public (NazneoFSystersi� LUU�iuu ) G. Lot;Split YES _ NO �
2. ❑ Private{Septic Tazik,ete:) H. Flood'Zones YES NO I/
C. WATER: � I. Sump Pump YES NO .�
1. �. Pu6Gc (Nazne of System J. Manutacfured Trusses YES �NO _
2. O Private(W 1 �, � � ��}�
D. ZONIIVG: �; �9/�?a �I(: mbing Contraetor�iQ�L .➢�l1Q'.!�
E. ESTIMATED COST'OF CO��STRUCTION u'
(Excluding Cand.Value) . `tJ�_ l`9,9,� PI mg License#./S� OCA or❑CABO
:*sf**s+art*tskirrt»a*►rs*`*sat**s►**t*tfitt#tsts*+*t wt+*ttes*r• �sr*s***as*ssss�t*sst�tasa »awwr�w*ts►�*sr
Tlte undersi�ed agrees that any,consWCtion;reconstruction,enlazg nt,rel tion;or alteration of structwe,or any chsnge in the use of lend
or:structiues requested by tltis application.will'comply with,:and confoan al pplicable laws of ihe State of Indiana,and the"Zoning Ordinance
of Cazmel Indiena- 1993"��(Z=289)and�amendmen[s,adopted under authonty. f I.0 36-7 et_seq,General Assembly'of�the State of[ndiana,and all
�Acfs�amendatory,thereto. �I�further:ceRify that only�kitchen,baUi�,laundry,�and floor_drain�aze connected to the sanitary-�sewer. �l further ttRity
thai+the construct�on Pnll'not be used or occupied until a Cerhficate ojOccupqncy_6as.been issued by the Department of Gommunity
Services, �Carmel,Indiana
Inspections Needed: �
�. oot adersl �� ough-Iu �MeterBase
�Siguat_ e of pwner or Au. onzed Agent Q ., ��;-+
\�<�l]e,l�c�'1Y1�21� �.1' lil(92QGM ���1'���D �r���+Ye, ��,_ 5. � cio
4 �
�S .
')J hone Ntiin6er) �,�y A � F`,�'�''�e) -ti— �435
�s �`k' �c�'” G„J. (a .
', \zpaoity'Allotted �.o4Y, 2a�,1�141 . ��`°t' �fio�sv},�i�Fp�9,�;�: ' r>Z so,CY�
\s\ZA Docket#: c�s"��y-a��`�C�,oq`��ii�iq�v�Bccupancy: I S�Od
l�,��'�„��y�'+��,°a�'��'� � 0
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m �1a,�c9n'a� � ���L •
`Dept;of ComaitiaityServices :i'�V Fee Received By ::�+�.eb ���,
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