HomeMy WebLinkAbout06020019-Application
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City of Carmel/Clay Township \)J 0"- Permit #: O~O 'J-ooA
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PHONE
FAX
~-DJ3/
BUILDER'S EMAIl ADDRESS
PROPERTY
OWNER:
v
/
PHONE
FAX
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
Ley
SECTION
ZONING:
S /
SQUARE
FOOTAGE: 5777
SEWER UTI).J11 ESTIMATED COST OF CONSTRUCTlON:
PROVIDERct ct EXCLUDING lfr~!?,~VAh~~~'~ r- "~ l). , \;
~~~~~:S~~A~(S)~~~D/OR oc~u~~RdL~~~D7g~~~~~Np~:~! :'~~I~~~:c;rCABLE) T i: i ~) ) 7e~::'?,,,::',~_'L.:::=! i I \'1 i
TYPE OF CONSTRUCTION: ~OFIMPROVEMENT: P UMBINGCONT1'\'1 ~nn~ Ill,l !,ill
'>---INGLE FAMILY C/
~ ~ "tW STRUCTURE J c.., -
8 ~~~:~I~~ 0 _DITION(S) lumber's Indiana State license #: ~~ I
# of units: 0 otPi~ CO l_ I -~ ~
o I!o comp/ja
o MULTI -FAMILY 0 ACCES9Il1IeIiI@W n~ vlltlwll'~~lf/WIB~8n es will be applied to the constru
# of Units: 0 ~1JQJljfl ,. OcaJ~-+~lil'mation~ Residential Code w/l ia
o RESIDENTIAL (For C1l:/1lVrl'\ 01\/ T'\Lc-
Additions, Remodels, Etc.) 0 - - DE~~~ '.:l'1 c i, LPIJ.Q\{~fl8nbing Code wI Indiana Amegm
DE LI ~ LA'r TQlll"Niltiljlv,,,,nstructlon Code)
PROJECT INFORMATION: ISJO/ANA 1~>)I1,'"
~ Manufactured ,'OUNDAll0N TYPE: (Check all that a y for the new
PEarly .Rt elease Y T 7"l construction area) '"' -I I
erml : russes: Uf' N )V
_ - /'\ - 0 CRAWLSPACE 0 POST BEAM~nISh
Lot Split: _Y _ Sump Pump: -.-J..:P _N 0 SLAB ~ ~^S ENT l3smr
Does any part of the property lie within a special Flood designation area: Y ~ WA KOUT: Y
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if c mences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS 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.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a struc(Ure, 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 -199r (Z,289) and amendments, adopted under authority of LC. 36,7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary se\ver. I further certify that the construction will not be
r occupied until a Certificate of Occupancy has been issue the Department of Community Services. Carn;.c1. Indiana. / I
:eU U I t. d /r;!i[OfO
Date
OFFICEUSEONLY:***********************************************~*~~********************
Filing Fees: II J d.. r;7o
r- ~PECTlONS R~QUIRED: Base Inspections: ./ ( 7. SO
'-uppe:- r~ Lower Footi Slab .s-- /0
Cert. of Occupancy: ~ I. J
~ Si~e P.R.LF.: );;2' // ;N!
(/~ TOTAL: -/;7 :i/r:?0-V. ?iJ
'--~ //).;:.-
//~cc~ " (/(/r:;:>-2---
Fee Received by: .........---
# Charged Re-
Reviews
Additional Fees
M
Reviewed/Approved: Dept. of Community Services
S:Permits/FormS/ILP RESIDENTIAL
(Date)