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HomeMy WebLinkAbout0001.98 Applicationel -Clay 'Townsmp Application for Improvement Location Permit )'Permit No. Rate IZ-3.1-q'1 Roll Thispermit isvalid only if construction is started',within 120'days of issuance date; all construction must be completed (c/o issued) within 2 years of issuance, hate uiikss anezten'ion of time has been offiiciallv.. eraritedlbv lettarliv-the Director; -Department of Communitv,Serviccs.. PHONE FAX BUILDER? c WicS Eg3-93.2. bTV FI f _ STREET ers C/' cr CITY.. T �S STATE LP y6.2V 0 TENANT. NAME ,(ifapplicable), NA EZ :PHONE FAR 1kEt.,P: SED FOR CONSTRUCTION OWNER , SET ot''State urffrtTknal dvdoo r r l DEFT OF'COE! V 'j?IOTY.SERVICES LOT ' s aovsi CITY OF'CAROMEL*0LAY TOWNSHIP LOCATION �L/O INDIANA ADORES4o-Or CONSnnICnON A. TYPE -OF CONSTRUCTION Do plans ,includc!aporch ?. 1. .W,SingleFamily ❑'Yes*N6 2: ❑ Two Family 3. ❑ Multi -Family. Type of Foundation;, 4. ❑ Commercial / Industrial ❑Crawispare'. 5. ❑ :Farm Wasement j 6. ❑ OTHER ❑� OpecifS') B. SEWER /� - y 1, Pubhc (Name of SystemCl+rwt c 2; '❑ Private (Septic'Tank etc:); C. WATER:: /� ;BY:: 1, Public ,(Name of System- l !nr W 3. ❑ Private Well D: ZONV4G- JAM 0,5 F. RSTTM ATF.D COST OF CONSTRUC ON F. TYPE OF IMPROVEMENT 1. `New Structure 2. ❑ Addition Porch %- [Room - — 3. ❑ Remodel ❑"C'omm&cta[ Te ap�Spa 4. ❑ Foundation Only 1 5. ❑ ,Demolition ❑ Accessory Building. DEC 3 P 7Lo7 ❑. Swimming Pool ❑ Garage DetachedSplit YESt f 10 r H. FI thinness YES NOy umpPump YES .�/_ NO J._Manufactured Trusses YES ✓ NO h)cssioy' �Ibi The undersigned,agrees,that-anyconstracticn, reconstruction, enlargement, relocation, of ,alteration,of structure, or any change in the use of land or structures request ed bythis application will comply with, and eonform.to; all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana .-1993"°(2-289),and:'amendments,.adopte&underauthority.of LC:36"-7 etseq,:General.Assembly'ofthe State oflndianaand,all Acts amendatory thereto. 1fwiher::certify that only;kitchen,,bath, laundry, and floor drains ar6 connected to the sanitary sewer. I further certify that',the construction,wili'snobbe'used or occupied until a0rhfica(e of Occupancy,has been issued by"the Department of Community Services, -i Carmel,Indiana. gnature offOOwnenor Authorized Agent. �U3A; (Print) (Phone Number) Sewer,CapacityijU'qucd,. / Iµ Z-7`0'.s Plan CommissioriBZA Docket #_.._ , Reviewed/Approy _: Dept[ of CommunityServices Inspections Needed: 0o f ndersla -Rough=In eter'Base Site 'fgL , �Petm4(Square,Foofage)� 2 Inspection Fees: Certificate of Occupancy: 'TOT Fee ReceivedBy