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HomeMy WebLinkAbout0003.94 Applicationarme lay Improvement Location Permit Permit Towns ip Date 3 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) two years of issuance date unless an extension of time has been officially granted by letter by the Director, Department of Community Development. NAME V4 PHONE yyi"w`l� BUILDER STREET ` CITY JL SATE ZIP �� 11i.01 Z TENANT NAME (if applicable) NAME r/%�� PHONE OWNER STREET CITY STATE ZIP DEC; LOT SUBDIVISION / /j SECTION I LOCATION d�•'CE.L) " ADDRESS OFCONSTRUC Nj A. TYPE OF CONSTRUCTION 1. �R Residential (One or Two Family) 2.0 Residential (Multi -family) 3.0 Commercial 4.0 Industrial 5.0 Institutional B. TYPE OF SEWAGE DISPOSAL CT/L�✓O 1. e Public (Name of System ) 2.0 Private (Septic Tank, etc.) C. TYPE OF WATER Lp Public System (Name of System ,fiqVig,�.g Li f ) 2.0 Private (Well ) D. TYPE OF IMPROVEMENT LR New Stucture 2.0 Commercial Tenant Space 3.0 Addition Porch Room 4.0 Remodel 5.0 Foundation Only 6.0 Demolition 7.0 Accessory Building 8.0 Swimming Pool 9.0 Garage Detached Attached E. ZONING CLASSIFICATION OF PROPERTY n,.o + F. PRESENT USE OF PROPERTY U-01 Farm/Vacant 2.0 Residential (One or Two Family) 3.0 Commercial 4.0 Industrial 5.0 Other (Specify) G. PROPOSED USE OF PROPERTY 1. (Z One or Two Family Dwelling 2.0 Multi -family 3.0 Commercial/Industrial 4.0 Other (Specify) H. ESTIMATE COST OF CONSTRUCTION_ /ZO all U (Excluding Land Value) k I. Lot Split: Yes No J. Flood Zones: Yes No - e K. Sump Pump: Yes No X L. Geothermal Heat Pump: Yes_,_ No J( M. Manufactured Trusses: Yes %< No N. Plumbing Contractor R.—,r le^d CODE: BOCA or CABO Plumbing License Number: 9z V aor20!'• The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change in the use of land or stuctures requested by this application will comply with, and comform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel, Indiana—1980", adopted under the 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 drains are connected to sanitary sewer. ignature of Owner or Aut orized gent �1� S�� L✓ i�%Oi�. f� z � yam/ Inspections 4 ottn t ie.sir ou!� ,, . c y F eter of�tj`s etiilll+� ML Drai ite .244 t, Square Footage P'nl (Sq. Footage) ..................... rlt wins ons...................................... ,VCertito of Occupancy .............. T.......................................... . omm./BZA Docket # , J I CERTIFY THAT ALL OF THE ABOVE LISTED INFORMATION IS SHOWN COMPLETELY AND ACCURATELY ON THE ATTACHED PLOT OR SITE PLAN AS SUBMITTED WITH A BUILDING PERMIT APPLICATION TO THE CARMEL-CLAY DEPARTMENT OF COMMUNITY DEVELOPMENT. I FURTHER CERTIFY THAT THE JOINING OF WATER SUPPLY PIPING SHALL BE MADE WITH LEAD-FREE SOLDERS AND FLUXES. FAILURE TO COMPLY WILL RESULT IN A REPLACEMENT OF THE SYSTEM. PLUMBING CODE P-509-5. BUILDER'S SIGNATURE: ADDRESS: 1041 West Main Street PHONE: 582-2447 NOTE: Additional plans and/or information may be required, if submitted plans are not of sufficient clarity or detail, to indicate the nature and extent of the work proposed and to determine compliance with all applicable codes and ordinances. In addition to the above, the Building Inspector will be provided with any information relative to commitments made in the zoning process for the property involved. This would include any ADLS and BZA activity. July, 1993 C:\TEXT\1006 dep