HomeMy WebLinkAbout04080255 Application
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Application for ~A jJ)
Improvement Location Permit (Xv
Permit NoOL! 0 go ~ 55
Date i
Roll File
This pennit 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)
ear of the date of issuance of the State Commercial Oesi Release. All construction must be com leted c/o issued within 2 ears of the issuance date.
BUILDER
NAMEI I' .,-r-
V"~~ .:-10
FAX
<;SLft, -997
STREET
1/007 Lv. .l.<:<ke$k",eb~,
CITY
C ~r/\&l
C/\'/C{ OSUJ
zr:,N
STATE
ore-
PHONE(17) "2.'-/(" -0;),:1..7
C${L: q 0 '<>-D'I-;)..<;;'
STREET CITY
/IU07w. ~ke-skON:1:)I', Cf~fU'l\"_L
PROPERTY
OWNER
NAM\; / J<..; e.. .:::r ~Y\
STATE
LOT
SUBDIVISION _
x"!
LOCATION
0(
Woods.
ADDRESS OF CONSTRUCTION
Jlen U), kJ~ho\e.
TYPE~F CONSTRUCTION
L Ill' Single Family
2. 0 Two Family
3. 0 Multi-Family Type of Foundation
4. 0 Commercial/Industrial 0 Crawlspace
5. 0 OTHER D/Basement (Walkout
(Specify) IV Slab
B. SEWER: 8 /)
L 0 Public (Name of system tv! )
2. 0 Private (County permit -,-rp/lv )
c. WATER: /7
L 0 Public (Name of system ~ V)
2. 0 Private (County permit # (V"-" )
S9.-
A.
Do pla'}s include a porch?
[ij"Yes 0 No
ZIP
L/ bO<32>
ZIP
~(eDo3
~
Y, N)
1 tion
ry 1A*1B'in8 0 200.1
Detached Atta
G.
H.
I.
J.
Lot Split
Flood Zones
Sump Pump
Manufactnred Trusses
YES
YES
YES
NO
NO c......----
NO -----c::;/
/)/1; -
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 of the State ofIndiana, and the "Zoning Ordinance of Carmel Indiana - 1993"
(Z-289) and amendments, adopted under authority ofLe. 36-7 et seq, General Assembly of the 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 certify that the construction will not be U occo .. a
Certificate of Occupancy been iss ed by the Department of Community Services, Carmel, Indiana.
thorized Agent R ~ c!pper Footini) Lower Footing BondinglGroundin
ELEASED WR CON'" ~ ~
'/0 ~ublJo/-.tI./~di11plia.' '. I ~'\T.&,jJSM.I ough In Meter Base ~
0- "" -.1 :lee wl1h aN Reaulallo
(Phorn:NumllOff;tate and loe;,! C rl ^~ ns ~)(. 5&
Ut:"n r".. C F'''''' 0.F,o.. J
' , '.-1- JOMMUNlUllg. ees: .'
.,I.~.\ ,I CITYOEC"p- -. 'IY;:iERVICES "1 <7 00
E-Mail:~aY\~ t'l\d.~ .,\'1'. Q:O~\1ELlC1?l\srlm~~~:H'P AO 0 .
INDIAN,€erl.ofOccupancy: 50 .0 D
INSPECTIONS NEED
~ 'c k,' e. ::ro >rei 0.. VI
(Print)
P.R.I.F.:
-
Plan CommissionJBZAlBPW Docket #'s; TAC Date(s)
o CONDIT
Site
# Charged Re-
Reviews
too. 0 0
V ~=F:70.
p.l "",il-
I
Reviewed! Approve
Dept. of Community Services