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HomeMy WebLinkAbout1314.98 Application \ `el-Clay Permit ,� Application for De� � Improvement Location Permit � Roll ' - 13iy 9� .,pe is valid only if construction is started�within 120 days of issuence date;all consWction must be comple � (c/o issued)within 2 years of issuance, date un ess an extension of time has been otTiciall ranted b �.letter b [he Director,De ent of Communi Services. � Nnn�e ,rxore Fnx BUILDER Fi.pn :� ✓an �vci,.'v.i� �`/3-�3/� /✓ . S'ITtEET .CT' SfATE ZIP y.z � � °� ,¢�� ��. �,,,� �� .�. y� o� ,� TiYs-6ca i� �� � • N,uee rxoxe enrz OWNER /%wn /e �✓�n n 0✓G/vn �•icn f`!�� -.0.7 / O /l� /9 SIHEEI' CffY SfA'IE LP � � ^L �✓G- /!/ !�. C 4/^'��G� f-�✓ / � .2 LOT SI/BDMSION SECIION LOCATION yy G ' � �� g d�ei s ADDRESS�OF Q�NSIRUCIION Y.Z / � -r �rc, i✓,� . G..�,,, v/ 1'� Yb o3.7 A. E CONSTRUCTION Do plans include a potch? F. 7'YPE OF IlNPROVEMENT j� `�a �/ 1�S e Femily ❑ Yes�-�'�0 1. ❑ New Struchue �` 2. ❑ Two ly 2. � Addiqon Porch -.m.a l��� 3. ❑ Multi-F F[�e of Foundation: 3. � Remodel ❑ C ry,�' a 4. ❑ Commerci e `"'���ce 4. ❑ Foundauon Only 5. ❑ F C�lO f,� 5. ❑ Demolition t��� 6. OTHER � ����� "lJI��Q�-� 6. ❑ AccessoryBuilding �CT 2 �� � (Specify) � ',fy CP�,�� (/�I-!�❑ Swimming Pool B. SEWER: p���i� 4(/ S"�lyl Gazage Detached � I. ❑ Public (Name of System 'w(r �j ��+ YES _ .�_ 2. ❑ Private(Septic Tank,etQ/f)� ^,����!����� YES _ NO X C. WATER: `��'�fj�, p Pump YES _ NO / l. ❑ Public (Name of System ���'S�Y - ��`'�t J. Manufactured Trusaes YES _ NO � 2. ❑ Priva;e(Well 4y+ D. ZONING: — K. Plumbing Cootractor �/�i4 E. ESTIMATED.C�C9}VSTRUGTION (Excluding Land Value) �7 .�o p Plumbing License# ❑BOCA or�CABO •rtttsssst�sssxsR�rtwrrrrtw*wrwWrtsssss*s*ss"sts�s4tt+tssst��sssss�+**s«s*tti�ttta�at44sr*r*sssssta�w*wrwarasta The undersigned agrees that eny consWction,reconswction,enlargement,relocatioq or al[eration of sWcture,or any chenge in the use of land or structwes requested by ttris application will comply with,end conform to,all applicable laws of the State of Indiana,and the"Zoning Ordinance of Cazmel Indiana--1993"(Z-289)and amendments,adopted under authority of I.C..36-7 et seq,Genetal Assembly'of the Sta[e of Indiana,and all Acts amendalory there[o. I�futther certify thal only kitchen,ba[h,laundry,end floor drain;aie connected to ihe sani[ary sewer. I further certd'y thatt6e rnnstruction will notbe usedbr occupied antil a Cerbfrcate ojOccupancy has been issued by t6e Depar[ment ot Community Services;:Carmel,Indiana ^ -��� � I pe tion ee ed: ...� ��g98 oot' nde ugh- MeterBase Signature of Owner or.Authorized Agen[ QV � � // � /� a�y3 o�No s��e ��, ao /// / `/Oir /r- ✓qn L/^'/.Gr � � � �"7 � ��;��� (Print) (P one Pertnit(Square Footage) �� � Sewer Capacity Allotted In.spection Fees: `e7 � Plan Commiss' n%BZADooket#:. Certificate of Occupsncy: � ' � TOTAL: � ed/ ov : D t:of Community Services Fee Received By s:�.�e� �� .;.%" .- - x� - ,: sy x . :::r irk' .iJ> ...�� x r .., � .;^.:;� w.sn s.ve�w.r....�-�,.,...- . � w ., .. . .. --. ..v -.:� uiR'Ir.1 'X. i Jy�yJL�4� ' . . . . ..�. � _� �. , . . ', .' . � . ... �. � . : . . 1 ' . ' ... . ��. � . I \ \ t .:. � . . . � . . ' . .� �• . � r �V \ •. ... � . '� ... - . ♦ �. _ . � � . .. �. . .� . _ .. ' �� 1� . . . �\ } \�� . � . . � • � . •. ' . � . .� . . • ., L' ,�• � ` '� . � ' � . ' . \ � , / � . ' � ' i. - . . ` ' . .�` '��� � I ��� � �w�\ � - \ �` � \�� `` '\`�� •��� � I ' . . . �1 . . ' � . . . . . ` . . �•. � . � - i ':1�