Loading...
HomeMy WebLinkAbout 0084.00 Applicationdel -Clay v J. Township a Application for Improvement Location Permit Roll File + This permit is valid only i egns,truchon'Is:started within 120days of issuance date; all construction must be. completed (c/o issued) within 2 years of issuance, date unless an extension of timehas been officially ranted by letter by the Director, Department of Community Services. NAME (%/"/F�S�/j PHONE BUILDER J A) /// ri V.2 1,E STREET a 73 CITY STATE ZIP A /,, Zell/ CiP. SSS/Al(r 13,.. Cl�jQ M GG r v. ylgo3,2 - TENANI' NAME (if applicable) OWNER NAME PHONE FAX artyS }� TO N Cl', A/z/E I a 73 Subject to co PI' It POMMUCTION M tI- i oA) eCROJS/A16- 13� ;PQ h a! + z ,—" LOVE DEPT OF es suCOMeorvisloN F ' ITY SERVICES LOCATION 1« 1AM.S�! L CITY ADDRESS OF CONSTRUCTION ®Ai^1 �, e. - 5 2, 7 G A R F-A) � A) I 0/ Ei�19NR9'yE� A. TYPE OF CONSTRUCTION I. V Single Family 2. ❑ Two Family 3. ❑ Multi -Family 4. ❑ Commercial / Industrial 5. ❑ Farm 6. ❑ OTHER Do plans include a porch ? ❑ Yes KNO Type of Foundation: ❑Crawlspace Wasement ❑Slab (Spey) B. SEWER: 1. Vl Public (Name of System C-! I? WQ. ) 2. ❑ Private (Septic Tank, etc.) F. TYPE OF IMPROVEMENT 1. K New Stru, 2. ❑ Addition I I �j (( JAN �Rooct Attached —YES .NO.. YES NO C. WATER: I. Sump Pump YES � NO I. 9- Public (Name of System r 1✓4p4S) J. Manufactured Trusses YES NO 2. ❑ PrivateWell ) /� D. ZONING: K. Plumbing Contractor /I E. ESTIMATED COST OF CONSTRUCTION 00 A,63 (Excluding Land Value) J3 �, Q S.3 Plumbing License #_ dg�BOCA or ❑ CABO 3. ❑ Remodel (� 4. ❑ Foundati 5. ❑ Demolit 6. ❑ Accesso B Ic 7. ❑ S g Poiii 8. ❑ Garage Detacl G. Lot Split H. Flood Zones. The undersigned agrees that any concoction, 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, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further cerfify, that only kitchen, bath, laundry, and floor draims are connected', to the sanitary sewer. I further certify that theconstruction,will not be used or'occupied until a Certificate of Occupancy hasbeen: issued by the Department of Community Services, Carmel, Indiana. CALL PERMITS PLUS 328-6447 DotiInspections Needed: PICK-UP , uderslab ugh- eterB Sewer Capacity Allotted d Lth% . •00. Plan Cornmission/BZA Docket #: 50 Reviewed/A proved': Dept. of Community Services Site C/O (] Peril (Square Footage) Inspection Fees: � Certificate of Occupancy: 15 600 TOTAL: G,. 7.Ob Fee Received By rvo m p96ga R.Iv�