HomeMy WebLinkAbout0653.02 Application 1/Clay
Townsh 6)‘,
ip 64/4 0 A lication for A Permit No. CQ3'PP . ►
Hold#: Improvement Location Permit ow
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 I / PHONE FAX
BUILDER rill r4 W. iC 11liiateitk,_ $"?14 b
STREET CITY STATE ZIP
'17)1 rrepliki et �natian�lo0�r`i . -Iv ill 2‘
TENANT NAME
(If applicable) RED-El4. D , +Gf)1N t1CT oN
NAME ` PHONE Sa�h•ect to co li��ana 4Mitli�ati1"Regulations
OWNER cC0 3 CA Min..� Cof44h5 �7— 7/O7of State and Local Codes
STREET CITY ir.:PF!'r! OF COMMINTY S V CES
ewban‘2- 1/ /Ott? p4
C fl QF CAR E► Y T
yrp.,
IN A A
LOT SUBDIVISION SECTION ^�
LOCATION 5- 44irT /r/'Y) / /,Ov
#
f
ADDRESS OF CONSTRUCTION CV
V
SSII lei/ 11;a,n Benner^ tn/a Catme/, . , , .�' 1\
A. TYPE OF CONSTRUCTION Do plans include a porch? / F. TYPE OF IMPROVE . ,�� /
1. Er Single Family ®Yes 0 No 1. Cr New Structure
2. 0 Two Family 2. 0 Addition: Porch '
3. 0 Multi-Family Type of Foundation 3. 0 Remodel 0 Comm-.• .1 ' enant ace
4. 0 Commercial/Industrial 0 Crawlspace 4. 0 Foundation Only
5. 0 OTHER Lf Basement 5. 0 Demolition
(Specify) 0 Slab 6. 0 Accessory Building
B. SEWEj: 7. 0 Garage Detached Attached
1. Public (Name of system C 4/`re. )
2. 0 Private(County permit# ) G. Lot Split YES NO
C. WATER: H. Flood Zones YES NO V
1. r2r Public (Name of system ear ) I. Sump Pump YES V NO
2. 0 Private(County permit# ) J. Manufactured Trusses YES NO V-
D. ZONING: X L€r\p �1� /M'tt?/ K. Plumbing Contractor 7Gil 14e /e/` fil4r,i6;.,y
E. ESTIMATED COST OF IC STRUCTION IRC Plumbing Code: 0 lumber's
(Excluding Land Value) X.lt, ODD Indiana Plumbing Code: License#: ct 1D `5-36S.
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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 cat of Occupancy has been issued by the Department of Community Services,Carmel,Indiana.
__,___, INSPECTIONS NEEDED:
Signature of Owner or Authorized Agent Fo i tin l ' nder Slab Rough-In , eter Base
_ .'1
Kyl.&. 5,, ,,,i/ l ka 3���-2`l79 V
� Site C/O T�
(Print) (Phone Number) Sq.Ft.7ff V
Filing Fees:
E-Mail: Base Inspections:
Cert. of Occupancy:
P.R.I.F.: g\--1
Plan ommi• i 1I: • :PW Docket#'s;TAC Date(s) %/L(
/ .�'- TOTAL:
17,7
LIE'‘. . Vita\ '/ 1 • LfiCIA-O
Reviewed/AM/red: Dept.of Community Services e Received by S:Permits/Formskillcv?dJ-