HomeMy WebLinkAbout0004.95 Applicationarm clay �In2 rovement Location Permit±
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This permit "is valid;only.if construction is started 'within] N days'of issuance date 'all construction is ci
;years of-tssiiance date'uitless an;eiitension of'time has been.6fhcially`Odfited.6y Ietter•Gy,theiDi
Development:. -
- PHONE
BUICDER77
;:ZIP
DEC 2`.� 19y4
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C-rrV STATE, '_ZIP,
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SUBDIVISIO
:SE TION
LOCATI��•m
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ADDRESS'-
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A. PE OPCONSTRUCTION
NING_ CLASSIFICATION
E:, ZOCLASTION OF P.ROFTRTY
lResiBential;(One or Two-Famuy),
Present- J'-% -
2 0' Residential'(Ivlulti family)
F., PRESENT,USDOP'PR_ OPERTY
3 o ConmerdaC
1 0 Farm/Vacant
A 0 Industrials
2 Residential (Oiie,or Twq Family)
5 o Institutional
_7
3 on mere
'B.�TYPEOF'SEWAGE OfSPOSAL
- 4 Industnal
1 Publlu (Namepf System,
` -.5 Other (Specify),
�2. Private,(Septic•Tank,;etc)
_ OSED,USE OE'PROPERTY'
" ;C. TYPE OF;WATER,
] One:orTwo Pamily,Dwellingl "
1 Public System!(Name ofSy3tent.
) e_ ;2. Multi family
0 Priyate,(W 11
- Commercial/Industrial:
' 'D. TYPI� OF IMPROVEMENT' -
_ 0 Other (Specify),.
•FI: O
1 New Studure
ESTIMATE COST OF'CONSTRUCTIOIV / -- , QI
2 0 Commercial'Tenant Space
.. -.
(Exduding;Larid'Valu'e)
3 O.,Addihon. ;Porch
[/
oqm L.. Lot Split:Yes - No _ -
4 :Remodel - - -
].; :Flood Zones;; Yes No-
5 0 ,FoundationOnly
K,pSump Pump: Yes No'
-�
6 Q Demolition,
- L. Geothermal Heat Pum Yes No
—
7 Accessory Building;
M. Manufactuied Truss Yes o
- 8 Q SwimmmgPool
N;;Plumbmg,Contracto 'eSS O/ COD BOC pr:Ct
9 Q Giiage� :Detached.•
A � d -Plumbing License_ umber.
I'further certify thabthe.construciiomurill nch be used`or: mcupied until,a certificme of occupancy,"has,l een'issued':by,the.Depaitment of.
Community Development Carmel;;Indiana.
I CERTIFY THAT ALL OF THE ABOVE LISTED INFORMATION IS SHOWN COMPLETELY AND ACCURATELY ON THE
ATTACHED PLOT OSITE PLAN AS.SUBMITTED WITH A BUILDING PERMIT APPLICATION TO THE CARMEL-CLAY
DEPARTMENTR OF COMMUNITY DEVELOPMENT. I FURTHER CERTIFY THAT THE JOINING OF WATER,SUPPLY
PIPING SHALL BE MADE W&TH LEAD-FREE SOLDERS AND,FLUXES!, FAILURE TO COMPLY WILL RESULT IN A
REPLACEMENT OF THE SNISTEM. PLUMBING CODE P-509-5.
BUILDER'S'SIGNA!F,7TURRI
AMRFSS,
PHONE: ; �;`S(�)
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,withany information relative to commitments made
in the coning process for the propertyiinvolved. This would include any ADLS and BZA activity.
Juty; 1993 C \TEXT\1006 dep