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Home My WebLink About1309.98 Application � lay Pernut No. '° j Application for �� - Improvement Location Permit Ro„Fae \30� �,�, / 'Tfiis.permit�is��valid'only�ifconslruction�is��startedwitliin�.120days�ofissuancedate;allconsfruction�mus[becompleted(c/oiss�ed)within2yearsofissuance; �date�unless an�extension oftime�has�6een officiall .. ranted�b let[er:6 �the�Director,De�aittuent ofCommuni �Servicea . rvnn+e� :exore en�c BUn.nER L�� G 31 3� ZSr/ arneer: - � cm " srnre z'a PcS lIJ TENANTNAME (if a� licable) E PHONE FAX owivEx u� -tEt-PS �i� $!(o ��- SfREEf CITY SI'wT2 � ZIP � �L5 ✓l�t +.� � G�0� � LOT SUBD StON- m (' SECTION � V/l _J LOCATION DRESS�OF CONSIRUCTION / 1 O G�� l � ;� A. 1'PPE OF CONSTRUCTION Do plans include a porch ? F. 1'PPE,OF IMPROVEMENT - 1 0 Single Family ❑Yes O No 1. ❑ New Structure � • ' 2. ❑ '�wo Family 2. ❑ Addition Por h +Yri o,q� 3. ❑ Multi-Family TypeofFoundavon: 3. ❑ Remodel �o�d !C� 4. ❑ Commercial7Industrial' ;OC�awlspace 4. ❑ Founda[ionOnly 5. ❑ Fazm . OBasement S. ❑ Demolition QG,T Z 6. ❑ OTI-IER OSlab 6. ❑ AccessoryBuilding � 7j �'��' (Specify) • 7. ❑ Swunming Pool B. SEWERo � ) 8. ❑ Garage Detached��"ac�i L ❑ Public (Name of System;. � � G. Lot Split YE� � NO � 2. ❑ Private(Septic Tank,etc:) H. Flood Zonea YES _ NO C. WATER: � � L Sump Pump YES _ NO � 1. ❑ Public (Name'bf System 1 J. hlaoutactured Trusses YES _ NO X 2. ❑ 'Privat�`ell �/�� D_ ZONING: K. Plumbing Contractor E. ESTIMATED CO$T OF CONSTR�JCTIOl�� (ExcludingEand Value) �Z� }nn[7 "� Plumbing License# ❑BOCA or�CABO a*++*xstsar�e*+*�,*+ewsr*rr��rrtts�a*t�asass»�s*�stsii►tss+*rrstt#t*y►sarssssfaars***tfss*asrttt�x«+stsssra**r The,undersigned agrees that any:construchon,,reconslluction,enlargement;relocation,or alteralion of swchue,or any change in the use of land orstruchues reques[ed by this application:.will comply with,and'confoim to,all'applicable laws of[he State of Indiana,and the"Zoning Ordinance of CarmeIlndiana- 1993"�(Z'-289)��and�.amendments,.adopted under�.authoriry�of I C.36J� efseg,General Assembly'of the State of Iodiana,and all �Acts�amendatory��t}iereto: �I,fur[her�cer[ify;thatonly�kilchen,.tiath,�.laundry,and floor�drauu:are�connected[o the saztitary sewer. I further certify thaf:the co struMion',will.not��be�used:oroccupied until�a Cerlifuate ojOccupancy has'been issued by the Depar[ment of Community Services, armel,Indiaua Inspection e �� . � � �/''�'�� Footiu- nderslab ough- �..MeterBa9e gnatuie of,Owner r Authorized Agen[• ;�/7�—- - / � � .Site Final; GO � ��-I��" ��-l.l EJ--(J. � .-_..- � (Print) (Phqne N ov ,;5 �g9a're� (Square Footage) �� SewerCapacity' Allotted N q N ionFeesr �05:0� Plan Commission7BZA Docket#: �Y /Cerlificate of Occupancy: �5_0� TOTAL: �� \��c,�i _ s.� f(/�/7/IGC/� ept of Cominunity Services Fee Received B �v� m�� ; �� _ � �'��ti� . ..-,: .. . .. -..:"�' :ru.�..: ,.� .... . m, ,,. t:r.arrnn'4-g.Tir,�z+1� -�.�.»��.�Z:�ti.r.Y,::c.:�., i.v- ,r�:�n. `G7".e., �..r ., �,.r�.. ' � ff: , � � � . � , . � � - � . , . . . .. ., . 1 , � � � • � r �- . r ' . ` ^� � � r � I : , .. i ' .i � . °� - • ' �., � . . . . •�1 „<'''�r', c;+.. - . .,�t. r '� `;: . � � � �� . II. . � • �I I ��, . . � � >