HomeMy WebLinkAboutBuilding PermitC,, -Clay Improvement Location Permit Permit No.
Township
This permit is valid only if construction is started within 120 days of issuance date; all cc -istruction 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
Community Development.
A. TYPE OF CONSTRUCTION
1. Or -Residential (One or T wo Family)
2. O Residential (Multi -family)
3. O Commercial
4. 0 Industrial
5. 0 Institutional
B. TYPE OF SEWAGE DISPOSAL
1. t( 'P"blic
2.0 Private (Septic Tank, etc.)
C.
D. PRESENT USE OF PROPERTY
1 c_n v- .-
c.a
�. v 0 . a.....uu� vall'[
2. esidential (One or Two Family)
3. O Commercial
4. 0 Industrial
5, 0 Other (Specify)
TYPE OF IMPROVEMENT
NAME
1. Cr
PHONE
_
BUILDER
STREET i .--�
i
TYE
STAT iP _
4.0
Foundation Only
5.0
Demolition
AME
Accessory Build(ng
Swimming Pool
PHONE
,
8.0
Garage Detached*
At1dFh'ed�--
OWNER
STREET
CITY
STATE ZIP
S,TRSE ADDITION
/
SECTION
LOCATION
ADDR SOF CO/NS/TRQ TION,
A. TYPE OF CONSTRUCTION
1. Or -Residential (One or T wo Family)
2. O Residential (Multi -family)
3. O Commercial
4. 0 Industrial
5. 0 Institutional
B. TYPE OF SEWAGE DISPOSAL
1. t( 'P"blic
2.0 Private (Septic Tank, etc.)
C.
D. PRESENT USE OF PROPERTY
1 c_n v- .-
c.a
�. v 0 . a.....uu� vall'[
2. esidential (One or Two Family)
3. O Commercial
4. 0 Industrial
5, 0 Other (Specify)
TYPE OF IMPROVEMENT
U
1. Cr
-New Structure
2.0
Addition Porch Roo
3.0
Remodel
- % •�(''''
4.0
Foundation Only
5.0
Demolition
6.0
7.0
Accessory Build(ng
Swimming Pool
_
,
8.0
Garage Detached*
At1dFh'ed�--
E
Fa
G
V
PROPOSED USE OF PROPERTY
1. �e or Two Family Dwelling
2.0 Multi -family
3.0 Commercial
4. 0 Industrial
5. 0 Other (Sepcify)
7.0NING C'LASSIFIC'ATION OF PROPERTY
Present __—_�.------
ESTIMATE COST OF C�6 RUCTION
(Excluding Land Value `''�� —
Lot Split Yes— No
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 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 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 c� fy that only bath, laundry and floor drains are connected to sanitary 7TQ1
(" / / /� / Inspections Needed:
Signature ofer or Authorized 4gent Footing/Under Slab Temp Pole
City
gh In
State Zip Phone Final
Flood Zo s: Yes No
A. B. _ C.
Su p mp. es No
t rmai t es NoL
Di o , Department of Community Development
Received By
Meter Base
C/O
Square Footage / 5 /
Permit (Sq. Footage) ............
Inspections ..................... '—
Certificate of Occupancy.C9 t7
......... —
Total.......................... U
Plan Comm. Approved OW
Board of Zoning Appeals / a o *^^^
Approval (Date)