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HomeMy WebLinkAbout0131.97 Application Cannel=Clay �enwt No. � �/ q� o�� Application for Da� ?� _ . � / " Improvement Location Permit R°u F''� This�permifis valid only ifconsWCtion is started-�within 120�days�of issuance date;�sll wnstruction�musYbe completed(c/o�issued)��Jithii�2 yeers ofissuence, 'dale�unlessen�ex[ensiomoftime�hasbeen��offidall' rantedb letterb ,theDirectoyDe� rGnentoFGommuni� Services. .Nnrne axore Fnx sun:nEx Gi rk L ; rn�-�-tc� �� 5- �'7a.7- SfREEi' CITY STATE LP �l8' (oS _ Kess/� !3f�rl. � a� pr, s��! Is, N�.��20 TE?YANT NAME:. � (�fn licabla � � ��nnn�e� rxoNe enrz OWNER �-.i.� � � 1 ✓Q;✓� �.SfREEf CITY STA'IE ZlP LOT SUBDMSION I/ SECIION LOCATION � �'�' t'1'� M (� Q F '�'-S ADD � OF CONSRii1CRON � 5� �, �� 1� ps � A: TI'�E` F CONSTRUCTION Do plans incl a porch'7 ,F: TYPE�OF IlYIPROVEMENT 1. �SingleFamily ❑'Ye l. ,�� NewSWCture 2: ❑ Two Farruly 2. ❑ Addiuon Porch Room 3. � Multi-Faznily Type of Foun�l3tio�� 3. ❑' Remodel ❑ Commercial Tenant Space 4 • ❑ Comme�cial hlndustnal ❑Craw ��p� ❑ Foundation Only 5. ❑ Faim �Baseui ��'� Demolition 6. '❑ OTHFR OSlab �� AccessoryBuilding (Specify) 7. ❑ :Swimming Pool B. SEWERd 8. ❑ Gazage Detsched Attached 1. J�Pubhc (Name of Systein C r R�� �,�'�y Lot SpGt YES NO _ 2 ❑ Private(Septio Tank,etc:) '8i��d Zones YES NO _ C. WATERi< I � I. p Pump YES � NO 1. � Pdbl�c (Name of System �{�!� �. J. ufactnred T�vssea YES � NO _ 2, ❑ Priyate(Well F� � ,J� (� D. ZONING: -l'i I 'C�$' mbing Contractor �Ob `�` ��(�I1(�� E. ESTIMATED COST OF ONSTRUGTION . �,9 /y� (Excluding Lend.Value) . 3 o�a � g� P mbing License#r%��aG ❑BOCA or�i CABO 1#fitilYk�l.iti�kt*►4#4rtirttM*t#i#rts :kll+ksl�li#t##1* ##ki/►rtt%�*#i#tiliiit#t�ti\ii#ii###fiit+F►3i3ikitt�iiitiit Ttie undersigned agrees that any:construction,reconstruction,enlarge t,.r location,or alteration of structure,or any change in Ihe use of land or s1iuctwes requested by tltis application'will'comply with;and conform t ,all applicable laws of ttie State of Indiana,and the"'Zoning Ordinance ofCarmel�Indiana- 1993"�(Z;289)and�amendments;�adopted�und� ' �� �I.C.36-7 etseq,GeneralAssembly'of�the��StateofIndiana,andall Acts amendatory thereto.`I fiirther certify that only kitch , a[h,laundry;and floo airu aze connected to[he sanitary sewer. I further certify thaf�t6e'rnns4ruction will'�.notbe'�used�.or occup� until�ertif�rcate-oJOc/upa has been.issued�by t6e Department of Community Services,,cacmei,ina�ana. �n � ,iiii w ���f� ` (L Inspections Needed: � � , ��7�r��:7 �. J� tin b ` h- r Bas Signature of O,�vner o uthonzed Agent �Z�`�(0� .. F� ( ��fa In/or f(Srn" '75- , :.�}C;��u+ la��� (PruR) � (Pho NunibBr) Peim�t(Sijuaz�e Footage}a�,l il , // /� '` - O.S�t �'�, . ..,, ,� Sewer Capacity Allotted �J (/� -C � �Inspiahon F�s;d?� `�'Q�,�r�,y_� � — 7acu - ����c� u,� , 1 ��-- P.IanC onBZADocket#: Cert�ficaterof��cupancy: — �,� � �p /� .. �\_� � r C�r�RItl��L � Z% t_.� i l To ; . • S� � . �� _ ., ReLie'w ' , ;of unity Services Fee Received By a:��a�+ m« V