HomeMy WebLinkAboutApplicationCARMEL -CLAY TOWNSHIP
APPLICATION FOR IMPROVEMENT LOCATION
PERMIT AND CERTIFICATE OF OCCUPANCY
Bldg. Pmt. No. L ? c/
Date Issued -2- ' /,S- - > ��
Fee Paid
Name
Builder = t
A rens Phone
Name
Owner S L
Address Phone
Lo o.Addi ion
Location 3 / t, %,
A -cress of consfruc ion
A. TYPE OF CONSTRUCTION
1. El -Residential (Not multi -family)
2. ❑ Commercial
3. OS.
gn
4. ❑ Accessory bldg.
B. TYPE OF SEWAGE DISPOSAL
1. Q"Public
2. ❑ Private (Septic tank, etc.)
C. TYPE OF IMPROVEMENT
1.0 New structure
2 ❑
D. PRESENT USE OF PROPERTY
1 ❑ Farm
2. El -Residential (Not multi -family)
3. ❑ Commercial
4. ❑ Industrial
5. ❑ Other -specify__
E. PROPOSED USE OF PROPERTY
1.0 -'One or two family dwelling
2. ❑ Multi -family
3. ❑ Commercial
4. ❑ Industrial
5. ❑ Other -specify
Addition
3. El Alteration F. ZONING CLASSIFICATION OF PROPERTY
4. 0 Foundation only
5. ❑ Demolition Present !z -"� Proposed
I hereby certify that I have the authority to make the foregoing application, that the
application is correct, and that the construction will conform to the regulations in the
Building Code, the "Zoning Ordinance of Carmel, Indiana - 1961,11 adopted under the authority
of Chapter 175 of the Acts of 1947, General Assembly of the State of Indiana, and all Acts
amendatory thereto, or private building restrictions, if any, which may be imposed on the
above property by deed.
I, further certify that no injurious drainage of area or damage to public property will
result from this construction.
I, furthercertifythat the constructionwill not be used or occupied until proper
certificates of completion and compliance are filed with the Building Commissioner's Office,
Carmel, Indiana.
or
2/5/73
d ress