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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.�� �' � `�N`