HomeMy WebLinkAbout0002.01 ApplicationCarmel -Clay Permit No. r � Co
Township / �''1 Application for Y2Dat,.
IJ Improvement Location Permit Roll File
This permit is: valid only if construction is started within. 120: days of issuance date; all construction must be completed (c/o issued) within 2 years of issuance,
date unless an extension of:time has been officiall "rmted'b .letter: by the Director; De- -rtmentof Community Services.
NAME
°m�� �,
P ONE
Pt
FAX
31�� sal az�
BUILDER
SIREEf
CEIT
%'
w
7cl
TENANT.NAME
Cyr.. i�i-;j'i ,
FIrL :� ' 1'e v,!y_p rl'l
(if a licable)
i0 G61"f1?%.1 _._I I nr.2I C.Cis' •' ... r. -`
NAME
�,acc
oi�tGGs,9tJtU' vff t tiCJ SHIP
OWNER
e S
r q
[ Or i0
'MEET
CrrF
CIT`/ OF IND�`A IA ZIP
LOCATION
LOT SUBDIVISION
72 �a
rl -
7� //,, SECrION
Y YO / r Ul C m Z
ADDRESS OF CONSIRU=N
13o10
C
rd
T V tZ61 #
A. TYPEOFrCONSTRUCTION
1.
f7J'
Single Family
2.
❑
Two ]Family
3.
❑
Multi -Family
4.
❑
Commercial/Industrial
S.
❑
Farm
6.
❑
OTHER
Do plans include a porch ?
D/Yes ❑ No
Type of Foundation:
❑Cra ce
asement
❑Slab
(Spey)
B: SEWER:
1. RY Public (Name of System / q ✓ mr )
2 ❑ .Private (Septic Tank, etc.)
C. WATER:
1. & Public (Name of System C -i ✓),C
2. ❑ Private (Well
D. ZONING:
E. ESTIMATED COST OF CON TRUCTION
(Excluding Land Value) t7 U 0 U
4
F' 'TYPE )FIMPROVEMENT
I. tEr New Structure
2. ❑ Addition Porch Room
G
JI' u I,,K
J. K. Plumbing Contractor co r I ,j
Net, I
3. ❑ Remodel Commercii
4. ❑ Foundation �rI,�_
5. ❑ Demolition � V)
DEC 1 2 2000
_ Attached v
YES NO i.
6. ❑ Accessory u1I
7. ❑ Swimming .
8, ❑ Garage De ]
Lot Split
Flood Zones
Sump Pump
Manufactured Trusses
YES _(/ NO
YES NO �^
#A/kt)1 tab ❑BOCAorCABO
The undersigned agrees that any construction, reconstruction, enlargement, relocation, or alteration of structure, or any change in the use of land
of structures iequesied'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. Ifurther 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 unda Certifuate of Occupancy has been issued by the Department of Community
Services, Carmel, Indiana.
Signature of Owner or Authorized Agent (�
(Print) (Phone Number)'
Sewer Capacity Allotted (00Z- -00
Plan Commission/BZA Docket #:
1 4- noA_
Reviewe pproved: Dept. of Communi Services
Inspections Needed:
cot' nderslab R gh eter:B
site Final C/O
'Permit (Square Footage) <
InspectionFces:
Certificate of Occupancy: ,a) 00
' e TOTAL: h :f r