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HomeMy WebLinkAbout1298.98 Application .#�; a � �/J Permit No. �,.,�,5 p Application for y[/`7 Date� � G'$ . . Improvement'Location Permit ti� R°IiF''e 1� G� ' �This�pertnit`is.valid�only;ilconsttuction�isstarted�,witlun�120daysbfissuance�date,allwnstruction�mustbecompleted(doissued)within2yearsofissuance, , date���Lnlessan�eztcns�on�oftimehas'6een�oflioiall � rented�b lef[enb �Ihe�Director,'-De rhnentofCo ni S i s. . - . N E �� �� _ .S�y_ o� BUILDER .. s�neer cm - l� /. � �,-"*� '• /� � �u� v ' a����" . � TENANT NAME <�1� � +ti " � c � 'r � ���� ifla Lca61e �n� � n y �,.-_Y/^�'� "'t'���� NAME n PHONE . � •.. (�¢C\•.• u�`tFAY1fj�\! , `V� �//�-� s,�P�QGg 4'6�i'��i�^,��4 �,��'� OWiVER° - StREtT' CITY ��Qy'(, � r -¢��`3fA7'�yA� P �. . v�Y, _qv,�� ! V � lOT DM510 V SECIION LOGATION � �' �! �` `�'���`�%��� ADDRESS OF CONSIHUCfI N � �� �' _ �':��n� ����7`f— //�� ' A. TY```P,,,���E OF CONSTRUCTTON Do plans include a porch? F. TYPE Il1iPROVEMENT 1.�Single Faznily ❑ Ye No ew Stnicture 2. ❑ Two Family � � �ddi[ion Porch_Room_ 3. ❑ Multi=Family TypeafFo�u� 3. ❑ Remodel ❑ CommerciaPTenantSpace 4. ❑ Commercial!Industrial �Crawls �° x 4 ❑ Foundation O�ily , 5. ❑ Fazm �asement�����,,,,❑ Demolilion 6: ❑ OTF�R ❑Slab ��' ,17"� Accessory Building (Specify) ��j F. 7, �' Swiin2nng Pool B. SEWER: � �`� " 8. ❑ Garage Detached Attached 1. Putilic (Nazneof,System C� t�s G. LotSptit YES _ NO � 2. � Private(Septic Tank,etc.), &'d�� H_ Flood Zones YES _ NO �_ C. WAfrER: / �'I. SumpPpmp YES � NO _ I. `� Publio (Nazne of Syste[r���' � J: Manufattured Ttusses YES � NO _ 2. �❑ Piiva[e Well / ��u-l' D. 'ZONIIVG: ,�-,� K. -Plumbing Contractor �/ >�����/L E: ESTIMATED COST OF CONSTRUCTION (Excluding Land Value) ��O�!�t9'6� Plumbing License#��OCA or❑GABO •asr�s*ss*et*s�+��**+r.. s�si"s":itsssa'*»s`+sa.+assa*xsr,#asaat*ss+srs+�.swWSSrw.sssrs►rrtttsss #3titi1Rii4i#s##tt The undersigned agrees that any conshuction,reconstruGtion,enlargement,relooation;or.alteration of structure,or any change in the use of land:'"f or shUCdues reques[ed by ttu§application wtll comply wi[h,and confoim to,all'applicable laws of the S[ate of Indiana,and Ihe"Zoning Ordinance of Ceimel Indiana- 1993"(Z-289)and amendments,adopted under authority of I:C:36-7 et seq,General Assembly'of the State of Indiana�and all Aots amendatory thereto. I"further.cartify.that`only�ki[chen,bath,laundry�,and�floor drauu.are.connected�to the sanitary sewer. I further.certify _ ttiat,t6e rnnstntction;will'not be�uaed or occupied until a`CeRifuate of Occuparcy.has been issued by the Department of Communky Servicea, Carmel,Indiana , , ., CALL E•�'� `=: �'�• �LU.S' , In"spectionr eeded: C / D/�' �,��zs-t�447 � ` v ' � �oR F�ICK-UP ootin nd'erslab _ ou eterBase Signature of Owner or Authorized Ag ` /,/ // �- � ��� Site Fiu ' C/O � �YGI t�Uq G .S�h L'� �Y`" (,j (Print) (Phone Number) � Petmit(Square Footage) 1 .Q� 5,�3Z1 Sewer Capacity Allotted ' �_t � r: �tion Fees; �SQ.I�V � � o�t� ;-� u� : / PlamCommissionBZADocket#: � Certificate;ofOccupancyc �5��� � 3 O Ad /- � l� �?� � (. .. , \ ;s� tJ � � . � �� Reviewed/Agpr ed Dept.of Community Services `.� ` Fee eceived By =��eb m�� � \ ,. � �p 3O . '4:"" _ 't:.�J:..r,-iYl.l"� .. .r- . ...� nn..,x.,-....va'+'i'iF1Mrn.'.vi�.yY't"^�y�T�:'1"t'h\i' ,�,, '�.*'��if�a���a w.:��� riv. .:�w�n1a �C p(+r; � . . �\..�_ i � ' � . � � . � 1 t � � '' . . ' � 1 • .. I .. . . . . . • " iA� �1ti�;� `� ' �i .� � . // . � �: � . • �