HomeMy WebLinkAboutBuilding PermitCarni-(rlay Improvement Location Permit Permit No.
To%T,, s i Date__2 — I, _
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.
A. TY E OF CONSTRUCTION 2A Residential (One or Two Family)
1 -
Residentia n or Two Family) w' 3. Q Commercial
2. 0 Residential ulti-family) 4. Q Industrial
3.0 Commercial.y 5. Q Other (Specify) _
4.0 Industrial FES E. PROPOSED USE OF PROPERTY
5.0 Institutional �r Two Family Dwelling
B. TYPE OF SEWAGE DISPOSAL � �. VMulti-family
1. Public (Name of System (`- �tf �' _) 3. O Commercial
2. Q Private4. Q Industrial Se tic Tank, etc.
c P ) /f LlJ�sL
C. TYPE OF IMPROVEMENT (,ciq�cv �n�,� 5.,Q Other (Sepcify)
1.X New Structure ', `- ONING C SIF,t'CATION OF PROPERTY
R' `� -j-
2. O Commercial Tenant Space , .sq Pfesent
3.0 Addition Porr_h Roo.q� J
G. ESTIMATE COST OF CONSTRUCTION
4.0 Remodel
(Excluding Land Value) -11---
5.0 Foundation Only�-�-
6. O Demolition ;? �s. H. , I,10 Split Yes-- No1X_-
7. O Accessory Building o} Flood Zones: Yes_ Nox.__-__
8.0 Swimming Pool
9.0 Garage Detached-- Att�1$d A. B. ,�j
$q• J. Sump Pump: Yes._1�---- ---- No
D. PRESENT USE OF PROPERTY K. Geothermal Heat Pump: Yes--_ Noy
1. O Farm/Vacant
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 certi that the construction will not be used or occupied until a certificate of occupancy has been issued by the
Department f Community Developmen4Cmel, Indiana.
l—er ertify t t on tche�bath,and floor Inspections Needed: Drainage
' - con ctedQnita—------------ — -----
ootin Under Slab emp ole
—-- -- -
Sig e wrier or uth zed nt — — ---
_'— - ---- — ---._ -- oug n 5etBase
Addlr���s�� - — -- -- — —
City State Zip Phone Square Footage
Sewer a acity A110Permit (Sq. Footage) ............
Inspections ..................... --- —-------- --..
Certificate of Occupancy
D' ctor, Depart t of Community Development Total .......................... -
Plan Comm. Approved (Date) -- -- - - -__
--- - -- -�� -� ---- -- Board of Zoning Appeals
Received B
Approval (Date) -- -- - -
NAME �.—
PHONE
BUILDER
STREE
&Y TATE
ZIP
NAME OF BUSINESS
(IF APPLICABLE)
NAME c—"
J'�- -
PHONE
_
OWNER
--�3
STREET
CITY STATE
ZIP
LOT SUBDIVI ION
> 4' ���.l��1��
�* SECTION
yT
5
LOCATION
ADDRESS OF CONSTRUCTION%
7667r
A.
A. TY E OF CONSTRUCTION 2A Residential (One or Two Family)
1 -
Residentia n or Two Family) w' 3. Q Commercial
2. 0 Residential ulti-family) 4. Q Industrial
3.0 Commercial.y 5. Q Other (Specify) _
4.0 Industrial FES E. PROPOSED USE OF PROPERTY
5.0 Institutional �r Two Family Dwelling
B. TYPE OF SEWAGE DISPOSAL � �. VMulti-family
1. Public (Name of System (`- �tf �' _) 3. O Commercial
2. Q Private4. Q Industrial Se tic Tank, etc.
c P ) /f LlJ�sL
C. TYPE OF IMPROVEMENT (,ciq�cv �n�,� 5.,Q Other (Sepcify)
1.X New Structure ', `- ONING C SIF,t'CATION OF PROPERTY
R' `� -j-
2. O Commercial Tenant Space , .sq Pfesent
3.0 Addition Porr_h Roo.q� J
G. ESTIMATE COST OF CONSTRUCTION
4.0 Remodel
(Excluding Land Value) -11---
5.0 Foundation Only�-�-
6. O Demolition ;? �s. H. , I,10 Split Yes-- No1X_-
7. O Accessory Building o} Flood Zones: Yes_ Nox.__-__
8.0 Swimming Pool
9.0 Garage Detached-- Att�1$d A. B. ,�j
$q• J. Sump Pump: Yes._1�---- ---- No
D. PRESENT USE OF PROPERTY K. Geothermal Heat Pump: Yes--_ Noy
1. O Farm/Vacant
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 certi that the construction will not be used or occupied until a certificate of occupancy has been issued by the
Department f Community Developmen4Cmel, Indiana.
l—er ertify t t on tche�bath,and floor Inspections Needed: Drainage
' - con ctedQnita—------------ — -----
ootin Under Slab emp ole
—-- -- -
Sig e wrier or uth zed nt — — ---
_'— - ---- — ---._ -- oug n 5etBase
Addlr���s�� - — -- -- — —
City State Zip Phone Square Footage
Sewer a acity A110Permit (Sq. Footage) ............
Inspections ..................... --- —-------- --..
Certificate of Occupancy
D' ctor, Depart t of Community Development Total .......................... -
Plan Comm. Approved (Date) -- -- - - -__
--- - -- -�� -� ---- -- Board of Zoning Appeals
Received B
Approval (Date) -- -- - -