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HomeMy WebLinkAbout0005.94 Application9nship a N � �y Improvement Location PermitPermit Date ( �'d 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 PHONE W'} BUILDER STREET CITY, Sj! TE ZIP TENANT NAME (if applicable)UIUCD NAM PHONE owNEn1AN ? 1994 •���lc STREET CITY STATE ZIP LOT SUBQ )SION ��U SECTION LOCATION ADDRESS OF C TRUQTIO 2I2 4�--4,711el G='�^M . . A. TYPE OF CONSTRUCTION 1.,�k Residential (One or Two Family) 2.0 Residential (Multi -family) 3.0 Commercial 4.0 Industrial 5. 0 Institutional B. TYPE OF SEWAGE DISPOSAL 1-,e Public (Name of System C7,6'rvZ3 ) 2. 0 Private (Septic Tank, etc.) C. TYPE OF WATER 1.Z Public System (Name of Systemp�A�.ilir ) 2.0 Private (Well ) D. TYPE OF IMPROVEMENT 1. New Stucture 2. 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 �7 n.e­f L F. PRESENT USE OF PROPERTY 1.1 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.D One or Two Family Dwelling 2.0 Multi -family 3.0 Commercial/Industrial 4.0 Other (Specify) — H. ESTIMATE COST OF CONSTRUCTION 4;�2, 6VO (Excluding Land Value) I. Lot Split: Yes No 1l` J. Flood Zones: Yes _ No w' K. Sump Pump: Yes No X L. Geothermal Heat Pump: Yes No X M. Manufactured Trusses: Yes N. Plumbing Contractor ../���9 No CODE: O r CABO Plumbing License Number: 14,Os Zc7l" 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 b epartment of Community Development, Carmel, Indiana. I further certify that only kitchen, bath, lau dry and floor drains are connecte nitary sewer. Inspections Needed: Sig ature of Owner or Authorize Agent /-1/ 1 � 1`uu�n u� ` i �7Mr Drainage t ' Square Footage Permit (Sq. Footage) ..................... Inspections ..................................... Certificate of Occupancy .............. Total................................................ Plan Comm./BZA Docket # 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:1TF-XT\1006 dep