HomeMy WebLinkAbout1322.98 Application C�e1,Clay� rmit No. d' 'l'� �
,.To,��,;p Applacation for a��
�� dmpro�vement Locati'on Perrrcit R°"F''e
'Tfiis pertnit is�.valid only if constructiomis started�.witfiin 120 days of issuance date;�all consWction�must be completed(c/o issued)within 2 years of issuence,
_-datelunlessen'e#ens�onof[ime�has�lieen.ofTiciall'��7ant`ed'b letter6��,ttieDirector,De artinentbfEommuni �Services.
NAME. PHONE�� / FAX�}
`BUILDER � I : pJ �' �' `15'Z�U c3�7'iJ"i�`2� ,
'�SfREEf .CRY: STATE ZIP
3�5s�'.. g2s�c15�- :1�1�a:y<� �l is — yro a'f�
TENANT NAME
(if a licable)
NAME PHONE FAX
owivEx o n �
ST2EEf � CITY STAIE ZIP
�I 2t . , �� n /l� . lQj'lA �I
LOT-�y SUBDMSION .. SECfiON
LOCATION �I 1 Shel kx�vn� Ut.U1,1 ���`E�n�
ADDRESS OF�CONSIAUCf10N
q�f I - �n�� 3� ,
A. TYPEORCONSTRUCT'ION D'oplansJ'�cludeapomh ? F. TYPE'OF'Il1�IPROVEMENT
1. �Single Family �Yes�'fd7o 1. �/New Structure
3. ❑ Two Family 2. ❑.. .Addition Porch_Room_
3. ❑ Multi-Funily Type of 3. ❑ 'Remodel ❑ Commercial Tenant Space
4. ❑ Commercial/Industiial OCr�ls��� " ❑ Foundation Only
�.
5. O Fazm ❑Basement ""'����1 Demolition
6 ❑ OTHER BSlab "'sf7 .4caessory Building
(Specify) �CT � 9 '99� Z ❑ Swimming Pool
B. SEWERp 1�l 8. ❑ Gazage Detached Attached
1. �'Public (Nazne of Sys[em Ct QW� ) �� G. Lot$plit YES _ NO ✓
2 �I Private(Septic Tank;etcJ �� H. Flood`Zones YES _ NO ✓
C. WATER: I. ;Sump Pump YES NO ��
1. �YPublic (Name of Syst 7� �-(�> J.� Manufacfured Trusses YES � NO _
2 ❑ 'Private(Well (}-�
D. ZONINGh. i/ K. Plumbing':Contractor T� i m��Z.`
E. ESTIMATED;COST O �?C I
(Exdiiding Land Value) � `1� Ptum6ing Iacense# � 07z� ❑BOCA or❑CABO
w+wi*a+++*+x+x*+�s*+�s*#*s i#*##tt##i#t#i##�Y#i#t*�ii#iik#i##t#iiit+#s*s*sitt*#tiit##i�##*3srtii1tlY�Yt#rt►itti
The undersigned agrees that any conswction,reconsuucuon,enlargement;relocation;or,alteration of structure,or any change in the use of land
or.struclures requested by ttus application will cotnply with;and couform to;all applicable laws of the State of Indiana,and the"Zoning Ordinance
..- ,_.
of Carmel�Indiana-1993"(Z-289)end.aiurndments,adopted'under authority of I.C. 36`-7 et�seq,General Assembly'of the Slate of Indiana,and all
Acts amendatory thereto.. I fwiher certify that only�kitchen,bath,'laundry,�and floor drauu•are connected to[he sanitary sewer. I further certit'y
t6aTthe constniction willpot be use0�oroccupied until a Cerbficate of�Occupancyhas been issued by t6e Department of Community
Sgrvices, Carmel,Indiana
Inspections Needed:
.l��i � N"���G „ tiu`��. n erslati� , gh>In.. ter Base
Signatuie of Owiier or Authorized Agent � -
, Sit@ � /O
/�ebo.zzh k' h//�;;/� � - �,r Z1 aG
(Pruit) " (Phone Nwnb ) ��1 PBmut(Sqaare Footage)' _ �Z�
,�� ; �
Sewer Capacity Allotted C��.l� R NnV.. � n Fees: ��
9 , - . :
Plan'CommissionBZADocket#: Y���t S98,CerC caieofOccupancy: 'g�� �
- '�� --�.,: � n�: �� � 38,��
. � �I ���I� ���
RevieweA PP ved ept o . ominunity Services Fee R�ived'By ' =�*�s� m��
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