HomeMy WebLinkAbout04040166 Application Carm�, ' V ... Oya j O���i
Townsni
p Application for i����J Pe�t Nb
Improvement Location Permit Date
Hold#: Roll File /�
This pexmit is valid only if construction is started widiin 180 daysof the date of issuance for residentia]conswcoon;and for commercial �e s,wrthin one(t)
eaz of the date of issuance of the State Commercial Desi Release. All conswction must be com leted c/o issued witt�in 2 eacs of tlie issuance date.
NAME If� PHONE / � y� � FAX / �
BUILDER C � , {l;� . S J��ll�`I.7��J . ��PIP—I
S�J� � � �rhSt . ,TY� ` i � o��S �T� Z�P
TENANT NAME � � j
Ifa licable � � � ��
NAME G PHONE � '—� � FAX =
OWNER ��V Z � �
S7RHET CITY � 3 J � ` STATE ZIP
� � � J .
LOT SUBDIVISION � � � O � `� SECCION
LOCATION �
� , L� r� „ ° � �c �-
ADDRESS OF CONSTAUCTION �' � � O
� U ~ �
i 3� ��o�d C�.� .� �, �
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A. TYPE OF CONSTRUCTION o plans.include a porch? �F� TI'���'IMPROVEMENT
1. � Single Family ��Yes�No 1. C�ew Structure
2. ❑ Two Family 2. ❑ A
3. ❑ Mulri-Family � � e of Foundation 3. ❑ R S e
4. ❑ Commercial/Indusuial �,�'�I � Crawlspace 4. ❑ F n Only
5. ❑ OTHER `�p�¢s'$�sement � 5. ❑ D on �� e a ` .��
(Specify) [9�S�,ab � 6. ❑ A B g
B. S E R: �� � 7. ❑ G etac he d ttac
1. �Public (Name of system � ,
2. 0 Private(Counry permit# ) `` G. Lot Split
C. WATER: Flood Zones YES NO
1. (l���,Public (Name of system ( � �� �-� � I. Sump Pump YES � NO
2. ❑ Private(Counry permit# ) � J. Ma�ufactured Trusses YES NO�
D. ZONING : ���� �K Plumbing Contractor �� � . , \��{.�
E. ESTIMATED COST O CONSTRUCTIpN � IRC Plumbing Code: � Plumber's �-y , ^ r7 ,�,� I
(Excluding L,and Valu � � Indiana Plumbing Code: ❑ License#:�� �1�
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I,fie undersigned,agree tha[any construction,reconsttuction,enlazgeme�t,relocation,or al[eration of a shucture,or any change in the use ofland or structures
requested by this�application will cortiply with,and�conform to,all applicable laws ofthe State of Indiana,and the"Zoning Ordinance ofCarmel Indiana-1993"
(Z-269)and amendments,adopted under au[hority of I.C. 36J e[seq,Genera]Assembly of Ihe Sta[e of Indiana,and all Acts amendatory thereto. I further
certify that only kitchen,bath,and floor drains are connectedYo the sani[ary sewec I further certify that the construction will not be used or occupied until a
Certificate ajOccupancy has�beeo issued by the Department of Community Services,Carmel,Indiana.
�., �(���� � , INSPECTIONS NEED .
� �
Signatur f Owner or Authorize Agent Footin nder Sla u - eter B se
` '��1,(,� ��I(� l�'IC l�SS+1 ��,Q�1�J1� Site Fina C/O
(Print) (Phone Numtier) �' O Sq. Ft._��
Filing Fees:
E-Mail: �I 1�/1A U� �,(,�,���I���j,��� Base Inspections: ,� �o� � �G
� Cert. of Occupancy: S�U ��
Plan CommissionB PW Doc et s; A D e(s) P�R.I.F.: 5 �7 G�
/,�� TOTAL:
V�/ �/ `�
��'"' �"`���0�&�L'�[V� � S:Permits/Fottns/ILPS-02
Reviewed/Approved: Dept. of Community Services � �
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