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HomeMy WebLinkAbout04060124 Sq. Ft. , _Carmel/Clay� ' Ta,mSn;p Application,for :, � ?No.: � )/� � � Improvement Location Permit � ' " ' � b Roll File This�pertnit is valid only if consWCrion��is.started within I80 days of the da[e of issuance�foi residential cons4uc n;and for commercial projects,within one(1) ear of[he date of issuance of the Siate Commercial Desi Release. �AO coaswcdon must�be com let� c%issued wichin 2 ears of the issuance date. NMf�� PHONH FpX BiJILDER JI�Y�7 t � U' ^ � �/�--3 �Fr�Sc . /�/�t . . sraeeT cirv ��,p� �f� �.s C�r�„�2 � TENANT NAME ZOO4 �If a- licatile� ��N � 5 NAME PHONE FAX PROPERTY �C OWNER �� STREET CRY STATE ZIP LOT SUBDNISION SECT[O SQUARE LOCATION �� �j /DCt Bpr�/1/�L Z o ,a FOOTAGE: ��/! � / ADDRESS OF CONSTRUC7ION /} � .� (J y �:# � �!� 0 �i+� � !l .S Cri' � �CY> h• � A. TYPE OF CONSTRUCTION Do plans include a porch? F. TYP OT;IIVIPR MENT 1. � Single Family ❑Yes �No 1. .New Struoture � 2. ❑ Two Family 2. � `Addition�, ch Room 3. ❑ Multi-Family Type of Foundation 3. � }-Remodelt ❑ Commercial Tenant Space 4. ❑ Conunercial/Industrial ❑ Ciawlspace ,� 4. 4 Foundaffo nly � 5. ❑ OTHER �' Basement(waikour.(/v J N ) 5.k❑ Demo�i (Specify) ❑ Slab U 6�C] Accessot� uilding B. SEWER: /� n '�jj � Ga"ra� Detached Attached � 1 Q�� Public (Name of system L:7�C:.N ) 'Q'+..�`' � �e ��y 2 ❑ Private(County permi4# ) G. Lot�i�t F.. �C YES NO � C. WA1'ER: H. FI�1�Ane� � YES NO� 1. � Public (Name of system �OLS ) I. .. Sum�um�j�` YES � NO 2. ❑ Private(County pernut#—�—) J. Manufacturec�'russes Y$S NO.y�__ D. ZONIlVG : K. P►umbing Contractor ���,fJ � SO�� ' E. ESTIMATED COST.AF CONSTRUCTION � IRC Plumbing Code: � Plumber's (Excluding Land Va1ue} �Q� � -�J Indiana Plumbing Code: ❑ License#: j)C�}� �0�/O�. •�*�*X�R�*i:wk�x����Y��Vtt�#�V#k#.iY#WYtWt��kM��it####kY**t####M�V#kMk�##��**:k#k�M�**�*#�#rt#K�*tYrt****tkt+kt*�*• I,.the undersigned,agree that any constri�ction;reconstructioq enlargement,relocation,or alteration of a structure,or any change in the use ofland or structures requested by.this�application-:will comply with,and confortn[o,all applicable laws of the State of Indiana,and Uie"Zoning Ordinance ofCazmel Indiana-1993" (Z-289)and�.arnendments,-�adopted �der�authqriTy of LC:36 7 et�seq,General Assembly"of[heStatebf Indiana,.and�all Acts.amendatory[hereto. I further certify, on��:krtchen,bath;.an or dtamsare connected ro the sanitarysewer. I turther eertify ttiat[6e construction will not be used oroccupied until a CeR' ate� � Occupancy;has:ti n issued�.by�the Department of Communiry Services,Carmel,Indiana. � INSPEGTIONSNEEDED: Si a re of Oivner orAutlioi zed�Agent � �,�.vl Upper,.Footi ower Footi Bonding/Grounding_(#) -�� ' � �� L� /r/ Vf}-til� 5yO :��/oL/ -Under Sla ough In eter ase Final Site� 7 tcS �� (Print) � � (phoneNumber) � ����,,( ` `�'ilin Fees: 1 � .y/�o1, � � #Charged Re- E-M3i1: '�Z- II15peCtlon.� . (�- Reviews Cert.ofOccupancy: �JU ' � ��'1�, /�}'`� Additional Fees Plan Commjssion/�ZA/BPW Docket#'s• TAC Date(s) P•R.I.F.: <7 L� � — TOTAL: � Reviewed/Approved: Dept. of Community��Services Fee R� � ived by S:Permits/Forms/ILP3-04