HomeMy WebLinkAbout0001.98 Applicationel -Clay
'Townsmp
Application for
Improvement Location Permit
)'Permit No.
Rate IZ-3.1-q'1
Roll
Thispermit isvalid only if construction is started',within 120'days of issuance date; all construction must be completed (c/o issued) within 2 years of issuance,
hate uiikss anezten'ion of time has been offiiciallv.. eraritedlbv lettarliv-the Director; -Department of Communitv,Serviccs..
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FAX
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STATE LP
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TENANT. NAME
,(ifapplicable),
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1kEt.,P: SED FOR CONSTRUCTION
OWNER
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DEFT OF'COE! V 'j?IOTY.SERVICES
LOT ' s aovsi
CITY OF'CAROMEL*0LAY TOWNSHIP
LOCATION
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INDIANA
ADORES4o-Or CONSnnICnON
A. TYPE -OF CONSTRUCTION Do plans ,includc!aporch ?.
1. .W,SingleFamily ❑'Yes*N6
2: ❑ Two Family
3. ❑ Multi -Family. Type of Foundation;,
4. ❑ Commercial / Industrial ❑Crawispare'.
5. ❑ :Farm Wasement j
6. ❑ OTHER ❑�
OpecifS')
B. SEWER /� - y
1, Pubhc (Name of SystemCl+rwt c
2; '❑ Private (Septic'Tank etc:);
C. WATER:: /� ;BY::
1, Public ,(Name of System- l !nr W
3. ❑ Private Well
D: ZONV4G- JAM 0,5
F. RSTTM ATF.D COST OF CONSTRUC ON
F. TYPE OF IMPROVEMENT
1. `New Structure
2. ❑ Addition Porch %- [Room - —
3. ❑ Remodel ❑"C'omm&cta[ Te ap�Spa
4. ❑ Foundation Only 1
5. ❑ ,Demolition
❑ Accessory Building. DEC 3 P
7Lo7 ❑. Swimming Pool
❑ Garage DetachedSplit YESt f 10 r
H. FI thinness YES NOy
umpPump YES .�/_ NO
J._Manufactured Trusses YES ✓ NO
h)cssioy' �Ibi
The undersigned,agrees,that-anyconstracticn, reconstruction, enlargement, relocation, of ,alteration,of structure, or any change in the use of land
or structures request ed bythis application will comply with, and eonform.to; all applicable laws of the State of Indiana, and the "Zoning Ordinance
of Carmel Indiana .-1993"°(2-289),and:'amendments,.adopte&underauthority.of LC:36"-7 etseq,:General.Assembly'ofthe State oflndianaand,all
Acts amendatory thereto. 1fwiher::certify that only;kitchen,,bath, laundry, and floor drains ar6 connected to the sanitary sewer. I further certify
that',the construction,wili'snobbe'used or occupied until a0rhfica(e of Occupancy,has been issued by"the Department of Community
Services, -i Carmel,Indiana.
gnature offOOwnenor Authorized Agent.
�U3A;
(Print)
(Phone Number)
Sewer,CapacityijU'qucd,. / Iµ
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Plan CommissioriBZA Docket #_.._
,
Reviewed/Approy _: Dept[ of CommunityServices
Inspections Needed:
0o f ndersla -Rough=In eter'Base
Site 'fgL ,
�Petm4(Square,Foofage)� 2
Inspection Fees:
Certificate of Occupancy:
'TOT
Fee ReceivedBy