HomeMy WebLinkAbout0003.02 ApplicationCarmel -Clay 61 Permit No. d00 L 000 3 . �o
Township 1 Application for6r Date 1- 2 - o Z
Improvement Location Permit Roll File
1
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 granted by letter by the Director, Department of Community Services.
BUILDER
NAME �1 PHONE `� FAX
v l t Z 0,tv� W- 70 t(/ / 6--7e-/i" -7 (!�v
STREET CITY,(t STATE 1A ZIP
TENANT NAME
(if applicable)
NAkW% PHONE FAX
OWNER
STREET CITY STATE ZIP
LOT �/ SUBD N SECT
cL4 M
LOCATION
(
ADDRESS OF CONSTRUCTION
I✓ li e`5` C✓ `J " ��
A. TYPE OF CONSTRUCTION
Do plans incl e a porch? F.
TYPE OF IMPROVEMENT
1.
`❑
Single Family
❑ Yes No
1.
New Structure
2.
Two Family
2.
❑
Addition: Porch ]Room
3. ❑
Multi -Family
Type of Foundation
3.
❑
Remodel ❑ Commir, cial Ten -ant 'Space
4. ❑
Commercial / Industrial
❑Crawlspace
4.
❑
Foundation Only��
5. ❑
OTHER
n
❑Basem�W�
5.
❑
Demolition
(Specify)
Slab
6.
❑
Accessory Building
7.
❑
Garage Detached Attached
B. SEWER:
1. Public (Name of System f ) G. Lot Split YES NO
2. TPrivate (Septic Tank, etc.) H. Flood Zones YES NO
C. WATER: (1 ,n , I. Sump Pump YES NO�
1. Public (Name of System �(�JYI ) J. Manufactured Trusses YES NO✓
2. ❑ Private (Well )
D. ZONING: ��- ( K. Plumbing Contractor 3- V3
E. ESTIMATED COST OF CONSTRUCTION
(Excluding Land Value) I `�� 15 ��J� Plumbing License #/�' UPC o 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 Certirc e of Occupancy has been issued by the CALL PE
oofA%Wff§t3yteib4&, Carmel, Indiana.
�11f rr- INSPECTIONS NEEDED:
CL 1 pp 928-6447R Footin nder Sla on h-In
Signature of Owner or Authoriz Agent / FOR PICK-UP
l 1 / 11 Site
(Print)
rk1 )L - 71y/7 Permit (Square Footage)
(Phone Number)
aLot
Inspection Fees:
Sewer Capacity Allotted S OS? 3.Rg .FASED FOR CQU4- 10P9&9f,\Jancy: L t
lu—b ct to compliance with all Regulations
Plan Commission/BZA Docket #: af State and Lod -A -lodes 's
DEPT OF COMMUNtOYASERVI ES 01,9467
CITY OF CARMEL / CLAY TOW Ia
s:\ permits\ILPapplication 6/00
Reviewed/Ap r ed: Dept. of Community Services Fee Received
2607