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HomeMy WebLinkAbout1295.98 Application �Carmel. lay Permit No: . �� J q"� '� Application for Date - Roll Fil� Improuement Loaation Permit � .This�pertnitis valid only�if construction�is started withim130 days�of issuance date;ell consVUCtion must be completed(c/o,issued)within 2 years of issi�arice; date.unlessanextension�oftimehasbeenofficiall rarited'b letter�ti'�the�Director;De rtincntofCommuni Services. N PNONE FAX BUIi;DER GE . ��`,I�R:S , 6:a�%— �"'/OO � STREEf CITY � STwTE 9P :57`-/0 ��cni u� i, . -,�nia . _s : �,v. 5-c�. j. TENANT NAME �A a�o if a licetile. � , ��'F - __�.,, �x e r Ne. `���r ,�.v+�iA � " owivER ra�A _��0�(? S�Q r,! .�Pg`=i4t19 � �:v .`re� .s�eer� � � a kC U�..�4 YstA+ >st'A?a t rn:�e���' x. ,�C+� §ub�e� o�,.�+tse$�s-�c�ymay��,� f:5`���3i�`��i�"�;... i.ar �sueornsior ��y � �"� �,w�7� �7 �i'9ry�+� 592TfoN� t LOCATION /�� �_ ` ��` �£ � ���� AODRECS OF�CONSIRUCIION /`/ 05 �: A";=ccat�a/� c:T. A. TYPE'OF CONSTRUCTION Do plans include a porch T E TYPE OF'IMPROVEMENT �,��n �r. 1. �. Single Family �Yes q No 1. � NewSWctwe �m �� �"�"'��'�' �� €, ,p�,�,: ,�, 2. ❑ Two Family 2. ❑ Addition Porch_ oom_ 3. ❑ Multi-Family 1'ype of Foundation: �3. ❑ Remodel ❑ Commercial' nag[Spaee,;; 4. ❑ Commeroial/Indus[rial ❑Crawlspace 4. ❑ Foundation Only 0�� 5: ❑ Farm f�89sement 5 ❑ Demolition 6. ❑ OTHER ��7Slab 6. ❑ Accessory Building y���� '(SpecSy) 7. ❑ Swimming Pool �'-'' B. SEWER: 8 ❑ Gazage Detached Attached 1. �1;, Public (Name of System C+�R iy,�:� ) G. Lot Split YES _ N� 2. ❑ Private(Septic Tank;etc.) H. Flood Zones YES _ NO � C. WATER: I. Sump,Pump YES__� NO 1. �- Public (Name of System C���1`���- ) J. Manutactured Truases YES �` NO _ 2. ❑ Private(Well� - � 1 D. ZONING: 5.— L K Plum6ingContractorr.�"E+t'u"4� Q��7` � E. ESTIMATED'COST OF'CONSTRUCTION (Excluding Land Value) ��J.3. Cj 0� Plumbing License#�"d'GC}/�J"� ❑BOCA or�GABO •*rrwrr*rws+a►wwr*►sfsi+ssiir*+*its#*iri+si�3*r*rr*s�rs**it�ss��i�e*ss'+*++s+sss*ss**tst*irsrr�rsssst**+• s*s►s . . ,. _ ,. ,... .._... The undersigned agrees,thaP;any construcUOn,reconsWCtioq enlargement,relceation,or alteralion of shucture,or any change in the use of land or shuctures requested by this applicatioa will comply with,and conform ro,�all applicable laws of the State of Indiana,and the"Zoning Ordinance of Cazmel In2liacia- 1993"(Z-289)and aiimendments;.adop[ed under authority:of I.C.,36-7 et seq;General Assembly�of ihe.State of Indiana,and all Ac[s amendatory�thereto, I�fwiher cer_tify-�that only�kitchen,bath,-laundry;and floor�drain�aze connec[ed fo the sanitary sewer. I further cer[ify tbat.tfie constryMion will not be used.or ocw ied ,t (�e ,�.��!�c Q,�,as been iseued b the De ar[ment of Communit Services, Carmel,Indiana. � P �A�'L-��l� r���'�S. Y P Y DP 928-6447 Inspections d: � /q/ �� //,/ //�7 FOR PICK- p,l'!�'�(, �1G CL�(���IYV..+� Footin � derslab ough-In eterBase Si��iaNie of Oivner'or Authorized Agent ' Site Fin GO I��13R�+ �,l/�uSM�i� ��e-�!oo _ `� l.� 8s� (Print) (Phone Nucnber) Permit(Squarg:Footage) � Sewer Capacity Allotted (�cj•- 2�l �1 �, Inspechon Feesi ;�rid� 1� Plan Commission/BZA Docket#i � ��G �Certificate of Occupancy: _ �S •00 ` 4m - � T : - I ,.. � `9`9� ,��, l�Un `� . - Q Reviewed/Approv : Dept.:o CommunityServices \, Fee"I2eceivedBy s���e� m'�� , . ,. : .. .;_ ... .. . . ... .... .__ . ...:v�:r.o-iw �a.�:a.n�zTSi�l"'��6+r"iii�y,; �•, — : , m - ��.P�c' , . . �.ar . �r. . . ' r� �. : .M , � ��. J I . � •( � _ .�_ � .�����_-i- ' ' ' .- •. � � \ � � ' .\ • • . l . _ � ♦ �I I . �i , v .. .�t . . � . . . / �