HomeMy WebLinkAbout0651.02 Application Carmel/Clay
Township o - — Application for
Permit No. 5/v 2
Hold#: 3 - Improvement Location Permit Date
Roll File
This permit is 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.
NAME j+umes
PHONES 1�0.�L% J�FAX
, ' -�
BUILDER ( ri t ct('>•C7''� 33e
STREET CITY STATE ZIP
L t=- t #1W 1 r� pt3 I LI 14(0 50
TENANT NAME
(If applicable)
NAME PHONE RELEASED FOR Cf1 S�UCT101�
OWNER Cente . I -e3 Q o f to compliance z
estgrei
of State end I
STREET CITY pT OF COMIVIUtT SERVICES
L'Ta 5*5 C YICl�oF CARMEL ! t�ity T
LOT SU jIISIIOON� �� INDIAI .ION
LOCATION\ l�l 1 ei U) l I
ADDRESS OF CONSTRUCTION C
t35D ..1 � A
A. TYPE QF s�i CONSTRUCTION Do plans a porch? F. TYPE F IMPROVEMENT .0 rr Y,�d 1 k
1. 0- Single Family avVes 0 No 1. gr New Structure (-aunt Yy r
2. 0 Two Family 2. 0 Ac{dition: Porch Room
3. 0 Multi-Family Type of Foundation 3. 0 Remodel 0 Commercial Tenant Space
4. 0 Commercial/Industrial 0 farawlspace 4. 0 Foundation Only
5. ❑ OTHER C� Basement 5. ❑ Demolition li I 1 - 6 2002
(Specify) 0 Slab 6. 0 Accessory Building _j
B. SEWE13: 7. 0 Garage'petaehecL. . ...._..
1. p' Public (Name of systemCa,r m o )
2. 0 Private(County permit# ) G. Lot Split t--
.C. WATE H. Flood Zones YES NO ,/
1. 5 Public (Name of system COX me-I ) I. Sump Pump YE /NO
2. 0 Private(Coupty permit# ) J. Manufactured Trusses S ✓ NO
D. ZONING : j-_ 1 K. Plumbing Contractor L—O enCL.hr 'L(&.
E. ESTIMATED COST OF C%STATRUcTKIN IRC Plumbing Code: 0 P mber's
(Excluding Land Value) 1 L Indiana Plumbing Code: License#:TACO i CCU
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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
Certi'cote of Occup y has been issued by the D a ment of Communi Services,Carmel,Indiana.
�;I LL PERMITS PLU7 INSPECTIONS NEEDED•
Signature of Owner or Authorized Agent DP 928-644 f Footin.% nder Slab 'ough In • Meter Base
�,rnl Oectanor q I5 Vic.
For Pick-UpSite et. :
6/6,2b
(Print) (Phone Number) Sq.Ft.
Filing Fees: c (.p-
E-Mailfirenan.er g.c e a;L horn-eoLc Inspection Fees: 357)
Cert. of Occupancy: a17-.7
P. .
Plan ommission/B :P . ! : • : :'s; TAC Date(s) r
F;`t
t\, i
Reviewed/Ap, . ed: Dept. of Community Services Fee Received by S:Permits/Forms/ILP2-02