HomeMy WebLinkAbout1311.98 Application y Application for Date tN°��
Improvement Location Permit �R°"F''e
� . . . �3 .�CB
,�s�val�d�only�f consWCtion is started within 120 days of issuance date;all consWction must be completed(do issucd)wrtlun 2 years�ssuence,
date unless an ea7ension of time has been officiall ran[ed�6 letter b the Director,De rtment of Communi Services.
NAME�� PNONE� FAX�•.'
BUII.DER' � NEARrr.�uv IntAus�i'FS Nc�. ���� �Ied3� (3�'� ��� -� /�3
I.�YoOoL I�• GQA1� �a�.a d•9cESJ �h�� I I�� ���'Q� �
N li � e [�,� ....ee.'TFb.14�>1 y�'�.9 a
NAME PHONE 'I �/ L`G`.' T 4lS•��sfS��+:2-�:t��C4�i'u..
OWNER TAr�lS . F.A{l�@� :�2. �^Y`I- " ��e7- �l.E�''y.,n�]:i&t. ,4.` .�c.9:;a¢,�.�'..,r'�'^..
srneer rnv $U$S6LZ ._..�;i ��E .,si�nre�a-� �ve.3tC '` . .,..i
�7�oL �i,Li.. CQ�2:� �CAG� �41e11��.ti _< na L'C�"/'I J�l2 r���Q����y�n��v
LOT SUBDMSION R�r `�, ��(�i�esecn;rr�A
LOCATION << ��AK �0+� C1� � ��� _
AD�RPSS OP CONSfAUCItON
97yd. m�`�� C,R����� C�.mE� �M - - � � - 6
A. 1'YPE OF CONSTRUCTION Do plans include a porch? F. 11'PE OF IMPROVEMENT OCT 2� ��
1. ❑ Single Family ❑Yes,�1No l. ❑ New Structure �
2. ❑ Two Family 2. ❑ Addition Porch_Roomy�-�
3. ❑ Multi-Family Type of oundation: 3. ❑ Remodel ❑ Commerciat.yeUaJi�
4. ❑ Commercial/Industrial � rawlspace 4. ❑ Foundation Only
5. ❑ Farm asement 5: ❑ Demolition /� �// /
6. � p Slab 6. Accessory Building (�
(SPecifY) (i 7. w�mmmg aol
B. SEWER: 8. Garage Detached Attached
1. ❑ Public (Name of System G. Lot SpGt YES _ NO
2. ❑ Private(Septic'Tenk,etc.) H. Flood Zoues YES _ NO
C. WATER: � I. Sump Pump YES _ NO
1. ❑ Public (Nsme of System J. Manufactured Trussea YES NO
2. ❑ Piivate(We
D, ZONIIVG: — K. Plumbing Contractor
E. ESTIMATED CO _ OF ONSTRUCTION
(Excluding Land Value) ��.7QO. °-� Plumbing License# or❑CABO
i/tt#iittitiliitiR#ft#�►#1t*a*trttkiitk+tl*3#1tiT#*#iiitiiiitkiik#i#it►trtY4liiiitiitR#►�►rt*/liititi4tit#ttiiRR
The undersigned agrees that any construction,reconsuuction,enlargemen[,relocalion,or alteration of sWCtwe,or any change in the use of lend
or shuctwes r0quested,by this application will comply with,and conform to;.all applicable laws of the State of Indiana,and the"Zoning Ordinance
of CazmeTlndiena- 1993"{Zs289)and amendments,edopted ander authoriry of I.C. 36=7 et seq,General Assembly'of the State of Indiana,and al]
Acts amendatory�thereto. I fwther certify tha[�only kitchen,bath,lamdry,end floor�drain,aze connected[o the senitary sewer. I further cer[rt�
.that-the wnstruction will not be used"or occupied until a�Cer6ftcate�ajOccwpaxcy has beeo issued by the Department of Community
Services, Carmel,Indiana
Inspections Needed:
�y� Q,. �<!L�i�y ooting/U derslab Roug6-In Meter Base
Si foe�r Owner or Authorized Agent
�� � ,��_ � Site Final C/O
(Print) (Phone r "' S ,�ggg P 't(Square Footage) S ,� �_
Sewer Capacity Allotted 1� �} N�v tion Fees: 35�n
Plan CommissionBZA Docket#: Certificata of,Occupsncy: �
� TOTAL: �F 75 �
Reviewed/Approv Dept:of Community Services Fee Received •:� m��
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