HomeMy WebLinkAbout0125.97 Application �C �Clay Permit No. d ,!�.
��,,,S�;P "�- Application for � Date 2/ l � i�
Improvement Location Permit R°u F`'
Tfiis pennit is valid�only�if construction is sterted within 120 deys of issuance dste;all consVUCtion must be completed(c/o issued)within 2 years of issuence,
"date unless�an�elctension o(time has been ofliciall rantedb letter b the Director, ent of Communi Services.
NAME PHONE FAX
BUILDER CH�* $�{'$-944� 5�4- 9�$"�
SIREET CffY 1TAlE LP
44S r4d�c '�r. L' AnmE� � bo'�Z
TENANT NAME
(if a licable) �
NAME PNONE FA%
OWNER � E � VE
rraeer crrv ,� B��
M
wr sueumsioN secnoN
LOCATION �'4� �STEQ ES
ADDRESS OF CUNSIRUCIION
14 �l4 'Sr4cE Sr•
A. TYPE 9F CONSTRUCTION Do plans'includea porc6 7 F. 7']'PE 4F IMPROVEMENT
l, aa' Single Family ❑Yes❑No 1. (B� New Shvcture
2. ❑ Two Family 2. ❑ Addi[ion Porch_Room_
3. ❑ Multi-Family Type of Foundation: 3. ❑ Remodel ❑ Commercial Tenant Space
4. ❑ Commercial/Industrial ❑Crawlspace 4. ❑ Foundation Only
5. ❑ Farm ❑Basemcut 5. ❑ Demolition
6. ❑ OTHER ❑Slab 6. ❑ AccessoryBuilding
(SPecify) 7. ❑ Swimming Pool
B. SEWE�s 8. ❑ Gazage Detached Attached
1. @' Public (Nazne of System CA¢�nE1. ) G. Lot Split YES _ NO _�
2. ❑ Priyate(Septic.Tank,etc.) � H. Flood Zonea YES _ NO X
C. WATF4R:' I. Sump Pump YES � NO _
1. �� Public (Nmne of System CAA+H�EL ,�. Manufactured T'usees YES _ NO �(^
2. ❑ Private(Well t��� . E�b�� ���
D. •ZONING: R—) �g mbing Contractor
E. ESTIMATED COST OF CONSTRUCTION J
(Excluding Land Value) Sr I o0 on o `99] P '. g ticense# Ol O�Z-SO BOCA or❑CABO
tttsss+sss�sar**rrMSrsr�rr►ss*i►rtt+**rtrrssWS**«rw• •rrrrrsssts ttsssssssss►►r�sart*sssssssss�sss�r�ssststsss
The undersigned agrees[hatany constiuction,reconstruction,;enlarg ent,rel ation,or altetalion of s[ructure,or any change in the use of land
or structures requested by tlus application will comply wi[h,and confortn applicable laws of the State of Indiana,end the"Zoning Ordinence
oi Cazmel India,-ia- ]993"(Z-289)end amendments,adopted uuder authority of I.C. 36-7 et seq,General Assembly'of the State of Indiana,and all
Acts amendatory there[o. I Ymther certify.tha[�only.kitchen,bath,.laundry,end floor drain�are connecled�to the sanitazy sewer. I.further:certify'
t6at the construction wi►1 not be,used or occupied'until a Cerlifuate ojOccupancy has been isaued by the Department of Community
Servicee, Carmel,Indiana ,
� In'speciion's'Needed:
., y��.
� n�,J�� ,` r�fla
��Footin . ude �'� er e
�Signature of r Au[horized Agen[ �Q r�l !`�� -�� Q�r, .
�P.`J �S4 n o?te' -.� inal C/O
C�+e.� D. 1e.,ro., 848-94q.o��� 1� �omq���, . ,,�`v .. .
(Pnnt) (P6oneNumber)c, �hIP�� ;tC3�2�'GP�\(Sq'u��{`ovotage) � �
Sewer Capacity Allotted ' U� �`S� �' C�r � l v �
��� , �`� In�pectron Fces: �.
Plan CommissionBZA Dwket#: ��\Certificate of Occupancy: �
4� �
TO� �
evie p _ t. of Community Services Fce Received By .:�+�e�+ m��
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