HomeMy WebLinkAbout0883.88 Application�A;`"�' '''' Imy� rovement Location Permit Pcrmit No. O o�— U�
Township !' Date �� -��
Roll File
This permit is valid only if construction is started within 120 days of issuance date; all construction is completed (c/o issued) within (2) two
years of issuance date unless an extension of time has been officially granted by letter by the Director, Department of Community
Development.
A. '1 YPE OF CONST�ON
1� Residentia (One r Two Family)
2. � Residential i-family)
3. � Commercial
4. � Industrial
5. � Institutional
B. TYPE OF SE W AGE DISPOSAL
l.�i, Public (Name of System
2. � Private (Septic Tank, etcJ �
C. TYPE OF WATER ✓���'
l� Public System (Na ��yst@M
2. U Private (Well__�_�.}F �.'r �" � Y':��
D. TYPE OF IMPROVEMENT � o�'-�-j
1�� New Stucture � C1�
Z. V Commercial Tenant S�
3. � Addition Porch�_
4. � Remodcl
5. � Foundation Only
6. � Demolition
7. 0 Accessory Building
8. � Swimming Pool
9. � Garage Detached
�na;`
,..y :. �.
,'}'�,. �;:�; �r,
�;_
��.?�.!�':� MF ui�w�.; S
G .��.I� ���,
Attached
E. ZONWG C,J,,p.SSIFICATION OF PROPERTY
�t!2. V Kesi&e+�ieY(Onc or Two Family)
3. � Commercial
4. � (ndustrial
5. � Other (Specify)
G. PRO,,,P�'i�D USE OF PROPERTY
1,RS�One�r Two Family Dwclling
2. C7�ti-family
3. � Commercial
4.� lndustrial
5. � Other (Specify)
H. ESTIMATE COST OF CONSTRUCTION �, Q�'
(Excluding Land Value)
I. Lot Split: Yes No�__
J. Flood Zones: Yes No�_
A. B. C.
K. Sump Pump: Yes No
L. Ccothermal Heat Pump: Yes� No�
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change in the use
of land or stucmres mquested by this application will comply with, and comform to, all applicable laws o( the 5tate of Indiana, and the
"Zoning Ordinance of Carmel, tndiana -1980", adopted under the authority of Acts of 1979, Public Law 178 Sec. l et seq, Cencral Acsembly
of the State of Indiana, and all Acts amendatory thcreto.
I further certify that the construction will not be used or occupied until a certificatc o( occupancy has been issued by the Department of
Community Development, Carmel, lndiana.
I fnrther certify that only kitchen,
�ercrte�t�d-te�canitary sewer.
or
laundry and floor drains arc
City / Statc ' Zip Phonc
ac� lot e . r % � � /�
Director, Department o ommunity Devclopment
� F,1A,
Receive ��y -,� � ) � � � , -
f , iavEJ
Inspections Nceded: ootiny/ ndcr 1
�ough In tcrBas
-------- — ----------
Drai *c S c
� — ----
- -----------
'n�l ��� ---- —
SquarcFootagc____l�S �
-------- ---
Pcrmit (Sq. !'ootagc) ...................... T�•-C�S].—
Inspections .....................................
-- --
---- -- --
Ccrtificaten(Occupancy .............. / -�p
Total................................................
Plan Comm./[3ZA Docket N '��� Zi� -_- __ _