HomeMy WebLinkAbout0003.01 ApplicationWmell-ClayJ Date 3. 61
hip �o �o Application for
Improvement Location Permit Roll File
This permit is valid only if construction is started within 120 days of issuance dateall construction must be completed (c/o issued) within 2 years of issuance,
date unless an extension of time has been officiallyarantedhvletter hvtheof 2nroronn Nv. cervirrc
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ADPRESS OF CONSTRUCTION
A. TYPE OFCONSTRUCTION Doplans includ 'a porch? F. TYPE F IMPROVE t ANT
7 mgle Family ❑ YespNo I ew Structured f "y
2 / 0 Two Family' 2., ❑ Addition Porc�t Roo
3. ❑ Multi-Familym
Type of Foundation: 3. ❑ Remodel, ❑ Corrercial-Tenanvsp
4. ❑ Commercial / Industrial ❑Crawlspace 4. ❑ Foundation Oniy��
S. ❑ Farm ❑Basement j 5. ❑ Demolition
6. ❑ OTHER lab 1(7i 6. 0 Accessory Building
(Specify) T. ❑ Swimming 'Pool
B. SEW
8. ❑ Garage Detached _Attached
L Public '(Name of System (iC`C ) G. Lot Split YES NO l�
2 ❑ Private (Septic Tank, etc.) H.: Flood Zones YES NO �t
C: WA /�,q;� I. Sump Pump YES NO �C
1. Public (Name of System �[� ) J. Manufactured Trusses YES NO
2. ❑ Private (Well
D:. ZONING:; K: -Plumbing Contractor
E. ESTIMATED COST OF NST UCTION p DC
(Excluding Land' Value) D ry Plumbing License# Iw t ❑ BOCA ci $WABO
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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 I.C. 367 et seq, General Assembly of the State of Indiana, and all
Acts amendatory thereto. I. further -certify that only kitchen;bath laundryi;and floor drain, -are connected to the sanitary sewer. I .further certify
that the construction will not be used or occupied unn� L � icate --epet as been issued by the Department of Community
Services, Carmil, Indiana. 'ICI 11
DP 90,8 6447 Inspections Needed:
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FOR PICK-UP
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(P) (Phone Number)
Sewer Capacity. Allotted C O 6 u 1
PlanComnrNsion/BZA Docket #: /
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vi wed/Approyed: Dept: of Community Services
Site 059D Go
Permit'(Square Footage) / D 7 Z 6( 0
Inspection Fees: 36-6
Certificate of Occupancy: Z I 8 7
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