HomeMy WebLinkAbout 0788.98 ApplicationC el- lay /ry ` Permit No.
o. �,p ,• ;�� Application for �.�5.�� Hate
Improvement Location Permit i
I"IS pe it is valid only if construction is started within 120 days of issuance date; all construction must be completed (c/o iss in years of issuance,
do nnleaa an evteminn of time fine hee.n nffic.Wly arnnted by letter Iry the Dire mr_ i enartment of Community Services.
NAME
PHONE
FAX
BUILDER
RE1 Cortstruct-irin-
SIEEEr
CITY
SrAIE ZIP
1,1,711'N.
Penns.y.lvamia, Ste.
200 -
Carmel IN
46.032-355
TENANT NAME
if applicable)
'
NAME
PHONE
FAX
OWNER
Conseco
ComDanies 5
7 3 2 7 ..
_
-
SntEEr
CT'
nAn ZIP
11815 N.
Pennsylvania fyFi
aim 1,
IN 46032
IAf SUBDIVISION
SECTION
LOCATION
"Or
ADDXPS OF CONMUMON
ID"'
Bldg,
.
A. TYPEOF CONSTRUCTION
1. ❑ Single Family
2. ❑
Two Family
3. ❑
Multi -Family
Type o c
4. '
Commercial / Industrial
❑
5. ❑
Farm
❑B
6. ❑
OTHER
❑Slab
a'porch 7 F. T
No 1.
2.
366n, lo03C�
4.
5 U
(Spec) t0,
B. SEWER: JUh'?
1. W XPublic (Name of System 1 F
2. ❑ Private (Septic Tank, etc.) OO
C. WATER:' �10
1. 4 XPublic (Name of Sy ) y
2. ❑ Private
D. ZONING:
E. ESTIMATED COST O CONS UCTION
(Excluding, Land Value) Q' l OTi-G C
sssssts»»sass»srrrrrrrrrrrsr>rrt tr�tsrssatrsstttats:
❑ at;dv� 9
❑ -cO e
Lot Split L
Flood ZonW ft PgE
Sump PumR-Lti al'
`yr
ain \tctgGP Es ZH�
OPP.e% Ntty �w
COO*
R�L4 YN'E
§c�'� NO
t$'ES NO
YES NO
K. Plumbing Contractor
C:F y;,1.002.0j gGnff
Plumbing License # C P 8 9200 2'UBOCA'or ❑ CABO
rryssstssrst»t»assssssrsssatttrrrwssrsstsrssttttat
The undersigned agees 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 etseq;.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
that the construction will not be used oroccupietT!emficate ipf Occupancy has been issued by the Department of Community
Services, Carmel, Indiana
Of
3
(Print) / one.Number)
Sewer Capacity Allotted
I
JUL 07 1998- f1 Inspec
Fog ting/Underslab'
Site C —Fi
Permit (Square Footage)
Inspection Fees:
Rough -In .Meter Base
— C/O
Z_dA
Certificate of Occupancy/1
TOTAL:
Give-cvvul,+� �.�GG,flt�-ram
Fee Received By 12"
�/ 6