HomeMy WebLinkAbout0126.97 Application Cu� Permit No. ��� �'
: �: P Application for �De� 2/ - %
Improvement Location Permit R°"Fil
' This pertnit is valid only if cunstruction�.is started within 120 days of issuance date;all construcUOn must be completed(c/o issued)within 2 ycers of issuence,
dateunlessan�eMension�oftimches�beenofticiall ���rantedb letterb theDirec[or,D� rtmentofCommuni � Services.
N PN FAX
BUII;DER A `���
��� V ✓ W'L ClfY _ �S SfA'IE 11P
TENAIVT NAME
ifa �licable
H,v.ie-������ ,rxoNe enx
OWNER
SI1LEEf CRY SfAIE LP
LOT_ � SUBD SION SECIION
� � /
LOCATION `
qpp`RCSyT�OF CONSIItUCIION
6..J(i� . .S ' (
A. TI7 OF CONSTRUCTION Do plens include a porc6? F. TYP�IIYIPROVEMEIVT
1. � Single Family �Yes❑No l. New SWcture
2. ❑ Two Family 2. ❑ Addition Porch_Room_
3. ❑ M�;lti-Family Typeot Fo 3: ❑' Remodel ❑ Commerciel Tenent Space
4. ❑ Commercial/Industrisl ❑Crawispac4 ��+w 4. ❑ Foundaaon,Only
5. ❑ Farm ❑Basemri:t. �� Demolition
6. ❑ 071-IER �Slab �- ccessory Building
(SPecifY) �� �� 7. Swimming Pool
B. SEWER: cyy����� ��(��. ❑ Garage Detached Auached
I. Public (Neme of System�il� G: LoR Split YES _ N�
2. � Private(Septic Tank,etcJ H. Flood Zones YES _ NO �
C. WATER: I: Sump Pump YES _ NO �
1. � PubGc (Nazne of System J. ManutaMured Trusaes YES NO _
2. ❑ Private(Well ,��
D. ZONING: rn- � Plumbing Contractor �r/-�J����
E. ESTIMATED COST'OF C STRUCTION
(Ezcluding Land'Velue) �1� FF� , u ' g I3cenae# ���OCA or❑CABO
srtt*Rt+►s*rt�+r»a*�wrww*rt*s�r**tt►srssssssrtr ,�ss�ti3stis�twss • sw«�rrr►sss�tsts►saa w*►r*�rts*trss►a��s
The undersigned agrees�hat any conswction,�econstruction, ement;re�l�i on;or teration of sWOture,or any chsnge in the use of land
or shuctutcs tequested by this application will comply with,and co to,_all'applicab laws of the State of Indiana,and the"Zoning Ordinence
of Cazmel L�dima- 1993"(Z-289)and amendments,adopted - f I.C. 36 et seq,General Assemlily'of the State of Indiana,and ell
Acts�amendatory ff.ereto. I fiuther�cer[ify that only �� en,ba�h,launtlry�an. ain,ere connected to the satiitary sewer: I further certffy
that.ihesonatruction wlll not tie used or occ ��until a�rb�ol r LIS �has'beeo'issued by the Deparfinent of Community
Services, Carmel,In 'ana ��
� ���j��Jr�L Inspections Needed:
/ ��/ z
ootin a oug6- � r B
Sigr.ature of O�mer r uUiorized Ageni
� � �Q���J/°�/�� Site � Fioal C/
fl CiTC/ �
(Pnnt) (Phon tunber) Peimit(Square Footage) �
Sewer Capacity Allotted l / /' . Intipection Fees: �� g�
��yp
' _�
Plan CommissionBZA Docket#: Certificate of Oceupancy:
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R iew oved: CommunityServices ReceivedBy .��� m��