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�