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HomeMy WebLinkAbout0142.97 Receipt/Permit �� Carmel lay, Permit Na , �: Application for Q�9�" Da� 2i ��`�7 "°� Improvement Location Permit ��� R°°F`t � Tfiis permit islvalid.only,if coiistruchon'is sta'ited witliin.;120 dayspf issuance da[e;all construction must be completed�(c/o issued)within 2�yeers of issuence, dateunless�an'�ez[ensionofdme'hasbeen'officiallv raNed�b�letterb [heDirectoi,De arlmentofCommuni Services. NAME�. � PNONE FAX ;srrn:nEx S i d �e `o S L-Z_ S 3 5 f�L' $ 3 � srneer � cm- srnre vr D 1 , n 5���# � �N 46a3z TENef;N1',�NAME. �'(ifa lica}ile•.. NAME PHONE FAX owr�x 5 IVI,� SIAELT CITY SfAIE ZIP LOT St1NDIVISyiO�AN' SECIION ' LO�CATION � ' � 'V`�'^ P w � ADDAESS OF'CONSIRUC/lOT i �SA�I �.���� � �� � � �OG A. TYPE OF CONSTRUCTION' Doplans'include a porch? r: 1'PPE':OF.IMPBOVEMEN'T l. .`gl Single Family �Yes❑No I. I� New Structure 2 ❑ Two Family 2. ❑, Additios Porch Room� 3. ❑ MWh-Family Type of Foundati�� 3. ❑ Remodel � Comtnercial Tenant Space 4: ❑ Coinmeroial/Industiial ❑Crewlspace � 4. ❑ Foundation Only .S. ❑ Farm �Bzsemenl� ❑, Demolition 6. ❑ 01'HER �Slab �J�1�. ��� AccessoryBuilding (SPecif}') ��J wimming Pool B 'SEWER: 9 8 azage Detached Attached 1: � Putilic (Name of.SystemGT�w ��- ), �jT.ot Split YES _ NO 2; � Private(Septic Tank„etcJ H. Flood Zonea YES _ NO _'� C. WATER: �> I: Sump Pump YES NO _ 1. � Pulilic (Name of System�N p P L� ��, � ManufactuieA Trusses YES � NO 2. ❑ Private(Well � F� D: ZONING: .S-Z � bing Contrac4or�T M aD.V L E; ESTIMATED COST OF C STRUCTION �J9 J G P 81005�-e S (Excluding Land Value) ��, '(7� � `91 Plu/ ing Iacense# ❑BOCA or 1�CABQ t#kttrtYwktiR1st***#ik*�+FrtM+krttit#L#►*tX�Mt�#i#iit#rt#t � #;#ti*rt+F##i4#itiiitfrti�tttirt►444i#i►tiiiitii#t#iiifiifi . . . . . _.._ . .._ . . . .. . .. . . The undersigned�agrees that any construction,reconsiruction;enlarg` t,rel atioq'or alteration of struchve,otany change in the nse of land or sUUCtiues requestedby tltis application will cotnply w�th,andmnform t , _applicable laws of the State of Indiana,and the"Zoning Ordinence of'Carmel��Indiana- 1993"(Z-289)and:amendments;"adopted.un � C�.36-7�etseq;GeneralAsseinbly�ofthe�StateofIndiana,�snd'�.all , _. , Acts as�endatory�thereto. I-fivther ceitify�that only kitc „ aUi,Jamdry,��and floor� ���iiu aze connected�to the sanitary�sewer. I,turthe��cetkity ihat;t6e construct�on will��not be�used or occup'��_ until a Ce" 'uate,oj/Occ un - as;been�issued by�the Departmen4of Community Services, �Carmel,Indlana. .. . - . �r �f,�.�}/� �j/�t... �� ��d���n�/'�/ �� ections Needed: � . �� ��l�Y�" . ' , ' . . `:� � �//{ F �t � 1 , ough-ln eter Bese Signeture of Owner or Auttiorized Ageut 'L �� al C/ I�arr.n>ll:a �om�v� 56�Z=z95lo:x�=-. a�, � - -C�.�ri�fEV,� £��1�q•TIC,,,..�:;o.np1., . . (Print) (PHon Num6er) , etmie(Square-Footage}� J� �iP=��fiFi e� rarsa�lcarec� tividf� �*C� x b D? �ar.� .: < SewerCapaciTy,Allotted_ � '^B�''r..�Jd�i6l$�,��,p,�tiQ�n•vb� '��!�CS I �_� PIBn,C Z.A Dooket#: +��1�t4�iL1��~Ce�tifca�e�of Ochcupa�icTy: /.S �— GIl"Y QF Z�� ` tA!DlAP�IA ( gT�T�`.44 , � - G �� .,�; C�/� � . Revi p r ommiinity Services F eceived By ,:�+�vveeb m izsa