HomeMy WebLinkAbout0675.99 ApplicationCarmel-Clay
p Application for
Imprq&e nt Location Permit
This permit is v id onl if construction todbitcd.WthAinM 'U tL-al construction must 4 com
date unless an extension of time has been o LAMM"Wigoa b thdot6h Communi
ermit N
ate
Roll F
a'o issued) within 2 a issuance
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NAME raja P e wtrh 4/1 FAX
BUILDER 0A X a rf ?E
Iffln1l LT STATE I1P
i ble) 1/l Sr7
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NAME / ?
?PHONE FAXff-- ,
OWNER `
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SIRESr crrY
131
AV_A__ Cep V1.1 SLATE LP
SUBDMSION
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S SECnON
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LOCATION t
C i
,t X Q •.1
ADDRESS OF CONSMUMON
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A. TYPE OF CONSTRI
I . ? Single Family
2. ? Two Family
3. ? Multi-Family
4. ? Commerci
5. ? Farm
6. ,42:2 OTHER
-V-+ ?'
oly
E. ESTIMA D COST OF
License #
? BOCA or
The undersigned agrees that any construction, reconstruction, enlargement, relocation, or alteration of structure, or any change in the use of land
or struc ores 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, and floor drains are connected to the sanitary sewer. I further certify
that the construction will not be used or occupied until a Certificate of Occupancy has been issued by the De a tment of Community
Services, Carmel, Indiana.
`Footin nders Rough-In M r Base
uthcKzed Agent
52a - 6 Y6 `r i Site anal JO
one Number) _1 Permit (Square F
t v-
Sewer Capacity Allotted ?- Inspection Fees: ?
1?lan Commissi Docket 4:? Certificate of Occupancy: f d?
TOTAL:
Do plans include a porch ?
? Yes1o
Type of Foundation:
?Crawlspace
?Basement
Slab
B. SEWER: 1J
I . ? Public (Name of System
2. ? Private (Septic Tank, etc.)
1. Sump Pump
C. WATER:
1. D Public (Name of System
2. D e Well
)
D. ZONING: S' Re s ,;? K. Plumbing
F. TYPE OF E%IPROVED
1. ArNew Structure
2. ? Addition rc
3. ? Remodel
4. D Foundati
5. ? Demoliti
6. ? Aoue,
7. D Swimmi
8. ? Garage etas
G. Lot Split
H. Flood Zones
J. Manufact
ured Trusses
C;?- IlK Yo
UN 1 b 1?g
YES NO
YES NO
Approv of Community Services F Received By ..tirocw s? MV 12%