HomeMy WebLinkAbout 0787.98 ApplicationCarmel -Clay Permit No.
('ov ship. Application for jDateImprovement LocationTermitThis permit is valid only:if construction is'stanedwithin 120 days of issuance date; all construction must be completed (c/owithin 2 years of issuance,
date unless an extension of time has been offrciallvmiranled by letter by the Director, Department of Communitv Services.
NAME
�.y� P NE
�j FAX
2. 5_
BUILDER
'5
STREET, CRY I
STATE ZIP
/
TENANT NAME
C0S5,M1r`t=4
ifapplicable)FOR
ED h :ail
NAME 0 PHONE
Subleottof at rand -ot.a! Uri,r p
OWNER
ll^^SS``\\
SIItEEI CITY
i�^'�S ov.
1
CI'V""
OF
JANA
LOT/( / SUBDMSION i
SEcn6N
LOCATION
I,5 n
ADDRESS OF CONSIR ON
9 i 0um wljv
A. TF CONSTRUCTION
1. Single Family
2. ❑ Two Family
3. ❑ Multi -Family
4. ❑ Commercial /Industrial
5. ❑ Farm
Do plains- elude a p ch 7
J$ Yes ❑ No
Type of Foundation:
cemee
asementnt
6. ❑ OTHER ❑Slab
(Specify)
B. 'SEIT:
1. Public (Name of Systemv )
2. ❑ Private (Septic Tank, etc.)
C. waT�R 1. Public (Name of System
2. Private (WgII �O
D. ZONING: I �l
E. ESTUIIATED COST OF CONSTRUCTION
(Excluding Land Value),.
isssrs•********rr*****r
TYPP 9VIMPROVEMENT
1. /dim New Structure
2. ❑ Addition Porch _ Room
3. ❑ Remodel ❑ Commercial Tenant Space
4.
❑
Foundation Only
5.
❑
Demolition
6.
❑
Accessory Building
7.
❑
Swimming Pool
8.
'❑
Garage Detached,
Lot Split
Flood Zones
_ Attached
YESNOX�
YES NO
G6Pump, YES I NO
J. tactured.Trusses YES
S % NO
l0X Plumbing Contractor) . M & r±
A
❑ BOCA
The' undersigned agrees that any construction, reconstruction, enlargement, relocation, or alteration of structure, or any change in the use of land
or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance
of Carmel Indiana -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 amendatory thereto:. I further certify that only. kitchen;.bath, laundry, and floor drains are connected to the sanitary sewer. I further certify
thakthe construction will not be used or occupied until a Certificate of Occupancy has been issued by the Department of Community
Services, Carmel, Indiana.,
'CALL, PERMITS PLUS Inspections Needed:
DP 928-6447
FOR PICK-UP ootin ndersia Rough -In Met,
Sign ture of Owner or Authorized Agent
TTiI 77�' site
final C/O
(Print)
Sewer. Capacity Allotted
Plan Conmrission/BZA Docket #:
Ioc'x�� 1io
Reviewed/Approved: Dept. of C mmunity S ices
199�m'nit (Square Footage)
, Inspec ion Fees:
Certificate of Occupancy:
TOTAL: F,
Base
/I�� ....IN
ReceivedFee By IV%