HomeMy WebLinkAbout0942.94 ApplicationYAM
ate
No.
y Improvement Location Permit DPerm it
(!s nship Date
"W Roll File
permit is valid only if construction is sta ed wi thin 120 days of issuance date; all nstruction 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.
9y
NAME PHONE
- .
e / 7-2 -7 Z - Z ` _
BUILDER
STREET ?/ CITY STATE ZIP
$
3 14/. Zze/l
TENANT NAME
a plicable
,
.
t ; NAME PHONE
.....
. `
OWNER 2,17- 2
STREET CITY STATE ZIP
" I :1 19
D
LOCATOO Cf LOT SUBDIVISION SECTION
ADDRESS OF CONSTRUCTIOj?I
tz 0 1) el k/ /3 (0 3
416 0 A. TYPE OF CONSTRUCTION
1"'9 Residential (One or Two Family)
2.O Residential (Multi-family)
3. Q Commercial
4.O Industrial
5.O Institutional
B. TYPE OF SEWAGE DISPOSAL
1.O Public (Name of System )
2. Q- Private (Septic Tank„ etc.)
C. T E liATER
1 Public System (Name of System Zh o )
Public r
2. Q Private (Well )
D. TYPE OF IMPROVEMENT
1. 0 New Stucture
2.0 Commercial Tenant Space
3.0 Addition Porch_ Room
4.0 Remodel
5.0 Foundation Only
6.0 Demolition ?1
7.19 Accessory Building i7
- li ???r' re., A
8.0 Swimming Pool
9.() Garage Detached Attached
E. ZONING
OF PROPERTY
F. PRESENT USE OF PROPERTY
2. U Residential (One or Two Family)
3.0 Commercial
4.0 Industrial
5.0 Other (Specify)
G. PROPOSED USE OF PROPERTY
1.O One or Two Family Dwelling
2.0 Multi-family
3.(-) Commercial/Indu rial
4.0 Other (Specify)_ .51
H. ESTIMATE COST OF CO STRUCTIO O U
(Excluding Land Value)
1. Lot Split: Yes No
J. Flood Zones: Yes No
K. Sump Pump: Yes No
L. Geothermal Heat Pump: Yes No ti
M. Manufactured Trusses: Yes
N. Plumbing Contractor CODE: BOCA or CA
Plumbing License Nu er:
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 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.
1 further certify that the construction will not be used or occupied until a certificate of occupancy has been issued by the lpartment of
Community Development, Carmel, Indiana.
,rR
I further certify that only kitchen, bath, lau ry and floor drains are
connect to sanitary sewer.
pectiohs N decd; `I o nder ' ab
ig t caner r Au ho " e gent
out ' 'v e
Address
City State i Ph-`
• /7 ' 7 ??-
Sewer Capa 'ty II to
Square Footage
?G Permit (Sq. Footage) .....................
-
Depart nt of Community Deve me nspections ..................................... d?
ertificate of Occupancy .............. /
_ `., Total ................................................
Received v Plan Comm./BZA Docket M 1,L, U