HomeMy WebLinkAbout0004.94 Applicationmar ay Improvement Location Permit
Township
Permit No
Date
Roll Fil
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•S�pP H �s-,c)
BUILDER
((�� `
STREET 3�'l^ hoe CI�� STATE 15
TENANT NAME
(if applicable)
NAME PHONE
OWNER
°• oSek -T L #q-r-T '.qK C.31'of
STREET CITY STATE ZIP
RF.CEi�/E
135361 GOTrr vitrVE C&"9H 1 .rRJ 4609 1 SZU
LOT UB IVISI N / SECTION
11 %bi So LA
LOCATION
ADDRESS OF CONSTRUCTION
-
1 3 tie'( 5CV7-r R V . AN qeO 1-4-4171
A. TYPE OF CONSTRUCTION
1. 0 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 (Name of System t{R/'l�C010 Wisll"U (Ii7G)
2.0 Private (Septic Tank, etc.)
C. TYPE OF WATER
1. 0 Public System (Name of SystemC,4R► L- C
2.0 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
7.40 Accessory Building
8.0 Swimming Pool
9.0 Garage Detached Attached
E. ZONING CLASSIFICATION OF PROPERTY
Present R --L
F. PRESENT USE OF PROPERTY
1.0 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 Two Family Dwelling
2.0 Multi -family
3.0 Commercial/Industrial
4.0 Other (Specify)._A
H. ESTIMATE COST OF CONSTRUCTION _
(Excluding Land Value)
I. Lot Split: Yes No _
J. Flood Zones: Yes No
K. Sump Pump: Yes No AU' 4
L. Geothermal Heat Pump: Yes NoA
M. Manufactured Trustees: Yes No
N. Plumbing Contractor dJ —CODE: BOCA or CABO
Plumbing License Number:_ A,� ;t
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.
I further certify that the construction will not be used or occupied until a rtificate of occVupancy has been 7ed bv the Department of
Community Development, Carmel, Indiana. j
I further certify that only kitchen, bath, laundry and floor drains are
connected to sanitary sewer.
ea�, zz4z�f
ture f O e or Authorized Agent
13 R01 5 COTz- V KNE
Address n
A/ 44032— 5-11Z (311,
u
ent I
Inspecti {eM�Q ing n er Slap
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Rough IV SWtg � � eter �s `0p� J�
MPT OF t f V+ jt`�' � Y t�E
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Drainage wDIANA (571e 2444)
i al 1
Square Footage_ il.�CJ
.Pe i q. Footage) ............ .........
--
spes..................................... r-- —
ertifi t of Occupancy ...............
T....................I..............I......
Plan Comm./ BZA Docket # -�