HomeMy WebLinkAbout1289.98 Application Carmel-Clay PermitNo. . $G ��
�� Application for �8te z� �
�� Improvement Location.Permit oll File
Tfiis pertnitis.dalid only.if constructionlis started wittiin�120 days of issuence de[e;a0�consVUClion must.be completed(c!o issued)within 2 years of issuance,
date�unlessanestens�onbftime�hasGeeno�oisll :��anted'b letter:b�-ttieDitectdr,DeBPtmentofCommuni Services.
NAME PHONE FAX
BUII;DER �avis Nb es L�c 54:5 - 2�$ DD 5G�- 2�29
� SfREFf Cf1Y STATE Z�P
'3755 C. S'2�d Stree�- Sui�e 12v � /is Zn.� �I(� 'LUO
TENANT NAME
� (ifa licable)
NcAME PNONE FAX
p�g JQmc S lVpDVL
SfItEEC CRT STATE Z1P
LOT SUBONLSION SECIION
LOCATION � SI�e�601' 2 �/"eQ. ' o�
ADDRPSS OF�.CONSIAUCTION
3'S5 1'nvernes5 Boule UQ'i'c�
A. TYP,Fs OF CONSTRUCTION Do plans include a porch? F. 1'YPE OF IMPROVEMENT
I. � Single Family �Yes�:No 1. ,� New Structure
2. ❑ Two Family 2. ❑ Addition Poroh
3. ❑ Multi-Faatily Type of Foundation: 3. ❑ Remodel ❑ o,���La] � °l p&ee,+
- ���
4 ❑ Commercia l/I n dustria l �Craw lspace 4. ❑ Foun da tion O n ly ���
5,, ❑ Fatm - ❑Basement 5. ❑ Demolition
6. ❑ OTHER ❑Slab 6. ❑ Accessory$uilding OCr 2 � ' '
(Specify) 7. ❑ Swiavning Pool
B. SEWER: 8. ❑ Gaza e Detached
B (�
1. �,`I Pu6Lc (Name of System CT2 W.l� 1 G: t S lit Y�S`�� O �
2.. ❑ Private(Septid.Tank,eto.) H. �nea �5�� NO ✓
C. 'WATER: �C��pP�m YES
I. '� Pu61�c (Name of System % Q 0 �5 ��0�111an�t�ed Ttusses YES ✓ NO
2. ❑ Private.(Well� � Q� 00 ,b\_ �
D. ZONING; — a,g o�1�,e��ig Contractor /L � T A10 D re
E. ESTIMATED COS F CONSTRUCTION GO �.,'���' �j ,��
(E x c l u d i n g L an d V a l u e), s 2 4� Z �7 @,. 0 p q�;.�t l u m b i n g L i c e n s e# H�d�5�O S[,�BOCA or❑CABO
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The undersigned agrees that any consUUCUOn,recons[ru�one�nlpf t4e�atioq or alteration of sWCtwe,or any change in the use of land
or structures requested by tivs'appl�cauon,will comply��i��.�t applicable laws of ttie State of Indiana,and[he"Zomng Ordinance
of Cazmel Indiana- 1993 (Z-289)and,amendmen gt�d�a�uf� i�of I C.36-7 et'seq,General Assembly of the State of Indiana,and all
i
Ac[s amendatory thereto I further cer4fy that o- � � �eR4�lti' dry,and floor�drauu are connec[ed to the sanitary sewer. I further certif'y
t6at the rnusttuM�on w�llpot be used or olQ!I�d untjl��rkfuate bjOccupancy'6es been issued by the Department ot Community
Services, Garmel,Indiane. g° (GQ O
�`�� Inspections Needed:
��� p� � � �J /� 7� /' G
,(�Q/1 f'� . G(//I,I,�Q. �C.�/� u) ootiu odersla�� �- oug6- eterBase�
Signature bf Owner or Autt�orized Agent
Site � C/
�Deborah k. Ll�h�-Fe. 545- 2�12
(Piirtt). (Phone N er) �' :Peimir(Square'Footage) �_ �JSQ� -
Sewer Capacity Allotted ' � Q O�� __t�d�
on Fees;
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Plan Commission/BZA Docket#: I�rifi �Occupancy:
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TOT : ��� �g�
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Reviewad/Approv ept:of -ominanity'Services �/�/� p FeeReceiv By a:��� m��
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