HomeMy WebLinkAbout0174.95 Applicationlay Permit No.
Q? r
Improvement Location Permit Date
Township - ? rJ -•!'?Roll File
This permit is valid onlyif 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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LDER NAME P
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L.d PHONE
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G? / STREET
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E 30o CITY STATE IF
3 Ei N e
TENANT NAME
(if applicable)
gri ?IV' E1) NAME PHONE
STREET ..CITY STATE ZIP
1' LOT SUBDIVISION L?OV- SECTION /
LOCH QAf
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ADDRESS OF CONSTRUCTION c9S9 o Ck 7fi
A. TYP OF CONSTRUCTION
1 Residential (One or Two Family)
10 Residential (Multi-family)
3.0 Commercial
4.0 Industrial
5.0 Institutional /y
B. TYP OF SEWAGE DISPOSAL
1 Public (Name of System
10 Pn te.(Septic Tank, etc.)
C. TYP SKATER. /In„ .
1. Public Syst m:(Name of System (AMEL
)
2.0 Private (Well )
D. TYPF,OF IMPROVEMENT
1-t,v Neiv Stucture
2.0 Commercial Tenant. Space
3.0 Addition Porch_
4.0 Remodel
5.0 Foundation Only
6.0 Demolition
7.0 Accessorv Building
S.0 Swimming Pool
9.0 Garage Detached-
Room
Attached
E: ZONING CLASSIFI?TIP'N OF PROPERTY
Present
F. PREEENI' USE OF PROPERTY
] Farm/Vacant
2. 0 Residential (One or Two Family)
3.0 Commercial
4.0 Industrial
5.0 Other (Specify)
G. PROOmOSED USE OF PROPERTY
1 One or Two Family Dwelling
2.0 Multi-family
3.0 Commercial /Industrial
4.0 Other (Specify)
H. ESTIMATE COST OF CONSTRUCTION
(Excluding Land Value) /
1. Lot Split: Yes No_V
J. Flood Zones: Yes No
K. Sump Pump: Yes No
L. Geothermal Heat Pump: Yes No
M. Manufactured Trusses: es- `? - No
N. Plumbing Contractor t} IrOD A o CABO
Plumbing License Number: f E:O
The undersigned agrees that any construction, reconstruction, enlargement,. relocation or alteration of structure, or any change in the use
of land orstuctures 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 -1950", 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
Community Development, Carmel, Indiana. ,met
to
Inspections
Department of
st e
/3
laundry and floor drains are
1s
(8r31?1 .
t (Sq. Footage) ......................
? ''ons ......................................
ficate of Occupancy ...............
.................................................
Comm./BZA Docket #