HomeMy WebLinkAbout0140.97 Application lay Pe 't No: yo, ��
•ToW;,s 'p Application for e,����
Improvement Location Permit Roll F
This�pertnit is velid only if wns[ruction is started within 120 days of issuence dete;altconsWction�.must.be completed(c/o issued)within 2 yeers of issuence,
da[e�unless aneatcnsion oT[ime has��been ofTiciall ranted b letter b the�Diiector;^De artment of Eommuni �Services.
NAME PNONE FAX
BUILDER S � D St�2' Z 6X Z- Z �
. . SfREEf CITY SfAIE TJP
W t ' S-h-e�.t C m�il 1 N � Z
TENANT NaME
if a licablc)
NwME yy /� PXONE FA%
OWNER S�I✓ 1 V
SiREEi' CI'IY STAIE Z1P
LQI' SUBOfVIStON ' SECf10N
LOCATION � rV�� z
ADDPFSS OF CONSIRUCIION
oz �- sb�.r �
A. TYPE OF CONSTRUCTION Do plans'include a,porch'? F. 1'YPE OF IMPRO�'EMENT
1. � Single Femily �{Yes❑No 1. � New St�ucture
2. ❑ Two Family 2. ❑ Addition Porch_Room_ �
3. ❑ Multi-Family Type of Fo 3. ❑ Remodel' ❑ Commercial Tenant Space
4. ❑ Commeicial/Indtistriel ❑Crawl � 4. ❑ Foundation Only
5. ❑ Fazm �Basement��� 5. ❑ Demolition
6. ❑ OTHER fBSlab / � Accassbry Building
(SPecify) `�j�C'p Swimming Pool
B: SEWERi � rg S. Gazage Detached Attached
1. � Public (Name of Systen�� �"�� ) ,��J�Lot SpGt YES _ N�
2. ❑ Private(Sep4c Tank,etcJ H. Flood Zonea YES _ NO
C. WATER: I. Sump Pump YES _ NO �
1. �I Public (Name of Sys[emZN D P�S ) � . Manutactured Trusaea YES � NO _
2. ❑ Priyate(WeIY )
D. ZOIVING: S� I /� K. P bing Contracfor ]Z.`�" M(1D V L
E. ESTIMATED COST OF CONSTRUCTION �;�; F�,C -,p�100 5'Z O�j'
(Excluding Land Value) I D O � �a� � 1 ' cense# ❑BOCA or�CABO
attssr*rttwsc�ttttrttKtrrs►rr�t►stsssswssstttttsss ♦+sssaara��wr♦ C�srrttst�sw+wartsssssss»sMSSSS�►r�ssr
The undersigned agrees that any consVUCtion,.reconsVUCtion;enlarge _ t,relocation,�alleration of swcture,or any chenge in the use of lecid
or structiues requested by this application will comply wiU�,and confoim to,flll applicable laws of the State of Indiana,and the"Zoning Ordinence
of Carmel Indiaria- 1993"(Z-289)and amendmenu,adopted under authoriTy of'I���-7 et seq,General Assembly'of ihe State of Indiane,and all
Acis amendatory thereto. I Curther certify that only �en,tia[ti�, au and floor.drairu are connected to ihe sanitary sewer. I further certlfy
that the conatruction will.not be used or oc ied untd erd'fic 7 ccupancy has been issued by the Department of Communky
Services, Carmel,'Indiane. /�,y�� ,
._,U.t%C. � Inspections Needed:
������ '
. �, t' g/Uedero � Rou �eter Bese
Signature of Owner erAuthorized Agent -�o
ite F'
(l�grr�,(lc �omr�v S�Z� Z9��r�39-w�7oED FOR . -��hSc�'?:,�n;�,�.� SZ
(Prurt) �` (Phon Number)��.� EO C�?FZ��lOI���Clq+uar,re�Fo�oTt�gf�)e,�`���
SewerCapacity'Allotted � ` < �"^dF�y�',(k4liQ�•Inspec'�ri u��ces� �^�^, ���
COfUiMU(V1TY DFVELnP(U�� "b
P1an CocnmissionBZA Docke[#: CITY OF (i�}{�e,Lf Occupancy:�c�-
� .�n•r ��n i - OT� '� r� • ,✓
�� l/ Gw07'(r/ .
e r v of mmunity Services Fce Received By =�++�dn ���