HomeMy WebLinkAbout0139.03 Application7 703
Carmel%Clay r C, 7
Township I 3 Application for Pe it No.
V"ear Improvement Location Permit Date
Roll File
permit is valid o If construction is started within 130 days of the date of issuance for residential construction; and for commercial projects, within one (1)
of the date of issuance of the State Commercial Desien Release. All construction must be completed (c!o issued) within 2 years of the issuance date.
NAME
PHONE 311 - Z741 - '?-^' V? FAX
BUILDER IAIr .
G riA 3???s?.tS aa.s rAc,K.rrs"
C- 3 r 7 • 7-9e Yc
,
STREET CITY / ATE-. 1 ZIP
'-fi 2 )' DA3AiY CccLc /.uo;-tNAf ? ,1 ? C n/7 ',f4 is-?l
TENANT NAME ell'
(If applicable)
NAME PHONE FAX 1
OWNER pig ; N?tts. tC,4A.afig M4rrriS 3t1 . 1-oL
STREET pp CITY
j y 1 2- ?r.VI & -ek Dn L ?,c,r?.= ( STATE ZIP
? a c?33
LOT SUBDIVISION
.4S4- evl CLz'?k Sr X > SECTION
LOCATION
ADDRESS OF CONSTRUCTION
??At r 1 f1s 67,01 C4.
A. TYPE OF CONSTRUCTION
1. C" Single Family
2. ? Two Family
Do plans include a porch?
? Yes CrI'`o
3. ? Multi-Family Type of Foundation
4. ? Commercial/ Industrial ? Crawlspace
5. ? OTHER Er Basement
(Specify) ? Slab
B. SEWER:
1. IBS Public (Name of system
2. ? Private (County permit # )
C. WATER:
1. [lElr Public (Name of system )
2. ? Private (County permit # j
D. ZONING
TYPE OF IMPROVEMENT
L ?/-New Structure
2. OZ Addition: Porch Room DexmfIL
3. Remodel ? Commercial Tenant Space
4. ? Foundation Only
5. ? Demolition
6. ? Accessory Building
7. ? Garage Detached Attached
G. Lot Split YES NO /
H. Flood Zones YES NO?
1. Sump Pump YES NO
J. Manufactured Trusses YES NO r
K. Plumbing Contractor 'J /,4
E. ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code: ? Plumber's
(Excluding Land Value) Indiana Plumbing Code: ? License #:
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1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a 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 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. 1 further certify that the construction will not be used or occupied until a
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
?-r or Authorized Agennt1
??1LPc`Ai t'rn.I LG
(Print) rj,-1 . ttio . 1J C, NJ.
INSPECTIONS NEEDED:
F: nder Slab Rough-In Meter Base
F CON(. ; Site Final r C7IO f
{.
liance with all Regu: - Sq. Ft.
of Ctate z; - .Fib (Fees' 1? ?(
C01V Base Inspectiohs:-' / Q 7
7- r
,Cert. of Occupancy:
Plan CommissioniBZA/BPW Docket #'s; TAC Date(s)
'V
Reviewed.'Approved pt. of Community Services
S: Perrrits%Forms!ILP5-02