HomeMy WebLinkAbout0001.01 ApplicationCarmel-Clay/,C'/ ��ft� i �.✓Z�� 4?c° Permit No: �• �l
Tow,ts>up illQ/ AP a or / Date
Improvement Location Perm . Roll File
This�permit is valid only if construction is started within 120 days of issuance date; all constructs .must be completed (c/o issued) within 2 years of issuance,
date unless an extension of time has been officially ¢ranted by letter by the Director. Denartment of Community Services
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PHONE
FAX
BUILDER
VAR — —CO
3/7-8414A- 1, f 5 1
3(7 - f VV Z
STREET
cnv
STATE MP
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N Y403 Z
TENANT NAME
'(if applicable)
NAME
PHONE
FA%
OWNER
Ce HAndwF
3l7-8--2 V 7S
SfREEt
CITY
SPATE MP
731.ai"J �Lr�
C'�r n- m tC
S") 1(n(,3 2_
LOT SIIHDMS N
SECTION
LOCATION
ADDRESS OF CONSIRUMON
nrni\
A. TYPE OF CONSTRUCTION Do plans include a porch? F. TYPE OF IMPROVE 4 tC U v t
L ❑ Single Family ❑ Yes Oa No 1. ❑ New Structure �`
2. ❑ Two Family 2. e Addition Porch
3. ❑ Multi -Family Type of Fo tion: 3. ❑ Remodel ❑ ommercial Ten ace
4. 12" Commercial / Industrial ❑Cr space 4. ❑ Foundation Only
5. ❑ Farm asement 5. ❑ Demolition
6. ❑ OTHER ❑Slab 6. ❑ AccessoryBuilding
(Specify) 7. ❑ p�
B. SEWER:
�ESSD F®8 Co"D��Gara�eed Attached
1. ❑ Public (Name of System `tl�)BCi to tbrtG!i9LntaSpIIi1 all�I3egtt all4fi YES NO 4—
2. ❑ Private (Septic Tank, etc.) . F1ood!Zonesad88
of Si2H
'._ 8 YES NO L.-
C. WATER: CJPJSuniPP�n?PSERVICE.S YES NO
]. ❑ Public (Name of System lam_) C jai OF: ] anuact itured'TYES NO
2. ❑ Private (Well 1v(y OF CA�'tMff r fac
D. ZONING: KI Plum" Contractor / 4, r) e .
E. ESTIMATED COST'OF CONSTRUCTION
(Excluding Land Value) a 5 t7 I o Ob °O `Plumbing License # N I ❑ BOCA or ❑ CABO
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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 LC: 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.ihe construction will not be;used or occupied until a Cerdfrcate of Occupancy has been issued by the Department of Community
Services, Carmel, Indiana.
Sig��ro �� I �1
Signatureof er or Autnoiize Agent
.T , Py,/- JYst
(Print) one Number)
Sewer Capacity Allotted
Plan CommissionB�Docket #:
Dept. of Community Services
i� Foot' nInspections Needed:
dersiab Rough -In Meter Base
Site inal /O
�/9 Permit (Square Footage) _
dCJ
Inspection Fees:
Pp
Certificate of Occupancy:
TOTAL: \
I
Fee Recei By r\f m Wp9536+ m1zv6