HomeMy WebLinkAbout0670.02 Application I . Carmel/Clay
Or.)"%d Township /1/'4Application for i Permit No. 2.,Date
Hold#: t.Q I— t Improvement Location Permit !.
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 PHONE FAX
r
BUILDER I t)W` , SS i('j lq 6-33 93 _
STREET CITY STATE ZIP
/0150 &roe cP1 k Lan&- 60)-yvte,i - 66 3 .D--
TENANT NAME r.ONS-r�V,�T{C)
(If applicable) P : 4SE FOR C with all Re,guiations
Subject to ;ue9"l�`14d
NAME PHONE 0f State enci 1 r;:k:' AX�O SERVICES
OWNER c�'Q, Opp`( �� �O11d�MU''(N``��''i'_'1 vavvtisHIP
STREET CITY C S �� 1 S�, `
CI�''� OF INti�► �,= I-,,
LOT SUBD ISION i 018 M.LOCATION 7'g i/3,I.v6LJ'-e- �i''ac,
ADDRESS OF CONSTRUCTION
I'S a,93 ✓10A,', g. c.uf4
A. TYPE OF CONSTRUCTION Do pla s include a porch? F. TYPE OF IMPROVEMENT
1. tie Single Family g Yes 0 No 1. New Structure
2. 0 Two Family 2. 0 Addition: Porch Room
3. 0 Multi-Family Type of Foundation 3. 0 Remodel 0 Commercial Tenant Space
4. 0 Commercial/Industrial ,l Crawlspace 4. 0 Foundation Only
5. 0 OTHER 12- Basement 5. 0 Demolition
(Specify) 0 Slab 6. 0 Accessory Building
B. SEWER: 7. 0 Garage Detached Attached
1. PI Public (Name of system U ) l
2. 0 Private(County permit# ) G. Lot Split YES NO
C. WATER: H. Flood Zones YES NO
1. /3 Public (Name of system ) I. Sump Pump YES V NO
2. 0 Private(County permit# ) J. Manufactured Trusses YES NO W
D. ZONING : 1 K. Plumbing Contractor ?t.V f NA,t
E. ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code: 0 Plumber's
(Excluding Land Value) 3?0 K Indiana Plumbing Code: 'Y License#: II 0 1117 '
************************************************************************************************************
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 amen.. ents,adopted under authority of I.C.36-7 et seq,General Assembly of the State of Indiana,and all Acts amendatory thereto. I further
c—' t • s my ki en,bath,and fl r drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a
Cert.tcate if? san y a bee ssu y the Department of Community Services,Carmel,Indiana.
INSPECTIONS ►..- i , : .
Signature of Owner or Auth ed Agent Footin,/Under Slab ''ou l h-I 1 i Meter Base
,�n -v e t ma V C/O
basA.rt-d. 06G 141 1! & �1.l'6-3V S .Ft.
(Print) (Phone Number) q 1 3
Filing Fees: 9
E-Mail: Base Inspections: 5 3-0
Cert.of Occupancy:
P .I.F.:
Plan o 'ssio ZA/BPW Docket#'s;TAC Date(s)
TO 1'AL:
Reviewed/ r ved: Dept.of Community Services eceived by S:Permits/Forms/ILP5-02