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HomeMy WebLinkAbout1320.98 Application armeL-, lay PermitNo. /��� �;: �--- a�., ,,.,,�n,p Application for �Date I '�� IiY1�JYOVBiylelZt LOC(1t1012 PBl'f7ZlZ Roll FIle � kThis;pertnit is valid.only,if construction�s staited w�thin:120 d'ays of issuance.d'ate;.all construction must be completed.(c/o issued)within 2 years of iss�Yance, date.uriless�an estension of time hasbeen officiall ranted b letter,6� the Directar;De aRment of Communi Services. �Ad(E PHONE' C� FAX BUIIsDER � . O/= %l/ , c7� J � D.�v 7� . SfREET' CII'1' STA'IE ZIP ' . G � DE�AND ✓ � ,vDF'�S', �'.v . �o2�1d TENANT NAME C� ifa hcable). r.;��! N E PHONE Jy ���;�' • " " • OVVNER � (JF rV . O�r ���a'�.�t,,,i�.?,. ,,°•'"` s`xeer crrr � ����� SyVtzm"`� `.�,'l.%:' �: s •:S '.:3i:. . R ac� ,xx' �1.a'�' ; <';'.•..:'� . :s� �„sr ;a:.' �o/s nmsio�� . ��� �; . �v������ ���x��'+'� �`�� � LOCATION //.� �L� Gf/M C- �1= /� / . :��'i � _ ,��a�E1Eq�; ' ���e� . . . MDRESS Oi CONSfRULT10N V� � ly,�viri' Y 3- ,5' G�.N v' o .'�.` A, TYPE OF CONSTRUCTION Do plans include a porch? F. TYPE'OF IMPROVEME 1. �ingle Family ❑Yes❑No 1 �New87ucture 2. ❑ wo Fainily 2. '❑ Addition Por �oom 3. ❑ Multi-f amily Type of F dation: 3. ❑ Remodel Co �fc1a1 Ten 4. ❑ Commercial7Industrial OC wlspace 4. O Foundation �': ��9 5. ❑ Farm asement 5. 0 Demol�hon 9g b. ❑ OTHER OSlab 6. ❑ Accessory Building� " (Specify) 2 7. ❑ Sw�mmmg Pool � B: SEW�Rt 8. ❑ Gazage Detached Attach 1 Public (Nazne'of SystemCfl�t MF—L) Lot Split YES 2. ❑ 'Private(Septic Tank,etcr) H. Flood Zonea YES O � C. WATER: I. Sump Pdmp YES O 1 �Publid (Name of System C���''M r=L) J. Manufactured'Trusses YES NO 2. ❑ ,Private Well 1 r /� D. ZONING: � " � K: PlumbingCbntractor Ft}R�— U-Rf} j. E. ESTIMATED COST OF CONSTRUCTION (ExcludmgLanH'Value) J7�o� � Plumbing.License.# �J`^� . � . ❑BOCAor�CABO *##kttF#*Yw##i#FY#M#Y*tl�##Mt?k**M#tt####s##tt+ktt*/t1�###i####F�4RtrtFF#tt4kitlil4{#k►tiii#titttitt+k�4tiifi4ti#t The undersigned'agrees that any constniolion;ieoonsLuotion,etilazgement;relocalion;on alteration of sVucture;or any change in the use of lend or sRUCt�es tequeste<1 by flvs application will,comply witti;and conform to,all applicable laws of the S[ate of Indiana,and the"Zonic�g Ordinance ofCarmel Indiana- 1993"(Z-289)�and amendments,�.adopted-under authoriry ofI.C. 36-7 et�.seq,�General Assembly'of the State of Indiane,and all Acts��aiiiendajory thefe[o., I fwther certify that only kitchrn,bath;laundry;and��floor�drauu are connected.to�the��sani[ary sewer. I further cer[ify that t6e constnictiou will not'be�used or occupied�until a Cetifuate oJOccupancy'has been issued��by the Department of Community ^Services, Carmet,Indiana � ] `' `T� L//// Inspections Needed: ;� �__.�l�,��� ��,��(il�� )li�Lti'�'��Y�, (Footin uderslab � ougb-In�� eter$ ature of,Owner or Authonzed Agent \� �^ �'� Site, insl C/O I� l.r��-ti�.sn ��rt , �y.�-o��y. (Prin[) (Plione Numtier) Pemut(Square;Footage) . � l .� _ 'i-4� l Sewer Capacity Allotted 1 Z Q Inspection Fees; � Plan Commission7BZA Docket#`. Certificate of Occupancy: �S.� � T AL: Ll l � . Reviewed/Approv : Dept f CommuaitqServices Fee Received By s:��e� m�� �m. - . x.�,.i • ��n•. w rv�'w$•�...��-rwy�i'r 'FV' ��'-:nD��P:wx Y� Y:�. cYF'L ..13fi�i.'.a. ."^=d: -L �.. .�... ' .. � � 1T . . ... . � , , .. . . . .. ..,...-;L.-. li� • '~�� . . ��\�`�\�\,�\ • • ' / / ��''. � \` . ���I,1�';' . \` \ �1,`: •,�, ' ` .\`� � � ��� ,: �\ /, � � � • � ���,���,� � _ 'l,��;�� �"' �;� , . ' '����.fr , , ,. ��Y'}�- � � . ., . �, � , r . . �4 , � , _ < . � ; i �