HomeMy WebLinkAbout04100059 Application
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"Carmel/Clay ;~ pe;}nii:0006r
Township '~\ Application for IX{)
ThIS penmt IS 1 only ifcon'Duction IS ~:::~~:a:~:ili:=t~:~~~e ::::~I con'Ducnan; aod f:;i~~~~illi proJec~; wldtin one (I)
ear of the date of issuance of the State Commercial Desi Release. All construction must be com leted c/o issued within 2 ears of the issuance date.
NAME
PHONE
Yr J ~'151
FAX
J'IO - 70) Y
r t26 0
ZIP
BillLDER
STREET 0 CITY
(202.... ,;(/. /J1("/(//,,,,-,,,,-
5::.; 1/.
RELEASED FOR CONSTRUCTION
STATE
flV.
TENANT NAME
(If a lieable
NAME
,.,(
rJ--
PHONE
PROPERTY
OWNER
STREET
CITY
LOCATION
LOr j,Y SUBDIVISION 71~ tc--.lf'S"
(){'L - F,- 0
,(H~I -'tl/!?l%1
(Print)
A. TYPE OF CONSTRUCTION
1. lit Single Family
2./'El Two Family
3. 0 Multi-Family Type of Foundation
4. 0 Commercial/Industrial 0 Crawlspace
5. 0 OTHER 0 Basement (Walkout Y. N )
(Specify) ~ Slab
B. SEWER: (l.,
1. ~Public (Name of system C7/(fv'P) ~'7~'V ~I.:
2. 0 Private(Countypermit# ) Lot Split YES _ NO~
C. WATER: / Flood Zones YES NO--4-
1. ty'Public (Name of system ~ <-1""1~/) Sump Pump ):ES NO~
2. /d' Private (County permit # ) J. Manufactured Trusses ~ES ~. NO ~
D. ZONING: .5 / ~. Plumbing Contractor J T f3
E, ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code: 0 Plumber's
(Exc1udingLand Value) //~ J02.,1iJ Indiana Plumbing Code: )i('License#: ! / t1t YY'I
*.*.....*****.**.*.***..*.******** ************************************************************************
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration ofa structure, or any change in the use ofland or structures
requested by this application will comply with, and conform to, all applicable laws ofthe State ofIndiana, and the "Zoning Ordinance of Cannel Indiana - 1993"
(Z-289) and amendments, adopted ,under authority afLe. 36-7 et seq, General Assembly of the State ofIndiana, and all Acts amendatory thereto. I further
certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I furtber certify tbat tbe construction will not be used or occupied until a
Certificate of Occupancy ~s bT issued by tbe Department of Community Services, Carmel, Indiana.
~ 7 )L.7~ INSPECTIONS NEEDED:
Signature of Owner or Authorized Agent ~) Lower Footing BondinglGroundin~(#)
#? I Cj'OC€ ~derSI~~Q1ete;Ba~~1 ~
~7(} .Caf)
'Argo, lOO
!So, <9l) ~/
5'1'1 ' 0 0 AddItional V
TOTAL: :It! ,07. ~V
Do plans include a porch?
;.&Yes 0 No
F.
TYPE OF 1M
1. .J3<New
2. 0 AdditJ.
3. 0 Remodel 0 Commercial Tenant Space
4. 0 Foundation Only
5, 0 Demolition
6, 0 Accessory Building
7. 0 Garage Detached
Attached
(Phone Number)
Filing Fees:
E-Mail: /J1.AJTrPite.(!?lleKulf.Co....
Base Inspections:
# Charged Re-
Reviews
Cer!. of Occupancy:
Docket #'s; TAC Date(s)
P.R.I.F,:
ept. of Community Services