HomeMy WebLinkAbout06020086 Application
City of Carmel/Clay Township \J.~ \~ permit#DIoO~0D8b
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER'S EMAIL ADDRESS
15fhf.
PHON7.33__ 77 '5 -s FAX ") 57- ?Jc( z-
OTY 'l STATE ZIP
2/0;us U I lc <..{6C,f
BEST METHOD OF CONTAcr:
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PROPERTY
OWNER:
NAME
E
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PHONE
FAX
STREET ADORESS
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STATE
ZIP
LOCATION
&. PROJECT
INFO:
SECTION
5001-<!.-
ZONING:fL{ D
SEWER UTlLI1Y
PROVIDER: e-
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ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LANO VALUE)
SQUARE
FOOTAGE: L
7'6 cJl) v,~
NAME OF UTILI1Y EXCAV nON CONTRAcrOR; PLAN COMMISSION I BZA I BPW OOCKET
NUMBERS; TAC DATE(S); OIOR COUNTY WELL ANDI.()R C PERMIT #'S (IF APPLICAB
^.N-~~BING CONTRACTOR: "BriCe. M ','
~---t$f,C~- 0),{(}rj~' ~9 ..$lYlltl1
Plu e:s Indiana State License #<. .J per:
DDmON(S) (;.';2. Si2l.-1e .
R D ....,.,..,.' \ . e '1:::..
CCESS Y BUILDING ~in1iing'c'oifis\Wil/J1S'PPliedtothecnnstructinn:
D ~O fO' "~~'lmatl~r\~f~~:i~ential Code w/lndiana Amendments
TTACH r;,;: Om?' OJ V" .~' cCdes~UL""C:.s
DEMO~ie :"\" C te "Q) lJriIf6n1;'P~!l'.~~Indiana Amendments
0\ 6t3 l:J:NttlOIti~~il)i C?\\~e)
: .,. Of CO, :C' 1\'1 'YU
M f ct d ,OE? \ C~ ,.,~FOIJND'ATION TYPE: (Check all that apply for the new
___ anu a ure I _~ ("It;- r-f' <;Wt-~ area)
_Y ~N Trusses: J.A1l'~N l\"t7I,.,.~..
./ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y L:::) Sump Pump: -;C...T _N 0 SLAB /~ASEMENT .
Does any part of the property lie within a special Flood designation area: _ Y ....,LN WALKOUT:_ Y ~
o TOWN
o TWO F
# of un
o MULTI-FJ><
# of Uni
o RESIDEN " \
Additions, R'"
Early Release
Permit:
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 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.
I, the undersigned, agree that any' construction, reconstruction, enlargement, rclocation, 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 Cannel
Indiana - 199r (Z~ 289) and amendments, adopted under authority of LC 36~ 7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I fu certify that only ki ch , an oar drains are connected to the sanitary sewer. I further certify that the construction will not be
occupi uu' Certi11 T 'Pane been issued by the Depanment of comm~~. Indiana. J. ~.
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***********************************'~*******cr****************
Filing Fees: L 3'l- S
~SPECTIONS REQUIRED: .
~ ...----? Base Inspections: ], '.? S-- rJ # Charged Re.
Upper Footi!!91 ~er Footing~nder Slab 17 ,\ Reviews
- - Cert. of Occupancy: ..,. I 5"(/
Final P.R.I.F.: !;) b I IJO Additional Fees
~ TOTALl1' '1t~50
~(J!I/)~ 'L_I_~
Fe Eceive y: - , 311ft} 7
Reviewed/Approved: Dept. of Communi
S:Permlts/Forms/ILP RESIDENTIAl
(Date)