HomeMy WebLinkAbout1310.98 Application .�
cm,1- laY Permit No
o�wp_ AppGcation for Dac�
.�� Improvement Location Permit R°'► ''e 9�
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- This�pertnit is valid only if consWCtion is s�arted witltin 120 days of�issuance da[e;all consWction must.be completed(c/o issued)witltin 2 years of.issuance,
date unlessan ertension of time has been officiall ranted b letter b .the D'vector,De ent of Communi�-Services.
NAME ��PH�ONE ^'�7� �. �j FAX
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TENANT NAME
� (ife licable�
NAME PHONE fAX
OWNER
mieer crrr . n srnre va
� � r�)S �,l . .�%�1�L,1.1G1� l�t.i�t.� . C.C�i��,tic.-�, 7_—�,l ��C 6 � �
LOI' /� SUBDMSION secnor
LOCATION �" G ��/�S �" � �
.ADORFS4 OF CONSRtU[RiON ' /7 ,� ��
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A. TYPE OF CONSTRUCTION Do plans inc,�ud�a porch? F. T�ROVEMENT
1. ❑ Single Faznily ❑ Yes 1�No l. New Stiucture
2. ❑ Two Family 1` ❑ Addition Porch_Room_
3. ❑ Multi-Family Type of Founda[ion: 3. ❑ Remodel ❑ Commercial Tenant Space
4�Commercial/Indusuial ❑Crawlspace 4. ❑ Foundation Ocily
5. ❑ Farm � eut 5. ❑ DemoliUnn g %fn��„��V�/
6. ❑ OTHER lab 6. ' Accesso Buildin C
�SPec�fY) 7. �Swimming Pool
B. SEWER: 8. ❑ Garage Detacfied Attached
l. ❑ Public (Name of System G. Lot Sptit YES _ N�
2. ❑ Private(Septic Tank,etc.) H. Flood Zonea YES _ NO
C. WATER: I. Sump Pump YES _ NO �
1. ❑ Public (Nazne of System J. Manufactured Trusses YE NO
2. ❑ Private(We
D. ZONING: K. Plumbing Contractor
E. ESTIMATED COS C TRUCTION
(Excluding Land Value) Plumbing Liceuse# BOCA or O CABO
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The�ndersigned agrees�hat any conswction,reconsVUCtion,enlargemen[,relocation,or alteration of shucture,or any change in the use of land
or sWClures rzquesled by ihis application will comply with,and confortn to,all applicable laws of the State of Indiana,and the"Zoning Ordinence
of Carmel Indiana- 1993"(Z-289)and amendments,adopted under authonry of I.C. 36-7 et seq,General Assembly of the State of Indiana,and all
Acts amenda[ory thereto. I�fiut}�er certify tha[only ki[chen;bath,laundry,and floor aim connec[ed[o the sani[ary sewer. I fur[her certit'
thet the construMion will not.be used or occupied�until�a Cerkfuate o Occu been issued b 6e Depa nt of C mu '
Services, Carmel,Indiana �t Q�� /���
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S ature of Owner or Authorizeil Agen
G• /✓1� �G{7�9�- � K�;�o-/i vi Nq � � �se � ' , ao
(P��) .5� �3 - (�;C�3_ neNumber) emij,(Sq Footege) � raL°�,0� -�—
��`�g9� - �
Sewer Capacity Allotted O� � ection F � �: �D
Plan commiss�� N �_
�ZA D9cket#: �cate of Occupancy:
� "�' � �`�' �/ ' p �
�; f� TOTAL: _ � - •
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Revi prov : Dept.of Commuaity Services � Fee Receive By � .:��v �. ���a