HomeMy WebLinkAbout04080150 Application
Carmel/Clay
~"---..-
Township- --.'
Application for ~
Improvement Location Permit
Permit No.
Date
Roll File
OYo~o150
This pennit is valid only if construction is started within 180 days afthe date of issuance for residential construction; and for commercial projects, within one (1)
ear of the date of issuance afthe State Commercial Desi Release. All construction must be com leted c/o issued within 2 ears of the issuance date.
BUILDER
NA-11 J< V'.r ''1..
PHONE
FAX
STREET
'3 LI i
89t;. - ,< G.S-
v
ZIP
TENANT NAME
(If a licable
PROPERTY
OWNER
NAME
f'1c.v f3."tr/e/
STREET
L/ s- 9 (
z."J.,.JV,'
;7
LOT
SUBDIVISION
'0 cd h a. Vf
SECTION
LOCATION
"V
A. TYPE OF CONSTRUCTION Do plans include4porch? F. TYPE OF IMPROVEMENT
I. rK Single Family 0 Yes ~o . I. 0 New Structure
2. 0 Two Family 2. Ii Addition: Porch_Room X
3. 0 Multi-Family ~eJ!(Foundation 3. 0 Remodel 0 Commercial Tenant Space
4. 0 Commercial/Industrial Crawlspace 4. 0 Foundation Only
5. 0 OTHER 0 Basement (Walkout: Y. N) 5. 0 Demolition
(Specify) 0 Sla~ . 6. 0 Accessory Building
B. SEWER: t.-'il)v ll1C\ 7. 0 Garage Detached Attached
I. 0 fiblic (Name of system ) 0 . ~
2. ifPrivat (County permit # ) G. Lot Split YES _ NOX/
C. WATER: H. Flood Zones YES -----,.L'NO----\L-
I. 0 blic (Name of system ) I. Sump Pump YES ~ NO----/
2. Privaff1(C~un-r permit # ) J. Manufactured Trusses YES NO-lL-
D. WNING: r--.. -L K. Plumbing Contractor NtJrVG
E. ESTIMATED COST OjlCONSTRUCTION IRC Plumbing Code: 0 Plumber's 1\ 1/,' A_
(Excluding Land Value)"'" ~ 0, CJ 0'" Indiana Plumbing Code: 0 License #:_1 'oJ f'\
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ADDRESS OF CONSTRUCTION
Lj s- /;>'-1 t.J I ".I
2 I lJl,.Jv/' L
IN
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use ofland or structures
requested by this application will comply with, and conform to, all applicable laws of the State ofIndiana, and the "Zoning Ordinance oreanne! Indiana- 1993"
(2-289) and amendments, adopted under authority of I.e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further
certIfy th3trkltChen, bath, and floor drams are connected to the sanitary sewer. I further certify that tbe construction will not be used or occupied until a
Certificat Oh ccupancy ~a~~n i~ed by the Department of Community Services, Carmel, Indiana.
~ INSPECTIONS NEEDED:
of Owner or Authorized Agent Ci!.>per Footine: "Jr.ower Footing BondinglGrouDdiD~(#)
(]Vo.: ~. l1h.le..rsIJh. bnlf'$lb' -"36.'1 Under Slab ~MeterBase ~ Site
(Pnnt) j (PhOneNu~L '55 00 If\.
S bie< EASED F0~~ONSr I · 0 0 ~
E-Mail: o..n.Je..v-.slvth Ol"'ltj@ ii'll". rUV'.-lf.J'?:i;rr:Plia~.!!ee,~r!lwe~p,~CTlCP~;(p, Reviews
/ '" ,AcHe ar.~ , ~"ulaftorYF\ () 0
DEPT ('.r::" lSert:.6fOcougancy: :::> v .
en',:":' ,.,,- COft..1Mi Jr\..,y.;.....:;:. AdditiOna7Fees
......l,. r-/'lr'!l PRJl:'. 0/<Rl/JCr-" ~
Plan Commission/BZAlBPW Docket #'s; TAC vaters)' vfJ,I11\11EL i liLii. y -: : \~; ~ ~
IN~''i[L W"a.;;;~
"'-'Fee R*y S:P itsIFo slILP3.()4
Reviewed! Approv d: