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Home My WebLink About 0800.01 ApplicationClay Township Application for Permit Ncry ✓ ` v Improvement Location Permit Date 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 data unless an extensinn of time has heen nfficially Pranted by letter by the Director. Department of Community Services. BUILDER NAME ,1G /sJ PHONE FAX f' /� ZZ`/ Qlk i%% ka%te 61 q-g14'%%74 (61+ L446`770 1 STREET CITY STATE ZIP 017c Gasfon OUa l Tgl'fc 2©C) eolurnbets Cihto e13a 1 TENANT NAME Doug �bS // 2 2 9 (if applicable) OWNER NAME /✓'CIG "" PHONE ,,�a.�C t Ql Lc FAX j(7-Fel-V-7642 STREET n �- 91e � CITY/ , ry�c%i a: 7 �r STATE ZIP, �� 'U _2 V `160 LOCATION SUBDIVISION LOT ,SUBDIVISION /�t 6, a ADDRESS OF CONSTRUCTION l qa /�e yu a i Cairn C % .T� JUL - 9 2001 A. TYPE OF CONSTRUCTION 1 ❑ Single Family Do pl lude a porch? F. Ot Irm TYPE OF IMPROVEMENT 1. 0 New Structure l 2. ❑ Two Family ubleCt tp �(►1 Fo� C .� ddi iQn:It � Porch Room 3. ❑ Multi -Family Type of Fou)tdAttpPliance wj� rft e ; ❑ Commercial Tenant Space ka 4. Commercial / Industrial i rgwls c t3fe 3,.d Lc "�iii Matign Only 5. ❑ OTHER (,J t ll�i/�jJ(�j1 Demolition (Specify)RME�, �,+ ' Building °1#�N Y, p}Detached Attached B. SEWER: 1. IC Public (Name of System ) G. Lot Split YES NO 2. ❑ Private (Septic Tank, etc.) H. Flood Zones YES . NOS_ C. WATER: I. Sump Pump YES NO X 1. jib Public (Name of System ) J. Manufactured Trusses YES _X— NO 2. ❑ Private (Well ) D. ZONING: P ng Co tractor E. ESTIMATED COST OF CONSTRUCTION 1 (Excluding Land Value) � �� O Plumbtn icense# ❑ 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. 1 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, In ' a. leA SP E D: /''�" �� Footin er Sla ough- Meter Base Si e of Owner or Aut rized Agent �'%+ ite Final /O Ze. 11e,-T Permit (Square Footage) (Print) (Phone Nun)ber) ,�r Capacity Allotted 3 Inspection Fees: Certificate of Occupancy: F--� O.R.I.F.: L u/A�pr&,ed: Dept. of Community Services Fee Received by s:\ pemiits\ILPapplication 6/00