HomeMy WebLinkAbout0482.79 Application' A� .
- � Approved by State� Board of Accounts - . - � - � - - - : i/ � t/` �
. �.�-�-For.Town of�Carmel; 195�J � - . � . - Pc�mit No. -r-6 � ". 7 %
IMPROVEMEHT LOCATION PERMIT "a`� �— �` � — '�-- :
CARAIE)., INUTANA AND
. JURISDIC770NAL AREA
Thisistocc�tifythat � �� /�}�,c.- i, i-,+_,_ , _ ( " , J
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�F 7 �D � �'� �1—/_ ! q _ � . _�IV?me of APPluant
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.: Luild a �. . �� �`,- Ct- t. �Address � '�� �- - � � _ has c�t�ali[icd to .
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" � a�ut str m -�� . �, ✓ or -- £_=r__ ,r '7" ' ��z � �ti�t :� �
-Siic - - � �� . � � Natcriat � � .
mnstructed on Iand herc dactibed
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�t� -/ I � � / �.�C..�IIL{.[� �:�-� i ," -�.� .L-.. . {� ` . ./ .
-. . Lots, Acres, Description of Land ��"-' .
-� �aud reccipt is acknowledged of fees as followr. .
Auihorized imder Indiana Acts of March 12, I935.
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.�-(This:Permit issued subjecl to.all local building'restrictions as shown in yourabstract or purchase_�a�eemenq .
� � . ( Variaucc �'_�/ � _
13Y ��'.L-i-i�'�� �LhG(L%'r� Building— �� 2� `� �
� . . . Huildmg Comiruss�oner �.
� Llectrical
I�kttASFId� �C}t'i �C)R!.ri� S'tl � Plumbing
5;�(,i���;(� ,,/,�r>;. �,.,r; r' �t'Trly1U _
�!„n!� 1 (i�i � Final �� � C D �:, i
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CARri�EL-CLAY TOVJNSF
APPLICATION FOR IP
PERMIT AND CERTIF]
��ilder
Ow�er
I.ocati on
A • TYPE OF CODISTRU
1. p�Residentia
2. ❑ Residentia
3. ❑ CommerciaT
4.' ❑ Industrial
B. •PYPE OF SEWAGE
1. m'Public
2. q Private (S
' C. TYPE OP IhIPROVEI
1.'p'IVew struct�
a. D aaa�t�on
3. O Remodel
4. ❑ Foundation
5. (7 Demolition
6. ❑ Accessory.:l
7. ❑ Swimming P�
8. : Q Garage ` Dei
I hereby certif}
tha�� the: applicatic
regulations in the
�961,° and amendmer
Acts of 194%;"Genet
thereto, or private
above property by;c
I further certij
property will-restil
the:subdivision deL
if any.
, I further'certif
`proper certificatee
Commissioner's Offi
I further sertif
corinected:to sanita
� -U�G ,.1 /� _a_L-� �
Sigri ture of Owner
�'�� 9-77
W�/lg
' I BLDG. PP1T. NO �t�a �/
CARI�'�L-CLAY T044NSHIP
APPLICATION FOR IrTPROVEP4ENT LOCATION
>PERMIT AND CERTIFICATE OF OCCUPANCY
�vilder
Owner
� �ocation
, . _ i � f, � r_ :v '-
ETy y _ ; `"r
>�:
_�,�,�,;- ,� $ � ,, -
�T
J�• ADDITTnw
DATE ISSUED �' � I -^] %
FEE PA_TD _ � .j �, (��
CONTR. REG. #
PHODIE
�` ;�'�i ; ;=:;�y :
CI't'Y � STATE ZIp
:A;'tti _'j. �Yn. yGJs'C-
PHONE
�.
_�, :
ZIP
�� �.,,�,;;,=,.� r -,n,��,,,_- -
A. TYPE/OP CONSTRUCTION y P U E F y
1. p Residential (One or two family) 'I. O Farm
2. p Residential (Multi-family) 2. �]'Residential (One or two family)
3. ❑ Commercial 3. ❑ Commercial
4• p Industrial 4. O Industrial
B. •PYPE OF SEWAGE DISPOSAL 5. 0 Other-specify
1. m'Public
2. ❑ Private (Septic tanlc, etc.) E• PROPOSED USE OF PROPERTY
C. TYPE OP IMPROVEhIENT �• Q'flne or two family dwelling
1. p'I�Jew structure z• ❑ Multi-family
2. p Addition Porch Room 4, � Commercial
❑ Industrial
3. ❑ Remode.l —" 5. p Other-specify
4. ❑ Foundation only
5. O Demolition F• ZONING CLASSIFICATIO[V OF PROPERTY
6. ❑ Accessory Building Present S��L_proposed
: 7. C] S�vimming Pool G. ESTINIATE COST OF CONSTR. NOT IN-
8• D Garage Detached_Attached_ CLUDING LAND VALUE'1 et
/5�c� oce —
S herety certify that I have the authority to make the oregoing application,
that the application is correct, and that the construction will eonform to the
regulations in the Building Cod�,_the "Zoning Ordinance of Carmel; Indiana -
1961," and amendments there � � under the authority of Chapter`174 of the
Acts of 1947, General Asse �ate of Indiana, and all Acts amendatory,
thereto, or private buil re� ti , if any, wYi'iC'h m e m
above property by deed. N FUU �Q �'�� #� �1Q��u��
I further certif tha o�� 2 'a '�` ��"
Y ari�ur�ip�}z inage of area or� ro� ge tb�;�i� YP���"r
property will result fro h4s, const�c n and site gra�j�n� `dIT cotl���n(•��o
the subdivision developm 'p�an as-gp ed b Carmel-�ia �"'
if any. , �� Y y� nlComi3�����on,
e' n,� , �-3iN
I further certif that is H^ ��z
Y � ion will not be use or o::c[��5i���until
proper certificates of compl compliance are filed'with the Building
Commissioner's Of£ice, Carmel, Indiana.
I further certify that only kitchen, bath, laundry and floor drains are
connected to sanitary sev,�er.
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E �� ,F ; " -;_��,..�r �r .-��._ � � },4� ` t , [l,� `
Si�ri ture of Ovmer or Authorized Agent Address � ity 5tate Date'
1119-77 �
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