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HomeMy WebLinkAboutBuilding PermitCS - LU W _11S6 W U rrIc- Improvement Location Permit Permit No.� Lam/ Date 9 This permit is valid only if construction is started within 120 days of issuance date; all construction is completed ((/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. TYPE OF CONSTRUCTION 1. 0 Residential (One or Two Family) 2. 0 Residential (Multi -family) 3. Cr Commercial 4. 0 Industrial 5. O Institutional B. TYPE OF SEWAGE DISPOSAL 1. 0 Public (Name of System 2. 0 Private (Septic Tank, etc.) C. TYPE OF IMPROVEMENT 1. 0 New Structure 2. 0 Commercial Tenant Space 3.O'Addition Porch 4.0 Remodel 5.0 Foundation Only 6.0 Demolition 7.0 Accessory Building 8.0 Swimming Pool 9.0 Garage Detached D. PRESENT USE OF PROPERTY 1. O Farm/Vacant �qLL') -t M � � Uj 1t1 (0 Z 0), ;ZUc. Room t O W O U C] Q 4H. J e� ©: I. Attach Wim! f d O K. 2. 0 Residential (One or Two Family) 3.4f Commercial 4. 0 Industrial 5. O Other (Specify) PROPOSED USE OF PROPERTY 1. 0 One or Two Family Dwelling 2. 0 Multi -family 3. eCommercial 4. 0 Industrial 5. 0 Other (Sepcify) ZONING CLASSIFICATION OF PROPERTY Present Is — _17 - ESTIMATE ESTIMATE COST OF CONSTRUCTJ9N (Excluding Land Value) 2 -3o612 - Lot Split Yes No ✓ / Flood Zones: Yes—__—._- No A. B. C. Sump Pump: Yes.----- No / 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 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 et 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 further certify that only kitchen, bath, laundry and floor drains �c nriecte sanitary sewer. . Z f2o;*�e tal4+-S 1r✓G Sign re of Owner or Authorized Agent L WMy -- Address City State Zip Phone Sewer By it'l epartment Com.r unit] 6 velopment Inspections Needed: Drainage Footing/Under Slab Rough In Temp Pole Meter Base Final C/O NAM� 61 PHONE � , ,�,3� BUILDER STREETCITY Certificate of Occupancy CPU STATE ZIP Plan Comm. Approved (Date) Board of Zoning Appeals Approval (Date) NAME OF BUSINESS (IF APPLICABLE) NAME PHONE 6wtem/ aje- OWNER STR ET CITY STATE ZIP ia( N . tAV4414ATJ ZkAm IJ , -2 LOT SUBDIVISION SECTION LOCATION ADDRESS OF CONSTRUCTION 'Y)01 0,+l.Nt/G f2O r L. A. TYPE OF CONSTRUCTION 1. 0 Residential (One or Two Family) 2. 0 Residential (Multi -family) 3. Cr Commercial 4. 0 Industrial 5. O Institutional B. TYPE OF SEWAGE DISPOSAL 1. 0 Public (Name of System 2. 0 Private (Septic Tank, etc.) C. TYPE OF IMPROVEMENT 1. 0 New Structure 2. 0 Commercial Tenant Space 3.O'Addition Porch 4.0 Remodel 5.0 Foundation Only 6.0 Demolition 7.0 Accessory Building 8.0 Swimming Pool 9.0 Garage Detached D. PRESENT USE OF PROPERTY 1. O Farm/Vacant �qLL') -t M � � Uj 1t1 (0 Z 0), ;ZUc. Room t O W O U C] Q 4H. J e� ©: I. Attach Wim! f d O K. 2. 0 Residential (One or Two Family) 3.4f Commercial 4. 0 Industrial 5. O Other (Specify) PROPOSED USE OF PROPERTY 1. 0 One or Two Family Dwelling 2. 0 Multi -family 3. eCommercial 4. 0 Industrial 5. 0 Other (Sepcify) ZONING CLASSIFICATION OF PROPERTY Present Is — _17 - ESTIMATE ESTIMATE COST OF CONSTRUCTJ9N (Excluding Land Value) 2 -3o612 - Lot Split Yes No ✓ / Flood Zones: Yes—__—._- No A. B. C. Sump Pump: Yes.----- No / 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 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 et 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 further certify that only kitchen, bath, laundry and floor drains �c nriecte sanitary sewer. . Z f2o;*�e tal4+-S 1r✓G Sign re of Owner or Authorized Agent L WMy -- Address City State Zip Phone Sewer By it'l epartment Com.r unit] 6 velopment Inspections Needed: Drainage Footing/Under Slab Rough In Temp Pole Meter Base Final C/O Square Footage --.__. - 3 --� Permit (Sq. Footage) Inspections ..................... __._ t!I CYO CIO Certificate of Occupancy CPU Total.......................... Plan Comm. Approved (Date) Board of Zoning Appeals Approval (Date)