HomeMy WebLinkAbout0127.97 Application Carmel lay. Permit No:
T L Application for Date�t Improvement Location Permit Roll Fi
This,pennn Is valid only if construction is started within 120 days O""H ance date;all construction must be completed(c/o issued)within 2 years of issuance,
date;unlessan extension of time h- 'd Iciall edb letter b'the Director,Departmentof Communi Services.
NAME PHONE C� M FAX
B_UIL_D_ER i U: 6 '/ E,
STATE
�ZIP �
TENANT NAME
_(if applicable)
NAME PHONE FAX
OWNER
SFREEr CITY SPATE LP
LOT SL'9IXVISION /I SECTION
LOCATION 5 Alit' dl,e.e 111,91,,f
ADDRESS OF CONSTRUCTION'
A. TYPE O 'CONSTRUCTION_ Do lens. "lude a porch? F. TYPE (IMPROVEMENT
Lingle F Snuly @'Yes❑No 1. New Structure
1 ❑ Two Family 2. ❑ Addition Porch_Room_
3. ❑ Multi-Family Type of tion: 3. ❑ Remodel O Commercial.Tenant Space
4. ❑ Commercial I Industrial. ❑C 4 ❑ Foundation Only
5. ❑ Farm asemea iVA 5 ❑ Demohhon
6. 0� OTHER ❑Slab i 9F® ,A:=ssoryBUilding
(Specify) l 4 1 Swimming Pool
B. SEW 8 ❑ Garage Detached Attached
1. Pulihe (Name of.System G. Lot Split YES NO
2. ❑ Private(Septic Tank,etc) H. Flood Zones YES O
C. WATE 7 JA I. Sdmp Pump YES,_K .:NO
1. Public (Name of System.' .. �C�j J. Manufactured Trusses YES '� NO
2. ❑ Private(W ll
D. ;ZONING: — ~F� `l .K; Plumbing Contractor Ile G S/Of)
E ESTIMATED COST OF ONSTRUC
(Excluding Land Value)c jp bing License# ,D y/ � 30 C7IBOCA or❑GABO
The undersigned,agrees that any,i;onstruction,reconstruction, argement,r ocation,or alteration of structure,or any change in the use of land
or structures requested by this application"will comply with,and rm to all applicable:laws of the State of Indiana,and the"Zoning'Ordinance
of Carmel Indiana- 1 993"(Z-289)and amendments,adoptexItmder:an of I.C.36-7 et seq,General Assembly"of the State of Indiana,and all
Acts'amendatory thereto. I"furlhefcertify thati_oaly kit" ;:Iaundry,.and aims are cmmccited�to the sanitary sewer. I:further certify
that)tlre coustraction:will not be used or occupie until akCerdfrcate of Occupar has been.issued:by the Department of Community
Services, Cannel,Indiana.
. L� P�j,TUG`1rj'y>✓�/7�/ -. L J.
. s iect.ions-Needd:/Q_ tin Rough-
eter Base
Signature of Owner orAuthorized at Drn
/
` ; , GL -Final /0
(Print) - (Phone Number) Perrntt(Square Footage), v
—
„. Gj
Sewer Capacity Allotted�_�` � _ �inspection F,ees:
Plan Comussi_onBZA Docket#: Certificate of Occupancy:
T� �9
ev" e Community Services Fee Received By =: �vsaab Izvs
s