HomeMy WebLinkAbout0202.97 Application
Carmel-Clay
TO~~/
Application for
Improvement Location Permit
~ Permit No. JJPr~-i- -1'1
Date ?11:7- I
Roll File i
,
This permit is valid only if construction is started within 120 days of issuance date; all construction must be completed (c/o issued) within 2 years of issuance,
date unless an extension of time has been officiall ranted b letter b the Director, De artment of Communi Services.
N~~ ~ 7dL!- .515e4Jl~o
J;S'.s- C. f'?d #CITY . JJO ~ ...th.
FAX
5'fs.~'pg
J:;'~ lJP
A. TYPE OF CONSTRUCTION
I. Q;V'Single Family
2. 0 Two Family
3. 0 Multi-Family Type o}Foundauon'
4. 0 Commercial / Industrial oat"ace
S. 0 Farm DB nt
6. 0 OTHER osr........
(Specify) ~
B. SEWEJ: - ~
I. !if Public (Name of System e7.i'JlI'~ 0
2. 0 Private (Septic Tank, etc.) .' ~
C. WATE,,: ~I ~
I. nr- Public (Name of System / p/JIJ. '.
2. 0 Private (We I
D. ZONING: K. Plumbing Contractor R T ~
E. ESTIMATED COST OF CO~RU<;;I'J~ .
(Excluding Land Value) HM 2.3 trlJ Plumbing License tt?JDO.5fftX:5 ~OCA or 0 CABO
****************************.********** ******************.******.*************....*.*****..**..............
The undersigned agrees that any constnlction, reconstnlction, enlargement, relocation, or alteration of stnlcture, or any change in the use of land
or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the .Zoning Ordinance
of Carmel Indiana. 1993" (Z-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. I further certify that only kitchen, bath, laundry, ann'flli11rlllrM",-;-a:re cofil1eCtc!1Iflh1tlQ"i!M\lth~~ I further certify
. II~~L:""V"""U I VII vv....vri'"'il'1tlrtOi'U
that the construction will not be used or occupied until a Certifu:ate of[Jccu'funcx hl!!.!l!l!!n issued b)'dhe.o"fJr:lnlellil'~fmmunity
Services Carmel Indiana. . MIl/Jee EO i::ompEtanCe WUn fln eK'zuz,
. , of StateCft{sp'Jl:ti' ' r.ftt rnrfcs
~~ / #~ ~ ~~ Of cx:.;;:~~F"~1mI'1Ef M~~~;~as~
Signature of Owner or Authorized Agent !11, ~ "'V...r ~ I ;;
A " __ / d /..d' / 'n1~ J (! ~ 1l\'Slie'ii\!A (FInl.i )444 c/o
LJeoeP/UJ7 k rY/l/7e- .II..., 7.9.9; --:;?-7/ 7
(print) (phone Numb ennit (Square Footage) .") (~
Sewer Capacity Allotted ~ /c;- /9
I I
Plan CommissionIBZA Docket #:
BUILDER
NAME
PHONE
/4v~
OWNER
STREET
CITY
LOCATION
l.OT 5troOlV1S10N
.12-
AI>DRESS OF CON~UcnON
0575 ~bt
'&"d
Do plans jnclude a porch ?
Il1fYes 0 No
R .
Dep!. of Community Services
FAX
STATE
lJP
SECflON
I
F. TYPE qF IMPROVEMENT
1. ~ New Stnlcture
2. 0 Addition Porch Room
3. 0 Remodel 0 Commercial Tenant Space
4. 0 Foundation Only
5. 0 Demolition
6. 0 Accessory Building
7. 0 Swinuning Pool
8. 0 Garage Detached
q. Lot Spilt
fl. Flood Zones
r Sump Pump
'J. Manufactured Trusses
Attached
YES NO V
YES-NO -V
YES--;;;rNO-
YES17NO=
TOT
?<'Ocro
00
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