HomeMy WebLinkAboutBuilding Permitprstp►ay Improvement Location Permit Permit N .
Date ' g 197 -
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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. TYPE OF CONSTRUCTION
1. IX' Residential (One or Two Family)
2. O Residential (Multi -family)
3.0 Commercial
4. Q Industrial
5. Q Institutional
B. TYPE OF SEWAGE DISPOSAL
1. W Public (Name of System
2. Q Private (Septic Tank, etc.) C -11-d wcU 7_
2. 0, Residential (One or Two Family)
3.0 Commercial
4. Q Industrial
S. Q Other (Specify)
E. PROPOSED USE OF PROPERTY
1. WOne or Two Family Dwelling
%t? 2. O Multi -family
Q Commercial
4. Q Industrial
C. TYPE OF IMPROVEMENT 5. Q Other (Sepcify)
1.)R New Structure F. ZONING CLASSIFIATION OF PROPERTY
2.0 Commercial Tenant Space ;''y Present
3. 0 Addition Porch R90_;� L k:'ESTIMATE COST OF CONSTRUCTION
4,0 Remodel
luding Land Value)?= �o-v
�4E
5.0 Foundation On� �.� --
6.0 Demolition !"�'' (. "'r �'_=\IE'L�. Lot Split Yes ------- No_y_`
7.0 Accessory Building ,tl's,yt.1l` ' , `L
8 O Swimming P 1 C�`' L' )i��jt�tv1'•=� 1. Flood Zones Yes No_1� _
9. Q Garage Detached—.
Gti1 , ..4 G4,3 A. B C.
—�y��Rc�-- J. Sump Pump: Yes _ No___✓ .
D. PRESENT USE OF PROPERTY K. Geothermal Heat Pump: Yes ___ _ - No 1,/
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 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.
1 further certify that only kitchen, bath, laundry and floor Inspections Needed: Drainage
drainare connected to sanitary sewer.
ooti
u��1 -r—ti��- n nder Slab
Si 11.,e of OwnerZ Authorized Agent �—
L__1jj
Address - - -
,4fL tit rz_� --1A) D -- -- `16c.3 L Y �f� t Z Fina
City State Zip Phone Square Footage
Sewer ' y ed: "7 Permit (Sq. Footage) ....... .... _ 7. 06
Inspections. ......... .... .....
- Certificate of Occupancy ....... v
Dirct f partment of munityy((Q j t Total .........................
L` QL 1 Plan Comm. Approved (Date)
Rec4/ - it -- - - - Board of Zoning Appeals A,
eQ Ay Approval (Date) /v/ --..-- --- -
NAME
PHONE
BUILDER
6- ,y civ
t_o atm T vf-
p./& -oil -2-
STREET
STREET CITY
STATE ZIP
1-- .__Ge_v&tP roA3 Az,
c jr�
1AJD c,0
NAME OF BUSINESS
(IF APPLICABLE)
-51t-sye
NAME
PHONE
OWNERS
A�2
STREET CITY
STATE ZIP
LOT SUBDIVISION
SECTION
LOCATION
2o3 LS&VX_s-41AC-
UIu Arr[
_3-6,
ADDRESS OF CONSTRUCTION
462-C OR,
CAAhR'-/ND
too 3-
A. TYPE OF CONSTRUCTION
1. IX' Residential (One or Two Family)
2. O Residential (Multi -family)
3.0 Commercial
4. Q Industrial
5. Q Institutional
B. TYPE OF SEWAGE DISPOSAL
1. W Public (Name of System
2. Q Private (Septic Tank, etc.) C -11-d wcU 7_
2. 0, Residential (One or Two Family)
3.0 Commercial
4. Q Industrial
S. Q Other (Specify)
E. PROPOSED USE OF PROPERTY
1. WOne or Two Family Dwelling
%t? 2. O Multi -family
Q Commercial
4. Q Industrial
C. TYPE OF IMPROVEMENT 5. Q Other (Sepcify)
1.)R New Structure F. ZONING CLASSIFIATION OF PROPERTY
2.0 Commercial Tenant Space ;''y Present
3. 0 Addition Porch R90_;� L k:'ESTIMATE COST OF CONSTRUCTION
4,0 Remodel
luding Land Value)?= �o-v
�4E
5.0 Foundation On� �.� --
6.0 Demolition !"�'' (. "'r �'_=\IE'L�. Lot Split Yes ------- No_y_`
7.0 Accessory Building ,tl's,yt.1l` ' , `L
8 O Swimming P 1 C�`' L' )i��jt�tv1'•=� 1. Flood Zones Yes No_1� _
9. Q Garage Detached—.
Gti1 , ..4 G4,3 A. B C.
—�y��Rc�-- J. Sump Pump: Yes _ No___✓ .
D. PRESENT USE OF PROPERTY K. Geothermal Heat Pump: Yes ___ _ - No 1,/
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 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.
1 further certify that only kitchen, bath, laundry and floor Inspections Needed: Drainage
drainare connected to sanitary sewer.
ooti
u��1 -r—ti��- n nder Slab
Si 11.,e of OwnerZ Authorized Agent �—
L__1jj
Address - - -
,4fL tit rz_� --1A) D -- -- `16c.3 L Y �f� t Z Fina
City State Zip Phone Square Footage
Sewer ' y ed: "7 Permit (Sq. Footage) ....... .... _ 7. 06
Inspections. ......... .... .....
- Certificate of Occupancy ....... v
Dirct f partment of munityy((Q j t Total .........................
L` QL 1 Plan Comm. Approved (Date)
Rec4/ - it -- - - - Board of Zoning Appeals A,
eQ Ay Approval (Date) /v/ --..-- --- -