HomeMy WebLinkAbout0004.01 ApplicationFWhiCp
lay Permit NoApplication for Date
Improvement Location Permit Roll File
This permit is valid only if construction isstancilmithin 120 days of issuance date; all construction must be complf
issued) within 2 years of issuance,
date unless an extension of time has been officialiv.aranted by letter by the. DireMnr'tlenarrmrrin nfCnr,,.,,..din,aPr.d�P�
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TENANT NAME
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LOCATION
ADDRESS OF CONMU=O
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A. TYPE OF CONSTRUCTION Dggans include a porch ? F. TYPE OF -IMP WT
lSingleFamily ❑YesNo
2 ❑ Two Faintly 2. ❑ Addition Porch Room
3. ElMulb-Fanuly Type of Foundation: 3. ❑ Remodel .❑ Commercial Tenant Space 11
4. ❑ Commercial) Industrial ❑Crawlspace 4. ❑ Found" Only
S ❑ Farm asement 5 ❑. Demolition-(% j
b. ❑ OTHER 11
❑Slab 6 ❑ Accessory Building
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.7. ❑ SwtmmmgPool _ % jl
B. SEWER: Y ❑ Garage Detached Attached j11
1 Public (Name of System G. Lot Split j YES ._._ NO,=�
2 Private (Septic Tank, etc.) H. Flood Zones YES
C. WATER: �'// (f 1. Sump Pump YES NO
1 7 P.ubhc (Name of Systwfr &Ww ) J. Manufactured Trusses YES NO
2. ❑ Private (W }
D. ZONING: 5- 1 if
K. Plumbing Contractor
E. ESTIMATED COST OF CONSTRUCTION
(Excluding Land Value) �y`�' 6 / �, Lim Plumbing License #yj���s OCA or ❑ CABO
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Th6undersigned 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 -4 993" (Zr289), and amendments, adopted under authority. of I.C.36-7 et seq; General Assembly; of the State of Indiana, and all
Acts amendatorythereto. I further certify that only kitchen, bath; laundry; and'floor drains are connected to the sanitary.: sewer. I further certify
that the construction wM:not be used oroccupie�d_ nm1il a Ce!WfFtate of Occu ancy has been issued by the Department of Community
Services, Carmel, Indiana.OkL
4ac��_ A��Ct/7 Inspections Needed•
'Y ✓'Ql ��I/�/Vt'l 1'[ck"/'0ootin- uderslab Rough- eterB e
(Phone Number)
Sewer Capacity Allotted (a C7-OD
Plan Commission/BZA Docket #:
Reviewed/Approve,. Dept. of Community Sbrvices
Site real C!O
Permit (Square Footage) a 3Q Q� 3994 /
t
htspectionFees: 35OAD
64 ea
Certificate of Occupancy: d 1.0O
TOT T(� 9
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F ecetved B , e:Vom Wp96 g u m I2/95