HomeMy WebLinkAbout1284.02 Application
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Hold #:
Application for ~ W
Improvement Location Permit
Permit No.,:/OD1 '" l;} fYI, b
Date
Roll File
This permit is valid only if construction is started within 180 days of the dale of issuance for residential construction; and for commercial projects, within one (1)
ear of the date of issuance of the State Commercial Desi n Release. All construction must be com leted (c/o issued within 2 ears of the issuance date.
BUILDER
NAME
GSfri&
3s~ 3/1'-'l15 - a-5"{;;l.
/DW tJ,
PHONE
(k,{Q.II1. /Y1U '311' 5<6
<;)f CITY (JJtnJ
fAX
STREET
STATE ZIP
fA t{C,O'S '2
OWNER
NAME
Gqfnc1
Ct".k ~ONE '3/ -782-;)'1'5& .e~{ "359
.~
fAX
317 -E 15 -8'>/:1.
LOCATION
LOT
Ie;
SUBDIVISION
,
ZIP
STREET
/D'II tJ.
=
, "':;;, 1\:) '0
ADDRESS, OF CONS"CTION C) t\ '-;'~) ~~ 1!l _ .. "
()o/3 Gra.ml ,.,=-'%.~~~:?r.J.~:(' ,- \'~:Yf-.:>
A. TY~OFCONSTRUCTION Dop~SinclUdea~.~I.~."?f~;~1f.i];~" '.EOFIM,' PRO. VEMENT
1. ~ Single Family ~es DNo ';\ t) _ '-;::', "') \!.':> Ne'w.Structure
2. D TwoFamily i:! ~ Ql~~~,_ 2Add~~qri: Porch_Room_
3. D Multi.Family Type of FoundatlOn~ ';> ;L.. ~3Y E;J'?' R~p'odell D CommefClal Tenant Space
4. D Commercial! Industrial D Crawlspaf'e l'L,,~,J~'S:~4::'~[J0F,.oundati9n Only
5. 0 OTHER Y Basement, L. (j ll}' ~~emohtlOn . .
(SpecIfy) D Slab ___--~~. ~:. Q.ccessory Bulldmg
B. SEWER: /ll 'h \h ,d (%rage Detached
1. ..w Public (Name of system( I~ f?'ff" ) ~ b ~
2. D Private (County permit # ) G. L~ylit YES NO ~
C. WATER: H. Flood Zones YES NO V-
I. ~ Public (Name of system ~ I OS) I. Sump Pump YES....-- NO_
2. D Private (County permit # ) J. Manufactured Trusses YES ~ NO
D. ZONING: S. - ( K. Plumbing Contractor k7. /J1ocR~
E. ESTIMATED COST OF CONSTR~g:ION IRC Plumbing Code: 0 Alumber's _
(Excluding Land Value) l> d-?'6, ' 'i'1 . (0'6 Indiana Plumbing Code: ,..gv License #: /OV?:J-O
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Attached JL-
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 ofthc State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993-"
(2-289) and amendments, adopted under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further
certify that only kitchen, bath, and floor drains are connected to thc sanitary sewer. I further certify 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.
, ~ ~ ./ r-J /k;]I, ihl':\\ INSPECTIONS NEEDED:
7Z-)~"i.~- ~~ om ~,.", . _~
ner or Authorized Agent ). <1';00.1in /Under Slab ough-In ~
'3t'f'SK?-~'f':,~~ 3 ,.f(? ~ Final C! ~;87'3,
(Phone Number) '\I" i.J #~. 1" '" Sq. Ft.
.!:'\i. flhng Fe s: 0l-
E-Mail: de.c.b.rd.e...@ ts-6-~clb..-,,-. MJ ....'...~...~..~aselnsp tions: .' jSO/
o i~'{~' Cert. of 0 cupancy: J-)-
:~.:~'K..P..:.::LF b J
(~'''>'.iTQTA .
<.t. ~"&"rl":
;LR,~
~~~(;. Fee Receive
s: Pennits/Fonns/ll,P 5-02
EDo-? B L:a:.LH2..",,::>~r
(Print)
Plan Commission/BZAlBPW Docket #'s; TAC Date(s)
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Reviewed! Approved: Dept. of Community Services