HomeMy WebLinkAbout0006.96 Applicationam zlay, PermIVNo;
Township LAP,PIIC.7tlOtt fOC 11. Date
Impravement'•Loeation .Permit R611 File
This p�riait is issuance date.unless onty s an eztenswn of;timehas'been ofSclallygrantedf t by'letter,by the,DirectoDepa�'rtmenmo[ Co(c/oiissued)�wuhin,2 ycers�of.
y
mmunity Development:
NAM_ , PHONE, FAX - -
STREET �.. CnYt STAn ZIP. - -
S.
;OWNER,
A.
B..
D;
E.
TYPE OF "CONSTRUCTION
F.
1. S� Single Family,
2. Qj_ Single Family Cluster.'
3. ❑ Two Family -
'4, ❑ Multi -Family:
5: ❑ Corntnercial.1lndustrial
6. ❑ Faun
7: ❑ OTHER{ (Sp ecify):, .. "
TYPE OF SEWXGE,DISPOSAL
I Public System�(Name of, System
3 ❑ Private (Septic Tank etc))
G'.".
TYPE OF WATER
H
`1 zDPu6hc System'(Name of;System
1
I' '
;2. ❑ Private (Well )
JI
`ZONING. CLASSIFICATION OF,PROPERTY.
K.
Present M4 .
ESTIMATED COST OF CO RUCTION,
{Excluding Land Value)
STATE ZIP
OF IMPROVEMENT;
1. New:Striicture
2 � ❑. ;Commercial T
'3. i❑, Addition Po
4. ❑ Remodel.
5. 0 Foundation Onl
6. ,❑ Demolition
7. "❑, Accessory'_Bui
8 ❑ 'Swimming Po
9 ❑ :Garage Deiac
Lot Split
Flood Zonesm Sup Pump
Manufactured'Trusses
Plumbing CODE
Plumbing Contractor;
Plumbing License/h_
en`arit Space'.
rch
.'Room
y
lding
61
hed_
Attached'-
Y-717-7
ES
NO
YES.
NO
YES
NO.
YES
NO
"BOLA
or CABO
The�undersigned`,agreessihat•any,construciion; reconstruction,;enlargemen(,,relocaiion, or alteration of attucture', or any, change in the use
` _ onfotm°to,. all 'applicable -laws . of the;State.ofjndiana„and"the
of9and,or'structures requested bythis:•'application�wdl.comply'with;�and co
"Zoning Ordinance•of ,armel Indiana' = 1993 (Z-289),and amendments„adopted.. under; authority 9of.Acts of 1979, Public LaiV 178 Sec.
1 ei seq,;General Assembly of'thesgtate of Indial na and alltActs amendatory' thereto.
I further.certify that the; construction will "not be used or occupied until ia. Certificate- of Occupancyhas been issued:. by; .the
Signature of
and 'floor�drains are connected --to the sanitary'sewer.
Foottng/Undir SlabT Roggh-In
Inspections NIeeeded f,,,,.rM^t'NST a Vir,
'0+ey 0$EjDFQ$Dramage �a Site Tinal
5.'ts G3a.✓`rrtr _:_-__:
by
Meter Base
C/O
�5000,
.upancy \ oZ>
TOTALAIVADD
I CERTIFYTHAT 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: 1 49 ✓� c"V' V v/ PHONE: —
ADDRESS: / `L�/ �,5 -�' v
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:\TEXT\1006 dep