HomeMy WebLinkAbout0143.97 Application � el Clay . „ Permi[ No., � � � �
oc�nsn�p�l / Application for a1e Z jZc�—/��''�3 !
• V I�n rovement Location Permit Ro�� Fi�`-``—
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This pefmitis�valid onty.if��conswcuon is smrted within 120 days of issuance date; ell conswctian is comp�eted (c/o issued)within 2 yeurs of
i�ssuaneedete unless an extension of ume has been o�cially grented�by lefier by�Ne Director, Department of Community Development.
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TENANT NAME
(if epplicable) �
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�OWNER �
STAEEf C STATE ZIP
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�or sueorvutori � " secnor+
LOCATION 91 � `�cv- W�
- . ADDRESS.OF CONSTRUCIION .
� °�— A
A: TYPE OF CONSTRUCTION . OF IMPROVEMENT
1. � Single�Family � New Struchue �
2. ❑ Single Family Cluster �p � 0 2. � Commercial Tenant Space
3.. ❑ Two Family � �� �� 18973. o Addition Porch _ Room _
4:._❑ Mu1ti-Family 4:. ❑ Remodel
3. ❑', Commercial / Industrial 5. �^ F,oundu[ion Only
6. ❑ Farm . .------__- _- 6: •.❑ Demolition
7. ❑ OTHER (Specijy) 7. �❑ Accessory Building
B. TYPE OF SEWAGE DISPOSAL 8. ❑ Swimming Pool
1. �9'Public System (Name of`System,G 9. ❑ .Garage Detached Attached
2. ❑ ,Private (Septic Tank, etc.) Lot Split YES NO �
C: TYPE OF WATER � H. Flood Zones YES NO
1. B�Public System (Name of System I. Sump Pump YES NO ?
2. �❑ �;Erivete (Well. �.Manufactured Trusses YES� �
D. ZONING CLA�ICATION OF PROPERTY�� ,!`�� lumbing CODE BOCA or CABO
Presen[ � ' 1
E. ESTIMATED CO§T OF CONSTRUGTION 'C�+ ingContractor f���Sd�N
(Excluding Land Value) ZL>� J�pPlu b �License N 'PG' � G . -- 3D�
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Ttte tiu�dersigned�agrees tha[��any conswction,reoons[ruction, enl ement,reloca-'on, or alferation of structure;or eny change in the use
' of�land:or structures requested��by this epplieation will�comply with; nd,.conf � to, all epplicable laws•of'the State of.Indiana, and the
"Zorting Ordinance of Carmel.Indiana - 1993" (Z-2S9) and-e endmen a pte erauthority of Ac[s of 1979, Public Law ]78 Sec.
i
-1.et;seq, GeneraL;Assembly of the�State of:.Indiana�� d all Acts,amenda[ory thereto. /
I further certify�that the-constFuctlon�will � t�be�u�ed or occupied until a Cer tcate of Occupancy�has been ispued by the
�Department ofCommunity Developmegt, arme Indiana -
I further certify that only kitchen, bath, 1� , a oor drains are conn cted to senitary•se�er.
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Si ature�;of Owner or.Authorized gent _ '�' � ��� � spect� ns�,gedefiC R' - _ � ,
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Addrbss P1anG�M�-Permit(Square Foo(age)
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City Sta[e Zip Phone � ���
-7 I� ^ • "!1 Certificat Occupancy���
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t "untiyDevelopment Receivedby `^ �°^°�°4�'JIS/199��
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