HomeMy WebLinkAbout0139.97 Application Carmel- ay Permit No._� /� (�'��
p Application for �Date���
• --- Improvement Location Perinit Roll File
This pertnit is valid only if consVUClion is started witlun 120 deys of issuence date;all consWction must be completed(c/o issucd)within 2 years of issuance,
date unlessan e#ension oftime hes beee otTiciall � ranted b letter b lhe�Director;�De ment ofCommuni Services.
.NAME PHON¢ FAX �
BUILDER L . G( � S'� �C
sraeer crrr � � srwTe vr
7��0o S%'/�oz�9�D �� ;vo �s' . %6�z �
TENANT NAME
' if liceble �
NwME PHONE F�% `
\
OWNER
STREEf CITY STAI£ ZlP
LOT SUBDIVISION SECIION
LO�ATION � � l�'Ml�L .S �I TI G/1/ /
AD�RFSS OF CONSIRUCIION -
�? G 2 O � -
A. 1'YPE OF CONSTRUCTION o plans incl a porc ? F. TYPE OF IIIIPROVEMENT
l. ,� Single Femily ❑ Yes�No l. �New Swc[ure
?. ❑ Two Family " � � 2. ❑ Addition Porch_Room_
3. ❑ ivlulti;Fanuly Type o ounda4on: 3. ❑ Remode] ❑ Commercial Tenant Space
4. ❑ Commercial/Indusirial ❑Crawlspace 4. ❑ Foundation Only
5. ❑ Farm , �Basemeot 5. ❑ Demolition
6. ❑ OTHER % !T-^ ❑ AocessoryBuilding
� ,:_.,
(SPecSY) � � .1'tk--a �� 7� ❑ Swimming Pool
B. SEWER: 8. ❑ Gazage Detached Attached
1. [�. Public (NAme of System CT�'l,tJn ) Lot Split YES NO x
2. ❑ Private(Septic Tank,etc.) ���� Flood Zones YES _ NO X
C. WATER: Sump Pump YES _ NO �C
l. � Public (Nazne of System C M F_� .��.��J.* ManutaMured Trusaes YES � NO _
2. ❑ Private�(Well� ,� � ,/
D. ZONING: /� ,3 6'J9. u ingContraMor /�`k�SioN ��l/KBi.UG .
E. BSTIMATED COST OF CONSTRUCTION 9
(ExcludiitgLandValue). �G .3,riG ,Plu ingI:icense# �� � BOCAor❑'CABO
4�kMi►Mrtt+Fi#ti*ttR#tMMfC}3FIM*►ittt*%#irtti►tt#!►iitti !#ittii •i*t*ttttiitikkt#►�*t►�Fi! R ii7�iftttR4tiit►Y I
The undersigned agrees tha[sny constructioq reconsVVCtion,enlaig`em el atioq or'alteralion of sWCture„or any c6ange in ihe use of land
or strucnues requested by this application will comply with,aud conform to, applicable laws of ihe Stale of Indiana,and the"Zoning Ordinance
of Carmel Indiana- 1993°(Z-289)and_azuendments,ailopte�dnder-authoriiy of I.C. 36-7 et seq,General Assembly'of the State of Indiacia,mmd all
Acts amendatory Ihereto. I fw-Iher certify that only�kitchen;balh,laundry,andlf aar drain,are connec[ed to ihe sanitery sewer. I furt6er certity
that the rnnatruction will not be used or cupied:�until a Certifica�te/of�n,7.,-.upo has been isaued by the Department of Community
Services, Carmel,Indiana � �L��i,�„,(�% f/� �x .• .
W�V��U �( ��•, Inspections Needed:
- � - � � �t���(�.(��tiu nd telab ou h- eter Base
Si ture of Owner or Auttionzed Agent ���"��-';Y`' +� �, r,.�� `�` - g �
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, I ,r�y r'� �G �ti� �� IOB� C�Q
��!'i R (_(IA�L S/Y/T/1 • �' F,r,`3",�^;p`� g. i
(Print)' (PhoneNumtier)���.a`,_:• ,'k.�l?�°(S�iereF'ootage)' - �" IS60
a :...' �� ` �
4'� ��
Sewer Capaciry Allotted � e�" �; �, on Fees: 250.00
y�, �4�� \
Plan Commission/BZA Docket' : _ ��,�EL CertiScate of Occupancy: 15 O
G� � oT 5.0
- �� �� ' ;( � ,
Revie ed/Approved: Dept.of Community Services �i� Fce Received By •:�+�am ���