HomeMy WebLinkAbout 0776.01 Application/Carme►-Clay f �� Permit No. I �& p
Township v Application for Date
—151\ 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 extension of time has been officially eranted by letter by the Director. Department of Community Services.
BUILDER
NAME PHONE FAX ��� �/� /
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STREET
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CITY A E� FpR �� STATE
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TENANT NAME
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Su ' eut °f state C���-���1SH��'
Q.
(if applicable)
�.1�Y
NAME
PHONE 1� Of + iN)1#MA
OWNER
STREET
CITY STATE ZIP
LOT / SUBDIVISION
B,-to ks
SECTION
L
LOCATION
1/V�
a„ C/ P1
ADDRESS OF CONSTRUCTION
Z
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Lj
A. TYPE WCONSTRUCTION
Do pl include a porch? F.
1.
2 Single Family
Yes ❑ No
2.
❑ Two Family
�a n "")r►^
3.
❑ Multi -Family
Type of Foundation
4.
❑ Commercial / Industrial
❑Cra pace
5.
❑ OTHER
Elflasement
(Specify)
[]Slab
B. SEWED
GV'�� UA I
PH
1.
Ef Public (Name of System
) I
2.
❑ Private (Septic Tank, etc.)
i✓ i
C. WATEIj:
1. W Public System
`,0' I.
�'�'u�t �) J.
(Name of
TYPE 9JVIMPROVEMENT
1. E
New Structure
2. ❑
Additi
�'c�iitha
3. ❑
Remo]
Conuiierci_�"'
4. ❑
Found
�nly
5. ❑
6. ❑
Demo
Access
�� N 2 8 2001
l µildi
7. ❑
Garasze
hed Attached
Lot Split YES NO
Flood Zones YES NO
Sump Pump YES �NO
Manufactured Trusses YES NO�
2. ❑ Private (Well j�
D. ZONING: S — K. Plumbing Contractor V •L'
E. ESTIMATED COST OF CONSTRUCTION
(Excluding Land Value) Z 60i 0 Plumbing License # /00514 -7 ❑ UPC orXCABO
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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. 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 NOD:
f 14/
noting/ nder Slab on eter B
Signature f Owner or Authorized Agent
c� Site final C/O
�1 y� r�3� / Permit (Square Footage) (pU0JCU
(Print) (Phone Number)
Inspection Fees: 3bc),00
,ewer Capacity Allotted �Bq — 0 I Certificate of Occupancy: Z. 1 .O O
Commission/BZA Docket #:
q, CL-^Akn,4Q ,
/,ved/Approved: Dept. of Community Services
P.R.I.F.: SX1.00
TOTAL: 415G4,00 j
I L�7_ 41
Fee Recei d by s:\ permits\ILPapplication 6/00