HomeMy WebLinkAboutApplicationCARMEL -CLAY TOWNSHIP
APPLICATION FOR IMPROVEMENT LOCATION
PERMIT AND CERTIFICATE OF OCCUPANCY
BLDG. PMT. NO. 6- T ,") - % s,
DATE ISSUED /L - /S- 7
FEE PAID -4 31. Y6
CONTR. REG. ##
Bvilder STREET CITY STATE ZIP
NAME PHONE
Owner STREET I CITY STATE ZIP
Location L
ATTIITCf
•• +-+ .V 1- VV1V Al1llVV11V1Y
1.1M Residential (One or two family)
2. ❑ Residential (Multi -family)
3. ❑ Commercial
4. p Industrial
B. TYPE OF SEWAGE DISPOSAL
1. D Public
2. (t] Private (Septic tank, etc.)
C. TYPE OF IMPROVEMENT
1• b New structure
2. Q Addition Porch Room
3. ❑ Remodel
4. ❑ Foundation only
5. 0 Demolition
6. rj Accessory Building
7. ❑ Swimming Pool
8. [J Garage Detached Attached
I
• 111L 141 VUl.I "Ji., L
1. ❑ arm
2. (P Residential (One or two family)
3. ❑ Commercial
4. ❑ Industrial
5. O Other -specify
1 1'
1.
2.
3.
4.
5.
Q One or two family dwelling
❑ Multi -family
[]Commercial
p Industrial
p Other -specify
• LV1Y 11VVVL IJI
Present
Proposed
CLUDING LAND VALUE
1• 1VV1 11V-
- el c C`;
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 BuilidinglCode, the "Zoning Ordinance of Carmel, Indiana -
1961," and amendments,thereto, adopted under the authority of Chapter 174 of the
Acts of 1947, General*_isssembly of the State of Indiana, and all Acts amendatory
thereto, or privatetilding restrictions, if any, which may be imposed on the
above property by dq0 . '
I further certif -that no injurious drainage of area or damage to pub-lic
property will result'`,',f7pom this conn:truction and site grading shall conform to
the subdivision deve1 nt in la '
,p ,� p � .a�' approved by Carmel -Clay Plan Comm°-s'sion,
if any.
I further certify thatA'e-construction will not be used or occu led until
proper certificates of completion and compliance are filed with theuilding
Commissioner's Office, Carmel, Indiana.
I further certify that only kitchen, bath, laundry and floor drains are
connected to kanitary ,seyver.
` "/
Signature of 0 ner or Authorized Agent Address City State Date
11-9-77
VVC/lg f`< ,