HomeMy WebLinkAbout1257.99 ApplicationCarmel-Clay Permit No.
Townshipv Application for Date _? /
Improvement Location Permit 11 " Roll File
This perRit is valid on ifFG' construction is starred within 120 days of issuance date; all construction must be ormpleted (c/o issued) within 2 years of issuance,
date unless an extension of time has been offieiall granted by letter by the Director Dc ent of Community Services.
T PHO FAX
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BUILDER -
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TENANT NAME
if applicable)
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OWNER
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1-7 6 0 ` 4.6 3? a--
LDT 184 SECTION
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LOCATION P
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A. TYPE OF CONSTRUCTION
1. `?b Single Family
2 ? Two Family
3. ? Multi-Family
4. ? Commercial / Industrial
5. ? Farm
6. ? OTHER
Do plans inclQde a porch ?
? Yes M No
Type of Foundation:
3acrawlspace
?Basement
?Slab
(Specify) _
B. SEWER:
1. ? Public (Name of System
2. ? Private (Septic Tank, etc.)
C. WATER: / \ _ \ A A
1. ? Public (Name of
2. ? Private (Well _
D. ZONING:
E. ESTIMATED COST OF
(Excluding Land Value)
F. TYPE OF MIPROVEME
1. ? New Structure
2. Addition Pore oom
Remodel ercial Ten
4. ? Foundation ?CT
Z
5. ? Demolition 9 19
99
6. ? Accessory ding
7. ? Swimtning Pool
8. ? Garage Detached ttached
G. Lot Split YES NO a
H. Flood Zones YES
L Sump Pump YES NO
J. Manufactured Trusses y ?Y,E.S NO/
K. Plumbing Contractor S C/r' ?(tt& c,'?
Plumbing License # isOCA or ? CABO
The undersigned agrees that any construction, reconstruction, enlargement, relocation, or alteration of structure, 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, auumdry,-and-floor drairu are connected to the sanitary sewer. I further certify
that the construction will not be used or occupied until si Certficate Of Occupancy has been issued by the Department of Community
Services, Carmel, Indiana /rA L PERM 1TS PLUS
?G'(Q DP 92£
FOR PI
of Owner or A)ttthor zed AM
(Phone Number)
Sewer Capacity Allotted
Plan Commission/BZA Docket #:
nr
R ie pproved: Dept. of Community Services
i Inspections Needed.
I( tin dersla Rough-In Meter Base ,f 9 2.
J Z/
Site Final C/o
Permit (Square Footage) 3 3 , O..3 - !
Inspection Fees: / (7,f
Certificate of Occupancy:
TOT S
t
Fee Reoel ed By . t w j]
I CERTIFY THAT ALL OF THE ABOVE LISTED INFORMATION IS SHOWN COMPLETELY AND ACCURATELY ON THE
ATTACHED PLOT OR SITE PLAN AS SUBMITTED WITH A BUILDING PERMIT APPLICATION TO THE CARMEL-CLAY
DEPARTMENT OF COMMUNITY SERVICES. I FURTHER CERTIFY THAT THE JOINING OF WATER SUPPLY PIPING SHALL
BE MADE WITH.LEAD-FREE SOLDERS AND FLUXES. FAILURE TO COMPLY WILL RESULT IN A REPLACEMENT OF THE
SYSTEM. PLUMBING CODE P-509-5). i
BUILDER'S SIGNATURE:
ADDRESS:
PHONE: U/5---/d5
NOTE: Additional plans and/or information maybe required, if submitted plans are not of sufficient clarity or detail, to
indicate the nature and extent of the work proposed and to determine compliance with all applicable codes and
ordinances.
In addition to the above, the Building Inspector will be provided with any information relative to commitments
made in the zoning process for the property involved. This would include any Plan Commission and/or BZA
activity.
Department of Community Services
One Civic Square, Carmel, IN 46032 (317) 571-2444
s: f6 rms;imprvlocjperminfo rev. Feb./99