HomeMy WebLinkAbout0005.97 ApplicationCarmel Clay- Permit No. S�
o«nslZip Application for Date
Improvement Location Permit Roll File
This permit is'valid only4 construction is<startcd within 120.days'of- issuance . date; all construction is completed (clo issued) within 2 years of
issuance date;anless an extension of time hasbeen officially granted,by letter by (the Director, Department of Community Development.
'NAME
PHONE
FAX
BUILDER
The
Estridae Grmlu
582-2456_
a
'STREET
CrfY
STATE' ZIP
1041
Priest Main 'Street
Carmel
IN 46032
TENANT NAME
(if applicable)
-
NAME
PHONE
FAX
OWNER
Same
STREET
CITY
STATE ZIP
LOT
SUBDIVISION
SE ON
LOCATION_
ADDRESS OF CONSTRUCTION
_3626
Patriot Qaqrt
A.
TYPE OF CONSTRUCTION s F.
TYPE OF IMPROVEMENT
1. ❑ 'Single Family
t7:
I. New Structure
2. P:':_�:Ringle.Family Cluster n`/ EEE777
3. ❑ Two Family
2. ❑ Commercial Tenant Space
3, ❑ Addition .Porch Room
4 ❑ Multi -Family 2 �
4. ❑. 'Remodel
5. - ❑ Commercial) Industn"al
"+w
5. ❑ Foundation'Only
6. ❑ Farm
6. ❑ Demolition
7. 713 OTHER (Specify)
7. '❑ Accessory, Building
$.
TYPE SEWAGE,DISPOSAL
8. ❑ Swimming Pool
1 blic System (Name of.System. CTRFID
)
9 ❑, .Garage Detached Attached
2. ❑ Private (Septic Tank„etc.)
G..
Lot Split YES NO
C.
TYPE OF WATER
H.,
Flood Zones YES NO >O
1 Public System (Nance ofiSystem Indianapolis
I'
Sump pump YES NO
2 ❑` Private (Well, .
J.
Manufactured Trusses YES' NO
D.:
ZONING':CW§IFICATION OF PROPERTY
K.
Plumbing CODE BOC o CABO
Present . S-1
COST
J9N
R.T... Moore
E.
ESTIMATED OF CONSTRUCTIO
mbing Contractor
(Excluding Land'Value) 160,000
•0 `.10
u :' g License'# CPS1005205
The'undersrgned agrees that any construction, reconstuch nlargemefi[,'rel anon; orralteration of structure, or any change- n the:use
of land or structures4equested by thus application wtll comply, ; add co ma to; -all applicable laws;of-[he. State of Indiana, and the
"-Zoning Ordinance of'Cararel Indiana - 1993"'(Z-289) and.amen s,.a pted'under authontye of•Acts'of:'1979, Public Law. 178 Sec.
1 et seq,:General Assembly, ofahe State of Indiana, and all Acts -amen ry thereto:
I:further certi Yh ".,
_ fy I a6 the construction will` not tie used or occupied until a Certificate of, occupancy has been ,issued by the
bepirtment�df Community Development,. Carmel, Indiana.
I fTyrt' certify thaConly kt chen •bath,.laundrl;.and:floo
Signature oflOwner or Authorized, Agent
Address
Carmel, IN 46032 582'-2456 x
City State Zi.
Sewer Capacity Allotted ba-ay, p
Department Department o�[nmuntty DevelopmenbDevelopment•
to the sanitary sewer.
by
Slab ough-
eter
T Sit ._itial
CIO
,cotage) m"o M10
pp,Fe es