HomeMy WebLinkAbout1329.98 Application �arme ay Permit No. - (��
Application for ' nace � qT
.y- -` Improvement Locdtion Permit R°v ''e . (
�
This�.pertnit is validbnly;if construction�is�started within 720 days of issuance 8ate;�ell�wnstivction mustbe completed(c/o issued)witlun2 years of is�uance,
�date�ualessan�e#ens�on�oftime.hasbeedo�ciall rantedbletter.b`[fieDirector;De �rtmentofCommuni Services.
NAME � 'PNONE� �FAX
BU�ER rnr r�nc.�-- 57�- :��
__ . _. ,.._�. ��, �{�ii��;`.f/✓��S �/ rC/�P �
6 �
TENANT NAME �
(if s�-�licable 0
NAME . PHONE J�j/
��� �
OWNER
.. �SCRgE[ C�Ty 9P
LOCATION
`�2-a �� LcrrVl C'�� �� ' � -
ADDNESS OF�CON � � '� NOV 1 1 �
s � �� C�.
A, TYPE OF CONSTRUCTION Do plans includ" a porch? F. TYPE'OF I11IF'ROVEME �Y�
1. � Single Femily ❑ Yes�10 1. �New Structure
2. Two Family � 2. ❑ Addition Porch�Room_�'��s �, �
3. ❑ Multi-Famil y T y pe of Foundation: 3. ❑ Remodel ❑ Commeraal-Te�t'Sp��
4. ❑ 6ouunerciaG/Industrial OC;awlspace 4. ❑ Foundation Only
5. ❑ Fazm `�asement 5. ❑ Demolition � �
6. ❑ OTHER �OSlab 6. ❑ Accessory Building OCT 2 7� �'�`��'
(Specify) 7. ❑ Swirnming Pool
B. SEWER: �� e ^^-A n 8 ❑ Garage Detached ��c �d';�
1. � Public (Nameof System Q/lf��r G: Lot 3plit 1'ES _ NO �
2. Private(SepUC Tank,etcij H: Flood Zones YES _ NO �
C. WATERp ���,y��.__,:,, (J I. Sump Pump Y E S _�C N O _
1. �Publ�c (Name of System A Y X� J. ManufaMured Trusaes YES � NO
2. Private{Well 1 / � /]/J�
D. ZONING: �— � K Plumtiing ContraMor ✓�/�"'�2Q���
E, ESTIMATED COST OF CONSTRU - ION /h,
(Excludmg Land Value) �O Plumbing License# 1 1.G� �BOCA or 0 CABO
ssr*s*►rtirtsxsrsrw**+�tsttf**►** s*»*si�+a�t�t�ts+rr*ss+sas*at*�#t*3tstttsrtt*�*ssss�*sr�*�� *it+af*+*�*+r+rr�s
The atrdersigned agrees tha[any constiuohon,reconsWction;enlargement;relocation,or alteration of structure,or any chenge in the use of land
or stiucbn'es reques�ted by this application,will comply with,and conform to,,all applicable laws'of the'State of Indiana,and the"Zoning Ordinance
of CarmeL7ndiazia:-1993"�(Z489)�end�amendments,adop[ed��under authodty of I.C':36,7' etseq,General Assembly�of the State of Indiana,�and all
Ac[s amendatory[hereto. I�fiuther certify.that�only�kitchen,.ba[h;�laundry;�.end�-floor dravu�are connected.[o the sanitary sewer. I further certify
that�.tNe�eonstrucdon.will:not be,used or cecupied unfil a Gerli uate oj, c �has,�been issued by the Department of Community
Servicea, Ca el, diana. ���:-�- �����g�d � ���� -
/ !7P g28-6447 Lispections ed:
^� � --y-, IFOR PIC���
��' Gk; .�. I .,C2' , � W- � ' �' Foot.. '' oaers�ab o� � . /��eb�
gn ' uthorized ilgent �
� r � Site inal C/ -
� ature o£Owner or A
� �:� � �
�(Print) (Phone Numtier) Pernut(Squere'Footage) ; -
/vy � dd
,Sewei Gapaciry Allotted.���� p Inspection F "s: -_5.�
� ` ��
Plan'Conunisgio � Doc eP#: Cerhfie of ccupancy: �
TOT � �D
7
Review Ap oved ept:,ofCoaununityServices F Received s :�+ m��
�'� �ti—
a�..s.. .. .7...,r.. "w... ^ar�,,:"':'pF7` -Y';Y'�vni�_.y�wn;��+�v,���pR,.sn+.:�'°FF'��..-`-�^�:'°'v+,:r.-e^.aw�'r.�.Xewmm'.^�J'. '4R�"' , s ,. .,�.� . x�,.�w�.-q.:;i..�w.!'���a�.:.rrcP.,p
C
�
� �'�
. , � . � i� ;\ . ' �'. . . �
i'
, i'y,) "�i},�` ` \` .
✓•i�`ti E`%U' ``4`�\`� .
- ��- ,�,� �� �1
�C� � � ,
��,� � �,� .;�
� `� � ,��- -
��� � ,
., . . • . .
. , , .
.;�'� � � � . .
� ,
, ,
,
, ,
. • � � � •