HomeMy WebLinkAbout0004.96 Applicationp y A; lication,.for 1 :
el- la Permit N �
PP Date
Improvement Locatc_an.,Permit - Roll Fa '
This pernii,is'va1id anly'if+cbnswcuon is.started :within 120 days -of issuance date; all -construction is completed,_(e/o issued) wittiin 2',years,of
£issuance date unless an extension 'of tinacfas been dfficrally',granted by lener,by the'Director,.. Department ofCommunity Development
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NAME j
1.
PHONE
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FAX
BUILDER
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CITY,
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T ANT.NAME,�
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(if applicab
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AHONE
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OWNER ID.0
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STREET
CRY'
STATE2@' '
LOT,
.SUBDIVISION
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ADoDRESS D OF CONSTRUCTTON�
A.
TYPE, OF CONSTRUCTION
''
'1' ,Single�FaimIj
2.. ❑ Single,Family.Cluster,
3 ❑ Two Family,
4 ❑' rmulti-Family
5. ,❑, Commercial ['Industrial
6. ❑. Farm
7,, ❑, ,OTHER (Spec o) ..
B.
TYPE,OY^SEWAGE DISPOSAL.
1 Public System (Name of Systemi
2 /b Private (Septic, Tank, etc!)
;Gt
G
.TYPE OF°WATER
_ Public: System (Name of, System
2, /❑'° Private'(Wcll
;D.
ZONING CLASSIFICATION",OF PROPERTY
IE.
Present:
E.
ESTIMATED COST=OF CONSTRUCTION'
(Exclud ng;.Land Value), 3 I
TY9'OF IMPROVEMENT
1. ' New Structure
2. - ❑', Commercial' Tenant Space
3. ❑ Addition 'Porch _,Room
4':. :Remodel
_❑.
5. ❑ Foundation Only
❑ Demolition'
T ❑ Accessory Building;
8. ❑` 'Swlmmin&Pool
9.. ❑ Garage -=Detached - - .
Attached .
LovSplit YES
No
Flood+Zones YES
_ NO
Sump Pump' YES
NO
Maiiufactured, Trgsses
NO
Plumbing CODE OC
or, CABO
P,IumliingeContractor - - - - - -
PlumbingrLicense#
RE
- The,undersigned':agrees,ihat,any construction,;reconstruction;;enlargement„relocaiion; or alteration4festmcture, or.any change; in.the use,
,of or structureslrequested..by. this �iapplication,will'compiyi,wi h;:,andaconform.to, alltapplicable',laws of the State. o&.Indiana, and,tlie. "
"-Zoning=Ordinance of'Carmel'.Indiana: 1993",(Z'-289) and;amendments, adopted under authority of Acts of 19,79,"Public Law;178',Sec'.,
l etseq, General Assembly'of the State of Indiana and all Acts amendatory thereto. -
I,fiirther certify that the+construic on wtB' not be used) or occupied until a Certifcate of Occupanry,'.has been: issued'by the
Debartment. of'Commuriity. Dev_elopvi ent, Carmel, Indianan
- fy _ y dry„ connected,to the,samtary sewer.
.� � I?ooting/YYnder Slab pougli-'Iner ce t that onl ki hen bath lawn and floor: diams'aieSignamre�of;,Owner•oruthonzed,Agent '! InspectionsNeeded/,_Drainage 9e+C/O
- � '1/ r^� QQ
Address, Plan Perm4
rt,(S uaYe� ) Foo rx.dp 545v
^rt crrrsplaarce rvesr+ � arha6>Lo>
- Commission,/
�� B2AtDo ket't In Local.ioa F estacr
Sewer;
# CITY OF g6PAifi0ate of:Occupancy' '
AN Al (57 i-2444.)
_ TOTAL
Receivedrby oA� �vunvs�
iI
(,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-509509-5.
BUILDER'S SIGNATURE: SLY ,`/l(de�U.1/�CC, PHONE:
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 anycinformation relative to commitments made
in the zoning process for the property involved. This would include any ADLS and BZA activity.
July, 1993 C:ITEXT\1006 dep