HomeMy WebLinkAbout 0789.98 ApplicationCarmel -Clay Permit No. 9
IV J Application for Date
Improvement Location Permit Z4� Roll File
Thispermit is valid'. only, if construction is started within 120 days of issuance date; all construction must be cpmpleted.(c/o issued) within 2 years of issuance,
date unless an extension -of time has been officially ¢ranted by letterbv the Director. Denartment of.Community Services.
NAME
PHONE
FAX
BUILDER
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L12MS
SIS— 35o
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STATE LP
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TENANT NAME
if applicable)
NAME
PHONE
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OWNER
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LOT
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LOCATION
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3'+
ADDRESS OF CONSFRUCOON
13 q o Lk
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A. TYPE OF CONSTRUCTION Do plans 'incl�? F. 'TYPE OF IMPROVEMENT
❑% 1. Single Family @ des ❑ 1. �w Structure
2. ❑ Two Family �� ❑ L4Addition Porch Room
3: ❑ Multi -Family Type of Found ] Its Remodel ❑ Commercial Tenant Space
4. ❑ Commercial / Industrial ❑Crawlspace 2 Foundation Only
5. ❑ Farts Bi3'asem 610C.-r 5.- ❑ Demolition
6. ❑ OTHER ❑Slab U
O 6. ❑ AccessoryBuilding
(Specify) C® 7. ❑ Swimming Pool
B;
SEWER: 8 ❑ G Detached
1. C3�P iblic (Name of System
2. ❑ Private (Septic Tank, etc.)
Jul84
C..,_ WATER:
.1. l-Public (Name of System
2.' ❑ Private (Well
D. ZONING: 2= -J
E. ESTIMATED COST OF CONS
(Excluding Land Value) � 1
arage
G. Lot Split
H. Flood Zones
_ Attached
YES NO
YES NO
I. Sump Pump YES t/ NO
anufactured Trusses YES ✓ NO
O% 19g8K. PI mbingCoutraMor L.� MQC�GniC�
License #.10C711olp_%i l�$OCA or ❑CABO
The undersigned agrees flint any constrtiotion, 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 arriendinerits, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all
Acts emendatory [hereto. I further certify;that only,kitcheii, bath; laundry, and floor drains are connected to the sanitary sewer: I further certify
that the construction will not be used or occupied until a Certijreate of Occupancy has been issued by the Department of Community
Services, Carmel, Indiana
�ignq�we of Owner. or Authorized Agent
.Sc�runeSys-a35b e><�
(Print) (Phone Number)
Sewer Capacity Allotted
CommissionBZA Docket #:
Services
Inspections, dad:
r F?-
Siteoderalab ough- eter Base
inel C/O ,\
Pernut (Square Footage) �D �t/
Inspection Fees: r�St✓�C�[7
Certificate of Occupancy: I S.D�
OT QT.r=.
`,v/ Fee Received By � .:v��vsab mtzvs