HomeMy WebLinkAbout1137.02 Applicationcarritel-clay Permit No.
Township D Application for ft Date
,n •/ Roll File
Improvement Location Perms
This permit is valid only if construction is started within 120 days of issuance date; all construction is completed (c/o issued) within 2 years of issuance
date unless an extension of time has been officialiv granted by letter by the Director. Denartrnent of Community Services.
BUILDER NAME
r \I tL PHONE
S i (:S 1-7 2 I -2 L3 9 ?' FAX
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STkiF.T pp
L` 1 .? q CITY
`N L l h.i 71) ?, J
3 STATE Zip
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TENANT NAME -n M E 70 TPLA\/ C- L-- , I K C . ti= I 4 1 ?, hf E-? (_, L
(if applicable)
OWNER NAME PHONE
(31 1) 69(C ZC I C,
t FAX,
(S "k
STREE
T Cry STATE
'
7 '?•y 1
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LOT 511RDIVISION SECTION
LOCATION
ADDRESS OF CONSTRUMOy
I ? - - - --
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A. T'1'PE OF CONSTRUCTION Do plans inc d a porch F. TYPEOF IlIPR04 E14RENT
I. [I Single Family ? Yeo 1. ew Structure
2. ? Two Family 2. ? Addition: Porch Room
3. ? Multi-Family Type of Foundation 3. ? Remodel ? Commercial Tenant Space
4. ° Commercial I Industrial ?Crawlspace 4. ? Foundation Only
5. OTHER ?Sasement 5. ? Demolition
(Specify) Acre r?v Izu (Slab 6. X Accessory Building
# ? ? Garage Detached Attached
B. SEWER: t 4 ti, ! j
1. ? Public (Name of System ) o , Lot Split YES NO
2, 13 Private (Septic Tank, etc.) 154 H. Flood Zones YES NO
C. WATER: I. Sump Pump YES NO
1. ? Public (Name of System Manufactured Trusses YES NO
2. ? Private (Well ) J'
D. ZONING : K. Plumbing Contractor
E. ESTIMATED COST OF CONSTRUCTION
(Excluding Land Value) 2,S?ld - Plumbing License # ? UPC 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 law's of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993"
(Z-2$9) 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, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until
a Cerffcare of Occupan47 has been issued by the Department of Community Services, Carmel, Indiana.
INSPECTION'S NEEDED.
AC-f -T FootinglUnder SlMeter Base
Signature of 0,Aner or Authorized Agent
(1 iSite Cf4
? !v . HCx " -?' b9o •2C !O Permit (Square Footage) -17 /(Print) (Phone 1`e1ASED FOR CONSTRUCTION
Subject to compliance W*AI6A%0*
de
of State and L}? caAWfftP§'y:
Sewer Capacity Allotted DEPT OF COMMUfG?i`?
Plan Co
mmission)BZA Docket #t _:' a Y OF CARMEL 1 ? V-7OV' NSHIP
Services
44, .00
Fee Received by
a