HomeMy WebLinkAbout 0081.00 Application%L armel-Clay dUu I Permit No.
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Application for Date
Improvement Location Permit PRO"Thispermitisvali is started within.120 days of issuance datc;,all construction must be completed (c/o issued) within 2 ears of issuance,
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date unless an extension of time has been officially granted by letter by the Director, `Department of Community Services.
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BUIIiDER
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TENANT NAME
(if a licahle)
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OWNER
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LOT SUED ION,.InS 6
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A. TYPEOF CONSTRUCTION Do plans ude a porch ? F. TYPE 9F IMPROVEMENT
1. Single Family [W esb No I . V Y New Stiuc
2. ❑ Two Family 2. ❑ Addition 1
3. ❑ Multi -Family Type of Foundation 3. ❑ Remodel mFa e t
4. ❑ Commercial / Industrial ❑ aawlspace 4. ❑ Foundatio
S. ❑ Farm ®$;asemem S. ❑ Demoliti JAN 1 7000
6. ❑ OTHER ❑Slab 6. ❑ Accesso i 'ng
(Spectfy) 7. ❑ Swimmi get
B. WE$! (`� 8. 0Garage- etached Attac
1.
I. La/ Public (Name of System( G. Lot Split O
2. ❑ Private (Septic Tank, etc.) H. Flood Zones YES NO
C. WATO: I. Sump Pump YES NO
1. 9 Public (Name of System } L Manufactured Trusses YES! NO -
2. ❑ Pnv {W )
D. ZONING: K. Plumbing Contractor
E. ESTIMATED COST OF C NSTRU 1
(Excluding Land Value) 6 Plumbing License A 00 OCA or ❑ CABO
The undersigned agrees 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 Cannel Indiana - 1993" (Z-289) and amendments, adoptedunder authority of I.C. 36-7 et seq, General Assembly'of the State of Indiana, and all
Acts amendatory thereto. I further certify that only kitohen, bath, laundry, ns are connected:to the sanitary sewer. I further certify
that the construction will not be;used or occupied a Cerk ca JOccupancy been issued by the Department of Community
Services, Carmel,diana A 1 r_ Q
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Sewer Capacity Allotted6w
Plan Corrmisciorl/37A Dock-&44 1
In" ections Needed•
g/Underslab ough- eterB e
Site Fiiial C/O
n /
Permit,(Square Footage) 1 !.-p 4'-j
(� Inspection Fees: J •�
U Certificate of Occupancy: 86
1I TOTAL:
Fee Received By
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