HomeMy WebLinkAboutBuilding PermitIrnprovenlent Location Permit Permit N
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This permit is valid only if construction is started within 120 days of issuance dafe, all constructidn is completed (c%issued)ithiri
(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. TY OF CONSTRUCTION
NAMEPHONE
PRESEIEIT USE OF PROPERTY
1. &Residential (One or Two Family)
BUILDER
�TQhrroi
2. ®®® Residential (Multi -family)
STREET
,CI Y STATE ZIP
3.9 Commercial
4' O Industrial
4. Q Industrial
NAME
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PHONE
OWNER-'
OSED USE OF PROPERTY
1. Public ("
STREET-
l.1One or Two Family Dwelling
CITY STATE ZIP
,l ''
2. Multi -family
ST
ADDITION
SECTION
LOCATION
ADDRESSO
TRUCTI N
�i y,; � _
3.0 Remodel ='
F.
A. TY OF CONSTRUCTION
D.
PRESEIEIT USE OF PROPERTY
1. &Residential (One or Two Family)
1. 0 Farm/Vacant
2. ®®® Residential (Multi -family)
2.Residential (One or Two Family)
3.0 Commercial
3.9 Commercial
4' O Industrial
4. Q Industrial
5.0 Institutional
tf , _ r
�5. 0 Other (Specify)
B. TYPE OF SEWAGE DISPOSAL.PRO
OSED USE OF PROPERTY
1. Public ("
°`
l.1One or Two Family Dwelling
2. Private (Septic Tank, etc.) rF
,l ''
2. Multi -family
,
C. TY .E OF IMPROVEMENT t�{{
t �.
3.0 Commercial
4.0 Industrial
1. New Structure
2.0 Addition Porch" �'`; (Raorn ;= _
— �'
; ,'=N-
5:'0 Other (Sepcify)`
�i y,; � _
3.0 Remodel ='
F.
ZONING CLASSIFICATION OF PROPERTY
4.0 Foundation Only
Present
` SA
5.0 Demolition
G.
ESTIMATE COST OF C(WTRUCTION
6.`0 Accessory Building(Excluding
Land Value) C�®�-
7.0 Swimming Pool
8. ® Garage Detached Attached_—_
H.
Lot Split Yes No-y''�
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change
in the use of land or structures requested by this application will comply with, and comform to, all applicable laws of the State of
Indiana, and the "Zoning Ordinance of Carmel, Indiana - 1980", adopted under the authority of Acts of 1979, Public Law 178
Sec. 1 at seq, General Assembly of the State of Indiana, and all Acts amendatory thereto.
I 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 fuAheeat only c , bath, laundry and floor drains are connected to sanitary sewer.
Inspections Needed:
iner or Authoriz d Agent Footing/Under Slab Temp Pole
'oer _
Addr s e j6 -7 Rough In Meter Base
v. t -
city State Zip Phone Final C/O
Flood Zones: Yes
A. B. C. Square Footage
S p ump:
:Ye No Permit (Sq. Footage) ............
th rural 1-1 t AxNoir-'/S Inspections .................... .
Certificate of Occupancy:::::::::
Total ................ `#' (�®`%,�
Director, Department of Community Development Plan Comm. Approved (Date)
Board of Zoning Appeals
Received By Approval (Date) p 41 ® 1111 1985
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