HomeMy WebLinkAbout0256.91 Application-.
8?v Im rovement Location Permit Permit No. p Date J-'3-
Roll File
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.
1VAME5T`vCl 1 M C PHONE
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BUILDER , ?
STRE CrI-Y STA IP
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TENANT NAME
(if applicable)
NAMEM ?jljt
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PHONE
OWNER .
STREET ?4
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L SUBDIV ISI SE
LOCATION ""-'
Ai)PRFSS 0?CQNSTRI17lO
A. TYP_EJJF CONSTRUCTION v E. ZONING CLASSIF]l4ATION OF PROPERTY
1. Residential (One or Two Family) Present °?r^ I
2.0 Residential (Multi-family) F. PRESENT USE OF PROPERTY
3.0 Commercial
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4
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' 1.0 Farm/Vacant
2AS8' Residential (One or Two Family)
us
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.
1? 3
0 C ercial
2
tu
ona
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nst
B. TYPE OF SEWAGE DISPOSAL
?h?• ,`"
1.J8r Public (Name of System
) .
4. st ' I
pecify)
_
-
2.O Private (Septic Tank, etc.)
TYP OF WATER
C r!-.: OP US F PROPERTY
or Famil
Dwellin
.
t
S
f S
P
N y
g
2` il
ublic
ystem (
ame o
ys
em
1. v
2.O Private (Well mercia]
D. TYT'E OF IMPROVEMENT yt 4, du-trial
1.0 New Stucture ?" r CZ (Specify)
2.0 Commercial Tenant Space
3.AC Addition Porch 1COST OF CONSTRUCTION
c ng Land Value)
4,1Rr Remodel t plit: Yes No
5.0 Foundation Only
0 d . Vrlood Zones: Yes No X-
C
A
B
Demolition
6.
7.O Accessory Building .
.
.
K. Sump Pump: Yes No
8.0 Swimming Pool ?-°t'- L. Geothermal Heat Pump: Yes No St
9.0 Garage Detached ttachc
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change in the use
of land or stuctures 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 theauthorityof Acts of 1979, Public Law178 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.
laundry and floor drains are
Inspections Needed: Footing/Under Slab
ugh' I Meter Base
ina n
Square Footage
Permit (Sq. Footage) ...................... (?=6?
Inspections ..................................... d
Certificate of Occupancy .............. • 40
Total ................................................
Plan Comm./BZA Docket # '