HomeMy WebLinkAbout05050024-ReceiptCITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: ELECTRICAL INSPECTION
PARCEL ID #: 1709330000022000
LOT & SUBDIVISION:
CTION: 11795 TOWNE RD CARMEL. IN 46032
Zoning: Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: HAMILTON COUNTY PARKS DEPT~
Ph.#: 3178965,874 Fax#:
Street Address: 15513 S. UNION CARMEL, IN 46033
CONTRACTOR INFORMATION:
Name: GAYLOR ELECTRIC
Ph.#: (317) 843-0577 Fax #: 3178480364 Email:
Street Address: 1'1711 N. COLLEGE AVE CARMEL, IN 46032
APPLICANT INFORMATION:
Last Name: BURTNER
Ph.#: 317-223-4007 Fax#:
Street Address: 11711 N. COLLEGE #150 CARMEL 46032
PERMIT TYPE: MELECTRIC : ELECTRICAL PERMIT/INSPECTION
COM
NCurrent Amperage:
ew Meter Service: Y
Special
: 1
System: N
WATER FEATURE @ AMPHITHEATRE @ COXHALL
SEE MAP IN PERMIT FILE FOR A
GOOD LQCATION OF METER. PER JAK: FEE EXEMPT. * NO NOTES*
Permit #: 05050024
Date: 05/03/2005
Lot Split: N
46032
Upgrade Amperage:
Row Signal: iN
:N
This permit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release.
Ail construction must be completed (C/O issued) within two (2) years of the issuance date.
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of
land or structt~res re~¢ested by this application w/ii comply with, and ~onform to, all applicable laws of the Stare of lndiana, and the "Zoning
Ordinance of Carmel Indiana 21993" (Z-289) and amendments, adopted under authority of LC, 36-7 et sect, General Assembly of the State of
Indiana, and all Acts amendatory thereto. I 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 CerdZicate o[Occupancy has been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: DEAN E. BURTNER
FEES:
* NO NOTES *