HomeMy WebLinkAbout0002.96 ApplicationApplicafi6n for
Improvement Location .Permit
Be mrt'N C�
Date
Roll Fie
,..
``This-perinitli's 'valid only'if coasuuctione is.�alone within 120 daysofissuence date; all:conswctioo is completed (c/o issued) within 7ycars. of
eissuance;,date unless an extension 'of time has been officially. granted by letter r.by' .the;Director,;Department:of'Community Development:
BUILDER
_. •..
NAME
PHONE';
FAX
STREET. /�/
/�- STATE
TENANT NAME
(if applicable)
v
NAME- _
PHONE
- - FAX
i5-
�CnY
STATEI ZIP
'ti + _ 19.96
Loc�
LOT - SU DIVISION
SECTION: -
AOD6RI/E VOP CONSTRUCFI _
9
:A. TYPEOF'CONSTRUCTION
.F'..
T,Y E F IMPROVEMENT
1 fi Sig`gle;Family
1. jP1, New Structure
2. ❑� Single Family ,Cluster
2.. ❑ Commercial'Tenam Space
- .3., ❑: Two s Family
3:. ❑ AdditionPorch,. ,Room
4'.., ❑ lvtulti-Family'
4.. ❑ :Remodel
5 ❑ 'Commercial:Zlndustrial
5• ❑ Foundation±Only
6 ❑ 'Farris,
6., ❑ Demolition,
7. ❑ QTHER (Specify)„
;7., ❑ Accessory?,Building
B. T:YP�}g�� OF SEWAGE`:I)ISPOSAL )
'8. ❑ SwimmmgjPool
1 , lu Pilblte System (Name•of Systert� l-ix / 10,%O j,
9. ❑ Garage. Detached
Attached
.2. ❑ Private (Septic Tank, etc.) —��
G.
Lot Split YES
!/ +NO'"
C. 'T OF WATER Y H:-
1 fR Pulihc �r
stem ame of S stem �� h'� ;,
Y. (N
Flood Zones YES
Sump Pgmp YES
NO
— NO
2 ❑ Private Well � d'J.
(
Manufactured Trusses NO
D. 'ZONING, CLASSIEICAT19N OF PROPERTY
K.
Plumbing CODE
or CABO.
Present < /
E:, 'ESTIMATED'COST OF'CONSTRUCTION
-Plumbing'Cootractor
(Excluding,Land`Value)' 4
Plumbing Licenses#
%U S '-'
the unaerstgnea,agrees matany°construction, reconstruction; enlargement; relocation,, or alteration. of strucrure;.;or any°cringe tut utcause
of: landsortsiructures;:requested byaliis application willtcomply-with, and conform to,;all.applicable laws-.of,the. State of Indiana,.and-the.
"Zoning Ordinancetof+Carmel_Indiana 1993 (Z=289) and amendments,:adopted under authority of -Acts of 1979,PublicLaw 178 Sec'.
1 et seq,,General' Assembly ofAe State of Indiana and all,rActs amendatory' thereto',;
,I further certify, that the construction will not tie used'or'accupied until a' Certificate of Occupancy has, been issued by the
Department.of=.Commu pity Development,,Carmel, Indict 9.
h er certify that o kitch atli laundry' dfams are':cotmected to'the sanitary"sewer;
_ and floor'
`All ,
- :Footing'/_ nder Slab Rough in eter Base:
`Signature Owner+or.Authorid Agent Inspections`'?Needed.. -
� ��. RELEASED I�VI"IaveUl��u"13r�-
%O
&Dioicc6 tt�vtatt g(Sqa"ie Footage) T.ViulfagOat
and d Lt
Bomms'sidnto/t
ket,kOInspecttonrFeeatP
AO'
.City State Zip Phonesi ` ' CITY OF CARMEL
J .11 erttE a e LOcd Spancy IE.'AO
-, t i - Sri w
;Sewer'C aciTy"'. Allotted „v.-�; '- riv
'\ II
Department of-CommuntiyDevelopment, - Reby
I CERTIFY THAT ALL OF THE ABOVE LISTED -INFORMATION IS: SHOWN.COMPLETELY AND ACCURATELY ON` THE
ATTACHED PLOT OR R SITE PLAN AS SUBMITTED WITH A BUILDING PERMIT APPLICATION TO TH&CARMEL-CLAY
a
DEPARTMENT OF COMMUNITY DEVELOPMENT. I FURTHER CERTIFY THAT THE JOINING OF`WATER SUPPLY
PIPING SHALL BE MADE WITH"LEAD-FREE SOLDERS AND FLUXE`S_l FAILURE TO COMPLY WILL RESULT IN A
REPLACEMENT OF THE SYSTEM. PLUMBING CODE P-509-5. n
/ l iL� P,�HgNE:
BUILDER'S SIGNATURE: �1(�e� ���� ��
ADDRESS:
NOTE: Additionalplans and/or information may be required, if submitted plans are not of sufficient clarity or detail, to
indicate the nature and,eztent 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 CATEXT\1006 dep