HomeMy WebLinkAbout0147.97 Application �� , l- lay Permit No: C" G/.���
.uroW',;s�p Application for � Dec� 2 � '
Improvement Location Permit Roll Fde
This permit is�velid only if construction is starteA within,120 deys of issuancc date;ell construction must be completed(do issued)within 2 years of issuance,
date unless an eMension of time hasbeen oticiall ranted b letter b the Director,De - ent of Communi Services.
NAME PtiOfiE FA%
BUILDER S 4 ' �� �1O' - �
SIRPEI' � CT' STA'IE ZJP
r r •
TENANTNAME
if e �licable
NAME PHONE FAX
OWNER e--
SIREEI' LTIY SfATE T�P
LOT SUNDMSfON SECIION
LOCATION �
ADDRESS OF CONSIAUC110N /
./d.� //'�.r. � .
A. 1'YPE GONSTRU6TION 'Do plans include orah T F. TYPE O ROVEMENT
l. Single Family o � 1. New Structure
2. ❑ Two Faznily � ` � 2. ❑ Addition Porch_Room_
3. � Multi-Fainily Type of Fo p�"► 3. O Remodel ❑ Commercial Tenant Space
4. ❑ Commercial/Indusuial ❑Cr space8+.�/�� 4. ❑ Foundatioa Only
5. ❑ Fatm t ❑ DetnoliGon
6. O OTE�R ❑Slab � � ❑ Accessory Building
(S ify) ��9j 7. ❑ Swunming Pool
B. $EWE�� 8. ❑ Gaza ge Deteched Atteched
1. C 7 P u b lic (Narne of System C r � , G. Lot Split YES _ NO _
2. ❑ Private(Septic Tank,etc.) � H. Flood Zonea YES —��O _
C. WATER: Sump Pump YES _J� NO
1. ❑ Pu6lic (Nsme of System � . � F� anufactured Trusaes YES � NO _
2. ❑ Private(Well � � yy�
D. ZONING: S- � �jK. ' g Contractor� � � / ' /00/`e
�. ESTIMATED COST O�CONSTROCT N
(Excluding Land Value7b$��o. � 9PIum g Licen#'8/(�DS�2��OCA or�GABO
.+w.►a*�aw►+►wwi*►sw�r}M#ssii 4*ts*t*rt#�ttWittt#��ttttt i*RRiitl ♦}tyk�k�#►*itittii4iti#tt#i■ iiili4tNtiRRt•
The undersigned agrees that any bonswction,recbnsVucrion,enlargement; I tioq or alteration of struc[ure,or any change in ihe use of land
or strvcwres requested by this application will:;omply with„and conform[o,al applicable laws of the State of Indiana,and the"Zoning Ordinance
of Cazuiel Tndiana-.1993"(Z-289)and aznendments,.adopted���under authority of I.C. 36-7 et�seq,..General Assembly�of ihe�Sta[e of lndiana,�and all
Acts��amendetory�thereto. I further certify that:only kitcfien,.bath,laundry,and�floor draun�sre wnnected to the sanitary sewer. I tY�rther certify
that the mnstruction will not be used or occupied until a Cerkfuate ojOccupancy has been isaued by the Department of Communky
Servlces, Carmel,Indiana � �
�:�," J�,c�ctions Needed:
�1.���/�,��� ��°
� d t ab ough- � eter Base
S�gnature of Owner or Authorized Agent � �
// �,t� inal C/O
/'Q /.1/�sm/�/7 ��23 . 1 �9 v c��:��� .a.
�rint) (Phone Number) ��'� 4FSqir9 e Footage) a o0.00 a,a3�
9
y .��.;�t f;� � •
SewerCapacityAllotted �aQr.20i14A1 +J k. ,�is(�+cuo�Fee`�: .: �.50,00
1 G�"� �a-���+,��'^�°j°
Plan CommissionBZA Dockei#: v � �y ����icate of Occupancy: 15.00
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Reviewed/A proved: ept.ofCommunity'Services o9 eReceivedBy � •��d�+ ���