HomeMy WebLinkAbout0191.95 ApplicationCa y
ow?hi Improvement Location Permit PermitNo.
Date
P
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
SrSa / 9 7- Z 6.?
BUILDER STREET CITY STATE ZIP
/ A77 e-
I 3..L
TENANT NAME
(if applicable)
NAME PHONE
n E I V
OWNER ' S :3 / - 21 7- Z K
.. STREET
t 3 /
ll / 4c S?
f CITY
C STATE ZIP
i ?
- v LOT SUBDIVISION SECTION
LOCATI0
t ?
1
?1 tJ ADDRESS CONSTRUCITO
A. TYPE OF CONSTRUCTION
1.? Residential (One or Two Family)
2. Residential (Multi-family)
3.0 Commercial
4.0 Industrial
5.0 Institutional
B. TYPE OF SEWAGE DISPOSAL
1.0 Public (.'Name of System )
2. Q Private (Septic Tank, etc.)
C. TYPE OF WATER
1.0 Public System (Name of System =N+d y 7, r )
2.0 Private (Well )
D. TYPE OF IMPROVEMENT
L. D New Stucture
2.0 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
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. I et seq, General Assembly
of the State of Indiana, and all Acts amendatory thereto.
E. ZONING CLASSIFICATION OF PROPERTY
5- /
Present -
F. PRESENT USE OF PROPERTY
1. Farm /Vacant
2.0 Residential (One or Two Family)
3.0 Commercial
4.0 Industrial
5.0 Other (Specify)
G. PROPOSED USE OF PROPERTY
1.& One or-Twe-FamAvF)welling
2.0 Multi-family
3.0 Commercial /Industrial
4.0 Other (Specify)
H. ESTIMATE COST OF CONSTRUCTION
(o S oa d
(Excluding Land Value)
1. Lot Split: Yes _
No i,
J. Flood Zones: Yes No
IC Sump Pump: Yes ,i No
L. Geothermal Heat Pump: Yes No--j,-
M. Manufactured Trusses: Yes v _ No
N. Plumbing Contractor -I e CODE: BOCA
or CABO
Plumbing License Number: PLl _
a a l3 5
I further certify that the construction will not be used or occupied until a certipoftef pccupancy has been issued by the Department of
Community Development, Carmel, Indiana. ??,,t, SEp
"`pct'ro co FOR CQ?
I further certify that only kitchen, bath, laundry and floor drains are .Scot a
connected o sanitary sewer. E e CpRii C- e". ..
or
G_ :5 7/
!57
Sewer Capacity
3-, ?-z9
Footage
of Occupancy
/7
Comm./BZA Docket #