HomeMy WebLinkAbout0002.97 ApplicationCa mme Clay Permit No.�0�/
aIV jt;p Application for
Improvement Location Permit' Roll ile
This permit is valid only if construction is started within 120 days of issuance date; all construc'on is completed o. issued) within.2 years of
issuance date lunless an extension. of time has-been officially granted by letter by the Director, De ent • ommunity Development.
-
NAME
PHONE
FAX
BUILDER
1_ J
STREET
CrrY
STATE ZIP
s4
TENANT NAME
(if applicable)
NAME tl^� yy�
PHONE
FAX
OWNER
✓//���
STREET
CITY
STATE ZIP
WT SUBDIVISION
SECTION
LOCATION
_It � T .c1I
i
ADDRESS OF CONSTRUCTION
3Q26
z
A. TYPE OF CONSTRUCTION
F.
TYPE OF IMPROVEMENT
1. Co Single Family
1. I C New Structure
2. ❑ Single Family Cluster o
Ee9_
2. ❑ Commercial Tenant Space
3. ❑ Two Family Off°
3. ❑ Addition Porch Room
4. ❑ Multi -Family
4. ❑ Remodel
3. ❑ Commercial /Industrial [DEC
3 1996
s. ❑ Foundation Only
6: ❑ Farm
6. ❑ Demolition
7. ❑ OTHER (Specify)
7. ❑ Accessory Building
B. TYPE OF SEWAGE DISPOSAL
8. ❑ Swimming Pool
1. A ,Public System (Name of System 04t4
—�
9. ❑ Garage Detached Attached
2. ❑ 'Private (Septic Tank, etc.)
G.
Lot Split, YES
NO Y_
C. TYPE OF WATER
H.
Flood Zones YES
NO Y
1. .,j4--Public System (Name of System(l;'
1.
Sump Pump YES K
_
NO
2. ❑ :Private (Well 1
J.
Manufactured Trusses YES
NO V_
D. ZONING CLASSIFICATION OF PRO TY'
K.
Plumbing CODE O� or
CABO
Present �7
E. ESTIMATED COST OF CONSTRUCT ON Plumbing Contractor Kcy'S ��✓K� "
(Excluding Land Value) oZIs- el 1 03 00 Plumbing License H Sco -,= /,2—
The undersigned agrees that any construction, reconstruction, enlargement, relocation, orsalteration of structure, or any change in the use
of land or structures requested by ,this application will comply with, and conform to, all applicable laws of the State of Indiana,.and the
"Zoning Ordinance of Carmel Indiana - 1993" (Z-289) and amendments, adopted under authority of Acts of 1979, Public Law 178 Sec.
1 et seq, General Assembly of the State of Indiana, and all.Acts.amendatory theret
I further certify that. the construction will. not li ed or 'occupied untiF��f�C m�a} OcRRan:cy ilvr b�eU��'1"r`'d,by the
Department of Community Develo ment, Carme Inds Jam' 'O r'f�QllQid( ly�th 4!! Rpp' r
I furhef oify that`pply kitchen ji#i laundry, d floor drains onnected toffte s�lrtltpfpewes,, r��-- f[.[r -
4,661
Signature of Owner or -Authorized Agent
OF
Commission /
�151, �/G-u36 3.Y5-�SSBZADocketH
City State Zip Phone
Sewer Capacity
�F,Qotinn' ad£rSI'ah't12q h�(n-(yfMeter Base
At`ainage Sife"Final C/O
pl t 57
P
Permit S 'Foot ge)
ti Insp cn ees S � ��
Certificate
of Communti