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Home My WebLink About 0799.01 Application' 7 Irmel-Clay Pe o. ! v/ Township0( Application for Date Improvement Location Permit Roll 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 heen nfficially granted by letter by the Director. DeDartment of Community Services. NAME PHONE FAX BUILDER GautS V-kQ\L C3►-1291- 51 2-7 STREET 2$ .S3La ©6 CITY R STATE ZIP LEASED � -Z. �N� ORt TENANT NAME (if applicable) o compliance with aH Re ®EP of State and Local Cori, gulat�ons NAME ARMEL / R19NS PHONE CITY®� C �XAY �O�N�HIP OWNER Cw L (SQ�291-SUI INDIANA STREET CITY STATE ZIP 5aM3 Lom 6 w 5 LOT SUBDIVISION SECTION LOCATION Q(p W Dpp F ADDRESS OF CONSTRUCTION 150(o 2WLU4_ COUTZ5 >? M L ItA 03 A. TYPEOFCONSTRUCTION Do plans include a -perch? F 1. M Single Family Yes ❑ No � f& 2. ❑ Two Family 3. ❑ Multi -Family Type of Foundation 4. ❑ Commercial / Industrial ❑Crawlspace 5. ❑ OTHER Emasement (Specify) ❑Slabb TYPEPF IMPROVEMENT 1. T] New Structure 2. ❑ Addit�� Dolph. R 3. ❑ Remd TI ,' ❑ 4. ❑ Foun ;Only 5. ❑ Dem t JUL L - 9 2001 6. ❑ Acce itutl Ing 7. ❑ Gara ached Attac B. SEWER: 1. EJ'-Public (Name of System �) G. Lot SplityR.R 1\ 2. ❑ Private (Septic Tank, etc.) H. Flood Zones YES NO V" C. WATER: ` I. Sump Pump YES t/- NO 1. R—Public (Name System �� J. Manufactured Trusses YES NO_� 2. ❑ Private (We ) D. ZONING: K. Plumbing Contractor 7-y FAoti0.E E. ESTIMATED COST bF CONSTRUCTION (Excluding Land Value) 4 106., ODD Plumbing License # 181606ZOS ❑ UPC or MCABO 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 dripate of Occupanc h s been issued by the Depapment of CoRmy ity S rvices, Carmel, Indiana. P 11 t lax� INSPECTIONS NEEDED: aL_q Footin nder Sla Rough-IMeter Base nature o caner or Authorized Agent Site inal C/O; eN A 3t'7 2 l - S WS kit7tL � � 9 7271 (Print) (none Number) Sewer Capacity Allotted\7 L 0(P• ©I Plan Commission/BZA Docket #: �d+� Reviewed/Approved: Dept. of Community Services Permit (Square Footage) Inspection Fees: Certificate of 0( R.I.F.: ee Received by &57E> S, 1 ^V