HomeMy WebLinkAbout0003.95 Application\1
No
Improvement Location PermitPermit
This permit is -valid if construction is started withm'120days ofissuance date; all constructionis completed(c/o issued)/within
owns6l Date
Roll File
P __ Y(2)two
years of issuance date unless an eztension.of time has been officially granted by,letter by the Director,'Department of Community
Development,
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PHONE
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BUILDER
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STREET //
AM, , In r/Lefe Ore.
COY
STATE :ZIP
;TENANT,NAME
(if applicable) -'
NAME �y
PHONE
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CITY
STATE ZIP
C
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' DEC,
2`3
LOT SL VISION
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SECTION
ECATION 199
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.ADDRESS OF:CONSTR_CjlION
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DOMa9'7"
G<Ji i P-
ve
A. TYPE •,FCONSTRUCTION
1 Residentlal:(One or Two Family)
2 0' Residential (Ivtulh-family),
3' 0, Commercial..
4.0Industrial
S. 0 Institutional
B..TYPE OFSEWAGEDISPOSAL _
C: TYP.E F WATER
1. Public System.(Name.of System
2..0 :Private:,(Well
D_ . TYPE OF IMPROVEMENT
-1. GIVewStucture
2.,0
.Commercial Tenant,space
3.0
Addition Porch
4.0
Remodel
5. (D
Foundation Only
6.0
Demolition
7.0
Accessory, 1.Building
8.0
Swimmin Pool"
9. 0
-g
Garage Detached
iaha,+and
Room
Attached.
E. ZONING
Present
F. PRESF�I7
1', ar
2. 0 Res
3.. 0 'Cot
4: 0 Ind
i ) 5.0 Ath
G.^ PRO1
� A. Om
with,
3:0 Cor
4.0 Oth
J
I further certify, that; theconstruction will ;not be;t sed or;occupie��rjfi("a, erhfl
Community Development Carmel; Indiana.
bath, laundry and floor drains are
-LASSIFICATIONOFPROPERTY
USE 0FPROPERTY
i / Vacant
Jential' (One or Two Family)
mercial-. -
ctrial
Yes
Yes
Yes X .
Yes
CiTi Y OF UA
IN iDiANA (6 T 1
Inspections Neededi
Square. Footage
Footage) ................:::..
.......................................
of Occupancy .........:..:...
No k`
No K
in the use.
I CERTIFY THAT ALL OF THE ABOVE LISTED INFORMATION IS SHOWN COMPLETELY AND ACCURATELY ON THE
ATTACHED PLOT OR SITE PLAN AS•SUBMITTED WITH A,BUILDING PERMIT APPLICATION TO THE CARMEL-CLAY
1.
DEPARTMENTOFCOMMUNITY DEVELOPMENT. I FURTHER CERTIFY THAT THE JOINING OF WATER SUPPLY
PIPING SHALL BE MADE WITH LEAD-FREE SOLDERS AND FLUXES. FAILURE TO COMPLY WILL RESULT IN A
REPLACEMENT OF THE SYSTEM. NUMBING CODE P-509-5.
BUILDER'S SIGNATURE: D PHONE:
4f!EF,
NOTE: Additional plans and/or information may be required, if submitted plans are not of sufficient clarity or detail, to
indicate the nature and extent of the work proposed and to determine compliance with all applicable codes and
ordinances.
In addition to the above, the Building Inspectorwill be provided with any information relative to commitments made
in the zoning process for the property involved. This would include any ADLS and BZA activity.
July, 1993 C:\TEXT\1006 dep