HomeMy WebLinkAbout950840B Application?ut?l?Clas' Permit No.7,5
ro? Application for Date 41-11-4
Improvement Location Permit Roll File
This permit is valid only if construction is started within 120 days of issuance date; all construction is completed (ago 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 FAX
1 `J
3
9 ' ?
BUILDER i'vltg - c
.
4-
STREET CITY I STATE
TENANT NAME
(if applicable)
NAME PHONE FAX
OWNLt'
.' ^y Cn'Y STATE ZIP
LOT SUBMISION - SECTION
LOCA
ADDRESS OF CONSTRI;' OK)'T
A c
? f -
A. TYPE OF CONSTRUCTION IF t C? F. TYPE OF IMPROVEMENT
1. Er"Single Family J `' '_ 1. J2""New Structure
2. ? Single Family Cluster " 2. ? Commercial Tenant Space
3. ? Two Family65 3. ? Addition Porch Room
4. ? Multi-Family ?, `• ?JQ' a 4. ? Remodel
5. ? Commercial I Industriat•A 5. ? Foundation Only
6. ? Farm 6. ? Demolition
7. ? OTHER (Specify) 7. ? Accessory Building
B. TYPE OF SEWAGE DISp SAL 8. ? Swimming Pool
1. Public System (11e QF System 9. ? Garage Detached Attached
2 ? Private (Septic IQ&k G. Lot Split YES NO
C. TYPE OF WATER ; 0;04 ? ,J ?-- H. Flood Zones YES NO
4y ?g f) 1. _j2r rublic System (Name ofAystem
.1 I. Sump Pump YES NO
2. ? Private (Well J. Manufactured Trusses YES NO
D. ZONING CLASSIFICATIO F PROPERTY K. Plumbing CODE or CABO
Present
E. ESTIMATED COST OF CONS RJUC Oj1 Plumbing Contractor
(Excluding Land Value) YG- SL% Plumbing License #
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 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 by the
Department of Community Development, Carmel, Indiana.
I further certify that only kitchen, bath, laundry, and floor drat s are connected to the sanitary sewer.
Foo Slab vfete?
Signature Owner or Authorized Agent Inspections Needed t ?
Drina a 9CtC,?jpa1? CIU
Ad$ss Plan Permit (Square Footage) 5158
City ^ State Zip
Docket #
Inspection Fees
Sewer
Department of Communtiy Development
CP
Jig
IL
7
Received by
of Occupancy ,D
TOTAL 4?7'1'