HomeMy WebLinkAbout950748B ApplicationCarm,el:Cla? Permit No.
T nshi Application for Date
Improvement Location Permit Roll File
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 officially granted by letter by the Director, Department of Community Development.
NAME PHONE
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2 FAX
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BUILDER c
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STREET CrTY
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TENANT NAME
(if applicable)
NAME PHONE FAX
OWNER ?l'w 6
STREET CnY STATE Zip
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¦ SUBDWISION SECTION
9
LOCATION
wDDAESS Of CONSTRUCTION
F. TYPE OF IMPROVEMENT
A. TYP?F
UCTION
'M
/
1. a I. M New Structure
I I 2. ? Commercial Tenant Space
2. ? Single Family Cluster
`
3. ? Two Family \? lJ 3. ? Addition Porch Room
4. ? Multi-Family -?- 4. ? Remodel
5. ? Commercial / Industrial 5. ? Foundation Only
6. ? Farm 6. ? e
7. ? OTHER (Specify) A .4 in Z.-I a 7. Accessory Btulding
B. TYPE OF SEWAGE DISPOSAL 8. wzmmmg oolf
1. ? Public S ame of System ) 9. ? Garage Detached Attached
2. j4r Private Septic ank, etc.) G. Lot Split YES NO
C. TYPE OF WA H. Flood Zones YES NO
1. V Public System (Name of System ? I. Sump Pump YES NO
2. ? Private (Well e/ ) J. Manufactured Trusses YES NO
D. ZONING CLASSIFICATION OF PROPERTY K. Plumbing CODE BOCA or CABO
Present C
E. ESTIMATED COST OF N TRUCTION Plumbing Contractor /Y.
(Excluding Land Value) /,,?Or Da d Plumbing License 0
The undersigned agrees that any construction, reconstruction, enlargement, relocation, or alteration of structure, or any change in th e use
of land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, an d the
"Zoning Ordinance of Carmel Indiana - 1993" (Z-289) and amendments, adopted under authority of Acts of 1979, Public Law 178 Sec.
1 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto.
I further certify that the construction will not be used or occupied until a Certificate of Occupancy has been Issued b y the
Department of Community Development, C el, Indiana.
S
I further ce that only kitchen,, ( ba la and floor drains are connected to the s$gjt?ycrt
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Address )
Coo. X57 .OD
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BZA Docket 9 Inspection Fees 14
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6.00
City State Zip one , .
y C of Occupancy
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Unib
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Department of Communuy Development Received by f°"° """?d ` CIS'