HomeMy WebLinkAbout0006.01 ApplicationClay / / erra No. I
v Application for are 17
5 Improvement Location Permit Roll File
FThis permit is.valid only if construction is started within 120 days of issuance date; all wnstraction must be completed. (c/o issued) within 2 years of issuance,
date uniessan extension of time 'has 'been orTioially wranted by'letter-6 the Director. Department of Community Services.
PHONE FAX
BUILDER
C Tn5
TENANT.NAME
S ecl IV
tare and °
°f SCOi�P11UNi�Y SA, •'• '_.
(ifa licable
PH NE.
NAme 6 6,i O Y1 C1T`( OF CAR INDIANA
OWNER
t��
/� � / � " SECnON /
LOT SU MSIO-7V4 (M
/M/ /
LOCATION
l� t//y !
ADDRFS4 OF'CONSfRUCnON
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A. TYPE OF CONSTRUCTION Do p" tnclVj a porch 7 F. TYPE OF IMPROVEMENT; _
i Single Family ❑ Yes No 1. .;Er —New, Structure !'� '. Oc Ct j a r
2 ❑ TwoFamily 2/ ❑ Addition Por— Room
3. ❑ Multi -Family Type of Foundation: 3. ❑ Remodel I� l❑ Commercial Tenant Space
4. '❑ Commercial/Industrial OCrawlspace 4. ❑ Foundation l y DEL 2 ?�pQ
5. ❑ Farm �8aseme(�tJDG.
❑ Demolition' ,
6. ❑ OTHER /❑Slab❑ Accessory inlding
_ (Spey) ❑ Swimming PB. SEW: ❑ Garage Detach1. Public (Name of System Lot Split i— —,_Y_
NO
2. ❑ Private (Septic Tank, etc.) H. Flood Zones YES NO
C. WATER: / C Sump Pump, YES NO
1. Public _(Name of System (% J: Manufactured:Trusses. YES, NO
2. MOPrivate(Well, 1 0 nM
D. ZONING: 7—� Plumbing Contractor %rT9Gl
*st � s+stss s sssststaiss
E. ESTIMATED COST OFf ONSTRUCTION
G
(E
lud and Value),--, , • U`
(DPlumbing Ltcen # DBOCA or O CABO
tststts++st+is+fsttsstss+t+siiss'swtsttssss++tit*tt s"ssasttssitt++tufts
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 CarmelIndiana.- 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, laundry„and floor drains are connected to the sanitary sewer. I further certify
that the construction will not be used or occupied until a Certificate of occupancy has been issued by.the.Department of Community
Services, Carmel, Indiana. r-A—U- MM j(-fS 5
l)af.� {pc{ l Inspections Ne ded
>2 P,64 t'(' Priderstab ou - ester e
Sewer Capacity Allotted (. I (o • DO
Plan Cornmission/BZA Docket #:
Reviewed/Appro ed: 'Dept. of CommunityServices
Site, Fin C/O
Perriu6(Square Footage) aS pa 4176
�1
Inspection Fees:
/l 4 00
l-, Certificate of Occupancy: y�a'I OD
TOTAL: i
Fee R ived By e:v� mPss sw m Izvs
F