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HomeMy WebLinkAboutBuilding Permitrme► lay Improvement Location Permit Permit o.4 93 7 ownship Date _ ar This permit is valid only if construction is started within 120 days of issuance date; all construction is completed (c/o issued) within (2) t vo years of issUanro_ date unless an extension of time has been officially granted by letter '3y the Director, Department of Community Development. L)4. TYPE OF CONSTRUCTION LU 1: k Residential ((Be or Two Family) l^ 21 0 Residential (Multi -family) 3. O Commercial 4. 0 Industrial 5. 0 Institutional B. TYPE OF SEWAGE DISPOSALnn ( oa 1.)q Public (Name of System i2)1/n+C ) 2. 0 Private (Septic Tank, etc.) r`.t TYPE OF IMPROVEMENT 1. 0 New Structure 2. 0 Commercial Tenant Space 3.,q Addition Porch__— Room 4. Remodel 5.0 Foundation Only 6.0 Demolition 7.0 Accessory Building 8.0 Swimming Pool 9.0 Garage Detachsq C Attached, PRESENT USE OF V9PERTY 1. 0 Farm/Vacant 2.Residential (One or Two Family) 3.'0 Commercial 4. 0 Industrial 5. O Other (Specify) E. PROPOSED USE OF PROPERTY 1. W 4CO or Two Family Dwelling 2. U Multi -family 3. 0 Commercial 4. 0 Industrial 5. 0 Other (Sepcify) ZONING CL4,SSIFICATION OF PROPERTY Present W, ,, t P..jXSTIMATE COST OF CONSTRUCTION (Excluding Land Value) ua H. Lot Split Yes No1/�_—_ 1. Flood Zones: Yes No,.//---- A. B. C. J. Sump Pump: Yes------ No_ K. 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 - 19c, : 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 airwnriatury thereto. I further certify that the construction will not be used or occupied until a certificate of occuparip) has been issued by the Department of Community Development, Carmel, Indiana. I furth7_eeR+ty. hat only k"hen, bath, laundry and floor !nspections Needed: Drainage dr n�, Zara tonne ed to sa ewer. ootin /Under Slab Temp Pole Signature of Owner or Authoriz A ant - ___ Rough n Meter Base Address Final /^v CitySte Phon _ 31 Square Footage . 4'` ' ermit (Sq. Footage) ............ jr !. ©d -- Sew tted 3 Inspections ..................... 6'a - U�- Certificate of Occupancy ........, A 0 Director,1p t Board of Zoning Appeals Off Com4 tmunity Development Total ..... - �-0 ---- - / A _ Plan Comm Approved (Date) --- ---- - - - - -- - - (i -- Received By P A i D J U N i ;; - /✓� -- Approval (Date) -- NAMEPHONE a - BUILDER STREET CITY STATE ZIP A a r t L _;i NAME OF BUSINESS (IF APPLICABLE) NAME PHONE C F WC Lr OWNER STREET CITY STATE ZIP c Zf i LOV SUBDIVISIONv SECTION LOCATION (.0^ azcuswKe �M_Th ADDRESS OF CONSTRUCTION 1aO5 OO N �N 12k- -A2 K i. fA L)4. TYPE OF CONSTRUCTION LU 1: k Residential ((Be or Two Family) l^ 21 0 Residential (Multi -family) 3. O Commercial 4. 0 Industrial 5. 0 Institutional B. TYPE OF SEWAGE DISPOSALnn ( oa 1.)q Public (Name of System i2)1/n+C ) 2. 0 Private (Septic Tank, etc.) r`.t TYPE OF IMPROVEMENT 1. 0 New Structure 2. 0 Commercial Tenant Space 3.,q Addition Porch__— Room 4. Remodel 5.0 Foundation Only 6.0 Demolition 7.0 Accessory Building 8.0 Swimming Pool 9.0 Garage Detachsq C Attached, PRESENT USE OF V9PERTY 1. 0 Farm/Vacant 2.Residential (One or Two Family) 3.'0 Commercial 4. 0 Industrial 5. O Other (Specify) E. PROPOSED USE OF PROPERTY 1. W 4CO or Two Family Dwelling 2. U Multi -family 3. 0 Commercial 4. 0 Industrial 5. 0 Other (Sepcify) ZONING CL4,SSIFICATION OF PROPERTY Present W, ,, t P..jXSTIMATE COST OF CONSTRUCTION (Excluding Land Value) ua H. Lot Split Yes No1/�_—_ 1. Flood Zones: Yes No,.//---- A. B. C. J. Sump Pump: Yes------ No_ K. 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 - 19c, : 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 airwnriatury thereto. I further certify that the construction will not be used or occupied until a certificate of occuparip) has been issued by the Department of Community Development, Carmel, Indiana. I furth7_eeR+ty. hat only k"hen, bath, laundry and floor !nspections Needed: Drainage dr n�, Zara tonne ed to sa ewer. ootin /Under Slab Temp Pole Signature of Owner or Authoriz A ant - ___ Rough n Meter Base Address Final /^v CitySte Phon _ 31 Square Footage . 4'` ' ermit (Sq. Footage) ............ jr !. ©d -- Sew tted 3 Inspections ..................... 6'a - U�- Certificate of Occupancy ........, A 0 Director,1p t Board of Zoning Appeals Off Com4 tmunity Development Total ..... - �-0 ---- - / A _ Plan Comm Approved (Date) --- ---- - - - - -- - - (i -- Received By P A i D J U N i ;; - /✓� -- Approval (Date) --