HomeMy WebLinkAbout 0087.00 Application-Clay & Permit No.
Township Application for ate i �a
g� Improvement Location Permit Roll File �co d
This permit is valid only.if construction is started within 120 days of issuance date; all construction must be completed (c/o issued) within s of issuance,
date unless an extension of time has been ofHciallvgranted by letter by the Director, Department of Communitv Services.
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A. TYPE g CONSTRUCTION
1. @/ Single Family
2. ❑ Two Family
3. ❑ Multi -Family
4. ❑ Commercial / Industrial
5. ❑ Farm
Do plans ude a porch R
es ❑ No
Type o o dation:
LK/w
asement
6. ❑ OTHER ❑Slab
(SPceRy)
TYPE IMPROVEMENT
1. New Structime
2. ❑ Addition
I B
3. ❑ Remodel
4. ❑ Foundation
�atmrterc
5. ❑ Demolition
n JAN 1 8
2000
6. ❑ Accessory
7. ❑ Swimmini
B. 1. V P 8. ❑ Garage D Cached Attached
l . �/ Public (Name of System G. Lot Split
2. ❑ Pj' ate (Septic Tank, etc.) H. Flood Zones YES O
C. WATEJi: ,/l ,y , I. Sump Pump YES
L Public (Name of System t r ��/3 r l J. Manufactured Trusses YES NO
2. ❑ Priv (We ] )
D. ZONING: K. Plumbing Contractor L
E. ESTIMATED COS1f ONS RUCTI //�
(Excluding Land Value) Plumbing, License #/0V7 & V 3 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 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, la d floor drains are connected to the sanitary sewer. I further certify
that the construction will not be used or occupied until a rate ecapancy has been issued'by the Department of Community
Services, Carmel, Indiana:
Sewer,CapacityAllotted AW1a-60
Plan Commission/BZA Docket#:
Reviewed/App oved: Depi. of Community Services
Inspections, Needed:
oot' Uuderslab ough- eter e
�w Site final C/O
4 7j Permit (Square Footage) RIA00 y=�
Inspection Fees:�.�
8¢�
Certificate of Occupancy: I S,00
ee Received By �� aP eM m Ivy