HomeMy WebLinkAbout0152.97 Application � armel- lay Permit No.
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4 P , Application for ��-,�� z / �'
Improvement Location Pe�mit ��R°"F
Tfiis permit:is�validbnly if consiruction is started within�120 days of issuance date;all construction�must be�completed(c/o.issued)within 2 years of issuence,
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�datevnlossen eMension�of time has been ofliciall � ianted ti lerie�b �tfie Director,De -ent of Communi Services.
sun,nER Fe mPS D�� �"a�rHOre , _ . _� ,,U v 75'�?355�
.. . . . .SI)tgEl' .. � ClIY STATE LP.
� Z - yU , . � ; Sui 'e I �S C'crrrne �n `t6o3 z�
TEN�iNT NAME �v I /],
� . (ifn licab(e) n
N � � ! PNONE FA%
ownr�R e 4S �J r7 -� __
�.Sf1tELT'� .. . �CRY STA'IE� LP
LOT ��SUBDMSION r SECIION
LOCATION � �r00�T�1' � '
ADDRESS OF CONSfRUCf10N�1����� �^-
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A, TYPE OF COPTSTRUCTION Do plans include:a porch? F. 1'PPE OF D1'IPROVEMENT
1. Single Family O-Yes O`No 1. �d' New Shuotwe
2. �Two Family 2. ❑ Add�hon Porch_Room_
3. ❑ Multi-Faaiily, Type of Fo n: 3: L] Remalel ❑ Commercial Tenant Space
4. ❑ Commercial l;Industrial OCrawlsr A: C] Foundation Only
5: ❑ Farm �IBasemen! ,� 5. ❑ Demolition
6: ❑ 0771ER ❑Slab f- � 6, ❑ AccessoryBuilding
(SP�i{'l') �� 7. ❑ Swimming Pool
B. SEWER: �Garage Detached Attached ✓
1. � Public (Name of System �Ct r �'''�e, � SpGt YES _ NO ✓'
2. ❑ Private(Septic:Tenk,'e[c:) "��� H.�dZones YES _ NO y
C. WATER: ry L SumpPump YES ✓ NO _
1. 1� Public (Natne of System l� f J. Mannfactnred Trusses YES �� NO _
2. ❑ Private'{Well . �) � � ; I
A ZONING: '�—� K. Plumbing Contractor . p � PC. A n CQ
E. ESTIMATED GOST OF CONSTRUCTION
(ExcludingLand Valae) ��g �O C7 �� Plumtiing License#�O�]66 �BOCA or O CABO
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The undersigned agrees'that any�construotion,reconstructibn,enlargament,relocat�bn;or alteration of structure,or any change m the use of land
oi stiuct�u�s rei{oes[ed by ttvs appligation will comply with;and conform tq all applioable laws of[he State;of Indiana,and the"Zoning O[dinance
of Lazmel Indiaaz�a- 1993"(Z-289)end amendmeuts,,adopted tinder authoriTy of I:C.36-7 et seq,General Assembly:of the State of Indishs,aud al1
Acts��amendatory there[or I�fiuthef�certify-tliat only kitcti � ;� ath,laundry,and floor,drain���are connec[ed to the sanitary sewer. I furthe�certdy
thst�the�conatruction��,will not'be��.uaed��or occupied u ' � � . 'icate ofOccupancyhas beeu�issue8.6y��t6e Department,of Qommunity�
Services, Carmel,Indiana � �
� F�, ections•Needed:
��' �Z8 J . de �� Fwugn-+�r er�B .. .
/;1, -1l'CY thoru Agent C/O
i hue ofi Owner or Au F'��
� �/� ��u Sife Final �
u � e ruah 3�
� (P ' t) � (Phone Number) �t�(Square Footage)� � � .
�j ��
Sewer Capacity Allotted ��:'� � /�. �Inspeotion Fees: �
�Plan Co " Z keC#:: Certificate of Occupancy:
� TO AC: �� �� � )
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Revie o ommunity Services Fce Received By / s:��eti m��
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