HomeMy WebLinkAbout1363.96 ApplicationCarmel-Clay
Township Application for
Improvement Location Permit
Permit N
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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.
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BUILDER , ,
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STREET CITY STATE ZIT
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TENANT NAME
(if applicable)
NAME
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OWNER rE4
STREET CITY
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LOT SUBDIVISION
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LOCATION ,
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ADDRESS OF CONSTRUCTAN
A. TYPE OF CONSTRUCTION JjhL;E V E p F. TYPE OF IMPROVEMENT
1. V Single Family 1. Xf New Structure
2. ? Single Family Cluster
18 996 2. ? Commercial Tenant Space
3. ? Two Family ItIVR 3. ? Addition Porch Ro om
4. ? Multi-Family 4. ? Remodel
5. ? Commercial / Industrial ???D 5. ? Foundation Only
6. ? Farm 6. ? Demolition
7. ? OTHER (Specify) 7. ? Accessory Building
B. TYPE OF SEWAGE DISPOSAL
GT WO 8. ? Swimming Pool
1. ;9 Public System (Name of System
) 9. ? Garage Detached Attached
2. ? Private (Septic Tank, etc.) G. Lot Split YES IC NO
C. TYPE OF WATER H. Flood Zones YES 30 NO
1. J5 Public System (Name of System I. Sump Pump YES NO Zr
2. ? Private (Well ) J. Manufactured Trusses NO 7Jr
D. ZONING CLp SIFICATION OF PROPERTY K. Plumbing CODE BOC or CABO
Present - S ff
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E. ESTIMATED COST OF CONSTRUCTION h y
Plumbing Contractor
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(Excluding Land Value) SV oc'o Plumbing License M 53 LS
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, Indl
I further certify that only kitchen, bath, laundry, and floor onnected to the sanitary sewej?r.'
rider Slab ough- , eter
store of Owner or Authorized Agent ?n ns Nee ed
7`1h Q t: ;:fie m GO
-7863 C
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Address ^GS*?J? ware Footage) 13.00 ($?
ion
3 &AI -1.5-64 Com*1tke.t_ik Fees 0.00
City State Zip Phone
?ttiticate of Occ ancy S 4
Sewer Capacity Allotted NOV. 1b, 10,g6
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, TEAL 1
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De ment of Communtiy Development Received by 1as 1 V'sn'9'