HomeMy WebLinkAbout 0082.00 ApplicationCOD
Carmel -Clay D Permit No. 3,/ '
To. p l Application for A"; _1?, ()J Date
Improvement Location Permit Roll File
This permit is valid only if construction is started within 120 days of issuance date; all construction must be completed (c/o issued) within 2 years of issuance,
dateunless an extension. of time has been officially granted by letter by the Director, Department of Community Services.
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PHONE
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7 -70
BUILDER.
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SfATH ZIP�--
V
TENANT_NAME
(if applicable)
NAME
PHONE
FAX
OWNER
STEEP
CrrY
STATE ZIP
5
SION
ECDON
LOCATION
ADDRESS OF C,Srpz.PI
e�1
A. TYPE OF CONSTRUCTION Do plans' clude.a porch ?
1. XSingle Family ❑ Yes N0
2. Two Family I(
3. ❑ Multi -Family Type of Foundation:
4. ❑ Commercial / Industrial ❑Crawispace
5. ❑ Farmasement
6'. ❑ OTHER ❑Slab
(Specify)
B. SEW1.—
1. Public. (Name of System
2. /❑ Private (Septic Tank, etc.)
C. WATER:
1. Public (Name of System
2. ❑ Private (Well )
D. ZONING: --e; — I
F. TYPE F IMPRO NT 4 j 1 Ii
1. New Stru e
2. ❑ Addition orch
3. ❑ Remodel ercial errant Space
4. ❑ Foundation Only
5. ❑ Demolition \�
6. ❑ Accessory Building
7. ❑ Swimming Pool
8. ❑ Garage Detached Attached
G. Lot Split YES NO
H. Flood Zones YES NO
1. Sump Pump YES NO
J. Manufactured Trusses)) YES fn NO
K. Plumbing Contractor Lp A,
E. ESTIMATED COST OF CONSTRUCTION b�7 ! •� 2
(Excluding Land Value) Plumbing License # 11 5*060CA or ❑ CABO
##i########t#ii####ti##• ## i# i## #ii#ii#i
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 Carmel Indiana- 1993" (Z-289) and amendments, adopted under 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, kitchen, bath, laundry, and floor drains are connected to the sanitary sewer. I further certify
that the construction will pot be used oroccupieo jjQtil a:Cf!&ff%4zEf��uW. has. been issued by the Department of Community
DP 928-766447 Inspections Needed:
FOR PICK-UP
ootin _ nderslab ou e
(Print) (Phone Number)
Sewer Capacity, Allotted C I. I Z-Od
Plan Commission/BZA`Docket 'X
f - le-vj
Reviewed/Ap ed'. Dept. of Community Services '
anc
2/.av Site C ®'
t/ ,/ Permit(SquareTootage) 106
a a J
0 4 Y1 Insmection Fees � a S
Certificate of Occupancy: s®"
TOTAL.
Fee Received By Ifo Wp%& m IL56