HomeMy WebLinkAbout0144.97 Application �� �
Cartnel-Glay PemiitNo �`1'7'�
<� Application for � �
ownship Date �"'r
Impro,vement Locatioh Perm� Ro�� F;�
�This permit i4 valid�,only if conswcuon is smrted within� 120�deys of issuance,dau:.all conswction is,completed (c/o issued)wiWin 2 yenrs of
issuence date unlcss��an�extension oG�ume has been�•o�cially.grented by�letter by the Director; Department of Communiry Development.
NAME • PHONE /j [p�f fAX (�
BUII:DER ��C �i�� l:1 . 01�5 ' L 0'���JO Uy Uy� l�/l
. . � STREEf � ,,� U��� 5��.. , .L�' �RY -��U�, - �, `S�. Y re �V� �l.'.
� I
TENANT NAME
�, (if appliceble) �
.NAME � (�,-^ � � PHONE �FAX
r��;�
O W NER
� sraeer � crrx - sr�re z�r
IAT SllBD1VI5I0N l SECf10N
LOCATION `' C�i1�TO7�J ���(�✓S �j e�
ADDRESS�OF'CONST UCf10N�
C�r�� c,c�' �� ��v03aJ
A. TYPE OF CONSTRUCTION � F. TYPE OF�IMPROYEMENT
l. Single Family � 1. � New°SWcture
2. � Single Family Cluster �� 2. O �Commercial Tenant Space
3. ❑ Two Family �� ���. ❑ Addition, .Porch _Room_
4. O Mul[i-Eamily s J�q� 4. ❑ 'Remodel,
5. ❑ Commercial Clndustrial ' '�'�',/ 5. � Foundation Only
6. ❑ Faan 6. ❑ Demolition
7. ❑ OTHER (Spec�jy) 7. ❑ Accessory Building
B. TYPE OF SEWAGE DISPOSAL �^ 8. ❑ Swimming Pool.
1. ��] Public'System (Neme of System v 9. ❑ Garage Detached Attached
2: ❑ Private (Septic Tank, etc.) G. Lot Split YES NO ,X,
C. TYPE OF WATER /: \ ,: f ; H. Flood`Zones YES NO >C
I. ��rl, Public System (Name of System —�—Y\d s ''�I �I. Sump Pump YES x NO
2. ❑ Private (Well�, 1 J. Manufactured Trusses YES �_ NO
D. ZONING CLASSIFICATION OF PROPERT:Y K. Plumbing CODE BOCA or CABO
Present F2— �3 }� 1 i 1 ,
E„ ESTIII�IATED COST OF CONSTRUCTION . Plumbing Contracton LXA�IVV � II�41�i�s �Iv`V�1bi�G�r
�(Excluding Land Value) � �1��:��� Plumbing License#'. �0"0$7�S �� 1
The undersigned agrees thahany�construchon,�reconst[uction;>enlargemen[,relocation,�or�:alteraEion.of�sVUCture�, or any change in the use
of land orsWCtures requested bythis appticaiion�will_comply With, and confoan to, all applicable laws ofthe State of Iadiana, nnd the
"Zoning Ordinance of Carsnel Indiana. - 1993" (Z-289):and amendments, adoptedeunder:authoriry�of Acts of 1979, Public Law 178 Sec.
�1 et seq; Genetal Assembly.of the�State of Indiaua, and all Ac[s amendatory theieto~�SF
I further cerNfy that �the coestruction will not be used or occupied until-a Certifc�e oj�Oc��v�cKhas been iaaued by the
Department of Community.Development, Carmel,�Indiana -��„i. '«'���l,4/�• ���UC'
I�further ce ify that only.kitcfien, b �th, laundry, and�tloor drains are connected�to the sanitaryJ sewe� �!t , , �
/ <`<� ^ � .7?j;`e"(/ a r !! CQI�'�4�QI�l�d6
L 1 ; � S(`t�Lt�U (�,/,y �,� oHng��'€£Se lab, Roug�°isn Merer B
Signature ,Owne 7�Authorized Agent� Inspectious�_ ede�d �{ �� wf•'�
" '`�N.Q Ilr �ina d S'
�� � ` ) ��� �
Address �.F�a�y�; Permi�r�ot�ge
��;�, IQ
�� B2:tYl�pcke Inspecnon Fees � � ��
Ciry Sta[e `Zip Phone 'Y9J ��/S��
Certifica[e ofOccu y /
Sewer Capaci Allotted O Q� j
�� I�� . T AL��. ,
l
De arfinenrof Communtiy, evelopme Rec i ed b �°'°�`���
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