HomeMy WebLinkAbout0134.97 Application � , . .
!Garmel=Clay , . � Pemiit N : � ,3`j ��
-=�--�• Application for Date
Toi�nshipi� ,� . ,
�" V , Improvement Location Permit °� R�« F��
?his'',petmit is valid;only�if consttucuon is stdrted�wiihin l20 deys oC issuence:date; all conswc�ian is completcd (c/o:issucd)��wi[hin��2'�yeurs of
issuauce dAte unless an extension of time has been officially grented by letter by the Director, Department of Communiry De4elopment.
' ' NAME' ' �PMO\N\E fA%
BUILDER —� .,— 'N�.--�5 z�� 58 � , 0�1 6
. . � � � STREfl' � Cf1Y STATC 2IP . .
(�O �o�( 3Z.►(�� CA fZ M+�t��- � �I � (�b 3�Z
TENANT"`NAME
(if�applicetile)
��NAME PHONE FAX
OWNER 'S"""`F
.STREEf CITY STATE ZIP
LAT � SUBDNISION � SBLTION
LOGATION• � � U CK F�F R(.I
� ADDRESS OF CONSTRU N
`3�S l F...r� L r.� CJNztvl�i. � N �lv 0 3Z
A. TYPE OF CONSTRUCTION � F. TYPE OF`IMPROVEMENT
l. �Single Family �� n �1 1. � New Structure
2. O�. 'Single�Family Clus� 1 V 2.� ❑ Commercial�Tenan[ Space
3. ❑. Two Family � 3. O Addi[ion Porch _Room _
4. ❑ Mu1ti-Family \' 4. ❑ Remodel .
5. ❑ Commercial / Indusuial 5. ❑ Founda[ion Only
� ,6�. O Farm� 6. ❑ Demolition
7. ❑ OTHER (Specify). 7. ❑ Accessory Building
B. TYP.EpE SEWAGE"DISPOSAL 8. ❑ Swimming Pool
C�T�RW
t � Public System (Neme>of Sysfem 9. O Garage Detached Attached
2 ❑ Private (Septic Tank, etc.) G. Lot Split YES NO �
J C, TYPE OF WATER � _ H. Ffood Zones YES NO K
1 �J[� Public System'(Name of-System, � L Sump P.ump YES' �_ NO
2. ❑ Priva[e (Well J. Manufactured Trueses. NO '�—
D., ZONING CLASSIFICATION OF PROP Tl K. Plumbing CODE OCA or CABO
Present S — � �/
E. ESTIMATED COST OF CONSTRU ON FCF�� Plumbing Contractor ESS/0/V"
(Excluding Land Value) 0 '� � Iumbing.License q / 0�{
The undersigned:Agzees that any construction;recon tion; e geme" ,ielocation, or al[eration of struchue,or any ch8nge in[hb use
of�land or s[ructures�requested by this application.will co ly with; a .conform to, all,npplicable laws of the��State of Indiana, and the
"Zoning Ordinanoe of Carmel Indiana 1993"(Z-289) and a dme ts, adopted unde��a`��°eity of�Acts of 1979,Publio Law 178 Sec.
1�et seq, Generel Assem6ly of the �State of�Indiana, and all Acts endatory thereco�� ��,4��'
I-furtHe� certify .that the constructlon will ebt be uaed or�occupied'�u'ntil`'a Certifc ie�o,� Occuponcy�has been issued by the
Department:of Community Development, Carmel, Indiana: i�V� v-��Lh u• ' �-n,.c
I,�furth r° ertify��that�only�kitc en; bath�,�laundry;�andrfloor�drain���"rCOn�e�Qe,+�to1.t�''�ap�(�%x�sewer.
r�� I " � C
.
IV�. , ' `� �ty !v�,Q
� �` � ' - 1,,'vPC .enC,C1� .`y �G F oHng/Un � - �
__f . : .. . _ \ l G`�
Signatwe of Owner.or Authorized Agent -.0��`��S��!����C1�I��Drsina � �nal
PD f�� 3z� (� � ��� , y�,
Address_ - / ( .�G�^'.���'�Plan Pertnit (Square Footage) `P�'���
��' �,t„ l Ul�2J � �0�"�I1� Commission / S-- ,��
BZA Docket # Inspec[ion Fees
Ciq• tate .� Zip Phone � '—�
� �� ! (� /j_� ' Ceriificate of Occupancy �� � J � �
Se • Cap ciry Allot[e � 7 ��//�\ /� X,PC�
�G���CJ` TOTAL �J
i
, � ��� � ' ❑ �, � mmuntiy Development Received.by r«��..,.�aiv�snvs.
C