HomeMy WebLinkAbout0005.91 ApplicationTownshi a Improvement Location Permit Permit No.
Date I-3-9)
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.
BUILDER
NAME
PHONE ZS7 '� f.
STREET
6S
J
CITY ZIP
z
TENANT NAME
of a linbld
OWNER oam
ONE
STREET w
/
CITY D
jAN 2 1991
LOT
SUBDIVISION
SECTION
LOCATION
ADDRESS
IONRWCEWeTA
J
A. TYPE OF CONSTRUCTION E. ZONING CLASSIFICATION OF PROPERTY
1.0 Residential (One or Two Family) Present 5-
2. 0 Residential (Multi -family) F. PRESENT USE OF PROPERTY
3.19L Commercial 1.0 Farm/Vacant
4.0 Industrial - �y 2.0 Residential (One or Two Family)
5.0 Institutional 1P 300 Commercial
B. TYPE OF SEWAGE DISPOSAL 4.0 Industrial
1.481. Public (Name of System S. 0 Other (Specify)
2.0 Private (Se tic Tank, etc.) G. PROPOSED USE OF PROPERTY
C. TYPE OF WATER 1.0 One or Two Family Dwelling
1.IR Public System (Name of Syste 4 ) 2. 0 Multi -family
2.0 Private (Well V M Commercial
D. TYPE OF IMPROVEMENT V t4 Industrial
1.0 New Stucture� QQ tL�' Other (Specify)
2. 0 Commercial Tenan c _ ay� �- y G,,N, H. ESTIMATE COST OF CONSTRUCTIO
3.�Addition Po d� (Excluding Land Value)
4. RemodI el G �Q . Lot Split: Yes No
S. O Foundation Only (j J. Flood Zones: Yes No
6. Demolition l'Z A. B. C.
7.0 Accessory Building K. Sump Pump: Yes No�
8.0 Swimming Pool L. Geothermal Heat Pump: Yes No
9.0 Garage beta ed 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.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 issusby the Department of
Community Development, Carmel, Indiana.
1 further certify that only kitchen, bath, laundry and Boor drains are
connected sanitary se inspections
Inspections Needed: Footin ndor Slab
Signature of Owner or Authorized Agent
n �� Meter Base
JOL4 ,,A.:.�._ IAA.
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