HomeMy WebLinkAbout06020103 Application
,'. City of Carmel/Clay Township ~ Permit #OfoO:::J.OI 03
RESIDENTIAL IMPROVEMENT LOCATIO~ERMIT APPLICATION
For Single Family, Multi-Fa~om8\f: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME
RECORD:
PHONE
FAX
STREET ADDRESS
Indianapolis, IN 46250
CITY
STATE
liP
PROPERTY
OWNER:
FAX
BUILDER'
BEST METHOD OF CONTACT:
VG~
STREET ADDRESS
CITY
STATE
liP
LOCATION
&. PROJECT
INFO:
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{}tdzffW JA/ 46 {)3,
(}lL'UnLL
_ S~ON
ZONji 1
SQUARE ~ 4
FOOTAGE: V U /
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTIOft I) /) ') 'J/ q
(ExClUDING LAND VALUE) 'lP 0\ Vol 0'-
TYPE OF CONSTRUCTlON:/,<TYPE OF IMPROVEMENT:
'~ ~~~~E:~~~%-~~r~{~~~\~~ ~~M~~~~~~(S)
o }~q.E~rrtr?)~i~ \\\ G, PORCHADDffiON(S)
r (!t,Of,UDi!S'- \ \ [D\ REMODEL
o \~U~liHAMILY. a ~t;Jt;J~ ~ ACCESSORY BUILDING
'. ,#~f\Un~'Il ~ 0 'DETACHED GARAGE
o ~E~Ip~NT~or 0 ATTACHED GARAGE
A~~{I :\' Remode c,) DEMOLmON
PR , JI~ MATI
Early Release Manufactured F. NDATION TYPE: (Check all that apply for the new
Permit: \~ Y X N Trusses: x.. Y N construction area)
. - J X - 0 CRAWLSPACE 0 POST & BEAM
LotSpht: _Y -A-N Sump Pump: _Y _N REL~~FOR 80NS~~fG~T '
Does any part of the property lie within a special Flood desigl$!i~~""rea:;c'''';' "y,.,t "Nth all r"(jl,!!~~ig(\$f:_Y~N
For Single Family and Two Family dwellings, additions, remodels, and/or accesso!)' sY.l-u~l[j;-ts,fthR ~~tAilt! is'talia:i,nly if construction commences
within 180 days of the date of issuance of the building permit, and must b~;mple&df(cerfiliCit'l:OfiOcc1ipancylssue(r5\vltlm 18 months of the
issuance date. Class I structure permits are subject to the General Admini~a1ive Rules of.the'State of Indiana.(See 675 IAC'~2;\~ard.ing expiration
'f 'begi' III VI. vrl.llllliL.Lr/ \..JLf",~ ........wl"ui1fr-....
tune rames lor nmng an completmg consttuctIo . .
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteratioMoHll:J~e, 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
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
us or occupied until Certificate of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
I1Ji/)/J/../OAf I-IrAlS/-fAII/
Print
NAME OF UTILITY ExCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
J
A-jl)-{)U
Date
OFFICEUSEONLY:************************************************************************
Filing Fees: -j~ ~ J ~
INSPECTIONS REQUIRED: t ___
..<.::: ~. ~___ ~ Base Inspections: () # Charged Re-
(Upper FOO~ ~,,:r Foo!,!l9 Under Slab ' r A ReViews
Cert, of Occupancy:) / 'J (j
S-J-? 00
;j, / gS/O
I
e1na.
~
P.R.I.F.:
Additional Fees
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