HomeMy WebLinkAbout1293.98 Application �(�'�rmel Cla � m�it No' ���� .
^y, tv„�y Application for �ar� �o
� Roll
7_ . ' Inipr.ovement Location Permit ���-
Thispermii is�valid only if consVUC[�on is�started;within;120 days_of issuance da[e�91PwnsWction�must.be wmpleted(c/o issued)wi[hin 2��:yeers of issuance,
date�unlesseneztensibn�oflimehas.6eenofficiall ;'r��leA��b ,letter.6�.theDirecto�;De � entofCommuni� �Services.
NAME " �PHONE FAX
BUILDER '=�!� �� 3/ � �7,�6Z O
SIREET �CITY � STATE ZIP
/o��� %5 on� � c�/�/'"l�L /.� � 6o3z
TENANT NAME
�if a licable)
NAME PHONE FAX
OWNER i�� o�✓� ����Z��
, STREEI' CITY �'ATE ZIP
o: �� yz/.�Si�st��� .�i^��,�� /�� � 3Z
LOT SUB�NLS�tON ,/ � � SBCItON 7��
' LOCATION � L✓/=S i o�/ e �,S��C i� � �"V` `'
nnursess oe coHarnucnoN� � �'a��"'"��' ��a����
f�
A. TYPE-0F:CONSTRUCTION Do pjans�lude,a porch,? F. TYPE OF Il17PROVEMENT �
1 ❑ 5ingle Family� i' L�lYes❑No 1. ❑ �lew Structtue \ �C'T Z b/����'
2. ❑ Two Femily ��. � 2. ��Addition Porch�Room_ °
3. ❑ M u l h-F a m il y \��..,�,T y p eofFoundation: ; , 3. ❑ Remodel ❑ Coinmer�ial!L`[�nant�ace
4 ❑ Commercial Ylndustnel �OCrawlspace. ti- 4. ❑' Foundadon Only �o ,x .2
5 � Faan ❑Basement �� 5. ❑ Demolition
6. ❑ OTHER ❑Slab 5� 6. ❑ Accessory Building
�SP��l') I 7. ❑. Swimming Pool
B: SEWER: ,// // � I�� 8. ❑ Garage Detached Attac6ed ,n /
l'. ❑ Pubhc (Name of System�� /r � I � , Lot,Split YES _ NO �/(�//�,
2. ❑ Private(Septic Tank,etc.) � H. Flood Zones YES _ NO l �
C. WATER: ' �1 I.. Sump Pump YES _ NO
l. ❑ Pubhc (Nama'of$ystem�) J. �factured Trusses YES _ NO
2. ❑ Private(Well �� c�°
D. ZOIVIPIG: C`— �{a.��um�g,�Qontractor
E. ESTIMATED CO T O CONSTRUCTION �.(e''@�'� a ���y't�
(Excludmg Land Value) /vcr� �" o�� 3"� g License#_�1"' ❑BOCA or❑ CABO
t*�±aas+»*ssasawsssai+rs*►*trr**�#*��*+*s*»*s�stt� �V s£+O ssa*se+��t�asrs t*►*essWr+rstt*+s*sta*►*s*
The undersigned agrees ihat any conswction,reconstructio��'G�re�alion;oralteration of swcture,or any change in ihe use of land
or struchues requested by tltis applicahon will comply wittv��i�a$r,�tbf�o',`ej2'applicable laws of the State of Indiana,and the"Zoning Ordutance
of Cazmel lndiana-1993"(Z=289)and amendmeuts,'ad clo�°��'Ii1� C.36-7 e[seq,General Assembly�of the State oS Indiana,and all
Acts,amendatory there[o. I fwther,cerhfy-that only � � � y �floor dtain�aze connec[ed[o[he sanitary sewer. I further certify
that;the,cousfruct�on will not be used or occ�ief� ° t�'of Occupancy has been issued by the Department of Commuuity
Servicea, Carmel,Indiana. �6'i o� °O��� �
_ ��o�� ,�'L Inspections Needed:
ir/.� � �c���� � � 4� Footing/Underslab� ough- Meter Bese
Signature of Owner or Auttiorized figent �
�v��/I •O�f i✓� '�7.��20�✓ � Site �r"% /O
(� rt
(I?rint) (PhoneNumber) y emtit(Squiie Foqtage) , 1
�� OG � o �.
SewetCapacity�Allotted. � � tionFees:'. � _�..
eo O . !�
: Plah CommissionYBZA Docker#: �9 ` f.Occupancy: � s _ � �,h
� ,�
�TO ' `
� �° `��'�
; Reviewed/Ap Dept of Co unity Services Fee Received By �:��� m��,g}� _„y
V�Y,,, �r.v�
�