HomeMy WebLinkAbout0842.94 Application4Tth2ip ay Improvement Location Permit Permit No.
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;
years of issuance date unless an extension of time has been officially granted by letter by the Director, Department of Commt
Development.
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NAME n P MOAI ^a /?
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. PHONE pqS_ q046
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BUILDER STREE
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1
O CITY
T TE
E-300 C4e0kL
Z1P
TENANT NAME
(if applicable)
OWRECEIVE AME PHONE
STREET CITY STATE ZIP
SEP 13 1991
LOT 13 C SUBDIVISION
o
?? r ['O??S?
LA
SECTION
/
LOCATION
GM ADDRESS OF CONSTRUCTION sa4t. L4KE Powr fle)y&
A. TY? OF CONSTRUCTION
l Residential (One or Two Family)
2.0 Residential (Multi-family)
3.0 Commercial
4.0 Industrial
5. 0 Institutional
B. TYP OF SEWAGE DISPOSAL
Public (Name of System ?L )
2.0 Private (Septic Tank, etc.)
C. 'Mg OF WATER n
] Public System (Name of System C1fQ/rl EL )
2.0 Private (Well )
D. TYPS, OF IMPROVEMENT
1 New Stucture
2.0 Commercial Tenant Space
10 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 CLASSIFK?TI N OF PROPERTY
Present
F. PR;?TT USE OF PROPERTY
1 Cl Farm/Vacant
2.0 Residential (One or Two Family)
3.0 Commercial
4.0 Industrial
5.0 Other (Specify)
G. PROPOSED USE OF PROPERTY
ILSO One or Two Familv Dwelling
2.0 Multi-family
3.0 Commercial /Industrial
4.0 Other (Specify)
H. ESTIMATE COST OF CONSTRUCTION lO IF-1
(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: ?(? No
N. Plumbing Contractor 5 f1 HA 1J COPE; BOLA o ABZ
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or anv 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.
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.
I fArthercertify that only kitchen, b h, laundry
and floor drains are
co ected s it?rywer. ; (?
?? "Z ?• n /j Inspections NeRdLa'"FAS .
Signature of Owner or Authoriz Agent
so ?_ . &-M& - ? ? :3od oug OF VEL Dpmw
Address _ _Y (? r+Aa?
11ft,L 15rai nage e
1 Av 4603 W ? . NDIANA (571.2444)
City State p4
Sewer apacity Allotted: S q 1
Square Footage 4.572
'9y Peiwi, q. Footage) ..................... -6v 154?-
art gent C unity Dev ment xinspe? s ..................................... 15Q.94
. Certi i ate of Occupancy
To .............................................
Received By an Comm.. BZA Docket # + ¢ 1
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