HomeMy WebLinkAbout0003.98 ApplicationCarmel -Clay, Permit No.
To hip Application for Date J
Improvement Location Permit Roll File qq
Thispennit is valid only if construction Is started within.120 days of issuance date;: all construction must be. completed (c/o issued) within 2 years of issuance,
date unless an extension of time has been: officiallv.eranted by letter.bv the Director. Deoartmentof Community. Services.
NAME PHONE � a
116;e 416 &17 ._
FAX
BUILDER
�'
cg/7 ,0--51-
STREET cnY
STATE TAP �
TENANT NAME
if a lics6le
_
NAME PHONE
FAX
OWNER.
SIREEr 'CnY
STATE TAP
LOT SUBOMSION
SECRON
LOCATION—
ADDRM OF cONSrRU ON
/ /J
A. TYPOF CONSTRUCTION Do plan include a porch 7
1 Single Family Yes ❑_ No
2 Two Family
3. ❑ Mitt Family Type of F
4 ❑ Commercial /Industrial OCr
5 ❑ Farm ❑ a
6. ❑ OTHER b
(Specify)
B. SEWFt $Y
1. —�1—public (Name of System
2. ❑ Private (Septic Tank, etc.)
C. WATER:
1. To( Public (Name of System
2. ❑ Private (Well'
Value)
JAN 0 5
F. TYPE OF IMPROVEMENT
1. New Structure
2. Addtuon. Porch � s y
3. ❑ Remodel ❑ Cmcrcial er {it Space
4. ❑ Foundation Only n�
Demolition U " J
Accessory Building C U
g� ❑ Swimming Pool
8 '❑ Garage .Detached hed
'Cl- Split YES NO //
d Zones YES NO //
I. Sump Pump YES NO 1/
J. Manufactured Trusses YES !/NO
K. Plumbing Contractor /10
Plumbing License reJS/m� f�OCA or ❑ CABO
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The, undersigned agrees that any construction, reconstruction„enlafgement, relocation, or alteration of structure, or any change in the use of land
or.sWctures requestedby.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 authorityyt,, of I.C..36-7 etseq,General'Assemblyofthe State ofIndiana, .and all
Acts!amendatorythereto. Ifurther .certify . that onlykiiehen;'.liath,launcl9Fh6FjkWccgEsQ c�i` Tt.RY&Tosewer. I. further certify
that:4he constructionwill not.:be'used or occupied until a-Cert c e �.�a entof Community
�. Services, Carmel, Indiana P ficgle,ef 4'U7��is�iry
Signature of. Owner orAuthorized Agent
Sewer Capacity Allotted
Plan Comrmssion/BZA Docket'#: _
Revi ...p roy ; Dept .of Community Services
INOtAil Ae(
Perrmt(Square Footage),
Inspection Fees:
Certificate of Occupancy::
TOTAL: a
Fee Received ay
C '9 C.
Meter.Base
my 12196