HomeMy WebLinkAbout1313.98 Application i.
�arm` Clay Permit No. f�
w,��;;P Application for �a��-�
Improverrzent LocaZion Permit Roll File
This permit is valid only if consWClion is started within 120 days of issuence date;all construction must be comple[ed(c/o issucd)withu12�1�ss���
date unless en extension of time.has'�been o�ciall rnnled b letter b Ihe Director,De ent of Communi Services.
N,�,E onsl-vuc�on nL, uy3-`139y F�
BUILDER
Z�II� C 8y3-9��1
SIHCEf CT'� STA'IE llP
/�-{ZSy- �oVE. �r. CCerm� � � N 46033
TENANT iNAME
ifa licable
NMfE PHOYE REII...E.A��I� �'OR ��f�i7��(e6k:...�'rl �.•.A�
OwivEx S/��G
SIItEET. . . _ ��ry ��,b5eG0 f,�GVeuy•^- . OC�!SiAIE��'U tLP�„�
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•� �r"iM1t'�FL!�'J��C �.aSG�.ii:j
�or sue�ms�oiv �/� ,fi�1GP'.a °'• .. 41���- � y;.6�'se"enoS+"'"_-
LOCATION 3 �U�'t-��I-�' �Q,i%�".�, CR� ae�D1AN�A z A
ADDRCSS OF CONSIHUCIION
s 9 i � 5, �i a.s M a ��- ►.��
A. TY�7'E OF'CONSTRUCTION Do pla�u include a porch 7 F. TYPE O ROVEMENT
l. �Single Family '�C�Yes❑No l. New Swcture
2. ❑ Two Family /� 2. ❑ Addition Porch_Room_
3 ❑ Mulu-Family Type�o� tion 3. ❑ Remodel ❑ Commercial Tenent Space
4. O Commr.cial/lndustrial ❑Cr ' �ce'�1 4. ❑ Foundation Only
5. ❑ Farm �. Baseme��"��� 5. ❑ Demolition
6. ❑ OTHER Slab �t� ❑ Accessory Building
(SPec�'Y) OCj 2 °� ❑ Swimming Pool
B. SEWER: ^ � J�_n., g. ❑ Garage Detached Attached
l. �Public (Name of System �-�`�u�� ' G. Lot Split YES NO �
2. ❑ Private(Septic Tank,etc.) Q H. Flood Zones YES NO _
C. WATER: �� I. Sump Pump YES ? NO
1.� Public (Name of System ���� J. Manufactured Truases YES NO �
2. ❑ Private(Well
D. ZONIlVG: � K. Plumbing.Contractor G. �is�
E. ESTIMATED EOST F.CONSTRUCTION
(EzcludingLandVelue) Z�O��� Plumbinglicense# ��sz-ti7 �OCAor�'CABO
Kr��wrrsrr�►skrrt**+w�rrtw+rist*w+rwrrs*sass*siwwrWrsisst►tsfssssttiss'ssr+s�K�r**ss*»s�ssrttss+r rt►ssstssssatst►sRs
'fhe undersigned zgrees that eny.constructioq reconsVUCtion,enlargement,relocalion,ot alteration of sVUCture,or any change in ihe use of land
or suuctures mquested by Utis application will comply with;and conform to,ell applicable laws of the State of Indiane,and the"Zoning Ordinance
of Ca�mel Indiann-.1993"�("L-289),end amendments,adop[ed�under authoriTy of I.C. 36-7 et seq,�Generel Assembly'of ihe Stete of Indiana,end all
Acu amendatory•[hereto. I fwther ceRify that only ki[chen;bath,laundry,and flooi draiai are connected to the sanitery sewer. I further certify
that�the conatruc[ion will�oot be used or��ocwpled uutil a Cerfifuale ojOccupancy has been issued by t6e Depattment of Commuoity
Services, Carmel,Indiana
Inspections N eded:
. �/� 'S�!'�'r.t� n erslab h-In MeterBa+e
Signature of wner or.Authonzed Agrnt
K. Ze I I e�- g ti3 -93 9� ��\` 519�e in� c�o
(Print) (Phone Number) �1Q Permit(Squere-�age) ��_ 550'`
Sewer Capacity.Allotted ' C ��', � [ion Fees: �
P1en Commission/BZA Docke[#: /�Certificate of Occupancy: ���6
/L 4.00
�TOTAL: ��
. � l� y,,11\yy�� 1��� ' ,/
`��� Fee Received F� `� .:�, �+ ���.vs
Reviewed/A proved: Dept.of Community Services J ,
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