HomeMy WebLinkAbout 0774.01 ApplicationPermit No.NV
Township , Application for / Date
Improvement Location Permit Roll File
This permit is valid only if construction is started within 120 days of issuance date; all construction is completed (c/o issued) within 2 years of issuance
date unless an extensinn of time has been officially eranted by letter by the Director. Denartment of Community Services.
BUILDER
NAME
PHONE FAX
1 " 9 ti-3 7 Sc wv-
STREET
41
3r "on
CITY STATE ZIP
CGa t wee i N y6 033
TENANT NAME
FOR"lith r%"
�
(if applicable)
RELEASED all bons
NAM
r�DEP
es
PHONE Subject to CO al Gerdes
of State and Los Gad
MUNITY SERVICES
STREET
CITY CITY OF CARMEL / C STATE ZIP
INDIANA
LOCATION
LOT
7
SUBDIVISION Q
Oo <<7-L'tnar�
SECTION
Mc r view a v
ADDRESS OF CONSTRUCTION
5 20
A
TYPE OF CONSTRUCTION
1. $, Single Family
2. ❑ Two Family
3. ❑ Multi -Family
4. ❑ Commercial / Industrial
5. ❑ OTHER
(Specify)
Do plans include a porch?
F.Yes ❑ No
Type of Foundation
MCrawlspace
(%Basement
❑Slab
F. TYPE OF IMPROVE t
1. � New Structure
2. ❑ Addition: Por h Room
3. ❑ Remodel rcta Tenant Space
4. ❑ Foundation Only
5. ❑ Demolition
6. ❑ Accessory Building
7. ❑ Garage Detached Attached
B. SEWER:
1. *9 Public (Name of System C^,rvK ( ) Y G. Lot Split YES NO
2. ❑ Private (Septic Tank, etc.) V / H. Flood Zones YES NO�
C. WATER: '�,/ I. Sump Pump YES NO
1. % Public (Name of System Car wek J. Manufactured Trusses YES NO
2. ❑ Private (Wel )
D. ZONING: K. Plumbing Contractor 441A Z. &(
r
E. ESTIMATED COST OF NSTRUCTt0N
(Excluding Land Value) �600.000 s"— Plumbing License # to6gOP? ❑ UPC or CABO
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 NEEDED:
`r,
Footin nder Sla Rough -In eter Base
Signature of Owner or Authorized Agent
/// Site <Zin <:;
C--O f ,i �� �f �j Si 3' cj 53 7 Permit (Square Footage) / S33
(Print) (Phone Number) /
Sewer Capacity Allotted
Inspection Fees
35`0
S 0 J 0 /' 0( Certificate of OccgOcy: 2.
Plan Commission/BZA Docket #:
A 0� �
Reviewed/Ap o d: Dept. of Community Services
P
TOT
Fee Received by t-4.\ pemiits\ILPapplication 6i00
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