HomeMy WebLinkAbout1300.98 Application �
C: ;lay ermit No.
� Application for a,�� 9�
' . Improvement Location Per.mit R°"F`'e—t�0� .
�This:pertnit is valid only if construction�is started within 120 days of issuance dete;.all consiruclion must be compleled(c/o issued)within 2 yesrs of issuance,
date unless an extension of time has been otticiall ranted b .lerier b�the Director;De ment of Communi .Services.
NAME XONE FAX
BUILDER �� � �� ��7—�����/ .���— S�`I/S�
//DG✓ �tii�c� ��c- �/��/� �A,� �� o� Z
TENANf NAME
if e licable
Nuae _ exoNe enx
OWNER
SIREEf CT' SfA'IE ZIP
IArf SUBDMSION SECIION
LOCATION `� �'f �es �
���S��u�.,��4� GJaI`C �.�-��� S�G o� �
A. 11'PE OF CONSTRUC'TION Do plans include a porch? F. 7'YPE OF�IMPROVEMENT
1. �ingle Femily �s�No 1. Q'New Stracwre
2. ❑ Two Fsmily 2. ❑ Addition Porch�R ,�r. �
3. ❑ Multi-Family Type of Foundation: 3. ❑ Remodel ❑ �`�' �i,ek�cna�S
4. ❑ Commercia]/Industrial OCr�lspace 4. ❑ Foundation Only
5. ❑ Faim C�lBasement 5. ❑ D�tion QCT ,Z /�l�
6. ❑ OTHER �Slab 6. ❑ �ry Bwlduig �� ��
(gPecify) 7. '��. P$ol
B. SEWE� � 8. �c�ara�6r � ched_ 9�� �, —/
l. ❑ Public (Name of System��' �7� G.�S�fYL4�,+ ,.�'• �� YES ,��"NO _✓/- _
2. ❑ Private(Septic Tank,e[cJ H roo��o "�Odr' YES _ NO �C/
C. WATE : „/ / �� �p YES �NO �/ /
L �Public (Name of Sys[em��«�� / �J`o��red Truaees YES NO �
2. ❑ Private(Well Q�o�'a��'�'Gv \ .�p
D. ZONIlVG: � Q�� 1��(uA�6i�Contractor�QS����/L+9A y
E. ESTIMATED COS ` NSTRUCTION �9�o�pzGO�ly�!p\� �(�j(�Dt�U �y--/.
'(Ezcluding Land Value) � OG�•d J' f(� �o � �I�bing Liceose# �U(;A or❑CABO
xs�r�rts�t►ttstss#ttastss�sssssts*s►xtssstss"rss ��ss9�G�sttsssttt�w�r*ss+ssrtssssssass*�rwsssattsstssts�r�s�
The undersigned agrees ihat any consuvction,reconstruc� �enl t,relocation,or elteration of swcture,or eny change in ihe use of land
or s1iuctwes reques[ed by this applicatioo will comply witH�and Sr�to,all applicable laws of the State of Indiana,and the"Zoning Ordinance
of Cartnel Indiena- 1993"(Z-289)end emendments,;adopt� `4y�ttonry of I.C. 36-7 et seq,General Assembly'of the State of Indiana,and all
Acis amendatory ihereto, I further certily thst only kitchen,bath�7eundry,and floor drain,are connecied to the sanitary sewer. I further certit'y
t6at thg rnnstruction will.uot be used or occ6pied until a Certifuate �cupancy has been isaued by-the Department of Community
Se ' s, Carmel;Indiana
Inspections Needed:
,\) -,[L/�-- �LO �'1
. � - � .. : � Or �K�-Y� �'�" G nderelab ou - e as
Si ature of Ownei'or,A ttiorized Agent � `�
�,�/C���/� .�/7 ,5��.3 9 ���ta� � � 11
(Pnnt). (Phone N ber P �t(Square�F , age)' �'�` ��
- I
�Sewer Capacity Allotted Inspec eest
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Pfan Commission/BZA Docket#: � Certificate of,Occ c :� ��, �/
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Reviewed/Approv ept.of unity Services /O Fee Received By •:��em m��