HomeMy WebLinkAbout0136.97 Application � ���yd-Clay . erniit No ' �� � �
�:�; , � Application for [>a�e 2 Z.
Improvement Locafion Permit �a�l Fi e
TAis,pennit is'valid only if conswcuon is s�artcd within 120 days,of.issuance da[e; all consWCtian is compkted (c/o issucd) wiWin 2 ywrs of
' � �.issunncudere;unless an�extension of ume hns been o�cially��grented by letter by the�-:Direcror. Department of Gommuniry Development.
NAME .1 PXONE Q /� �A%
BUILDER ON I� .J_JV C C) 771J / � b'7���
smeer - � crrr�. srnre - z�e
�0 F�o Ib _ . rr�� �60�3Z.
TENANT NAME
(if�applicable) �
NAME P ONE FA%
OWNER S �IC S /-\ wUt
� STREEf ' CRV STATE ZIP
w l' `
T SUBO ISION S�
LOCATIDN � 1 �h�� CK !. I ��
ADDqESSOOY;O�RUCf10N � ��� . �' �
/
A. TYPE.9,F'CONSTRUCTION F. TYPE O�IMPROVE1ViENT
1. ��Single�.Family � L �Rl�New Structure
2. ❑ �Single.Fumily Cluster � 2. ❑ Commeraial Tenant Space
3 ❑ Two Family �� 3. ❑ Addition Poroh _Room _
4. ❑ Iviul[�-Family � � 4. ❑ Remodel
5. � Commercial / Industrial �,. �� 5. ❑ Foundation Only
6: ❑ Farm B�j� 6. ❑ Demolition. �
7. ❑ OTHER (Specify) `�9, 7. ❑ Accessory Building
B. TYPE SEWAGE'DISPOSAL 8. ❑ Swimming,Pool
1. �blic System (Name of System� 9. ❑ Gerage �Detached Attached
2 ❑ PriSate (Septic Tank, etc.) G. .Lot Split YES NO�
C. TYPE_� WATER � H. Flood Zones YES NO ��
I � Public System (Name of System ���� I. Sump Pump YES �_ NO
2. ❑ Private (Well 1 J. Maeufactured Trueses YES� NO � �
D. ZONING CLASS�ATION OF�OP,ERTY K. Plumbing CODE CA or CABO
Presen[ ' . � ' �
E. ESTIMATED.COST,OF CO�1NSr�TRUCTION Plumbing Contractor ''�OYPCG. F�lbl-I
(Excluding L'aud Value) �iO//TQ(7� Plumbing License�H G p R9.�bO(7��
The'undersigned�agiees thatrany�construc[ion,:reconsWCtion,�enlargement,-reloca[ion,br;.al[era[ion of�sWCture, or any change in the-�use
of land or structures requested by this application will comply with, and conform to, all applicable'laws of the Sta[e of Indiana, nnd the
"Zoning Ordinance of Carme! Indiana -'1993" (Z-289) and amendments, adopted�under authority of Acts of 1979, Public Law 178 Sec.
1 et seq, General Assembly of the State of Indiana; and a11.Acts amendgtory thereto.
I further certify that �the: construction �wiil�not�, be�used� or occupied until a Certificate oj�Occupancy has been issued by the
Department of•Community Development;: r� .el, Indiana. '�1 ' -S �
r�"C\� �,.�jG.
L further ce at onl �.kitchen 6ath la � � ; and floor drains are wnnected to the-sanitary sewer:
" - , : . �,�c��t"'� �cv,X�,
C, G�, ����,.
� � � "" GO�I �qLt� n� ooh nde a6 . h-In, ete e
�
gnanue of Owner or-Authorized Agen[ �P�'j��'In�peati"on�IlEe�ie�i� raina i[e.F'
` �t ��`yy;a�tV � (
R� �p C , o�
�� x 3 J� 4 �;�
Addr�ss 4'•���� �`F5 �1S�PIg�� Pe: Square Footage) ��
�/ �', /� �f .I �( /�fj� .y,�r".��,.�,��Comnii,'s�oC . `.2,`�(� J,(P��
V�l'/��. ...L./� /��� lT I�7�'� 1($ZrA Dock �; ' Yt�p�ctio� s . _�a _
City Sta ' Zip Phone `,�p��� ` � �
, �/1 '��'�# Certifi of'9cc anc /�
Se e Capac� - lotte r� ` �� �� Q�
`�� /j TOTAL �
nt of Communtiy Development ce' •ed y �'�� ��b�'JIS/1991
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