HomeMy WebLinkAbout1055.02 Application :\v�Y � . . . .
i� � �- � Application for I�- Pe�,�,�t No. 1��, �
,#:�� � Improvement Location Permit� Date
� Roll File
This pemtit is.valid only if consWCfiou is star[ed,withw.180 days of thc date of issu_znce foiiesiden6al construclion;and for cownercial projects,wi[hin one(I)
- ear.of the date of issuauce of the State Commercial Desi �Releue. All'cons�ucuo¢musibe com IeteA(c/o issued within 2 ears of the issuance�dace.
BUILDER �' -� P� —��J��' F� g
Sf�EET CITY STATE Z�
. � �e� s , � f n�.� � ��
TENANT NAME �
If a licable
N PHONE FAX
O W NER �
SfATE ZIP /
S��� S F�R CONSTRUCTION � �
�� egu ationa
�or sueorv�s�on' . Of �g g� � C�eS secr�oN
LOCATION �^
,�oaFSS oF coNSTRO��o ' �fiMEL J Cl.py,Jp�y�H�p SEP 1 8 2002 � �
� V�I� �'� ��_ i i J��
A. TI'�E,OF CONSTRUCTION Do' la s include a porch? F. TYP�F IMPROVEMENT +
1. � Single Family �Yes ❑No 1. New Structure
2. ❑ Two Family 2. Addirion: Porch Room
3. ❑ Multi-Faznily �of Foundation 3. ❑ Remodel ❑ Commercial Tenant Space
4. ❑ Commercial/Indushial Crawlspace ' 4. ❑ Foundation Only
5. ❑ OTHER Basement'��r�� 5. ❑ Demolition
(Specify) ❑ Slab - 6. ❑ Accessory Building
B. SE�}'ER: ' �� 7. ❑ Garage Detached Attached
1. .��I Public (Name of systen�`j(,�y�/
2. ❑ Private.(County pemut# ) G. Lot Split YES NO�/
C. W T R: H. Flaod Zones YES NO�
1.� Public (Name of syste V L Sump Pump YES � NO
2. Private(CounTy permif# ) J. Manufactured Trusses YES _ NO
D. ZONING :_ ] '� K. Plumbing Contractor y� d S�s � �C.
E. ESTIMATED COST O�Fi CONSTRUCTION IRC Plumbing Code: ❑ Plumber's �.p
(Excluding Land Value)�IJ �!��k�� Indiana Plumbing Code: � License#: l./ (�O�I� I
+sa+rts+a+a<.••er:tsa+**�*.e.*:t+s+.e�.rr�i�**ss*+#***a*•e:.::.r**rsrrrswt*wr*rrwr+er*xrr�r�+rr�e*s*#**«+*•<a
I,the undersigned,agree that any construction,reconswctioq enlargement,relocatioq or alteration ofa swcture,or any change in the use of land or swemres
requested bythis applica[ion will comply�with,and confoTm.to,all applicable�laws�of tfie State of Indiana,and the"Zoning Ordinance ofCarmel Indiana-1993" .
(Z-289)and�amendments,adopted urtder authority of I.C:36-7 et seq,General Assembty of the�State of[ndiana�and all Acts amendatory thereto. I further
certify.that onlykitchen,bath,and floortdrains aze connecfed ro the sanitary sewer. I fuither certify that the construMion will not be used or occupied until a
'Cert te ojOccupancy has been issued�by[he�'Departmeut`of Community Services,Carmel,Indiana.
��� ����� � INSPECTIONS NEEDED:
' Signature of Owner or Authorized Agent � �Footiu nder Slab Rough- Meter Base
� � , r' �`�� / ���. ��'U. �\ Site Final C/O , //�
L� ►�,l f c.�rti� U -tf/ (1 �' Sq. Ft.�
(Print) (PhoneNumber) � 3d� �
�' iling,Fees: ��
E-MaiL• ( ��t,t.y.� d �(�� ��',(��� �,CD}'�� Base Inspections: St ' 6
Cert:of Ocwpancy: .
Plan Commissio 7..A/s W Docket#'s;°TAC.Date(s) P R.I.F.: 5 �.�.1�
. TOTAL: ���
r LI•/ �
. a;u�,� '� .
Reviewed/Approved: Dept. of Community Services Fe Received bg S:Permirs/Fonn 5-02