HomeMy WebLinkAboutBuilding PermitCarmel-Clayr� QQ
`' �G�o Permit No.
Township �Date ���o�emen� �.glion " Emil -
----•.---�__._ NAME
11/J/V 5 / L
BUILDER S REET
- - - - - - - --- NAME —
OWNER STREET
LOT NO. DI ON
L.C.' "'ON
LOCATION ADDRESS OF CON5TRUCTIG
A. TYPE. OF CONSTRUCTION
I. -Cf Residential (One or Two Family)
2. 0 Residential (Multi -family)
3. O Commercial
4._0 Industri_al
B. 'PY�!'E •OF SEWAGE DISPOSAL
1, Public
_2_0 Private (Septic Tank, etc.)
C. TYPE OF IMPROVEMENT
J. W" New Structure
2.0 Addition Porch Room
3.0 Remodel
4.0 Foundation Only
5.0 Demolition
6.0 Accessory Building
7.0 Swimming Pool
8.0 Garage Detached Attached
PI QNI �. .
[ Lf cr e
CITY STATE-~ ZIP
PHONE
CITY STATE
D. PRESENT USE OF PROPERTY
1.0 Farm
Residential (One or Two Family)
3.0 Commercial
4.0 Industrial
5.0 Other (Specify)
E. PROPOOND USE OF PROPERTY
1. One or Two Family Dwelling
2. O Multi -family
3. O Commercial
4. 0 Industrial
5. O Other (Specify)
F. ZONING CLASSI1ICATION OF PROPERTY
Present 1 Proposed_
G. ESTIMATE COST OF CONSTRUCTION
(Excluding Land Value)
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alter-
ation of structure. or any change in the use of land or structures requested by this application
will comply with, and conform 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 constrrath,
be used or occupied until proper certificates
of completion and compliance are lding Commissioner's Office, Carmel, Indiana.
I rther cern \th t only kitchlaund d floor drains are connected to sanitary
7?
' 1�8¢I ctionsNeeded:
5ig>}�t�re of Owner or Authorized Agent
►. Andre
t Phone No. GC, c ` R;-, :,r. KY
Ci , ITION
unfe:•(:-• r r r:. r. ([f<•�tu al(a�t! -lZ
Flood Zones: Yes No � i
r ! r ) Square Footage
B.OI,1 i' � .. �� � � �_
C O } Ci =-Y'TJW4iRF ................... (o a.
HAWi t;;J Ct?+�i'Ti*ai1Qf Occupancy....... i �[
Director, Department of Comm6rhafty Development Total .................. , ... i g o a
I—% -L--- P A 1 D MAR 81984
Received 'rr By