HomeMy WebLinkAbout03050112 Application Vel/Clay
Kip Application for J/C~ Permit No.O ~ ~) S O
Hold #: Improvement Location Permit[~q/ Date
Roll File
This permit is valid only if construction is started within 180 days of file date of issuance for residential construction; and for commerce, within one
~e State Commercial Deal.~n Release. All c~__tmction must be corn .let~ c/o issued within 2 -ears of the issuance date.
PHONE FAX
STREET CI~
TENANT NAME
STATE ZIP
OWNER
LOCATION
PHONE FAX
STREET CITY STATE ZIP
LOT SUBDIVISION
A. TY~OF CONSTRUCTION
1. ~Single Family
2. [] TwoFan~ly
3. [] Multi-Family
4. [] Commercial/Industrial
SECTION
ADDRESS OF CONSTRUCTION
Do lp~ns include a porch?
lYes [] No
Type of Foundation
5. [] OTHER .
(Specify)_~lu-40 ~' L~
s. SEV~R~
1, ~51,'""Publi¢ (Name of system
2. [] Private (CounW permit
C. WATER:
1.
2. ~ Private (Co~ pe~t
[] Cmwlspace
[] Basement
[] Slab
G. Lot Split
H. Flood Zones
I. Sump Pump
J. Manufactured Trusses
TYPE OF IMPROVEMEN~=~- 'X_/,~g~ t~c,~
1. [] New Sllalcture ',~fl/~,~.
2. ddi.on: X f
3. ~ Remodel ~ Comercial Te~t Space
4. a ro~y
5. ~ Demo~CEi~
7. G~age
~S NO
YES NO
D. ZONING :__ K. Plumbing Contractor ~V~I~I'~-TI~)--~IAI~ ~,]~__
E. EST~ATED COST ~ CONSTRUC~ON ~C Plumbing Code: ~ Plumber's ~ //~ / / / ~ ~,
(ExcludMg~dValue~~ ~dianarlumbfngCode: ~ Licenseg:~~
I, ~e undersized, a~ee thru ~y cons~ucfion, r~ous~ucfion enl~gement, relocation or alteration ofa s~uctur~,, or ~y c~ge M ~e ~e ofl~d or s~cmrc~
r~uestedby~isap~licationwillcomplywith ~d~nfo~to, MlapplicablelawsoftbeStateoflndi~d~e Zoning~din~ceof~el~di~a- 1993
(Z-289) ~d
E-Maih__
~ of I.C. 36-7 et~seq; GeneraFAssembly of the State of Indiana, and all Acts amendatory thereto [ furfiler
connected tgXli'~ sanitary sewer. ~further certify that the construction will not be used or occupied until a
~y the Departn~eht of Com~u~it~er~ices, Carmel Indiana.
~ ( c~;¢.f INSPECTIONS NEEDED:
Plan ConumsstonfBZA/BPW Docket #'s; TAC Date(s)
ty Services
P.R.I.F.: / ~//
FLOe~~ "~:Permit~/Forms/1LP 5-02