HomeMy WebLinkAbout1040.02 Application ilikeki/Clay /✓,
Township �` Application fore. Permit No. JO Ve 6
Hold#: 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 PHONE FAX
BUILDER JO�cej ',4„.. 02 9 S`?/0 1
STREET CITY 1....T..VTE ZIP
2C 9 9' Gld- - n--�y Jo/
47/
TENANT NAME
(If applicable)
NAME PHONE FAX
OWNER &G'o?1 / 'çh4e ( yi.. /
/dk -1./, 1 STREET CITY STATE 'LIP
LOT SUBDIVISION ZOLOCATION 1p'� L4ked �t? / 4 /ADDRESS OF CONSTRUCTION
/•24/67 �5A1e Goo_A. TYPE OF CONSTRUCTION Do plans incl a porch? F. TYPE O PRO
1. Single Family 0 Yes No 1. gl, 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 0 Crawlspace 4. 0 Founda'.n Only
5. ❑ OTHER (Basement 5. ❑ Dem. .y .r , -e
(Specify) d Slab 6. 0 Acc t uil.'i g C'c Z
B. SEWER: ��JJ 7. ❑ Geer eta ,� Attached
1. Public (Name of system cji/`y ) @e )♦ �''`r' 4'
2. Private(County permit# ) Lot Split 4 oa� � NO9X
C. WATER: 8. Flood Zon 0 G� RES NO D<,
1. IKPublic (Name of system G ) I. Sump P .. vQ� .� S %._ NO
2. 0 Private(County permit# ) J. Manu aftufi esl' YES NO
D. ZONING: K.\PlumbhmCoOret* \ :'' u , (CAI i X.
E. ESTIMATED COST OF CONSTRUCTIO/A IRCn Al .:, •".♦ Plumber's I
(Excluding Land Value) ,he�` oQ V Indira Ptu '1_ 'r' 0 License#: F/0/777 /
***************************#****** ***************************04*fir** � *****************************
r f f
I,the undersigned,agree that any construction,reconstruction,enlargement,reloc'�ta�on:pi?alte boll 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(Witte State Ileana,and the"Zoning Ordinance of Carmel Indiana-1993"
(Z-289)and amendments,adopted under authority of I.C.36-7 et seq,General Assembly 6tt 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 tttfy that the construction will not be used or occupied until a
Certificate of Occupancy has been issued by the Department of Community Services,Carmel,Indiana.
INSPECTIONS NEEDED:
117- of Owner or Authorizes( 1/ ' Footin nder Slab Roug I eter B .e
ASE CALL: Site in7 C/O
. r �� Sq.Ft.
� � �'bone Number)
. . -1. rrefictel 'ricFiling Fees:
E-Mail: •
Base Inspections: 5 O
/
Cert.of Occupancy: 1
P.R.I.F.: ���
Plan Commission/BZAJBPW Docket#'s;TAC Date(s) f
TOTAL: ticij
t, 14,...tt.
W �
Reviewed/Approved: Dept. of Community Services Fee eceived by S:Permits/Forms/ILP5-02