HomeMy WebLinkAbout0004.97 ApplicationCarmel -Clay Permit No. L/��
ott.7 Application for Date
Improvement Location Permit
Roll File
This permits is valid only if conswetion. is started within 120 days of issuance date; all construction is completed (c/o issued) within 2 years of
issuance date unless an extension of time has been officially granted by letter by tire Director, Department of Community Development.
BUILDER
NAME.
PHHOON�E/ ,,
3� & 9
FAX
STREET
C
STATE ZIP
ss�v
3
TENANT NAME
(if applicable)
OWNER
NAME
��➢ ' "
PHONE
FAX
STREET
CUT
STATE ZIP
LOCATION
LOT SUBDIVISIO
d'C,�
SECTION
/
ADDRESS !OF "CONSTRU N
A. TYPE OF CONSTRUCTION
1. �f- Single Family
2. ❑ Single: Family Cluster
3. ❑ Two Family
4. ❑ Multi -Family
5. ❑ Commercial / Industrial
F.
Ilece
�,®.
D£C26 �s
6. ❑ Farm
7. ❑ OTHER (Specify)
TYPE OF SEWAGE DISPOSAL
1. It Public System (Name of System
2. Private (Septic Tank, etc.)
TYPE OF WATER
1. V Public System -(Name of System
2. ❑ Private (Well
D. ZONING CLASSIFICATION OF
Present
E. ESTIMATED COST OF CONST]
_(Excluding Land Value)
TYPE OF IMPROVEMENT
1. New Structure
2. Commercial Tenant Space
3. ❑ Addition Porch Room,
4. ❑ Remodel
Attached
YES NO �L
YES NO C
YES_ NO
J. Manufactured Trusses NO
K. Plumbing CODE BOLA or CABO
✓I bing Contractor
04? m License.M.�YC,C�
G.
H.
5. ❑ Foundation Only
6. 0 Demolition
7. ❑ Accessory Building
8. ❑ Swimming Pool.
9. ❑. Garage Detached,_
Lot -Split
Flood Zones
Sump'Pump
The undersigned agrees that.any construction, recon"structt . nlargerneHt; reloc ion;or alteration of structure, or any change in the use
of land or -structures requested by this application will comply and confo to,all applicable laws of the State of Indiana, and the
"Zoning Ordinance.of Carmel Indiana 199Y (Z-289) and,amendm at ted under authority. of Acts of 1979, Public Law 178 Sec.
1 e[ seq, _General Assembly of the State of Indiana, and all Acts amenda thereto.
I further certify that the construction will not be usedor occupied until a Certificate. of Occupancy has been issued by the
Department -.of Community Development, Carmel, Indiana.
,1'fultherfcertify.t4at oJily, Ahen, 4atji, laundry, and floor drains are connected to the sanitary, sewer.
Signature of Owner or' ulhorized Agent
I I �s5 /V wu 'Sd .
Address O T
city State Zip �y nPhone
Sewer Capacity Allotted
arm �i�nnlV
Departm nt:of Comniuntiy Development
ootin nder nh ough-in eter,B
Inspections Needed ��4Sl
Drai�o ,, .Sit final C/O
Plan &i,Q' P�efmttq(6fj�r'bZotai`.4 ', 00 S
unio6nl/ N�s'clo Vo"l-��
bckett#!° n^�rb¢rypoc�iowl(e�sS n0
z O'c GO
rt of Occupancy 15,00
OTAL ` 39 oo
Received by nr� m ..e IVlsrlssa