HomeMy WebLinkAbout0568.02 ApplicationCa1meI,IClay "? n D
Township>; ?O Application for ILK/ PerrtitNo./ F C'?lll//J
Hold a:: Improvement Location Permit Date
Roll File
This permit is valid only if construction is started within 130 davs of the date of issuance for residential construction; and for commercial projects, within one (I)
year of the date of issuance of the State Commercial Design Release. All construction must be completed fc(o issued) within 2 nears of the issuance date.
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BUILDER (1 ? rS
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STREET CITY STATE ZIP
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TENANT NAME
(Ifapplicable)
N.%IE PHONE FAR
OWNER A a ,-1 tic` Q 8t- Ca- C? O
STREET CITY - STATE ZIP
-i ?v?( ,.? • Cabrmc. Q `1-1
LOT SUBDIVISION IF ON
LOCATION
ADDRESS OF CONSTRUCTION
.
A. TYPE OF CONSTRUCTION Do plans include 3 w
1. W- Single Family ? Yes o S?
2. ? Two Family
3. ? Multi-Family Type of Foundath
4. ? Commercial/Industrial ? CCrrawlspace
5. ? OTHER Uvnasement
(Specify) ? Slab ?r
B. SEWER: I
1. Er Public (Name of system C1 a 1.? } )
2. ? Private (Count permit #
C. WATER:
1. ®. Public (Name of system r? rr •
)
2. ? Private (County permit #
D. ZONING
u' ?y
?'gyp tr ? SPE OF-IMPROVE?\fENT
J? ol. ew Structure
_
y ENV .? Addition: Porch _Room
Remodel'. '? Coitunercial Tenant Space'
G Fo mda["4 Only
Q Demolition
? AccessoryryBuild'rMY 2 2002
l ;, o lid ge Detached Attached
G. 1 ox t YES NO?
H. FIdd YES NOS
I. Sum?r YES -K- NO
J. ManufactureATrusses YES NO K
K. Plumbing Cd4itractor AP-11c "-,-j
E. ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code: --ff Plumber's
(Excluding Land Value) Cow C?l? Indiana Plumbing Code: ? License #:C:IPL9R9IMP2)
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1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applipalo to laws ofthe State of Indiana. and the "Zoning Ordinance of Cannel Indiana 1993"
(Z-289) and amendments, adopted under authority of I.C. 36-7 et q, Genera] Assetmbly of the State of Indiana, and all Acts amendatory thereto. Gfurther
certify that only kitchen, bath, and floor drains are connected to sanitary sewer. I ILrther certify that the construction will not be used or occupied until a
Certificate of OccupancrJtas-been issued by the Depart ure Zf Communi • Serv ces, Carmel, Indiana.
of
(Print)
/ INSPECTIONS NEEDED:
Authorized Agent Footin Eider Slab Rou h- teras
E-Mail: ?T" L,--SI-G6L2-7"7Q AQL Co
Filing Fees:
Inspection Fees:
Site Fin ? Ie M
A Sq.. Ft.
Cert. of Occupancy:
Plan Commiisss{siiion/BZA/BPW Docket #'s; TAC Date(s)
/-? 41
Reviewed/Approved: Dept. of Community Services
Fee Received by
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