HomeMy WebLinkAbout1316.98 Application �el lay , Permit No �!/_%(�'.Q
� � Apphcation for �a�. «' I �b
:- -° Imp�ovement Location Permit R°"F`'e
This pertnit is valid�only if construction is staited witt�in 120 daysof issuance date;sll construction�must be wmpleted�(c/o issued)within 2 years oCissuance,
. dateunlessan�extensionoftimehas�.beenofficia�l� ranted�b letter6--:[fieDirectoF;De � enfofCommuni"�Services.
Nn/na1s� � � r"iiore enx
BUILDER �—H-R�f I�Q �uc., �-8 - 94'1-0_ S'1 C(�a87
SIREEI' ClIT STA'IE T3P
44-'� G itwd,�c �r. � Sti 4-�0 0 3"Z
TENAIVTNAME
' (ifa lice6le) NE�E� �.
� . nwnte '� PC/�p CrxoHE� � ,,_ �R . e.oc
OWNER /
� S� _ � °t�pl�o�, "�r``'
STItEEC ���._, e 1ii���� ��I�� ���STA7E ZIP
J !!11rr �Y$
LOT SIJBDMSION� �/'�. ,.��y�p..,�� SECf10N
LOCATION 3 Fo S 1 �}• y e (�-�
qDpRESS OF CON4IAUCIION. � ' f 91,q
!� �
143z-o �os A l7¢-�vE z Tn� 4 •033
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A. 1'1'PE OF CONSTRUCTION Do plans include a potcb.? F. TYPE OE IlVIPROXEMENT
1' � Single Family ❑,Yes❑No 1. � New SWcture
2 ❑ Two Family 2. ❑ Add�[ion Porch Room_
3. ❑ Multi-Family TypeoEFo pon: 3. ❑ Remodel ❑ iy��n���
4 ❑ Commercial/Industrial ❑Cr lspace 4. ❑ Foundation Only � �`"
5: ❑ Far[n asemen[ 5. ❑ Demolition r�
6. ❑ 'OTHER Sla6 6. ❑ Accessory$uilding {�('.r C (� erc,.
{Specify) Z. ❑ Swimming Pool : �
B. SEWER: 8. ❑ Garage. Detaclied�Attach�O �—
1. �1 Public (Name of SystemCA R+n E L 1 G. Lot Split �
2. ❑. Private{Septic Tank,eto.) H. Flood Zones YES O �_
C. WATER: I. Sump Pump YES �_ NO _
l. � Public (Name of Systetn �L ) J. Manufactured Trusaes YES NO �_
2. ❑ Private(Wel1 1 �� �
D: ZONIlVG: R— � [.,.PJ K. Plu ing Co¢tra�tor �UE E �i�
E. ESTIMATED COST OF CONSTRUCTION���:S���r / Ir���✓�,�, � /
(Excluding Land Value) �I'_� mo'¢' ,(,Zp �C�G ��P bingeLicen3e# O 1,0�a ua �BOCA or❑CABO
•*****tr�*s*►ss*�tss*r*s++rr++*x+t�`i+►*r►�*`e*k�i'�i#i##t#�k##t<tf*st*Mttii####*#M�#trtt##�k##tMttttttVt*t�##tsiti
The undersigned agrees that any consWCtion,reconsVuction;enlargement;relocation,or alteration of swc[ure,or any chsnge in the use of land
a strucnues reques[ed by this application will comply wtth,and conform to,all applicable laws of the State of Indiana,and the"Zoning Ordinance
of Cazmel��Indiana- 1993"(Z-289)and�amendments,;adopted under,aut}iority of I C.36-7 et seg;General Assembly�of she Stete of Indiana,and all
Acts amenilatory�thereto. I fw'ther certify.tha[only�kitchen,batt�;�laundry;end�floordraitu�are connected[o the seni[ary sewer. I furt6er cec[if'y
that the:rnnstruMion-.will not_be uaed'�or�occupied until a CerbfrcatebjOccupdncy has been.issued by the Department of Community
Services, Carmel,Indiana
Inspections Ne
��-�-!-y � � oof nderslab� � _
' Signature of Owner. 'Authonzed Agent �
�q � Site C/O.
C�R �. Nc�, �t�9 . yp �GC� . .' -1�-9--- �L�Z-� �
(Pnnt) (Phone N er) V . 6, quare Footag
Sewer Capacity Allotted Y ,99�insp on F s: 7�
Plan Commissio ZA Docket#: \ �c Occupancy'. �
Q�j � ,`m°
� �TOT
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Approved: 'Dept:ofCoiiimanityServices I ��" ` Fee ceive y s:�mcvs� mivss
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