HomeMy WebLinkAbout0003.96 Applicationoff,. h2a pernu#N.
fownsApplieatlonforImprovement Location ;Permit Ro
This permit Is valid only, if'consgagc cWk started �wiihm z42b days of issuance date;: all•.construction is,completed.(c/o issued) within 2 years of
- issuance'date unless an extension;oftint has �been,oflicially,,g{anted by leger.,by the::Director„Department;-of,Commumty'Developmen[.
NAME:
PNONE
c FAX - -
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BUILDER?a-t�Jlv_.
Q
'ST�tEEf
C
STATE Za' •-•.
424A_
TEN NAMF,
,
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PHONE ' -
- FAX'
iOWNER
STREET
-CrrY
STATE ZIP
t
LOT
:SUBDWcION
SECTION
,LOCATION
ADDRJEss OF LCONSTRUC 10
- A
A.,
TYPE OF CONSTRUCTION
F_
a. * Single Family,
2. 10 Single,Family. Cluster
3. ❑ Two Family
'4 O, :.Multi' -Family
5. ❑ Commercial TIndustrial
6. ;❑ 'Farm,
7. ❑ OTHERi(Specijy),.
_
TYPE OF,SEWAGE DISPOSAL
_
�l Public System (Name of�System
2 O Private (Septic Tank Aetc')
G:
TYPE OF`WATER
Ha
I. ¢lih Pc System,(Name ofSystem,k
2. ❑ Private (Well )'
J.
ZONING `CLASSIFICATI N'OF'PROPERTY
K.,
Present S Y /.
ESTIMATED COST.OF CONST UCTION,
(Excluding Land Valire)
Signature�of
',Sewer
TYPE,,OF L1'IPRUVEMENT:
1. 'New Structure
2. ❑; 'Commercial Tenant Space.
3 ❑', .Addition, ,Porch _ _ 'Room:_
A. ❑ .Remodel,
5. 0 :Foundation Only
6. ❑. 1Dernolition
7, ❑ Accessory-Bitilding
8. ❑ <Swimmmg Pool'
9. ❑ Garage Detached,-
Attached.
-, YES'
Lot' Split
NO
Flood Zones YES
_
,NO /!
Sump Pump, YES
✓ NO
Manufactured,Trusses' YE NO
Plumbing CODE de
5ior CABO
Plumbing Contracto'. -
-' -
Plumbing LicenseL #
-
ees'Ahat any construction;;reconstructions.(enlargement,.i..relocation„orialteration of stru iture, or any change in the use
requested by'thisiapplication'will comply -with; andconform,to,.all applicable, laws,of the;State,of Indiana, and'ithe
iliCarrnel Indiana '1993".(Z-289):and amendments; adopted:under-auihority of Acts of -1979; Public Law' 178 Sec.
,seinbly of theiState of Indiana and all,Acts amendatory'•theretoi, -
tat, the construction Will not. be used, or, occupied until_ a Certificate of Occupancy has:been lissued by .the
omunily Development,,Carm_ el; Indiana.
only`kitchen,�:baJthialarm_ nd.floor drains are connected,to,the sanitary �sewer.-
- zLe
L�1?d _ F_ootin rider Slab Rodgh I- __eter:Base
onAuthonzedAgent Inspections Needed
rainage Sit inal /O
RELEASED FOP, CONSTRUC
State`
Local. Codes
by
LCERTIFY THAT ALL OF THE ABOVE LISTED:INFORMATION IS SHOWN'COMPL'ETELY AND ACCURATELYDN,THE
ATTACHED.PLOT OR SITE PLAN AS SUBMITTED WITH A BUILDING PERMIT APPLICATION TO THECARMEL-CLAY
DEPARTMENT OF COMMUNITYDEVELOPMENT. I FbRTHER 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. Q,/
BUILDER'S. SIGNATURE; PHONE;t `�':�r�LzoD
NOTE: Additional plans and/or information may be required, it, 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'lnspector Will. be provided,with+any information relative�toxommitment_s•made
in'the"zoning process for the property involved. This would include any ADLS and BZA,activity.
July, 1993,
0
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