HomeMy WebLinkAbout1299.98 Application C"`a�Fm�el- lay ermrt No. .�
Cr�� Application for a� �A�
.. � Improvement Location Permit �oll File
This pertnit is valid only�if consVUCtion is sterted within 120 days of issuance dete;.ell wnsWc[ion must be completed(c/o issued)within�2 years of issuencc,
date unless en extension of time has been officiall � ranted b�letterb tfie Director,De ent of Communi Services.
NnMe exoNe r'nx
BUILDER �� � � ��y aa� ���a� s
%aa �/ �� l � . � �.�ine/ %✓ ��3.�
TENANT NAh1E �
if a licable
OWNER ��GCI��CL7'� �rx/`.C/(�i� Fwx
SIHEtT� CffT STA'IE 11P
IRf AJBDMSIOY SECIION
LOCATION /� C��JU� �Qj3�
/1�55� �e��ov �,�.
A 'T1T 'OF GONSTRUCTION' Do plans include a porch?' F: 1'YP OR IlKPROVEMEIVT
l., �; Single Femily ❑ Yes❑No 1. �, New Structure
2. ❑ Two Family 2. ❑ Addition Porch Room_
3. ❑ Multi-F'emily Type of Foundation: 3. ❑ Remodel ❑ �" ,�c't�Te�nt�yS,�aoc'
4. ❑ Commercial/Industcinl ❑Crawls 4. ❑ Foundation Only �`�^� # ��
5, ❑ Fartn ent� / 5. ❑ Demolition
6. ❑ 077IER ❑Slab 6. ❑ AccessoryBuilding QL'T 2 ��'/�fJ�
(SPec�f'Y) 7. ❑ Swimming Pool
B. SEW�R: /J 8. D Garage Detached rAttached
1. Public (Name of System ��lme/ ) G. Lot Split YES.��r O
2> ❑ Private(SepticTauk,"etc:) H. Flood Zonea YES NO.�
C. WAT�Ri I. Sump Puu�j� s YES �_ NO _
1. `� Public (Name of System ��me/ 1 J. Man�Qc�ll�d�`russea YES � NO _
2. ❑. Ptivate(Well' 1 c�'(�' 00�'
D: ZONING: �"�— �Pl�b�gC�d� C �GL�/e.�
E. ESTIMATED COST OF ONSTRUCTION �1.�` .N<<t'�-G° (G'�,��Lg Q �/
(Sxcluding Land Valuz)�� ��r.a`"d,o'�b�tldenae#O�����Rf,BOCA or�CABO
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The undersigned agrees that any consUUCt�on,reco��p,E�g e g e��r I�o�or alteralion of structure,or any change in ihe use of land
or struc:twes�equested by this application will oom�'I�`�,atay � °�Catile laws of the State of Indiana,and the"Zoning Ordinance
of Camiel Indiam-1993"(Z=2A9)and aznencimeiAS;�adopt nt� .C..36-7 et seq,General Assembly of the Stete of Indiana,and all
Acts amendatory thereto. I fiuther.certify�lhst�only ki t�b, a�mdry,and floor drauu'are connected to the ssnitary sewer. I further mrtHy
that the con4truMiou will noGbe used'or occupied tl4�n Gerbficate of Occupbncy has been issued by ttie Department of Community
Services, Carmel,Indiana ,�
Inspections Needed:
�- � � ^ ��Uuderelab p�tg = o eter
Si ature of O er or Authorized A t
// /���SCL��-X" �e'C1�.L. O'��d0�� Site � GO
(Print) (Phone�Nwnber) Permii(Square Footage) Z� � ^ Z�'�
Sewer Capacity Allotted � / � Inspection Pees:� C��
K� �
l
Plan CommissionBZA Docket#: `� ertificate of Occupancy: �� `
N01/ � � F7$.�� �'�aa
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\Reviewed/Approv ept.of unity Services\\F Receiv By .:��a�n+ m izvs 1�.�
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