HomeMy WebLinkAboutImprovement Location permitf;at>!r► KIifty illi 'D Improvement Location Permit Pvrmrt 3 "Q
T Date _�
ttwt,rtlap �'
Th; permit iiii valid only if construction,' steAvd1 within 120 days of issuance data; all construction Gs completed ( /ol*#uad) wfthin..
(2) two years of issuanee data unless an extemion of time has been offiewIly granted by letter by the Directer,department of
Community Dee"kmment
- .-
BUILDERZIP
NAME PHONE
- ..S.S
STA
T (
NAME OF BUINESS
(1F APPUCA� )
NAME � Pf-ION1=
OWNER
STREE i STATE ZIP
C fIO
LOTSUBDIVI SE02
LOCATION
M
ADDRESS F CONSTR
A TYPE OF CONSTRUCTION
1. • Residential (One or Two Family)
2, 0 Residential (Multi -family) yt\
10 Commercial
4. 0 Industrial Q
5 0 Institutional P\
B. TYPE OF SEWAGE DIkPOS1V
1 • Public (Name of S \tem
2.0 Private (Septic Tja�nk, etc.)
MPROVE#A
CE/ TYPE OF IE/V'ED N0�
1. • New Structure Z O
2.0 Commercial Tenant Space
3.0 Addition Porch_.__— Room —
4.0 Remodel
50 Foundation Only
6.0 Demolition
7.0 Accessory Building
8 O Swimming Pool
9.0 Garage Detached_-- Attached
—
D PRESENT USE OF PROPERTY
1, O Farm/Vacant
2 • Residential (One or Two Family)
3 0 Commercial r
4. 0 Industrial
5 0 Other (Specify)
E. PROPOSED USE OF PROPERTY_
1. 0 One or Two Family Dwelling
2.0 Multi -family
3.0 Commercial
4. 0 Industrial
5. 0 Other (Sepcify)
F. ZONING C S CATION OF PROPERTY
Present __—__G. ESTIMATE COST OF CONSTRUCTION ��•
(Excluding Land Value)
H Lot Split Yes-------- No_-- i_.
I. Flood Zones Yes No__
A B C
J. Sump Pump. Yes
K. Geothermal 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 structuresrequested by this application will comply with. and comform to, all applicable laws of the State of
Indiana, and the "Zoning Ordinance of Cannel. Indiana - 1980 adopted under the authority of Acts of 1979, Public Law 178
Sec- 1 et seq. General Assembly of the State of Indiana• and all Acts amendatory thereto.
1 further certify that the construction will not be used or occupied until a certificate of occupancy has been issued by the
Department of Community Development. Carmel, Indiana.
I fu�cifynly kitchen. bath, tau dry and floor Inspections Needed Drainage
drail spnihen sea --
Footing/Under Slab Temp Pole
SignoreOwn�er o�ryAuQthorized Agent Rough In Meter Base
Addr s - — _---� / Final C/O
City State Zip Phone Square Footage -
Permit (Sq. Footage)
Se e apace II ted Inspections.......
lCertificate of Occupancy- ..... .. _ aD
erector. De➢a ment of Community Development Total ........................ . . a-� -
1 _ ^ Plan Comm. Approved (Date) --- -----
i } - Board of Zoning Appeals
Receive By Approval (Date) --- -- --