HomeMy WebLinkAbout0006.94 ApplicationCarme Clay Improvement Location Permit
reship
Permit No.
Date
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 -� ' / f
by
PHONE
SFZ z_W,
BUILDER
STREET
/�7
ZIP
.,i'✓��(J
TENANTJ,P#Oft
(if applicabl
'
NAME
PHONE
OwNE�t' 1994
STREET
CITY
STATE ZIP
LOT SUBDIVISION %�
� �U� �� ''" ��
SECTION
LOCATION
ADDRESS� OF C()LjTSTRUCTION
�) r
A. TY OF CONSTRUCTION
1 Residential (One or Two Family)
2. Residential (Multi -family)
3.0 Commercial
4.0 Industrial
5.0 Institutional
B. TYPE OF SEWAGE DISPOSAL
1. X Public (Name of System _ )
2.0 Private (Septic Tank, etc.)
C. TYPE OF WATER
1.A�; Public System (Name of System
2.0 Private (Well_ )
D. TYPPE OF IMPROVEMENT
JAD 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
1D_a __f.
F. PRESENT USE OF PROPERTY
La 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.-ED One or Two Family Dwelling
2.0 Multi -family
3.0 Commercial/Industrial
4.0 Other (Specify)
H. ESTIMATE COST OF CONSTRUCTION
r2'!%d.'!G�
(Excluding Land Value)
I. Lot Split: Yes
No
J. Flood Zones: Yes _
Nc
K. Sump Pump: Yes_
No A-
L. Geothermal Heat Pump: Yes
No—�
M. Manufactured Trusses: Yes _—
No —
N. Plumbing Contractor �?s?Tr CODE: BOCA or CABO
Plumbing License Number:
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, Mondry and floor drains are
connected to sanitary sewer.
Inspectiol VASED FCC
i�uugn i '?vr, ddtt
OF -Lop
VIOANA
r�nai/
-� Square Footage �� g
Permit (Sq. Footage) .....................
Inspections ..................................... Certificate
---
Certificate of Occupancy J
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. l 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: " ^-"ter PHONE: 582-2447
ADDRESS: 1041 West Main Street
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:%TEX RI 006 dep