HomeMy WebLinkAbout1292.98 Application Carmel Clay., � PenniYNo. �
-�o�_ _' ,, � Applicateon:for Date �
. - . •
��--� Improverrment Location Permit Roi�F�,e . �� �a'�
TFiis'pertnitis�valid�only if wnshuction,isstarted witliin 120'days of issuance date;all'consVUCtion must lie comp_ ed�.(c/o issued)within�2 years o i suance,
�dateunlessanextension.oftimehas�tieemofficiall� ranted:b lettei.ti �:[heDirecto�;De entofCommuni ..Services�.
NAME PHONE. �i FAX
BUILDER �• �Z�({ EL: 7— CJ .� /d
STREEf�. CITY SfA'fE ZIP
ZO .S� SS L—' , 7o/Y3' ✓/ LL� Tit/
TENANT NAME
�i6a �IicAble) �
NAM PHONE FAX
owivEx !� -� �L L-- � � / . /
y�xeer cnv srwre vr
�-r�,�E�- l'd C �--� �'.� ��3z
�ar sueoms�oN. � � � secnor
LOCATION � C Yz L-L
ADDR£SS�,OF�CONSRtUCRON
_ ... ......... . /��/�1' � �.. .
A. TYPE OF CON TRUGTION Do,plans include.a porch? F. TYPE'OF II1IPROVEMENT ��G� Oy�'
l. ❑ Single F ❑ Yes"�No l. ❑ New Shucture ���/ -p '�
2. ❑ Two Family �=' 2. •�on Porch Rpo�+�^.,R� " ��
, ,.,-. � g,
3. ❑ Mult� Family �Type of Foundatio odel ❑; �: �'pm�'�roral�anj
4. ❑ Commercial/ du�viah-� � 4 �(��Oa�Only
s. ❑ F !� a liance with 9�� �oi�uon 4„ �
6. ❑ ��x 5u0jt,: a� L,ocsal ��ry,s�a�g OCT 2 �J ���
csn��� of Sta6eC�unty,�� g Pool l
B. SEWER: � ��� arage Detached 9�A�
1. ❑ Pu6lic (Name of System h� t Gt „ ' YES �O _
...
2. ❑ Private(SepticTank,etc.�n�F �Zones �*+ "�`^'�� YES _ NO _
C. WATER: PA�1�N,�i C �� � P'Pump .� . YES _ NO _
1. ❑ PutiGc (Nazne of System ���"}' � J. Manufactured Trusses YES _ NO _
2: ❑ Private Well
�_.D—ZONING: �' K. Plumbing Contractor j��
E: ESTIMATED COST OF CONSTRi�TION /� �
�cluduig Land Value); �:O00 - �� Plumbing I:icenae# v(���O BOGA or❑CABO
+�fxaa**a»asstt**stts*r**ares*s'sss*tts*t}ra�s*ssrFt�s�tss****ss*�is+issststs**as*ttsxs*at►i+*rwsts*tww*ssss*
The undersigned,agrees'that any cons[ruc[ion;reconstruction;enlaigement,relocation,or alteration of swcture,or any change in the use of land
or s�uctwes requested by this application will wmply with,and conform to,all applicable laws of the State of Indiana,and the"2oning Oidinance
�ofCazmelIndiana�-1993"(Z�-289)and��amendafenis;ailoptedpader;authontyofLC..36-7 et��seq„GeneralAssembly�oftheStateoflndiana,.and'all.
Acts amendatory thereto. I fwt}�er:oertify thatonly�kitotien,�tia[h,laundry,and�floor drain�are connected to the sanitery��sewer. I further certify
that�the construction-will�not��be used.oc-occupied'until.a Cerlifuate�bjOccupancy has been•issuedby�t6e�Department.of�.Communky�
Services, armel,Indiaoa
Inspection ee�ed:;
`-'� b'�� � ootiug([Jndersla Roug6? ' Met Base
Signature of Owrier or Autrionzed Agent - , '� � �
��� � �� Site Final . /O ��j
�ic L L F� a.,r, �� �7"'
(Pniit) �� ,��o N ber) Perntit.(Sqi�are:Footage) ��� .. +
SewerCapaoiry-Allotted_ InspectionFees: .�/� ����
� � �C>,�� • ��.
�PIBn�Comriussi � ZA � -� �et�#: �1 Cerlificate�ofl.Occupancy � _ '
� � \ c^
�9Q �
e�=�' __� T
i;'�i
//' I � � �
evi�ed/ p _v De _ of Community'Services Fee Received By ,:v�w�a ' \\,n.�� �'
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