HomeMy WebLinkAbout1302.98 Diploma Carmel Clay Permit-No. 9� ,
To�i„ -. Application for Q� Da� ,it�-� �
� � Improvemen[ Location.Per�mit ,�1 Z�F''e
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Tfiis;pgrtmt�s valid only if construction issterted within 120 days of issuance date;all consWction must be wmpleted(c/ sued)within 2 yearsof issuance,
da[e.unless an"eztension of time��has been o�cially' rented��fi�letter b the Director,De artment of Communi Services. �
NAM� 'PNONE. FAX
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BUII.DER v r a' !j
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TENANT NAME
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OWNER
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LOT SUBDMSION SECf1ON
LOCATION
C . :. �-� . �
ADDRESS��OFCONSIRUCIION - �
� l E / L' � G� a?.
A. TYPE OF CONSTRUGTION Do plaus include a porch ? F. TYPE OF A'IPROVEMENT �C��` ��4�fltf'rf���
1. � Siagle Family ❑ Yes�No 1. � New Structure �,,��y��'�e w,��� r�cs'';�,4 R4��
2. ❑ TwoFamily p 2. O Addii�g��� �� rt' �f '�„ B ,���^+��0�
3, ❑ Multi-Family Type of Foundauon: 3. ❑ Ren�e �q�� ,�o �a!
4. ❑ Commercial/.Inilusirial B�Crawls ace 4. ❑ Fou6d���n .�s-
5. ❑ Fazm ,�Basement 5 ❑ D'emolitio -e�� ��,�G`�'�a�
6. ❑ OTI-IER ❑Slab 6. ❑ Acces�u�n�+ ��T 'z � se:^"t
�SP��Y) 7; ❑ Swuiut�Jni'�ool
B, :SEWERc 8; � Ga�age Detached Attached�
1. �, Pulihc (Nazng of$ystem'[�_) G. Lot,Sptit YES P"�����
2. ,❑ Priyate.(Sep4c Tank,etc.) H. Fluod Zones YES _ NO aC
C. WATER: I. Sump Pump YES �_ NO
l, � :PubGc (Name of Sys[em�� J. ManufaMured Trusaes YES _ NO �_
2. ❑ Private(Well
D. ZONING: -� K. Plumbing Contractor _�2LI pjVr�l� j��_nq 1-�-L'.
E. ESTIMATED CO QF C NSTRUCTION: �l d�
#as++s++��s.s�saa�*e)"� Ir1 . ��n PlumtiingLicense�#: f', 4s7❑BOCAo�ABO
(E g ias*....r «��s�+sr.*+.ass+���t#s#es*s.+.sa►s�Wxssa**assssCst*st#st*i�x*sr*tii*s�s�tsR�+
The undersigned agrees that any construcUoq reconstruction,enlargement,relocation,or;altzration of sWcture,or any cfiange in the use of land
or structures requesled b this a lication will com ly with,and cbrtform to,all apphcalile'laws of[he State of Indiana,and.the"Zoning Ordinance
of Cazmel Indiaua- 1993Y�(Z-289)and artiendments;'a,dopted uader authority.of I.C:36=7� et:seq,General Assem6ly�of the State of Indiana,and all
Acts amendatory thereto. I�Curther ceitify that�only kitchen;tiath,.laundry,end floor�diain�aze connected to:the sanitary sewer. I further certify
thailhe rnnstruMion will.not be�dsed or occupie8 until 8 Cerlifecate_ofOccupancy�68s been issued by�t6e Department of Community
Services, Cgrmel,Indiana� �
� . Inspecfions Needed:
i ; ✓ Footin` nderslab ough- ", eterBase
Signature of wner or Autlionzed gept � ��%
Site inal G/O
}� :,;" c- ' 7 �
`(Prin j. 'e um6erj emu[jSquare Footage) � � . .�"�
'SewerCapaciry.Allotted LC�_�.�,aQ� NQ(/ . o s: �_
&y. 4.� �,,"
PlanCommission%BZADockeY#: �e�uigate' EOccupancy: 15�0�
CO
TAL' S- .OA
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, Reviewed/Approved. Dept.of Community.Services Fee Rece ed s:v�wnvsen� m�a,v��