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HomeMy WebLinkAboutApplication „ ,_ ks.- 'iel/Clay c5y Permit No. I O s V �J Township Application for Hold#: 0 Improvement Location Permit ' Date Roll File This permit i valid only if construction is started within 180 days of the date of issuance for residential construction;and for commercial projects,within one(1) year of the date of issuance of the State Commercial Design Release. All construction must be completed(c/o issued)within 2 years of the issuance date. BUILDER7 l o v s PHONE l"1--4)ci 4 s-Lt -i©tQ(O STREET CITY STATE ZIP \\r1 w. env %\v 0,Aut_A 4v1`z_ 4\C o Car wv0 t\) 4 tau 3 _ TENANT NAME (If applicable) /Clr. NAME 724."�� BONE FAX 6, OWNER StiV-� lC3G.f fo„Q v ., 411 STREET Ci PA;S�Id�C�T 00 CC)V STATE ZIP • R Vi LOT \1' AO 1 � 4044SUBDIVIN SECTION r6O/ �,i LOCATION J� II(//11). (LIADDRESS OF CONSTRUCTION A. T E,OF CONSTRUCTION Do ns inchide a porch?v Pa F. T E OF IMPROVEMENT 1. Single Family es❑ji' 0 No 1. New Structure 2 5 2002 2. Two Family ` 2. Addition: Porch Room 3. 0 Multi-Family Type of Foundation 3. 0 Remodel 0 Commercial Tenant Space 4. 0 Commercial/Industrial 0 Crawlspace 4. 0 Foundation Only 5. 0 OTHER Basement 5. 0 Demolition (Specify) Slab 6. 0 Accessory Building B. SEWER: �,� ^I ' 7. 0 Garage Detached Attached 1. Public (Name of system t 2. 0 Private(County permit# ) G. Lot Split YES NO ki C. WATER: H. Flood Zones YES NO ✓ 1. Public (Name of system C0\ .(y' I. Sump Pump YES NO 2. 0 Private(County permit# ) J. Manufactured Trusses YES NO D. ZONING: —, K. Plumbing Contractor- \Am(1/) NSMS \411C, E. ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code: 0 Plumber's (Excluding Land Value) kt.A”) DO() Indiana Plumbing Code: R License# kOA01 I,the undersigned,agree that any construction,reconstruction,enlargement,relocation,or alteration of a 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 Cert.lcate of Occupancy has been issued by the Department of Community Services,Carmel,Indiana. 4C`\L LO(_; -- INSPECTIONS NEEDED: Signature of Owner or Authorized Agent AA Footin g, nder lab l'ough-In eter Base \AAdd/\. / „�d, c'- 0 J\0q ,/1�` A\,M, Site inal C/O �CJL,I O"l"\ �C S .Ft. S ova 4" Print Phone Number q iling Fees: 3 CO E-Mail: \\Yam - ( (� \,l..IV, --� Base Inspections: 5 S v — / Cert. of Occupancy: a P.R.I.F.: 'S a Plan CommissionBZABPW Docket#'s;TAC Date(s).6. .4it 5 �y t 'j J� TOTAL: Id Reviewed/Approved: Dept.of Community Services •- e eived by S:Permits/Forms/ILPS- 2