HomeMy WebLinkAbout0190.95 ApplicationCaj lay Improvement Location Permit Permit No. Z?b _ 95
owns Date
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.
NAME PHONE
17
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BUILDER STREET CITY STATE ZIP
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3v , _:r r a 2
TENANT NAME
(if applicable)
ME PHONE
STREET CITY STATE ZIP
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LOT SUBDIVISI N SECTION
LOCATION
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Ll ?.,/ I.J ADDRESS r 44F CONSTRU ? C
- 41
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A. TYPE OF CONSTRUCTION
1,Z Residential (One or Two Family)
2.0 Residential (Multi-family)
3.0 Commercial
4.0 Industrial
5.0 Institutional
B. TYPE OF SEWAGE DISPOSAL
1.0 Public (.dame of System )
2 Private (Septic Tank, etc.)
C. TYPE OF WATER
1.0 Public System (Name of System -M,0 Y l IA;, e r )
2.0 Private (Well
)
D. TYPE OF PAPROVEMEIvT
1. New Stucture
2. Commercial Tenant Space
3.0 Addition Porch Room _
4.0 Remodel
5.0 Foundation Only
6.0 Demolition
7.0 Accessory Building
8.0 Swimming Pool
9.0 Garage Detached Attached
E. ZONING CLASSIFICATION OF PROPERTY
Present a- /
F. PRESENT USE OF PROPERTY
2.0 Residential (One or Two Family)
3.0 Commercial
4.0 Industrial
5.0 Other (Specify)
G. PROPOSED USE OF PROPERTY
1.0' One orTA*&-F4R ilyDwelling
2.0 Multi-family
3.0 Commercial/ Industrial
4. Q Other (Specify)
H. ESTIMATE COST OF CONSTRUCTION to ,era v
(Excluding Land Value)
1. Lot Split: Yes No ?
J. Flood Zones: Yes No
K Sump Pump: Yes y No
L. Geothermal Heat Pump: Yes _ No
M. Manufactured Trusses: Yes v No
N. Plumbing Contractor-TiCODE: BOCA or CABO
Plumbing License Number: LSC , p;[ V? pQ f ,31
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 cornfarm to, all applicable laws of the State of Indiana, and the
"Zoning Ordinance of Carmel, Indiana -1980", adopted under the authority of J3RcC17 178 Sec. I et seq, General Assembly
of the State of Indiana, and all Acts amendatory thereto. C0?" RUCT
I further certify that the construction will not be used or occupied a ccifi?f mcupancy 'has nr?As the Department of
Community Development, Carmel, Indiana. Op
I further certify that only kitchen, bathZ11:a:u:pd d floor drains are Cf T Y QF' 1 t` ?L LrtLQ
connected to sanitary se CgRMc
? ?? Inspections Need'eH:r? (57 y-r rng/ n er la _
-WgpatuC? er or nucnor n ent
oug in eter ase
Address
nage Site
City State Zip Ph We
C/O-
Sewer Capacity o ed:
Square Footage
_ *m . Footage) .....................
e a ent mmunity Develop nt `1' spec
/? , t,? Certifi of Occupancy ..............
WtN ?? -
Received By Plan Comm./BZA Docket 4