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HomeMy WebLinkAbout0135.97 Application Carmel=Clay � Pemut No: � 'To;;�„s�;;p Application_for �na� �Z � Improvement:Location Permit R°"F'' 'This�,permiE�is valid only.if construclion issterted,wi[fiin 120.days oGiss�ance date;all constrtiction must be compleled(c/o issued)witlun 2 years�of issuanee, date'unlessamextensiomof.time�hesbeen�ofFciall , ranteA�b detterb theDirector,De artrnentofCommuni �Services. � NM1E' PHONE FAX suII:nER. rr�Er? `c r➢ �n�5-iR�c`,�a Rz�- �lla�+7 Ra-1 -1� 7St3 �� � �� TTA,� � S5 : �z�ss. S.,Ja�P+� ��. �U�zv� TENA'N'1`NAME if a'�-�li'ca6le) NAME PHONE FAX owNEx ►!1�i'�r . CJ n 0 S '�-F/a . `�3 4�� . .• . .. . 5'IREEf. . . .. . CI'i'Y SfAIE LP Q�. rI. Co R �J G►-� �� � :i '-ki2�o �vr` aueorvisiov 5fC'C �v�P. �'j�l(v£ SECIION GOCATION 13--i7: - 03-BL - oI,S,Oa P . �R � 3 St�J 512 7 ! 3 I$ ADDRESS Oi CONSIRUCfION � j� `� �3a rl. C� ,�.Ew� I-�S�(�u 1�J' �lGzt�v -'A. TYPE OF CONSTR o plans include a porch? F. 1'YPE OF-IMPROVEMENT l. � Single Femily ❑ Yes[�No �� 1. ❑ New Structure �2. ❑ TwoFazculy �� 2. �' Addit�on Porch_Room X 3. ❑ ivlulv-Family e of Foundation:' � 3. ❑ 'Remodel ❑ Commercial Tenant Space 4 ❑ Commercial/�. ' � � iawlspace 4. ❑ :Foundat�on Only $. ❑ Fatm ment � 5. f] Demolihon fi: ❑ OT[IER � � 6. ❑ AccessoryBuilding csP��Y) `9j' � (l' 7. ❑ SwinuningrPool B.. `SEWERc � 8. ❑ Gazage Detached Attached 1, �I( Putihc (Nerue'o,. ystem G. Lot Split YES NO . 2 ❑ Private(Septic Tank,etc.) H. Flood'Zonea YES NO C. WATER: � I. Sump Pump YES NO _,__ 1. ❑ Public (Name of Systetn J. ManufaMured Truseea YES NO 2. j1�- Private(Well �/�,�� /3,P a� `� D:. ,ZONINGo � K lumbi6 ContraMor ' B. ESTIMATED COST OF CON$TRUCT ON ����/ /!-/ (Excludmg Land Valne) � 15�.OE10,do Plumbing Li�ense� ❑BOCA or❑CABO �+'s*sa.rt4aifss*+re•..trs�ttt+*r.s+re*as*�*ir�ssss*trs.#*r++rtrtsssstttsss.*s•nx*s►sw.rrtWtr�at*►��ss.rttssas►�♦ The undersigned agrees tfiat any consttuction,,reconsuvction„enlargement,relocation;or alteration of structure;or any change in the use of land or struclures req�esteti by,this application will comply with,and c:onform to,all applicable laws of the State of Indiana,and ihe"Zoning Ordinance of Cazmel'Indiana�- 1993"�(Z=289)..and��amrndments,�adopied under aut}iorirynf I:C.36-7 et�seq�.General Assembly'ofthe State of Indiana,and all Acts amendatory thereto:`I fwther:certify,that onlykiichen,bath,laundry;,and floor drain,aze connected to'the sanitary sewer. I furt6er certif'y t6at`the rnnstruction,will:notbe,used,or occupied until s Certificate of Occupancy has been'.issued by the Department'of Community Servicea, :Carmel,Indiana ^ Inspections Needed: \ \ �p i �':i.l W" � c: , � `�� � �., � ��� � " ... V`^�(•17j��L�• � � , �.Footwg/[Joderola _oug6- �MeterBase i a[ e of Owner or Au�t oriz Agent� t V rL7r�` ''���L r �- � . � ,/ %,��',�110 `63�C� �Sitg ,. ' al G . �F�'f� - �. �SI{?�l��y hone Number) 36���E�g2F�''Pemut(�Jq aie?Footage)_ `� \ •t�.n �I C�! ' ° �I��i� � �� c1 � <r� LL V1�1?`,�t1 .,. Q �c- . , Sewe[Capacily,Allotted . �l� r}� �C1�� �'rInsp�' ;M F�e. � � — � Plan Commissi nBZA Docket�i: iq����:,��4G ( Ce�rt�ficate of Ocoupancy: `¢+9� � ������ � TOTAL: � of Community Services Fee Received By � J .:�+�.sm m�� V