HomeMy WebLinkAboutBuilding Permit—��
Carmel -Clay Improvement Location Permit Permit No/.
Township
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
Co-nmunity Development.
A. TY� OF CONSTRUCTION
1. Residential (One or Two Family)
D. PRESENT USE OF PROPERTY
1. 0 Farm/Vacant
(%/ d t O TF '1
Z. Q Residential (Multi -family)
NAME :
1_ C'.l-;ii'
PHONE
, __ q :,; ;/
BUILD%R
STREET
3. Q Commercial
CI Y
STATE ZIP
4.0 Industrial
5. Q Institutional
t ' ° °
_� � � tia rte,
5. 0 Other (Specify)
(p fy) ----
NAME
`=
PHONE
PROPOSED USE OF PROPERTY
OWNER
S'� u� Z
1.0 One or Two Family Dwelling
2. Q Private (Septic Tank, etc.)
STREET
CITY
STATE ZIP
Ya
;^
3. Q Commercial
1. U New Structure
` ' t�
``" `' ' -
4.0 Industrial
5.0 Other (Sepcify)
9T�T-
DDIT19N
SECTION
LOCATION
13
F.
ZONING CLASSIFICATION OF PROPERTY
4.0 Foundation Only
ADDRESS OF CONSTRUCTION
Present -
5.0 Demolition
'� G '
`� ? �
G.
ESTIMATE COST OF CONSTRUCTION
6.0 AccessoryBuilding
g
%� o
A. TY� OF CONSTRUCTION
1. Residential (One or Two Family)
D. PRESENT USE OF PROPERTY
1. 0 Farm/Vacant
(%/ d t O TF '1
Z. Q Residential (Multi -family)
�—�
2. Resi entia ( ne or wo ami y)
3. Q Commercial
C
.
3. Q Commercial
4. Q Industrial
4.0 Industrial
5. Q Institutional
t ' ° °
_� � � tia rte,
5. 0 Other (Specify)
(p fy) ----
B. TYPf OF SEWAGE DISPOSAL
;
E.
PROPOSED USE OF PROPERTY
1. Q Public
S'� u� Z
1.0 One or Two Family Dwelling
2. Q Private (Septic Tank, etc.)
3
2.0 Multi family
C. TYPE OF IMPROVEMENT
Ya
;^
3. Q Commercial
1. U New Structure
` ' t�
``" `' ' -
4.0 Industrial
5.0 Other (Sepcify)
2.0 Addition Porch
Roofir ""r '°• r`j
_`fi
3.0 Remodel
F.
ZONING CLASSIFICATION OF PROPERTY
4.0 Foundation Only
c=� ��
Present -
5.0 Demolition
'� G '
`� ? �
G.
ESTIMATE COST OF CONSTRUCTION
6.0 AccessoryBuilding
g
%� o
(Excluding Land Value)_
7.0 Swimming Pool
/
8.0 Garage Detached—_—_
Attached
H.
Lot Split Yes----- No—y
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change
in the use of land or structures 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 urder 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 issued by the
Department of Community Development, Carmel, Indiana.
I further certify that only kitchen, bath, laundry and floor drains are connected to sanitary sewer.
Inspections Needed:
Signature of Owner or Authorized A ent Footing/Under Slab
a- ca sg 7 IPS-� s.� . • Y ---
Address Rough In
City State Zip Phone Final
f --
Flood Zones: Yes -No --IA. B. C. l�
Sump Pump: Yes—__-- No ✓-..- -_.
Geothermal ea Pu�Yes No✓--
4!;s '/7 ctor, Depart nt of Community Develop ent
VOL
Received By A
Temp Pole
Meter Base
C/O
Square Footage
Permit (Sq. Footage) ............
Inspections ..................... —
Certificate of Occupancy.........
Total ..........................--
Plan Comm. Approved (Date) _—_—
Board of Zoning Appeals
b; `1985►pproval (Date) __ —