HomeMy WebLinkAbout0006.00 ApplicationCarmel -Clay Z� Permit N .
TownslfT q I Application for Dare A
' Improvement Location Permit Roll File
Thispermit is valid only if construction is started within 120 days of issuance date; all construction must be completed (c/o issued) within 2 years o uance,
date unless an extension of time has been officially ranted by letter by the Director Department of Community Services.
NAME
PHONE
0 M
FAX
_ J^Q��%
BUILDER
STREET
3 ,
CITY
I- ul 0A
STATE ZIP
S 7 o7S -; AlOpl fin/, 1/Ge20
TENANT NAME
(ifa licable
NAME
PHONE
FAX
OWNER
V
Om,ES
gFt FAsED FOR CONSTIdt,117Te:n!!
STREET
CnY
3ttbJetet to coml?'s!2a'M;Tet8.t .=r:` ;3m;;^�:.:,rb.rN:,
Of 5A"..e and L ra->F..' av'_l.
LOT SUaDwISION
S Pk
,/
DETra1y OF �aO�f U*!-- iZ'QION• r, u��� S�•'s=. .
CR F_ <CITY OF C A-,RMEL 1 Cl1�l firL`'it. ti it 3 its t
LOCATION
/ A)CI
/=
ADDRESS OF CONML=.ON
IMPIANA
Roak c'
A. TYPE OF CONSTRUCTION
Do plans include a porch 7 F.
TYPE OF IMPROVEMENT
1.
g)(, Single Family
❑ YeNo
1.
!j5�New Structure
2.
❑ Two Family
2.
❑ Additi
3.
❑ Multi -Family
Type of Foundation:
3.
❑ Remixt a
4.
❑ Commercial / Industrial
❑Crawlspace
4.
❑ Foundk o y
5.
❑ Farm
❑Basement
5.
❑ Demo i
6.
❑ OTHER
` Slab
6.
❑ Acces tulding�C 3 0 1999
(SPce�Y)
7.
❑ tool
B. SEWER:
Ce)�Hl.
8.
Gar
❑ Garag De
1.
(� Public (Name of System C/iitt M )= L.
_
Lot Split YES NO
2.
❑ Private (Septic Tank, etc.)
Flood Zones YES NO
C. WATER:. I. Sump Pump YES NO
1. di`Pubhc (Name of SystemCji/ti M 12 L 1 J. Manufactured Trusses YES __X NO
2. ❑ Private (Well )
D. ZONING: S / K. Plumbing Contractor /i E SS/O
E. ESTIMATED COST OF ONSTRUCTION
(Excluding Land Value) Plumbing License #00X73/ XBOCA or ❑ CABO
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The undersigned agrees thatany 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 Cannel Indiana- 1993" (Z-289) and amendments, adopted under authority of I.C: 36-7 et seq, General. Assemblyof 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 not be used or occupied until Cerkficate.ojOccupancy has been'issuedby the Department of Community
Services, Carmel, Indiana.L PERMITS PLUS
Irectioneded:
DP 928=6447 ea "
-ootn doug6- eterBFOR PICK
Sewer Capacity Allotted 4-9 -yq
Plan Commission/BZA Docket#:
"
Zeviewed/App oved: Dept. of Community Services
Site Final CIO
0
0
Permit (Square Footage) '�n7 (D
Inspection Fees: d'50100
Certificate of • r: e
�. a•
'.• •o � 'fir I I�j
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ReceivedFee