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CityofCarmel/C/ay Township G ~j(} Permit#: olt tliJrl1D
RESIDENTIAL IMPROVEMENT LOCATIoN1ERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
NAME
CLASSIC. tt-C:HY)Ss" I",
STREET ADDRESS
1.5'<;;8 Co {2..s
PHONE
n S7~-9'12..<;'
01
u:;
C11Y
CAi2-<r\ E"L
BUILDER'S EMAlL ADDRESS
FAX
(2) .z~} - 374- '2
ZIP
l::P3 2..
BEST MErnOD OF CONTACT:
PROPERTY
OWNER:
NAME
CU-A-SSIC. 110'" ts, me...
FAX
OL./q
b I -371 ~
-r;
es~ -5f.,..-e.ct CA12-n1eL 11.1 ,~bci3
WATERUTILrTY IJlt o;l.~
TV!" PROVIDER: ~ E"L
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) 4- 2...0000
.it: O$Oir-o J.S"S
NAME OF UTILrTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKEr
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): ,g ~ 'E",cC\,,~-h~
,
TYPE OF CONSTRUCTION.:~\ "r-:';--;:::TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
~ ~~~~E:~~~LY /!Lf -l:iS::~,~Z~~J:~~~~~S) P~~~~ ~~an~;~~~ce:selo#7' Lo) ltl}
o TWO FAMI~ Y I In; 0 PORCH '~pDmON(S) po 2.. '"2.. ~ to 0 7.-
# of units, III FES 1 G ~~^MOD,~l! i -
o MULTI-FAMILY ~2lACCESSORY BUILDING Which plumbing codes will be applied to the const,uction:
# of Units: 0 DETAcHED' GARAGE 0 Intemational Residential Code w/lndiana Amendments
o RESIDENTIAL l:f~1<<:6/GARAGE
Additions, Remodels, 0 DEMOLmON ~ Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
Manufactured FOUNDATION TYPE: (Check all that apply for the new
,~ /' construction area)
_Y ~N Trusses: _Y ~N
o CRAWLSPACE
Lot Split: _Y L/N Sump Pump: v-v _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y ~
LOCATION
8r. PROJECT
INFO:
STREET ADDRESS
:?>S~8' Cot2J'~ (U/L.CU,:;:-
LOT #
12
CITY
r."i~'El..
SEmON
SEWER UTILrTY
PROVIDER:
ct.--4
PROJECT INFORMATION:
Early Release
Permit:
STATE
ZIP
~ bo3 '2..
I
ZONING:
51
SQUARE
FOOTAGE: 78 ~3
o POST & BEAM
~ASEMENT /
WAlKOlJT:~ Y------.:...N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
T, the undersigned, agree that any construction, reconstruction, enlargement. relocation. or alteration of a 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 - 1993" (Z, 289) and amendments, adopted un t on f LC. 36~ 7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, floor drains are c nnected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Gee aney has been issued b the Department of Community Services, Carmel, Indiana.
Signature:fo~ e.o,':.:/::'* . H~:t..1 . f4<reL ~~ 7/0:S-
C~mJ.ThJi'
_. 'f~GlI~~'0\}CTION ' <oj/, ::> ()
" ~'" ~ ';R:Id:=.';;,;;";" :,.litn ,i!! "!\j!lI3t\9"gl (,1 O(J Additional Fees
. . Q1':j\-~':;;" ~<lC! U:~G0i f~(}'~l~~t ' 1 ~ ,L'/0/1
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OFFICE USE ONLY: *******
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