HomeMy WebLinkAbout0723.01 10Ca, �nct-Ltay
Township p- �. Application for Date�t No.
�O
Improvement Location Permit Roll File
This permit is valid only if construction isstarted within 120 days of issuance date; all construction is completed (c/o issued) within 2 years of issuance
date unless an extension of time has been Officially ranted by letter by the Director, Department of Community Services.
NAME PHONE
FAX
BUILDER C62LE�% Co�vsT C0 /NC 3111 35,99199 ,/7 35V9.L917
STREET CITY
STATE ZIP
TENANT NAME
(if applicable)
NAMEFAX
f PHONE
OWNER 8R 14� ��/ZSt1QrF �°7�'► DDS'
.S-7/ 69310
STREET CITY
STATE ZIP
3Y.')-2- 34rz�c y V60 33
LOT SUBDIVISION
SECTION
LOCATION /:S'-
ADDRESS OF CONSTRUCTION
A. TYPE OF CONSTRUCTION Do plans include a porch? F. TYPE OF IMPR6VI1yMENi�N 2 2 2001
1. ,- Single Family ❑ YesXNO 1`Q New Struc�e
2. ❑ Two Family
3. ❑ Multi-Family�G� Addition: Por, _ oom
Type of Foundation �•SQl �a Remodel t ❑ Commercial Tenant Space
4. ❑ Commercial / Industrial ❑Crawls c e
5. ❑ OTHER ❑Ba jv` s\\ ❑foundation Only
b G �`� \�,od� Jl� olition ��>(
(Specify) ota �J�`c'cessoryBuilding
B. SEWER:V
Garage Detached Attached1. ❑ Public (Name of System 2 O� �QLot Split
2. ❑ Private (Septic Tank, etc.) .� Q o�P` p YES NO
C. WATER: �Q GP �N Flood Zones YES NO��, ,LL
Q QF I. Sump Pump YES NOy
1. ❑ Public (Name Syste )
2. E3 Private (Well J. Manufactured Trusses YES _X NO
,,,.,� )
D. ZONING: K. Plumbing Contractor /y�7
E. ESTIMATED COST OF CONSTRUCTION
(Excluding Land Value) %9i"G�p Plumbing License # r o
❑UPC ❑ CABO
**************************************************************************************************** PC or
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. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further
certify that only kitchen, bath, 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.
INSPECTIONS NE D:
Signature of O er or Authorized Agent `� ooti /Under Slab n Meter
�i�RRy C0�ySite Final C/O
/ 30 3 -5 -992 -?4Y Permit (Square Footage)7 pp ate_
(Print) (Phone Number)
Sewer Capacity Allotted
Plan Commissio ZA Docket #:
Reviewed/Appro d: Dept. of Community Services
Inspection Fees: 100-00
Certificate of Occupancy: (fin
P.R.LF
TOTAL: ' ,•
Fee Received by s:\ pemiitsAI-Papplication 6/00