HomeMy WebLinkAbout06030032 Application
City of Carmel/Clay Township V,\' ~ Permit#: ova'::! (J{)3"J.-'
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
-' I 3,07' FAX 9'?'~ -' 30.5
STREET ADDR~7e / ' ' crT'/;_ , _ /' STAl!., /" ,'.,::, ' ZIt;, ~ '
10 I ""vI 01'C-6u c.;pr~ :::t::'/I(':O"-:.4fUW6.2-
BU LDER'S EMA)l ADDRES J _ " J L., L, J) BEST METHDD OF s~(;rAcr:? ~:--;~:;
u:( #( e.., ~/c~ tt-Ur fi1i'/ VIf'!I'e.r . t!/JI-f Iv' I ' "'~:<' ).-"
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PROJECT INFORMATION:
Early Release ~' Manufactured ~
Permit: Y V N Trusses: Y r"N
- ,/ ./ - 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y -'C.,N Sump Pump: X-Y _N 0 SLAB Y 8 BASEMENT ,., ./
Does any part of the property lie within a special Flood designation area:' N WALKOUT: I" y
PROPERTY
OWNER:
~
Ii
LOCATION
&. PROJECT
INFO:
NAME OF lITILITY CAVATlON CONTRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PHONE
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CITY
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SQUARE .'
FOOTAGE:'1S""'t:..2-
SECTION
FOUNDATION TYPE: (Check all that apply for the new
construction area)
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For Single Family and Two Family dwellings, additions, remodels, and/or accessory \ ;..: - :,t is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be cpr:llP,lete8 ~~cate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are sub~ect to the General.Ad~tive~es~f ~t~ ~ana (See 675 lAC 12) regarding expiration
tIme frames for ~I$!ltg anfu,Qlii\:ijei,jmf<<ln~I>\,J""';>"\? ,
I, the undersigned, agree that any construction, reconstIUctipp~l!in~t}t~?c~?'Qii.{dr ak~~..~.~{al.~hire, or any change in the use of land or
struCUlres requested by this application will comply with~~~~rt)iI{~~~~pp:H'c~~,I.e~~s\of~t!~tat~ t1fuiliana, and the "Zoning Ordinance of Carmel
Indiana -1993- (Z- 289) and amendmen adopted under a'l!.~of l;F.:J6! ~~;-Ge~'f~tJ.ssembly of the State of Indiana, and all Acts amendatory
thereto. I fu er c . hat on! kite , bath, and floor dt"ains are co ~ted.f6 ~s~~\~er. I further certify that the construction will not be
used or DC led UJlt' a c.' of Occupancy bas be~~: . FJ(P&JJ4t;/i-v;;;>carmel.lndi=a, 3 _j" -(l C:.
Signature of Owner or Authorized Agent . Print Date
OFFICEUSEONLY:************************************************************************
Filing Fees: l$ ~ I . rJ. 0
NSPEcnONS REQUIRED: /-
" Base Inspections: ,3 :J. / l) 0 # Charged Re-
I' /: ReVIews
Cert. of Occupancy: , -) I .~ lJ
P,R.I.F.: I .1-. G /. () {} Additional Fees
~ TOTAL: 11 if 7 ~ Lj. 10
'. nJ'J~,J,,-, (n, L~-~ \\OJJ,
FeeRece: ~\"?\ou \
Reviewed/Approved: Dept. of Community Services
S:Permlts/FonnS/IlP RESIDENTIAL
(Date)
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