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HomeMy WebLinkAbout05030161-Application Application for ' Permit qo. Uold #: Improvement Location Permit Date Roll File ~s p~t ~ v~id o~y ff ~cfion is s~ M~ 180 da~ of~e ~te ofissu~ce for residen~al ~ns~cfion; ~d for co~i~ proj~, wi~ one (1) Irate Comemi~ Desi~ Rele~e. All ~ssu~: wi~in 2 _ em of ~e issu~ce da~. BUILDER TENANT NAME OWNER LOCATION 5. CP. oqa CITY STATE ZIP PHONE CITY LOT SUBDIVISION STATE ZIP SECTION ADDRESS OF CONSTRUCTION A. TYPE OF CONSTRUCTION Do plans include a porch? F. TYPE OF IMPROVEMENT 1. 13 Single Family 2. [] TwoFannly 3. [] Multi-Family 4. fl~ Commercial / Industrial 5. [] #TIER [] Yes~ No Type of Foundation [] Crawlspace [] Basement (Specify) ~i~' Slab B. SEWER: -- ~ 1. ~l~ Public (Name ofsystem~ ~ 2 [3 Private (Countypem,-it # ~ C. WATER ~- ~ ~ 1 ~l~ Public (Name of system~ 6q~ Ct~4 ~}A. 2. [] Private (County permit #_ 1. [] New Structure 2. [] Addition: Porch Room 3. [] Remodel [] Commercial Tenant Space 4. [] Foundation Only 5. ~t- Demolition 6. [] Accessory Building 7. [] Garage Detached Attached G. Lot Split YES __ NO_ ~' H. Flood Zones YES ___ NO ~: I. Sump Pump YES NO ~'' ~ ~. Manufactured Trusses YES NO ~: D. ZONING: ~ K. Plumbing Contractor ~ -- ~ E. ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code: [] Plum (Excluding Land Valuel ~ Indiana Plumbing Code: [] License #:__ I the undersigned, agreethatanyconstruction r~c~nstru~ti~n~en~argement~re~~cati~n~~ra~terati~n~fas~ructure~~ranychangeintheuse~f~and~rstructures requested by this application will comply with, and conform to, all applicable laws of the State oflndiana, and the "Zoning Ordinance of Carmel Indiana - 1993 (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. INSPECTIONS NEEDED: Footing/Under Slab Rough-In Meter Base ,.:317- -/1~-71'3c'~ Site Final C/O Sq. Ft.__ (Print) E-Mail:__ (Phone Numbarl Plan Commission/BZAfBPW Docket O's; TAC Date(s) Filing Fees: Base Inspections: Cert. of Occupancy: P.R.I.F.: TOTAL: Reviewed/Approved: Dept. ofC mmunity S o ervices