HomeMy WebLinkAbout05090107-Application Permit
IMPROVEMENT LOCATION PERMIT APPLICATION
or Institutional: New Structures, Additions, Remodels, Tenant Finishes~ &Accessory Buildings
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I ORESS 0E
PROPERTY NAME
OWNER: ~'
I
LOCATION
& PRO2E~
~NFO:
PHONE FAX
~FFY ZIp
ZIP
SUITE # (If Applicable)
Lot # and Subdivision Jif Applicable)
scoP~(S) oF. ,j~' FON ~: sm ~ arm ..~ .cc. /~ PLU. ,mumm
FOOTAGE:
RELEASE: ~ ELEC O SPKI~ OTHER(S):.
BPW DOCKET NUMBERS; AND/OR
SEPTIC PERMIT #~ (If Applicable):
Porch
Early Release
Permit: Y
Lot Split: Y ~_N
Does any part of the property lie witffin a special Flood
derdgnaUon area: Y~N
[] ACCESSORY BUILDING P--: ' - NTRACTOR:
which [] DETACHED GARAGE ~ ~CT~/~, .^, / .(,/~.-· (
; new consttucUon area) [] ATTACHED GARAGE
SLAB C] CRAWL SPACE [] CELL TOWER (New) -- ' ~Plumber's Indiana State Ucense #:
POST&BEAM CD BASEMENT [] CELL TOWER CO-LOC. ATE
(or POST &P[ER} WALKOUT:YN [~) DEMOLITION
Class ! structttte l:~rm~ts are subject to the General At[mJn~st~attv¢ Rules of thc State of In.arm (See 675 IAC 12) regarding expiration thne ~ames for
I t~" begimung ~d completing construction.
requested by ~ app~cation will comply with, a~d conform to, all applicable laws o.r the State of I~d~ana, md the 'Zoning OrdLna~ce of Carmel lnd~na - 1993'
2~9) an~ amemdments, ado?ted under authority o£ I.C, ~6-7 et seq, General A~sembly o£ the $~ate o£ Indiana, and all Acts amendatory thereto. I further certify that only
ki~;~en, bath, md. ~oor dra~? connected to ~e samtary sewer. 1 ~lr ther cl~y that the construction will not be used or oeeupind until a Ce.r~'m te of
Signature of 0wrier ol~iuthoriz~d Ag.hr Prtnt Date --
~EQUIRED:
Lower Footing Under Slab
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Reviews
O3,0O
0 (]' 5 0 AddJtJor~aJ Fee~