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HomeMy WebLinkAbout0004.00 ApplicationCarmel -Clay S ermit No. ©B 0 Township %% Application for Date 17� Improvement Location Permit Roll File This permit is valid only if construction is started within j20 days of issuance date -all construction mustbe completed (c/o issued) within 2 years of issuance, 'date unless an-extenslon'of time has been officially Granted by letter by the Director,--Department'ofCommuniry Services. NAME PHONE FAX BUILDER �St4wl R+rMO��(ANEW. i -1465 137 S Er 'CITY STATE VP c TENANT NAME (ifa licable) NAME PHONE FAX OWNER e4 2 SIREEr CrrY 76 t? S e t s gyros SPATE LP ar- f Z LOCATION I'm SUBDIVISION I. h SEC11ON ADDRESS OF CONNSFAUMON A. TYPE OF CONSTRUCTION 1. -Er Single Family 2. ❑ Two Family 3. ❑ Multi -Family 4. ❑ Commercial / Industrial 5. ❑ Farm 6. ❑ OTHER Do plans include a porch ? ❑ Yes JTNo Type of Foundation: ❑Crawlspace JIBasemerit ❑Stab (Spey) B. SEWER: ��)) l . � Public (Name of System 2. ❑ Private (Septic Tank, etc.) C. WATER: mmOmmaNwo ■ ,:, 5. ❑ D 6. ❑ A 7. ❑ `Sw 8. ❑ Gar G. Lot Split H. Flood'Zones I. Sump Pump YES NO YES NO YES NO 1. J Public (Name of System ) J. Manufactured Trusses YES NO _Z�, 2. ❑ Private (Well D. ZONING: K. Plumbing Contractor "4.tE E. ESTIMATED COST OF CONSTRUCTION (Excluding Land Value) Plumbing License # �_ ❑ BOCA or ❑ CABO *sss**++***+s+rt++rtrtsss+*+*rtt++*+***++s+rt++rt++rt++++****s******ss*++t+++*rt*s*sss++rt+rt**++sssss+rts**sssss*++**s 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 se a1. Assembly'of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, laundry, and floor dr1 nnectgil to the sanitary sewer. I further certify that the construction will not be used or: occupied until a Cerdficate oJOr�c�eQ. hast)JU ssued'by the Department of Community Services, Carmel, Indiana. �R e yittih u � �jC�mpl`®Iry t,+l�seections Needed: et to C f ot}ntFoatihdtRJndersla e4 In eter Base Si attire of Owner or Authorized Agent 'aw" � � Jca�,.� M_ RII/tc®r'.teC 99o-Id�.g ��t; (Print) _ o (Phone Number) Sewer Capacity Allotted Plan COramisslon/BZA Docket #: view ept.of Community Services Pt (Square Footage) r;1`jt Inspection Fees: Certificate of Occupancy:CIV S r w TOTAL: ., U �— Fee Received By vas P� g m Iv96