HomeMy WebLinkAbout0006.97 ApplicationCarmel Clay Permit No: ' 9c
Toltinsh]p Application for Date
Improvement Location Permit Roll File
This permn is. valid only if,construcuon is started within120 days of issuance date; all construction istompleted (c/o issued) within .2i,years of
issuunce,date unless an extension of time has'been-officially granted by letter 'by the Director, Department of Community Development.
NAME `` yy
kfL�
PHONE
FAX
St/2'2. c5F, 2 - 2. uj 5i
BUILDER
l' C9fl
ST&EET
STATE
1.)
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'fit
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�2 I iV• -I lY O��
TENANT NAME
(if applicable)
NAME
PHONE
FAX
OWNER
�A '
STREET
CRY
STATE ZIP
LOT SUBDIVISION.
SEMON
LOCATION
V2_
"OF CONSTRU=ON
►� =re
► v
A. TYPE OF CONSTRUCTION v ay% ��y� F.
1. ❑ Single :,Family �`
2. Vf) Single'Family Cluster tn,._ LIP
3. b Two Family LrC2 y
4. ❑ Multi -Family
5. ❑i 'Commercial %'Industrial
6. ❑ Farm
7 ❑ OTHER;(Spenfy)
B: TYPE OF SEWAGE DISPOSAL f
1. Public System (Name of'Systein
2 1 Private (Septic Tank, etc.)
C: TYPE OF`WATER (• +P. .q .Public System (Nam_ a Of System, G', �iJ lil A0PZ1. ))
2 ❑ ,Private (Well 1
D. ZONING..CLASSIFICATION; OF PROPERTY.
Present
E. ESTIMATED COST OF CONSTRUCTION
,(Excluding Land. Value) XCDDO
TYPE,OF IMPROVEMENT
L I* New Structure
2. ❑, Commercial Tenant Space
3. ❑ Addition Porch _ Room
4. ❑ -Remodel
5. ❑. Foundation Only
6. ❑ Demolition
7. ❑' .Accessory Building
8. ❑: Swimming Pool
9. ❑ Garage Detached.
G. Lot Split YES _
H. Flood. Zones YES _
I. Sump;Pump YES
Attached
NO . u
_ NO _X_
NO _'X
J. Manufictured'Trusses YES _'k NO
Kl Plumbing CODE BOCA or CABO
Plumbing, Contractor rzr t-/B�
Plumbing License-# C—F P'9(n0r720-5
The,undersigned agrees that any, construction,; ieconstructioh, enlargement, relocation, or alteration of structure, or any change in the use
of land or',structures requestedby this applicaiion will comply with, and confomtto, all applicable laws•of the State of Indiana, and`the
"Zoning Ordnance of Carmel Indiana 1993" (Z189).'and amendments, adop der authority of Acts of d979, Public Law 178 Sec.
1 et seq General Assembly, of the'State of Indiana,rand all Acts amendatoo t
L further`ce'rtify that, the constrpetion will not be used or occupied til a aie; oj,Occupancy has been issued by the
I further certily1that.only;ki hen„ ba la dry a floor dra s are'c a 't6'diws ni er.
00 n e? Slab .RoU Meter
Signature,(Owner or AL ed 'Agent - Inspections, d
/ n 9 .. _ .. 'jiPllty. .. vra a"gR,a�,^:Sit�+1,'."e'1 C/o
/ u
lOu' G A-1 St2e .� �- pp
Address Pla�(��4 Pe o 6.-Footage) DO 77l
trt
Comutission7G;�p�,
'�Or�Z 5�2'2 t
I� �'rM°�
cket•#> 6i pAarees aS0•d0
City r State Zip: Phone 34
� G�Ce�tifica[ fOccupancy IS00
Sewer.Capacity-Allotted ty)or.,AT�441p �.
y TOTAL
1 arl� n
Tom ,.,a..a Ivisnvsa
De ailment of Cotnmantiy Development Received by