HomeMy WebLinkAbout06020061-Application
City of Carmel/Clay Township 220 411t} Permit #: O?/JJ.CO&!
RESIDENTIAL IMPROVEMENT LOCAT~ ;ERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
FAX
076-
PROPERTY
OWNER:
PHONE
FAX
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~ ADDRESS
,
CITY
STATE
ZIP
LOCATION
a PROJECT
INFO:
SE9 d?5
ZONING:
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-'-
SQUARE
FOOTAGE: /'15
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o
I PROVEMENT:
STRUCTURE
M ADDmON(S)
H ADDmON(S)
EM DEL
ACCE SORY BUILDING
CHED GARAGE
ATTACHED GARAGE
DEMOLmON
+'k
lumber's Indiana State License #:
c-P I O::JD:? / If /
.
PRO
_Y M Manufactured h
~ Trusses: ~~N
/f.'\ ~ 0 CRAWLSPACE
Lot Split: _ Y --t!V Sump Pump: (~'-) N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building pennit, 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.
C, the undersigned, agree that any construcdon, 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 under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
therf!' I further certify that only kitchen, bath, and floor drams are connected to the samtary sewer. I further certify that the constructlon will not be
u 'or occupied unril a Certificate of Occupancy ~ been issued b the Department ~commumty Services, Carmel, I~diana. /;
, L: '/ 6l,.-'J /r.J~
i nature of OWner or Authorized Agent Date .
# Charged Re-
Reviews
Additional Fees
~
ed/Approved: Dept. of Community Services
Forms{ILP RESIDENTIAL
Fee Received b\t..