HomeMy WebLinkAboutBuilding Permit�'Clay Improvement Location Permit Permit
sip Date
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.
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A. TYPE OF CONSTRUCTION
1. O Residential (One or Two Family)
2. O esidential (Multi -family)
3. V Commercial
4. O Industrial W4- LVe tIf
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5. Q Institutional
B. TYPE0F SEWAGE DISPOSAL0,4b ~
1. 0' Public (Name of System l'�FK U
2. Q Private (Septic Tank, etc.) (
C. TYPE OF IMPROVEMENT
1. O New Structure
2.0 fZommercial Tenant Space
3. V Addition Porch -
4. 0
orch4.0 Remodel
2. VO esidential (One or Two Family)
3. �j Commercial
4. O Industrial
5. O Other (Specify)
PROPOSED USE OF PROPERTY
1. O One or Two Family Dwelling
2. O Multi -family
3.Commercial
4. Industrial
5. O Other (Sepcify)
m F. ZONING C IFI TION OF PROPERTY
Present
co
Q G. ESTIMATE COST OF COIVSCTOIONA d
5. Q Foundation Only tr ` 2 U Co (Excluding Land Value)__JJ �5h
6. O Demolition J 0 H. Lot Split Yes No�
7. Q Accessory Building 1. Flood Zones: Yes No�
8. O Swimming Pool W ;, p t= — A. B. C.
9. Q Garage Detached - U__ Z)
', J. Sump Pump: Yes - No
D. PRESENT USE OF PROPERTY —r O K. Geothermal Heat Pump' Yes No
1. O Farm/Vacant ir \
The undersigned agrees that any construction, reddhstruction, enlargement, relocation or alteration of structure, or any change
in the use of land or structures requested by this aRlication 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
N4biL
PHONE
BUILDER
Inspections Needed:
rainag
drains are connected to sanitary sewer.
ue O}uner 9�Au i d Agent
S £ CITY
30 eucvti ChO
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11)
NAME OF BUSINESS
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(IF APPLICABLE)
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PHONE
Sew ity
OWNER
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ST EtiEC
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S E ZIP
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�Due,,,R,
— -- -------- ----
Received
LOT SUBDIVISION
SECTION
LOCATION
ADPRESS OF -CONSTRUCTION
A. TYPE OF CONSTRUCTION
1. O Residential (One or Two Family)
2. O esidential (Multi -family)
3. V Commercial
4. O Industrial W4- LVe tIf
) ttrJ&(! _J
5. Q Institutional
B. TYPE0F SEWAGE DISPOSAL0,4b ~
1. 0' Public (Name of System l'�FK U
2. Q Private (Septic Tank, etc.) (
C. TYPE OF IMPROVEMENT
1. O New Structure
2.0 fZommercial Tenant Space
3. V Addition Porch -
4. 0
orch4.0 Remodel
2. VO esidential (One or Two Family)
3. �j Commercial
4. O Industrial
5. O Other (Specify)
PROPOSED USE OF PROPERTY
1. O One or Two Family Dwelling
2. O Multi -family
3.Commercial
4. Industrial
5. O Other (Sepcify)
m F. ZONING C IFI TION OF PROPERTY
Present
co
Q G. ESTIMATE COST OF COIVSCTOIONA d
5. Q Foundation Only tr ` 2 U Co (Excluding Land Value)__JJ �5h
6. O Demolition J 0 H. Lot Split Yes No�
7. Q Accessory Building 1. Flood Zones: Yes No�
8. O Swimming Pool W ;, p t= — A. B. C.
9. Q Garage Detached - U__ Z)
', J. Sump Pump: Yes - No
D. PRESENT USE OF PROPERTY —r O K. Geothermal Heat Pump' Yes No
1. O Farm/Vacant ir \
The undersigned agrees that any construction, reddhstruction, enlargement, relocation or alteration of structure, or any change
in the use of land or structures requested by this aRlication 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 o� Community Development, Carmel, Indiana.
I further certify that only kitchen, bath, laundry and floor
Inspections Needed:
rainag
drains are connected to sanitary sewer.
ue O}uner 9�Au i d Agent
oting/Under lab
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� 1. -
oug
4etE�se
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city State Zip Phone Z , e Square Footage --- —
Sew ity
F' rmit (Sq. Footage) ............
_ ...... —_�_• 0.
-- _ -
�`
r n�oV��y pe >�pment
Inspections .....................
Certificate of Occupancy.........
T�fA/ :........ .PlanComme_Qaie)
--- -- - --- -
— -__ r� _
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�By
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�Due,,,R,
— -- -------- ----
Received
Board of Zoning Appeals
Approval (Date)