HomeMy WebLinkAbout1324.98 Application e�armel� y Permit Na �
Application for a���— �G/ �?
. " Improvement'Location Permit C���ollFile 13
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This peimit is velid�only if consWction�is started.within.120 days of issuence date;a0�construction must be completed(c/o issued)within 2 yeers of issuence,
date�,unless an extension oftime.has becn.officiell � ranted b ,letter:b the Director,De rtmenYOfCommuni �Serdices.
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� sinaer - crrr $1T�� "., �-��'����'n+�t4s�_-erA_r'e�az .. +��,��f,��.
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LOT SUBDMSION �J�✓- �'� �/�a`•- vC�'�[ON�tl•
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LOCATION Q Mo{(i ra�mS aia��,c�.Yt,7
ADORESS OF CONSIRUC'110N
�3aaa U�, �„ Sh�.,� R.�,, C�.r L� zN
A. T�YPE OF CONSTRUCTION Do plans"include a porch? F. TYPE OF IMPROVEMENT
l. �ingle Family ❑Yes�No l. C�New Swctuce
2. ❑� TwoFemily ( � -2. ❑ A�ddition Porch -Room_
3. ❑ Multi-Family Type of Foundetion: 3. ❑ Remalel ❑ qmmCsc`l'�
4. ❑ Commercial/Industrial rawl a n, ❑ Foundation O�ily '4 ��
5. � Farm en��3��,��. , ❑ Demolition � P10V - 9 1998
� 6. ❑ OTHER i 6, ❑ Accessory Bwl
(Specify) 7. ❑ Swimming Pool J�'1':
B. SEW�R: 2 �'. 2:.'�z
�L'T 8, C�Garage Detach
l. Pu6lic (Name of System ���..��- ) , G. Lot Split YES _ NO _,�
2! ❑ Private(Seplic Tank,etc.) H. Flood Zones YES O ��
C. WATER: �Q�� L Sump Pump YES �O �
1. � Public (Nazne of System .��.n/` J. Manufacdired.Trusaes �YES NO _
2: ❑ Private(Well 1 n
D. ZONING: s- I K. Plumbing Contractor � � ��-.c��T" Yy.�� S4�-�v�.�
E: ESTIMATED COST'OF CONSTRUCTION
(Ezcluding Land Velue) �6'c� v Plumtiing I,icense# eTOd-Y�fr� [H'�OCA or❑CABO
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The undersigned agrees tha[any construction,reconswction,enlargement,relocation,or altera[ion of siructure,or any change in ihe use of land
or stiucnnes requested by dtis application will comply with,,and conform to,all applicable laws of the State of Indiana,and the"Zoning Ordinance
of Cazmel Indiena- 1993"(Z-289)��and amendments;adopted under authority of I.C. 36-7 et seq,General Assembly'of the State of Indiana,and all
Acts amendetory thereto. I further certify that only kitcheu,liath,laundry,and floor drairo are connected to the sanitary sewer. I further certify
that the construcHon will not be uaed op occupied until a Certific6te of Occupancy tias been issued by the Department of Community
Servicea, Carmel;Indiaoa
., Inspections Needed:
�L'vr.d �C. ' Footin nderalab� .Rough- � eterBese.
Signeture of Ow or Authorized Agent •
_ Site inal C/O
Mar�f `�. 5 N.�1'h B'IB-y4fi`�
(Print) (Pfione Niunber) Perrttit(Square Footage) �� ���
Sewer Capacity Allotted 6 Inspecuon Fees: SO.�
Plan CommissionBZA Docket#: Certificate of Occu ancy: �J��n�
8�4� ;
T�AL:
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Reviewed/Approv : Dept.of Cominunity Services Fee eceived By .:w��.� m��